J94 vs S27.1
J94 (Other pleural conditions) compared with S27.1 (Traumatic hemothorax), 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. J94 carries an Excludes1 note covering S27.1: “traumatic hemothorax (S27.1)”
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
| J94Other pleural conditions | S27.1Traumatic hemothorax | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | J00-J99 — Diseases of the Respiratory System (J00-J99) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Other pleural conditions is a non-billable ICD-10-CM category code (J94). | Traumatic hemothorax is a non-billable ICD-10-CM category code (S27.1). |
| 7th character | — | The appropriate 7th character is to be added to each code from category S27 |
| Includes | — | injuries of breast injuries of chest (wall) injuries of interscapular area |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources