ICD-10 J94.9
Billable / SpecificPleural condition, unspecified
About ICD-10-CM J94.9
ICD-10-CM code J94.9 represents Pleural condition, unspecified. This is a billable/specific code in the Respiratory System chapter (block J94). The 2026 edition of ICD-10-CM J94.9 became effective on October 1, 2025.
Medicare LCD Coverage for J94.9
Local Coverage Determinations (LCDs) from CMS MACs that list J94.9 as a covered diagnosis.
Showing top 10 of 86 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing J94.9.
1 Cigna
4 Medicare
1 Aetna
CPT Codes Commonly Billed with J94.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert J94.9 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J94.9 | 5110 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J94.9
Other codes in section J90-J94 (Other diseases of the pleura).
ICD-10 J94.9, Billing FAQ
Is ICD-10 code J94.9 billable? +
Yes, J94.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does J94.9 map to? +
Per CMS GEMs, J94.9 maps to ICD-9 codes: 5110. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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