19951 Mariner Avenue, Suite 150 Torrance, CA
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1 19951 Mariner Avenue, Suite 150 Torrance, CA September 15, 2015 ICD-10-CM Coding Effective October 1, 2015 Dear Colleague: Starting October 1 st, 2015 the new federally mandated ICD-10-CM coding system will go into effect. Medical coding will change from ICD-9-CM diagnosis and procedure codes to the new ICD-10-CM diagnosis codes. All healthcare providers and those covered under the Health Insurance Portability and Accountability Act (HIPAA) will be required to use the new ICD-10-CM codes on any claims with dates of service on or after October 1, Clinicians ordering laboratory testing from Pathology, Inc. will need to include the new ICD-10 diagnosis codes with their orders starting on October 1, Failure to include the new ICD-10-CM codes on test orders will result in denial of the claims. To help you make this transition, we have attached cross-walks of the most commonly used ICD-9 codes to the new ICD-10-CM diagnosis codes. These can also be viewed on our website at For more detailed information on the ICD-10-CM coding changes, please visit or We thank you for choosing Pathology, Inc. and look forward to your continued support. For additional information, please visit our website at or contact client services at Sincerely, Anila D. Guruji, M.D. Medical Director Attachments
2 (OVER) INFECTIOUS & PARASITIC DZ ( ) Streptococcal phary. (sore throat) J02.0/J HIV positive, symptomatic B Chickenpox, w/o complic B Genital herpes unspec. A Herpetic gingivostomatitis B Herpes simplex derm. of eyelid B Herpes simplex w/o complication B Mononucleosis, infectious B Molluscum contagiosum B Viral wart, unspec. B Condyloma acuminatum A Viral infection, unspec. B Syphilis, unspec. A Gonorrhea, lower GU site, acute A Nongonococcal urethritis, unspec. N Chlamydia trachomatis N Chlamydia, unspecified site A Dermatophytosis, scalp and beard B Dermatophytosis,of groin & perianal areab Dermatophytosis, of foot B Dermato-phytosis, of the body B Pityriasis versicolor B Candidiasis of mouth (thrush) B37.0/B Candidal intertrigo skin/nails B Enterobiasis (pinworms) B Urogenital trichomoniasis, unspecified A Trichomonal vulvovaginitis A Trichomonal urethritis A Pediculus capitis B Pediculus corporis B Pediculus pubis B Pediculosis, mixed B Scabies B86 ENDOCRINE, METABOLIC, IMMUNITY ( ) Hyperthyroidism, NOS w/o crisis E Hypothyroidism, unspec E Diabetes II w/o complication E Diabetes I w/o complication E Hypoglycemia, unspec E Polycystic ovaries E Delayed puberty E Dehydration E Obesity unspecified E Obesity Morbid E66.01 INTERNAL MEDICINE/FAMILY PRACTICE ICD-9 Codes 2014 & ICD-10 Codes 2015 BLOOD ( ) Anemia, iron deficiency, unspec. D Anemia, unspecified D Lymphadenitis, unspec. except mesenteric I88.9 MENTAL DISORDERS ( , V11, V40, V79) Tobacco use disorder F NERVOUS SYSTEM & SENSE ORGANS ( ) Epilepsy, unspec w/o men intract G40.901/G Migraine, unspec, w/o mention of intractable G Hypermetropia/farsighted H Myopia/nearsighted H Atopic conjunctivitis, acute H Conjunctivitis, unspec H Conjunctival degener., unspec. H Conjunctival hemorrhage H Hordeolum, externum H Pain in or around eye H Infective otitis external, unspec H60.00/H Swimmers ear, acute H Cerumen, impacted H Acute serous otitis media H Nonsuppurative otitis media unsp H Eustachian tube dysfunction H Otitis media, unspec. H Otalgia, unsp (earache NOS) H Disorder of the ear, unspecified H93.93 CIRCULATORY SYSTEM ( ) Essen. hypertension, malig. I Essen. hypertension, benign I Essen. hypertension, unspec. I Basilar artery occlusion w/o I65.1 mention of cerebral infarction Scrotal varices I Orthostatic Hypotension I Unspec. Circul. Sys Disorders I99.9 RESPIRATORY SYSTEM ( ) 460 Acute Nasopharyngitis (cold) J Sinusitis, acute, unspec. J Pharyngitis, acute or NOS J Tonsillitis, acute J Upper respiratory infection, unspec site J Bronchitis, acute J Sinusitis, chronic, unspec. J Rhinitis, allergic, cause unspec. J30.0/J Pneumonia, unspecified J Influenza, NOS J10.1/J Status Asthmaticus J Asthma unsp w/acute exacerb. J Respiratory disease, unspec. J98.9 DIGESTIVE SYSTEM ( ) Dental Caries, unspec K TMJ syndrome M26.60/M Unsp dis of teeth & supp struct. K Oral Aphthae K Disease of oral soft tissue, unsp. K Dyspepsia (upset stomach) K Gastroenteritis, noninfec, NOS K Constipation, unspecified K Rectal and anal bleeding K Hepatitis, unspecified K75.9 GENITOURINARY SYSTEM ( ) Pyelonephritis, unspec N Cystitis, acute N30.00/N Urinary tract infec, unspec site N Unspec disorders of urethra & urinary tract N36.9/N Hydrocele, unspec N Epididymitis & orchitis, unspec N45.1/N Spermatocele N Atrophy of testis N Male genital disorder, unspec N Fibrocystic breast disease N Hypertrophy of breast (Gynecomastia) N Mastodynia (breast pain) N Lump or mass in breast N Salpingitis & oophoritis N70.91/N Cervicitis & endocervicitis N Vaginitis and vulvovaginitis, unspec N76.0/N Bartholin cyst N Bartholin abscess N Ovarian cyst, unspec N Mittleschmerz N Dysmenorrhea N PMS (premenstrual synd.) N Amenorrhea N Menstrual cycle, irregular N Dysfunctional uterine hemorrhage, NOS N93.8/N Abn genital tract blding, unspec. N93.9/N92.6 COMPLICATIONS OF PREGNANCY, CHILDBIRTH ( ) Hemorrhage in early pregnancy, unspec. O20.9
3 INTERNAL MEDICINE/FAMILY PRACTICE ICD-9 Codes 2014 & ICD-10 Codes 2015 SKIN & SUBCUTANEOUS TISSUE ( ) Onychia & Paronychia, finger L Onychia & Paronychia, toe L Cellulitis and abscess of, unspec digit L / L Abscess & Cellulitis, NOS L03.90/L Impetigo L Pyoderma, unspecified L Dermatitis, seborrheic, NOS L Contact derm. & other eczema due to L25.1 drugs or medicine in contact with skin Contact derm. & other eczema L25.3 due to other chemical products Contact dermatitis due to plants L Sunburn L Contact dermatitis, NOS L25.9 / L Intertrigo L26 / L Pityriasis rosea L Pruritus, NOS L Ingrowing nail L Folliculitis, NOS L66.3 / L73.8 (Disorder of hair follicle) Acne, NOS L Sebaceous cyst L Ulcer skin, NOS L Idiopathic urticarial L Skin disorder, other spec. L94.2 / L Dermatosis, NOS skin disorder L98.9 MUSCULOSKELETAL SYSTEM ( ) Effusion of ankle/foot joint M / M Pain in joint, unspec M Pain in joint, lower leg M Cervicalgia/Neck pain M Lumbago/Low back pain M Backache, unspec. M Tendinitis, NOS M Spasm of Muscle M Muscle pain & myositis, unspec M60.9 / M Limb pain M Juvenile Osteochondrosis of Upper extremity M Juvenile Osteochondrosis of Lower extremity M92.40 /M Costochondritis/Tietze s Disease M Flat foot acquired M Kyphoscoliosis/Scoliosis, idiopat M41.20 CONGENITAL ANOMALIES ( ) Congenital Pes Planus/Flat Foot Q66.50/Q Genu varum (bowleg)-congenital Q68.2/Q74.1 SYMPTOMS, SIGNS & ILL-DEFINED CONDITIONS ( ) Syncope and collapse R Other Convulsions R Dizziness & giddiness R Sleep disturbance unspecified G Chronic fatigue syndrome R Abnormal Posture R Rash and other skin eruptions R Spontaneous ecchymosis R Abnormal weight gain R Abnormal loss of weight R Underweight R Short stature R Headache, NOS R Throat pain R Epistaxis (nose bleed) R Tachycardia, unspec. R Palpitations R Abnormal heart sounds, other R Enlargement of the lymph nodes R Shortness of breath R Wheezing (excludes asthma) R Cough R Chest pain, unspec. R Chest Pain, Other R Nausea & Vomiting R Nausea alone R Vomiting alone R Diarrhea, NOS R Dysuria R Urinary incontinence, unspec R Nocturnal enuresis N Abdominal pain, unspec. Site R Other abnormal blood chemistry R79.89/R Proteinuria R Other abnormal urine R Elevated BP w/o dx. of hypertension R03.0 INJURY & POISONING ( ) Sprain/Strain, unspec site T Concussion, w/ no loss of consciousness S06.0X0A Open wound, unspec, excluding S31.000A limbs w/o complication Abrasion, corneal S05.00XA Drug reaction, unspec. T50.905A Allergy, unspecified T78.40XA PREVENTIVE HEALTH, OBSERVATION, EXAMS (selected V codes) V01.6 Contact with venereal disease Z20.2 V01.79 Other Viral Disease Z V06.9 Unspec. combined vaccine Z23 V08 HIV positive, asymptomatic Z21 V20.2 Routine infant or child health Z (excludes adults) V22.0 Prenatal care, normal 1 st preg. Z34.00 V22.1 Prenatal care, normal pregnancy Z34.80 V22.2 Pregnancy state, incidental Z33.1 V24.2 Post-partum routine follow-up Z39.2 V67.59 Follow-up exam unspec following Z09 completed treatment V68.81 Referral of pt. w/o exam or Tx Z04.9 V68.9 Unspec. administrative purpose Z02.9 V70.0 Routine medical exam Z00.00 V70.3 Sports/Camp physical Z02.5 V70.5 Pre-employment exam Z02.1 V70.8 Unspecified general medical exam Z00.8 V72.0 Vision/Eye exam Z01.00 / Z01.01 V72.19 Hearing/Ear exam Z01.10/Z V72.31 Gynecological exam, routine With Z Abnormal findings V72.31 Gynecological exam, routine Z Without Abnormal findings V72.40 Suspected Pregnancy Z32.00 V76.2 Laboratory Exam Z12.4 V73.88 Special screen-chlamydial Dis. Z11.8 V74.5 Special screen-venereal Disease Z11.3 V81.1 Special screen for HTN Z13.6 (OVER)
4 2015 ICD-9 and ICD-10 Coding for Gynecology and Obstetrics A Quick Reference for Pathology, Inc. Clients Menstrual Abnormalities Special Screening Examinations Diseases of Female Pelvic Organs ICD-9 ICD-10 ICD-9 ICD-10 ICD-9 ICD Amenorrhea N91.2 V73.88 Chlamydial trachomatis screening Z Pelvic inflammatory disease (PID) N Dysfunctional Uterine Bleeding N.93.8 V73.89 Hepatitis screening Z Pelvic mass R Dysmenorrhea N94.6 V73.89 HIV screening Z Pelvic pain N Irregular Menses N92.6 V73.81 HPV screening Z Menometrorrhagia N92.4 V73.89 Rubella screening Z11.59 Disorders of Breast Menorrhagia N92.0 V75.4 Screening for yeast infection Z11.8 ICD-9 ICD Metrorrhagia N92.1 V74.8 Syphilis screening Z Breast abscess N Oligomenorrhea N91.5 V75.8 Trichomoniasis screening Z Breast tenderness N Premenstrual Syndrome N94.3 V74.5 Veneral disease screening Z Cyst of breast N Fibrocystic breast N60.19 Routine Examination Codes Menopause Galactorrhea not associated with childbirth N64.3 ICD-9 ICD-10 ICD-9 ICD Gynecomastia (hypertrophy of breast) N62 V15.89 High-risk for Developing Cervical Cancer Z Climacteric symptoms N Mastitis (breast abscess) N61 V76.49 Pap test on patient with no cervix Z Menopausal symptoms N Mastodynia (pain in breast) N64.4 V76.2 Routine cervical Papanicolau test Z Perimenopausal bleeding N Nipple discharge N64.52 V72.31 Routine gynecological exam with abnormal findings Z Postmenopausal bleeding N95.0 V72.31 Routine gynecological exam w/o abnormal findings Z Postsurgical menopause N95.8 Disorders of Uterus and Ovary V76.47 Vaginal Pap Test status post-hysterectomy Z Premenopausal menorrhagia N92.4 ICD-9 ICD Senile atrophic vaginitis N Adenomyosis N80.0 Abnormal Pap Test Results Cervical endometriosis N80.0 ICD-9 ICD-10 Disorders of Cervix Enlarged uterus N Abnormal pap test result, cervix R ICD-9 ICD Endometriosis, unspecified N Abnormal pap test result, vagina R Cervical inflammation N Ovarian cyst N ASC-H, cervix R Cervical intraepithelial neoplasia III (CIN III) D Ovarian dysfunction N ASC-H, vagina R Cervicitis N Ovarian failure E ASC-US, cervix R Cervical polyp N Uterine cyst N ASC-US, vagina R Endocervicitis N Uterine fibroid / leiomyoma D Cervical high-risk HPV DNA test positive R Leukoplakia of cervix N Uterine polyp N HGSIL, cervix R Mild dysplasia of cervix (CIN I) N HGSIL, vagina R Moderate dysplasia of cervix (CIN II) N87.1 Neoplasm of Female Genital Organs LGSIL, cervix R ICD-9 ICD LGSIL, vagina R Infertility Breast cancer C Unsatisfactory cervical cytology sample R ICD-9 ICD Cervical cancer C Unsatisfactory vaginal cytology sample R Age related infertility N Endocervical cancer C Vaginal high-risk HPV DNA test positive R Anovulatory infertility N Endometrial cancer C Infertility due to fallopian tube anomaly N Ovarian cancer C56.9 Pregnancy with Abortive Outcomes Infertility due to anomaly of cervical mucosa N Uterine cancer C55 ICD-9 ICD Infertility due to uterine anomaly N Vaginal cancer C Spontaneous abortion (miscarriage) O Infertility, female N Vulvar cancer C Abortion Z Infertility, male N Blighted ovum / Molar pregnancy O Infertility of uterine origin N97.2 Disorders of Vagina and Vulva-Cont'd Hydatidiform mole O Primary female infertility N97.9 ICD-9 ICD Missed abortion O Primary ovarian failure E Bartholin's cyst N Molar pregnancy O Tubal occlusion N Ulcer of Vulva N Threatened abortion O Vaginal cyst / vaginal bleeding N Tubal pregnancy without intrauterine pregnancy O00.1 Disorders of Vagina and Vulva Vaginal discharge N Ectopic pregnancy without intrauterine pregnancy O00.9 ICD-9 ICD Vaginitis, unspecified N Intrauterine death, unspecified O36.4XX Noninflammatory Disorder of Vagina N Vulvar abscess N Vaginal Itch L Vulvar lesion N Vaginal Ulcer N of 2
5 2015 ICD-9 and ICD-10 Coding for Gynecology and Obstetrics A Quick Reference for Pathology, Inc. Clients Complications of Pregnancy Complications of Pregnancy (continued) Supervision of Pregnancy and Post Partum ICD-9 ICD-10 ICD-9 ICD-10 ICD-9 ICD Placenta previa without hemorrhage, unspecified Habitual aborter with current pregnancy, 1st trimester O26.21 V23.81 Advanced maternal age, 1st pregnancy, unspec.trim O Placenta previa without hemorrhage, unspecified trimester O44.00 Habitual aborter with current pregnancy, 2nd trimester O26.22 Advanced maternal age, 1st pregnancy, 1st trimester O Placenta previa without hemorrhage, 1st trimester O44.01 Habitual aborter with current pregnancy, 3rd trimester O26.23 Advanced maternal age, 1st pregnancy, 2nd trimester O Placenta previa without hemorrhage, 2nd trimester O Twin pregnancy, unspecified Advanced maternal age, 1st pregnancy, 3rd trimester O Placenta previa without hemorrhage, 3rd trimester O44.03 Twin pregnancy, unspecified trimester O V23.82 Advanced maternal age, other than first pregnancy, unspec.trimester O Hemorrhage from placenta previa, antepartum condition Twin pregnancy, 1st trimester O Advanced maternal age, other than first pregnancy, 1st trimester O Hemorrhage from placenta previa, unspec.trimester O44.10 Twin pregnancy, 2nd trimester O Advanced maternal age, other than first pregnancy, 2nd trimester O Hemorrhage from placenta previa, 1st trimester O44.11 Twin pregnancy, 3rd trimester O Advanced maternal age, other than first pregnancy, 3rd trimester O Hemorrhage from placenta previa, 2nd trimester O pregnancy V28.2 Antenatal screening for Alpha-fetoprotein in amniotic fluid Z36 Hemorrhage from placenta previa, 3rd trimester O44.13 pregnancy unspec. Trimester O V28.0 Antenatal screening for chromosomal anomaly Z Gestational hypertension, antepartum condition pregnancy 1st Trimester O V28.9 First trimester screen Z O13.9 Unspecified Trimester pregnancy 2nd Trimester O V23.89 High-risk pregnancy, unspecified trimester O O13.1 1st Trimester pregnancy 3rd Trimester O High-risk pregnancy, 1st trimester O nd Trimester O Poor fetal growth, unspecified O High-risk pregnancy, 2nd trimester O rd Trimester O Poor fetal growth, 1st trimester O High-risk pregnancy, 3rd trimester O Mild pre-eclampsia, unspecified Poor fetal growth, 2nd trimester O V22.0 Normal first pregnancy, unspecified trimester Z Mild pre-eclampsia, antepartum condition, unspec.trimeste O14.00 Poor fetal growth, 3rd trimester O Normal first pregnancy, 1st trimester Z34.01 Mild pre-eclampsia, 1st trimester O Excessive fetal growth, unspecified O36.60XO Normal first pregnancy, 2nd trimester Z34.02 Mild pre-eclampsia, 2nd trimester O14.02 Excessive fetal growth, unspecified trimester O36.60X0 Normal first pregnancy, 3rd trimester Z34.03 Mild pre-eclampsia, 3rd trimester O Excessive fetal growth, 1st trimester O36.61X0 V22.1 Normal pregnancy other than first, unspecified trimest. Z Post-partum depression O Excessive fetal growth, 2nd trimester O36.62X0 Normal pregnancy other than first, 1st trimester Z Gestational diabetes, unspecified O Excessive fetal growth, 3rd trimester O36.63X0 Normal pregnancy other than first, 2nd trimester Z Gestational diabetes, unspecified control O Normal pregnancy other than first, 3rd trimester Z Spotting complicating pregnancy, unspecified V22.2 Pregnant state, incidental (Secondary Diagnosis) Z33.1 Spotting complicating pregnancy, unspecified trim O V23.85 Pregnancy resulting from in vitro fertilization, unspecified trimester O Spotting complicating pregnancy, 1st trimester O Pregnancy resulting from in vitro fertilization, 1st trimester O Spotting complicating pregnancy, 2nd trimester O Pregnancy resulting from in vitro fertilization, 2nd trimester O Spotting complicating pregnancy, 3rd trimester O Pregnancy resulting from in vitro fertilization, 3rd trimester O Post-term pregnancy (Between 40 and 42 weeks gest.) O48.0 V28.3 Routine fetal ultrasound Z Habitual aborter with current pregnancy, unspecified V24.2 Routine postpartum follow-up Z39.2 Habitual aborter with current pregnancy, unspecified trimester O of 2
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