J86.0UpcomingBillable / specific

Pyothorax with fistula

Code-level instructions

Code also

, if applicable, disruption of internal operation (surgical) wound (T81.32-)

Chapters 10 · Inherited instructions

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

J86 · Inherited instructions

Use additional code

code (B95-B97) to identify infectious agent.

Excludes 1

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

Excludes 2 · 9

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Claims & coverage

Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

Check Medicare coverage ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2025

ChangedUnchanged

FY2025

Effective from 2024-10-01

Code-level rules changed

Pyothorax with fistula

Billable diagnosis code

CDC/NCHS · FY2025

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	Code-level rules changed
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Historical ICD-9 mappings · 2018

Historical mapping only; not an automatic code substitution.

510.0 · Approximate
530.84 · Approximate

CDC/NCHS · GEM 2018

Code-level instructions

Inclusion terms

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

Code also

, if applicable, disruption of internal operation (surgical) wound (T81.32-)

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
smoke inhalation (T59.81-)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use additional code

code, where applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Note

When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

J86 · Pyothorax

Excludes 1

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

Use additional code

code (B95-B97) to identify infectious agent.

Official index references (35)

Abscess(connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) (4)

Empyema(acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax) (1)

Empyema(acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax) › with fistulaDisease index

Fistula(cutaneous) (26)

Fistula(cutaneous) › abdominothoracicDisease index
Fistula(cutaneous) › bronchialDisease index
Fistula(cutaneous) › bronchocutaneous, bronchomediastinal, bronchopleural, bronchopleuromediastinal(infective)Disease index
Fistula(cutaneous) › bronchoesophagealDisease index
Fistula(cutaneous) › bronchovisceralDisease index
Fistula(cutaneous) › chest(wall)Disease index
Fistula(cutaneous) › costal regionDisease index
Fistula(cutaneous) › diaphragmDisease index
Fistula(cutaneous) › esophagobronchialDisease index
Fistula(cutaneous) › esophagopleural-cutaneousDisease index
Fistula(cutaneous) › esophagotrachealDisease index
Fistula(cutaneous) › hepatopleuralDisease index
Fistula(cutaneous) › hepatopulmonaryDisease index
Fistula(cutaneous) › lungDisease index
Fistula(cutaneous) › mediastinalDisease index
Fistula(cutaneous) › mediastinobronchialDisease index
Fistula(cutaneous) › mediastinocutaneousDisease index
Fistula(cutaneous) › pleura, pleural, pleurocutaneous, pleuroperitonealDisease index
Fistula(cutaneous) › pulmonaryDisease index
Fistula(cutaneous) › pulmonoperitonealDisease index
Fistula(cutaneous) › thoracicDisease index
Fistula(cutaneous) › thoracoabdominalDisease index
Fistula(cutaneous) › thoracogastricDisease index
Fistula(cutaneous) › thoracointestinalDisease index
Fistula(cutaneous) › thoraxDisease index
Fistula(cutaneous) › tracheoesophagealDisease index

Pleurisy(acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) (1)

Pleurisy(acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) › with › adherent pleuraDisease index

Pneumopyothorax (1)

Pneumopyothorax › with fistulaDisease index

Pyopneumothorax(infective) (1)

Pyopneumothorax(infective) › with fistulaDisease index

Pyothorax (1)

Pyothorax › with fistulaDisease index

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
J86.9	Pyothorax without fistula	Billable / specific

Official titles and instructions are preserved in their source language. Official sources ↗