ICD-10 FREQUENTLY ASKED QUESTIONS

Transcription

1 ICD-10 FREQUENTLY ASKED QUESTIONS Q1. What is ICD-10? A1. ICD-10 is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD- 9. The system was developed by WHO in the 1970 s and is now used in almost every country in the world, except the United States. In the United States, ICD-10 usually refers to the U.S. clinical modification of ICD-10: ICD-10-CM. The code set is scheduled to replace ICD-9-CM, our current U.S. diagnostic code set, on October 1, Another designation, ICD-10-PCS, for procedural coding system, will also be adopted in the United States on Oct 1. ICD-10-PCS will replace Volume 3 of ICD-9-CM as the inpatient procedural coding system. The final rule stated CPT would remain the coding system for physician services. Fun Fact: The United States healthcare community is transitioning from the usage of approximately 25,000 ICD-9 Codes to roughly 69,000 ICD-10 codes. Q2. What happens if I do not transition to ICD-10 Codes? A2. ICD-10 is federally mandated. If claims are not filed with ICD-10 codes, claims will be rejected and you will not be paid. The only exceptions are Worker s Compensation and Auto Liability claims, which may accept either ICD-9 or ICD-10; however they have said that they will be ICD-10 ready by October 1, Fun Fact: All referrals, authorizations, and any requested clinical documentation must contain the appropriate ICD-10 code as of October 1, CGI will be sending all referring physicians new requisition forms containing the most commonly used ICD-10 codes for all specimens sent to us after October 1, All medical records requests will also contain only ICD-10 codes for all specimens sent after October 1, Q3. What are some of the benefits of ICD-10? A3. The ICD-10 transition will be jarring at first, but in the long run it will improve reporting, reduce costs, and increase efficiency. ICD-10 is much more relevant to today s technology and is already used by most developed countries. Fun Fact: CGI prepared documentation templates to ensure that you re charting is in compliance with ICD-10 coding and compliance standards. Q4. ICD-10 seems so complicated. Do physicians really need to use all the codes in ICD-10? A4. No. Healthcare providers will not use all the codes in the classification system; rather they will use a subset of codes based on their practice. Physicians will only use the ICD-10-CM code set for diagnosis coding. The ICD-10-CM code set is like a dictionary that has thousands of words, but individuals use some words very commonly while other words are never used. Fun Fact: CGI has adopted some quick coding sheets and crosswalk materials to assist with your transition to ICD-10. Q5. What type of training does my practice need and where do I find it? A5. ICD-10 training is typically organized into three categories. The type of training required by each member of your team depends upon their roles and responsibilities within the practice. Following are general guidelines to help you identify the type of training that is most suitable for each member of your practice: Documentation training for physicians, nurse practitioners, physician assistants, and other staff who document in the patient medical record Coding training for staff members who work with codes on a regular basis Overview training for staff members engaged in management and/or administrative functions The degree of training required can vary based upon: Your specialty The number and type of diagnosis codes you commonly use There are several online and instructor lead ICD-10 training options available for physician practices. Check with your affiliated hospital systems, medical societies, payers, clearing houses, and associated professional organizations to see what types of training they have available. Fun Fact: CGI has the resources to help you! We have conducted an AAPC consultation and evaluation to ensure we are ICD-10 compliant and ready for October 1, We want to extend our resources to you. Please see our ICD-10 Reference Guide for more information. 201 Route 17 North Rutherford NJ Office Fax

