DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

J86 Pyothorax

  • Header · not billable

J86 is not billable. The category heads 2 billable codes in FY2027: the 2 codes directly below it.

Index → code

  • Pyothorax → J86.9
  • Pyopneumothorax (infective) → J86.9
  • Empyema (acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax) → J86.9

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J85-J86 Suppurative and necrotic conditions of the lower respiratory tract (J85-J86)
  3. J86 Pyothorax
Billable codes
2
Subdivisions
2
CC / MCC codes
0 / 2
HCC V28 codes
2
New FY2027
0
Index entries
43

Codes in J86

  1. J86.0
    Pyothorax with fistula
    BillableMCC283
    Inclusion terms 7, Code also 1

    Inclusion terms

    • Bronchocutaneous fistula
    • Bronchopleural fistula
    • Hepatopleural fistula
    • Mediastinal fistula
    • Pleural fistula
    • Thoracic fistula
    • Any condition classifiable to J86.9 with fistula J86.9

    Code also

    • , if applicable, disruption of internal operation (surgical) wound (T81.32-) T81.32
  2. J86.9
    Pyothorax without fistula
    BillableMCC283
    Inclusion terms 9

    Inclusion terms

    • Abscess of pleura
    • Abscess of thorax
    • Empyema (chest) (lung) (pleura)
    • Fibrinopurulent pleurisy
    • Purulent pleurisy
    • Pyopneumothorax
    • Septic pleurisy
    • Seropurulent pleurisy
    • Suppurative pleurisy

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At J86

Excludes1

  • abscess of lung (J85.-) J85
  • pyothorax due to tuberculosis (A15.6) A15.6

Use additional code

  • code (B95-B97) to identify infectious agent. B95 B97

Notes that also apply

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Empyema (acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax) → J86.9
  • Pyopneumothorax (infective) → J86.9
  • Pyothorax → J86.9
  • Empyema (acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax)with fistula → J86.0
  • Fistula (cutaneous)abdominothoracic → J86.0
  • Fistula (cutaneous)bronchial → J86.0
  • Fistula (cutaneous)bronchocutaneous, bronchomediastinal, bronchopleural, bronchopleuromediastinal (infective) → J86.0
  • Fistula (cutaneous)bronchoesophageal → J86.0
  • Fistula (cutaneous)bronchovisceral → J86.0
  • Fistula (cutaneous)chest (wall) → J86.0
  • Fistula (cutaneous)costal region → J86.0
  • Fistula (cutaneous)diaphragm → J86.0
  • Fistula (cutaneous)esophagobronchial → J86.0
  • Fistula (cutaneous)esophagopleural-cutaneous → J86.0
  • Fistula (cutaneous)esophagotracheal → J86.0
  • Fistula (cutaneous)hepatopleural → J86.0
  • Fistula (cutaneous)hepatopulmonary → J86.0
  • Fistula (cutaneous)lung → J86.0
  • Fistula (cutaneous)mediastinal → J86.0
  • Fistula (cutaneous)mediastinobronchial → J86.0
  • Fistula (cutaneous)mediastinocutaneous → J86.0
  • Fistula (cutaneous)pleura, pleural, pleurocutaneous, pleuroperitoneal → J86.0
  • Fistula (cutaneous)pulmonary → J86.0
  • Fistula (cutaneous)pulmonoperitoneal → J86.0
  • Fistula (cutaneous)thoracic → J86.0
  • Fistula (cutaneous)thoracoabdominal → J86.0
  • Fistula (cutaneous)thoracogastric → J86.0
  • Fistula (cutaneous)thoracointestinal → J86.0
  • Fistula (cutaneous)thorax → J86.0
  • Fistula (cutaneous)tracheoesophageal → J86.0
  • Pneumopyothoraxwith fistula → J86.0
  • Pyopneumothorax (infective)with fistula → J86.0
  • Pyothoraxwith fistula → J86.0
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)chest → J86.9
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)peripleuritic → J86.9
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)pleura → J86.9
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)thorax → J86.9
  • Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved)staphylococcal → J86.9
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)chestwith fistula → J86.0
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)peripleuriticwith fistula → J86.0

3 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

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