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ICD-10-CM 2027

ICD-10 code for Esophagotracheal fistula

J86.0

Pyothorax with fistula

From the official ICD-10-CM alphabetic index entry “Fistula (cutaneous) › esophagotracheal”. Page updated September 29, 2026.

About coding Esophagotracheal fistula

The ICD-10-CM code for Esophagotracheal fistula is J86.0 (Pyothorax with fistula). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on J86.0.

Within J86 (Pyothorax), J86.0 is specifically for Pyothorax with fistula. Related codes cover without fistula (J86.9).

Use an additional code (B95-B97) to identify infectious agent.

As a secondary diagnosis it is an MCC (major complication or comorbidity), which can move an inpatient stay into the highest-paying "with MCC" MS-DRG of its family, unless the principal diagnosis excludes it.

More specific Esophagotracheal fistula codes (official index)

  • congenital Q39.2 — Congenital tracheo-esophageal fistula without atresia
  • with atresia of esophagus Q39.1 — Atresia of esophagus with tracheo-esophageal fistula

Common questions about Esophagotracheal fistula ICD-10 codes

What is the ICD-10 code for Esophagotracheal fistula?

J86.0 — Pyothorax with fistula. More specific codes apply when the documentation supports them: Q39.2, Q39.1.

What is the ICD-10 code for congenital esophagotracheal fistula?

Q39.2 — Congenital tracheo-esophageal fistula without atresia.

Is J86.0 billable?

Yes. J86.0 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can J86.0 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict J86.0 as a principal diagnosis.

Is J86.0 a CC or MCC?

J86.0 is an MCC (major complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.