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Compare/J85 vs J86

J85 vs J86

J85 (Abscess of lung and mediastinum) compared with J86 (Pyothorax), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J86 carries an Excludes1 note covering J85: “abscess of lung (J85.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J85Abscess of lung and mediastinumJ86Pyothorax
Billing statusNon-billable header

Report instead: J85.0, J85.1, J85.2, J85.3

Non-billable header

Report instead: J86.0, J86.9

ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionAbscess of lung and mediastinum is a non-billable ICD-10-CM category code (J85).Pyothorax is a non-billable ICD-10-CM category code (J86).
Use additional code
code (B95-B97) to identify infectious agent.
code (B95-B97) to identify infectious agent.

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources