ICD-10-CM 2027
ICD-10 code for streptococcal pleurisy
From the official ICD-10-CM alphabetic index entry “Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) › streptococcal”. Page updated September 29, 2026.
About coding streptococcal pleurisy
The ICD-10-CM code for streptococcal pleurisy is J90 (Pleural effusion, not elsewhere classified).
Don't report J90 together with the conditions in its Excludes1 note: chylous (pleural) effusion (J94.0), malignant pleural effusion (J91.0)), pleurisy NOS (R09.1) and tuberculous pleural effusion (A15.6).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 186 (Pleural Effusion with MCC, relative weight 1.5835), DRG 187 (Pleural Effusion with CC, relative weight 1.0001), DRG 188 (Pleural Effusion without CC/MCC, relative weight 0.6654), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 04 (Diseases and Disorders of the Respiratory System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Don't confuse with (Excludes1 for J90)
Common questions about streptococcal pleurisy ICD-10 codes
What is the ICD-10 code for streptococcal pleurisy?
- J90 — Pleural effusion, not elsewhere classified.
Is J90 billable?
- Yes. J90 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can J90 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict J90 as a principal diagnosis.
Is J90 a CC or MCC?
- J90 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.