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ICD10BillableValid for clinical use

ICD-10 Code J86.0: Pyothorax with fistula

J86.0 is a billable ICD-10 diagnosis code used to classify Pyothorax with fistula in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the respiratory system (J00-J99).

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the respiratory system (J00-J99).

When is it used?

  • May be used when a clinician documents pyothorax with fistula in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
10Diseases of the respiratory system (J00-J99)
block
J85-J86Suppurative and necrotic conditions of the lower respiratory tract
category
J86Pyothorax
currentJ86

Official coding notes

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-)

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

PulmonologistGeneral Physician

Coverage-related procedures and services

CPT 43235high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)
Source: CMS coverage guidance
CPT 43270high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)
Source: CMS coverage guidance
CPT 43244high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BAND LIGATION OF ESOPHAGEAL/GASTRIC VARICES
Source: CMS coverage guidance
CPT 43239high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE
Source: CMS coverage guidance
CPT 43255high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD
Source: CMS coverage guidance
CPT 43233high
ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)
Source: CMS coverage guidance

Coding guidelines

Compatibility

Legacy and official ICD code match exactly.
Legacy codes
J86.0

Common synonyms

Pyothorax with fistula

Frequently asked questions

Code details

CodeJ86.0
SystemICD10
Display namePyothorax with fistula
ChapterDiseases of the respiratory system (J00-J99)
BlockSuppurative and necrotic conditions of the lower respiratory tract

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Abscess(connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)Abscess(connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)Abscess(connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)Abscess(connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)Empyema(acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax)Fistula(cutaneous)Fistula(cutaneous)Fistula(cutaneous)Fistula(cutaneous)Fistula(cutaneous)Fistula(cutaneous)Fistula(cutaneous)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.