J86.0 Pyothorax with fistula

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• 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-)

Applies from J86 Pyothorax

Excludes1 (never code together)

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

Use additional code

• code (B95-B97) to identify infectious agent.

Risk adjustment (HCC)

• CMS-HCC V28: HCC 283 — Empyema, Lung Abscess
• CMS-HCC V22: HCC 115 — Pneumococcal Pneumonia, Empyema, Lung Abscess
• ESRD V24: HCC 115

MS-DRG index

Defines the logic of DRG(s) 177-179 in MDC 04.

Approximate ICD-9-CM (GEMs)

• 510.0 Empyema with fistula (approximate)
• 530.84 Tracheoesophageal fistula (approximate)

Code annotations containing back-references to J86.0

Back-references to J86

• Type 1 Excludes: J93 Pneumothorax and air leak ("pyopneumothorax (J86.-)")

Diagnosis Index entries for J86.0

• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › chest › with fistula
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › peripleuritic › with fistula
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › pleura › with fistula
• Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) › thorax › with fistula
• Empyema (acute) (chest) (double) (pleura) (supradiaphragmatic) (thorax) › with fistula
• Fistula (cutaneous) › abdominothoracic
• Fistula (cutaneous) › bronchial
• Fistula (cutaneous) › bronchocutaneous, bronchomediastinal, bronchopleural, bronchopleuromediastinal (infective)
• Fistula (cutaneous) › bronchoesophageal
• Fistula (cutaneous) › bronchovisceral
• Fistula (cutaneous) › chest (wall)
• Fistula (cutaneous) › costal region
• Fistula (cutaneous) › diaphragm
• Fistula (cutaneous) › esophagobronchial
• Fistula (cutaneous) › esophagopleural-cutaneous
• Fistula (cutaneous) › esophagotracheal
• Fistula (cutaneous) › hepatopleural
• Fistula (cutaneous) › hepatopulmonary
• Fistula (cutaneous) › lung
• Fistula (cutaneous) › mediastinal
• Fistula (cutaneous) › mediastinobronchial
• Fistula (cutaneous) › mediastinocutaneous
• Fistula (cutaneous) › pleura, pleural, pleurocutaneous, pleuroperitoneal
• Fistula (cutaneous) › pulmonary
• Fistula (cutaneous) › pulmonoperitoneal
• Fistula (cutaneous) › thoracic
• Fistula (cutaneous) › thoracoabdominal
• Fistula (cutaneous) › thoracogastric
• Fistula (cutaneous) › thoracointestinal
• Fistula (cutaneous) › thorax
• Fistula (cutaneous) › tracheoesophageal
• Pleurisy (acute) (adhesive) (chronic) (costal) (diaphragmatic) (double) (dry) (fibrinous) (fibrous) (interlobar) (latent) (plastic) (primary) (residual) (sicca) (sterile) (subacute) (unresolved) › with › adherent pleura
• Pneumopyothorax › with fistula
• Pyopneumothorax (infective) › with fistula
• Pyothorax › with fistula

Nearby codes

• J86 Pyothorax
• J86.0 Pyothorax with fistula (this code)
• J86.9 Pyothorax without fistula