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J93.12 Billable Code

Secondary spontaneous pneumothorax

Effective From: 10/01/2016

Chapter Classification

Chapter 10 Diseases of the respiratory system (J00-J99)

Section Detail

J90-J94 Other diseases of the pleura (J90-J94)

Code Hierarchy

This code is a child of J93.1.

Coding Guidelines & Notes

codeFirst
  • underlying condition, such as:
  • catamenial pneumothorax due to endometriosis (N80.B-)
  • cystic fibrosis (E84.-)
  • eosinophilic pneumonia (J82.81-J82.82)
  • lymphangioleiomyomatosis (J84.81)
  • malignant neoplasm of bronchus and lung (C34.-)
  • Marfan syndrome (Q87.4-)
  • pneumonia due to Pneumocystis carinii (B59)
  • secondary malignant neoplasm of lung (C78.0-)
  • spontaneous rupture of the esophagus (K22.3)

OPPS Editing Flags

External Cause No
Mental Health No
Manifestation (Edit 89) No
Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No
Unacceptable PDX (Edit 113) Yes
PDX Exclusion Logic
  • OPPS Required: No
  • Bill Type Override: No

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