2 ICD-10 REFERENCE GUIDE CODE DESCRIPTION ICD-9: Esophagus, unspecified ICD-10: C15.9 Malignant neoplasm of esophagus, unspecified ICD-9: Stomach, unspecified ICD-10: C16.9 Malignant neoplasm of stomach, unspecified ICD-9: Sigmoid colon ICD-10: C18.7 Malignant neoplasm of sigmoid colon ICD-9: Cecum ICD-10: C18.0 Malignant neoplasm of cecum ICD-9: Ascending colon ICD-10: C18.2 Malignant neoplasm of ascending colon ICD-9: Colon, unspecified ICD-10: C18.9 Malignant neoplasm of colon, unspecified ICD-9: Rectosigmoid junction ICD-10: C19 Malignant neoplasm of rectosigmoid junction ICD-9: Rectum ICD-10: C18.7 Malignant neoplasm of rectum ICD-9: Liver, not specified as primary or secondary ICD-10: C22.9 Malignant neoplasm of liver, not specified as primary or secondary ICD-9: Upper lobe, bronchus or lung ICD-10: C34.10 Malignant neoplasm of upper lobe, unspecified bronchus or lung C34.11 Malignant neoplasm of upper lobe, right bronchus or lung C34.12 Malignant neoplasm of upper lobe, left bronchus or lung ICD-9: Middle lobe, bronchus or lung ICD-10: C34.2 Malignant neoplasm of middle lobe, bronchus or lung ICD-9: Lower lobe, bronchus or lung ICD-10: C34.30 Malignant neoplasm of lower lobe, unspecified bronchus or lung C34.31 Malignant neoplasm of lower lobe, right bronchus or lung C34.32 Malignant neoplasm of lower lobe, left bronchus or lung ICD-9: Other parts of bronchus or lung ICD-10: C34.80 Malignant neoplasm of overlapping sites of unspecified bronchus or lung C34.81 Malignant neoplasm of overlapping sites of right bronchus or lung C34.82 Malignant neoplasm of overlapping sites of left bronchus or lung ICD-9: Bronchus and lung unspecified ICD-10: C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung C34.91 Malignant neoplasm of unspecified part of right bronchus or lung C34.92 Malignant neoplasm of unspecified part of left bronchus or lung ICD-9: Melanoma of skin, site unspecified ICD-10: C43.9 Malignant melanoma of skin, unspecified D03.9 Melanoma in situ, unspecified ICD-9: Upper-outer quadrant ICD-10: C Malignant neoplasm of upper-outer quadrant of right female breast C Malignant neoplasm of upper-outer quadrant of left female breast C Malignant neoplasm of upper-outer quadrant of unspecified female breast ICD-9: Other specified sites of female breast ICD-10: C Malignant neoplasm of overlapping sites of right female breast C Malignant neoplasm of overlapping sites of left female breast C Malignant neoplasm of overlapping sites of unspecified female breast ICD-9: Breast (female), unspecified ICD-10: C Malignant neoplasm of unspecified site of right female breast C Malignant neoplasm of unspecified site of left female breast C Malignant neoplasm of unspecified site of unspecified female breast

3 ICD-9: Corpus uteri, except isthmus ICD-10: C54.1 Malignant neoplasm of endometrium C54.2 Malignant neoplasm of myometrium C54.3 Malignant neoplasm of fundus uteri C54.9 Malignant neoplasm of corpus uteri, unspecified ICD-9: Ovary ICD-10: C56.1 Malignant neoplasm of right ovary C56.2 Malignant neoplasm of left ovary C56.9 Malignant neoplasm of unspecified ovary ICD-9: 185 Malignant neoplasm of prostate ICD-10: C61 Malignant neoplasm of prostate ICD-9: Bladder, part unspecified ICD-10: C67.9 Malignant neoplasm of bladder, unspecified ICD-9: Kidney, except pelvis ICD-10: C64.1 Malignant neoplasm of right kidney, except renal pelvis C64.2 Malignant neoplasm of left kidney, except renal pelvis C64.9 Malignant neoplasm of unspecified kidney, except renal pelvis ICD-9: Brain, unspecified ICD-10: C71.9 Malignant neoplasm of brain, unspecified ICD-9: 193 Malignant neoplasm of thyroid gland ICD-10: C73 Malignant neoplasm of thyroid gland ICD-9: Lymph nodes of head, face, and neck ICD-10: C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck ICD-9: Site unspecified ICD-10: C77.9 Secondary and unspecified malignant neoplasm of lymph node, unspecified ICD-9: Liver, specified as secondary ICD-10: C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct ICD-9: Brain and spinal cord ICD-10: C79.31 Secondary malignant neoplasm of brain C79.49 Secondary malignant neoplasm of other parts of nervous system ICD-9: Bone and bone marrow ICD-10: C79.51 Secondary malignant neoplasm of bone C79.52 Secondary malignant neoplasm of bone marrow ICD-9: Other ICD-10: C79.89 Secondary malignant neoplasm of other specified sites C79.9 Secondary malignant neoplasm of unspecified site ICD-9: Other ICD-10: C45.9 Mesothelioma, unspecified C80.1 Malignant (primary) neoplasm, unspecified ICD-9: Reticulosarcoma, unspecified site, extranodal and solid organ sites ICD-10: C83.30 Diffuse large B-cell lymphoma, unspecified site C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites ICD-9: Reticulosarcoma of lymph nodes of multiple sites ICD-10: C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites ICD-9: Marginal zone lymphoma, intra-abdominal lymph nodes ICD-10: C83.80 Other non-follicular lymphoma, unspecified site C83.89 Other non-follicular lymphoma, extranodal and solid organ sites C88.4 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue ICD-9: Mantle cell lymphoma, unspecified site, extranodal and solid organ sites ICD-10: C83.10 Mantle cell lymphoma, unspecified site C83.19 Mantle cell lymphoma, extranodal and solid organ sites ICD-9: Mantle cell lymphoma, spleen ICD-10: C83.17 Mantle cell lymphoma, spleen ICD-9: Mantle cell lymphoma, lymph nodes of multiple sites ICD-10: C83.18 Mantle cell lymphoma, lymph nodes of multiple sites

4 ICD-9: Large cell lymphoma, unspecified site, extranodal and solid organ sites ICD-10: C83.30 Diffuse large B-cell lymphoma, unspecified site C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites C85.20 Mediastinal (thymic) large B-cell lymphoma, unspecified site C85.29 Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites ICD-9: Large cell lymphoma, lymph nodes of head, face, and neck ICD-10: C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck C85.21 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck ICD-9: Large cell lymphoma, intra-abdominal lymph nodes ICD-10: C83.33 Diffuse large B-cell lymphoma, intra-abdominal lymph nodes C85.23 Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes ICD-9: Large cell lymphoma, lymph nodes of multiple sites ICD-10: C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites C85.28 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites ICD-9: Other named variants, unspecified site, extranodal and solid organ sites ICD-10: C83.00 Small cell B-cell lymphoma, unspecified site C83.09 Small cell B-cell lymphoma, extranodal and solid organ sites C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites C83.80 Other non-follicular lymphoma, unspecified site C83.89 Other non-follicular lymphoma, extranodal and solid organ sites C83.90 Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites C83.99 Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites C86.5 Angioimmunoblastic T-cell lymphoma C86.6 Primary cutaneous CD30-positive T-cell proliferations ICD-9: Hodgkin s disease, unspcified type, unspecified site, extranodal and solid organ sites ICD-10: C81.90 Hodgkin lymphoma, unspecified, unspecified site C81.99 Hodgkin lymphoma, unspecified, extranodal and solid organ sites ICD-9: Nodular lymphoma, unspecified site, extranodal and solid organ sites ICD-10: C82.00 Follicular lymphoma grade I, unspecified site C82.09 Follicular lymphoma grade I, extranodal and solid organ sites C82.10 Follicular lymphoma grade II, unspecified site C82.19 Follicular lymphoma grade II, extranodal and solid organ sites C82.20 Follicular lymphoma grade III, unspecified, unspecified site C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites C82.30 Follicular lymphoma grade IIIa, unspecified site C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites C82.40 Follicular lymphoma grade IIIb, unspecified site C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites C82.60 Cutaneous follicle center lymphoma, unspecified site C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites C82.80 Other types of follicular lymphoma, unspecified site C82.89 Other types of follicular lymphoma, extranodal and solid organ sites C82.90 Follicular lymphoma, unspecified, unspecified site C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites ICD-9: Nodular lymphoma of lymph nodes ICD-10: C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck of head, face, and neck C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck ICD-9: Nodular lymphoma of intra-abdominal lymph nodes ICD-10: C82.03 Follicular lymphoma grade I, intra-abdominal lymph nodes C82.13 Follicular lymphoma grade II, intra-abdominal lymph nodes C82.23 Follicular lymphoma grade III, unspecified, intra-abdominal lymph nodes C82.33 Follicular lymphoma grade IIIa, intra-abdominal lymph nodes C82.43 Follicular lymphoma grade IIIb, intra-abdominal lymph nodes C82.63 Cutaneous follicle center lymphoma, intra-abdominal lymph nodes C82.83 Other types of follicular lymphoma, intra-abdominal lymph nodes C82.93 Follicular lymphoma, unspecified, intra-abdominal lymph nodes ICD-9: Nodular lymphoma of lymph nodes of inguinal region and lower limb ICD-10: C82.05 Follicular lymphoma grade I, lymph nodes of inguinal region and lower limb C82.15 Follicular lymphoma grade II, lymph nodes of inguinal region and lower limb C82.25 Follicular lymphoma grade III, unspecified, lymph nodes of inguinal region and lower limb C82.35 Follicular lymphoma grade IIIa, lymph nodes of inguinal region and lower limb

5 ICD-9: Continued from previous page ICD-10: C82.45 Follicular lymphoma grade IIIb, lymph nodes of inguinal region and lower limb C82.65 Cutaneous follicle center lymphoma, lymph nodes of inguinal region and lower limb C82.85 Other types of follicular lymphoma, lymph nodes of inguinal region and lower limb C82.95 Follicular lymphoma, unspecified, lymph nodes of inguinal region and lower limb ICD-9: Nodular lymphoma of lymph nodes of multiple sites ICD-10: C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites ICD-9: Mycosis fungoides, unspecified site, extranodal and solid organ sites ICD-10: C84.00 Mycosis fungoides, unspecified site C84.09 Mycosis fungoides, extranodal and solid organ sites ICD-9: Leukemic reticuloendotheliosis, unspecified site, extranodal and solid organ sites ICD-10: C91.40 Hairy cell leukemia not having achieved remission C91.41 Hairy cell leukemia, in remission C91.42 Hairy cell leukemia, in relapse ICD-9: Leukemic reticuloendotheliosis of spleen ICD-10: C91.40 Hairy cell leukemia not having achieved remission ICD-9: Malignant mast cell tumors, unspecified site, extranodal and solid organ sites ICD-10: C96.2 Malignant mast cell tumor ICD-9: Peripheral T-cell lymphoma, unspecified site, extranodal and solid organ sites ICD-10: C84.40 Peripheral T-cell lymphoma, not classified, unspecified site C84.49 Peripheral T-cell lymphoma, not classified, extranodal and solid organ sites ICD-9: Other malignant lymphomas, unspecified site, extranodal and solid organ sites ICD-10: C82.50 Diffuse follicle center lymphoma, unspecified site C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites C84.90 Mature T/NK-cell lymphomas, unspecified, unspecified site C84.99 Mature T/NK-cell lymphomas, unspecified, extranodal and solid organ sites C84.A0 Cutaneous T-cell lymphoma, unspecified, unspecified site C84.A9 Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites C84.Z0 Other mature T/NK-cell lymphomas, unspecified site C84.Z9 Other mature T/NK-cell lymphomas, extranodal and solid organ sites C85.10 Unspecified B-cell lymphoma, unspecified site C85.19 Unspecified B-cell lymphoma, extranodal and solid organ sites C85.20 Mediastinal (thymic) large B-cell lymphoma, unspecified site C85.29 Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites C85.80 Other specified types of non-hodgkin lymphoma, unspecified site C85.89 Other specified types of non-hodgkin lymphoma, extranodal and solid organ sites C85.90 Non-Hodgkin lymphoma, unspecified, unspecified site C85.99 Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites C86.4 Blastic NK-cell lymphoma ICD-9: Other malignant lymphomas of lymph noeds of head, face, and neck ICD-10: C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck C84.91 Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck C84.A1 Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck C84.Z1 Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck C85.11 Unspecified B-cell lymphoma, lymph nodes of head, face, and neck C85.21 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, & neck C85.81 Other specified types of non-hodgkin lymphoma, lymph nodes of head, face, & neck C85.91 Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck C86.0 Extranodal NK/T-cell lymphoma, nasal type ICD-9: Other malignant lymphomas of intra-abdominal lymph nodes ICD-10: C82.53 Diffuse follicle center lymphoma, intra-abdominal lymph nodes C84.93 Mature T/NK-cell lymphomas, unspecified, intra-abdominal lymph nodes C84.A3 Cutaneous T-cell lymphoma, unspecified, intra-abdominal lymph nodes C84.Z3 Other mature T/NK-cell lymphomas, intra-abdominal lymph nodes C85.13 Unspecified B-cell lymphoma, intra-abdominal lymph nodes C85.23 Mediastinal (thymic) large B-cell lymphoma, intra-abdominal lymph nodes C85.83 Other specified types of non-hodgkin lymphoma, intra-abdominal lymph nodes C85.93 Non-Hodgkin lymphoma, unspecified, intra-abdominal lymph nodes C86.2 Enteropathy-type (intestinal) T-cell lymphoma C86.3 Subcutaneous panniculitis-like T-cell lymphoma

6 ICD-9: Other malignant lymphomas of lymph nodes of axilla and upper limb ICD-10: C82.54 Diffuse follicle center lymphoma, lymph nodes of axilla and upper limb C84.94 Mature T/NK-cell lymphomas, unspecified, lymph nodes of axilla and upper limb C84.A4 Cutaneous T-cell lymphoma, unspecified, lymph nodes of axilla and upper limb C84.Z4 Other mature T/NK-cell lymphomas, lymph nodes of axilla and upper limb C85.14 Unspecified B-cell lymphoma, lymph nodes of axilla and upper limb C85.24 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of axilla and upper limb C85.84 Other specified types of non-hodgkin lymphoma, lymph nodes of axilla and upper limb C85.94 Non-Hodgkin lymphoma, unspecified, lymph nodes of axilla and upper limb ICD-9: Other malignant lymphomas of lymph noeds of inguinal region and lower limb ICD-10: C82.55 Diffuse follicle center lymphoma, lymph nodes of inguinal region and lower limb C84.95 Mature T/NK-cell lymphomas, unspecified, lymph nodes of inguinal region and lower limb C84.A5 Cutaneous T-cell lymphoma, unspecified, lymph nodes of inguinal region and lower limb C84.Z5 Other mature T/NK-cell lymphomas, lymph nodes of inguinal region and lower limb C85.15 Unspecified B-cell lymphoma, lymph nodes of inguinal region and lower limb C85.25 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of inguinal region and lower limb C85.85 Other specified types of non-hodgkin lymphoma, lymph nodes of inguinal region and lower limb C85.95 Non-Hodgkin lymphoma, unspecified, lymph nodes of inguinal region and lower limb ICD-9: Other malignant lymphomas of lymph nodes of multiple sites ICD-10: C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites C84.98 Mature T/NK-cell lymphomas, unspecified, lymph nodes of multiple sites C84.A8 Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites C84.Z8 Other mature T/NK-cell lymphomas, lymph nodes of multiple sites C85.18 Unspecified B-cell lymphoma, lymph nodes of multiple sites C85.28 Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites C85.88 Other specified types of non-hodgkin lymphoma, lymph nodes of multiple sites C85.98 Non-Hodgkin lymphoma, unspecified, lymph nodes of multiple sites ICD-9: Other & unspecified malignant neoplasms of lymphoid & histiocytic tissue, unspecified site, extranodal & solid organ sites ICD-10: C96.4 Sarcoma of dendritic cells (accessory cells) C96.9 Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified C96.Z Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue ICD-9: Multiple myeloma, without mention of having achieved remission ICD-10: C90.00 Multiple myeloma not having achieved remission ICD-9: Multiple myeloma in remission ICD-10: C90.01 Multiple myeloma in remission ICD-9: Multiple myeloma, in relapse ICD-10: C90.02 Multiple myeloma in relapse ICD-9: Acute lymphoid leukemia, without mention of having achieved remission ICD-10: C91.00 Acute lymphoblastic leukemia not having achieved remission ICD-9: Acute lymphoid leukemia in remission ICD-10: C91.01 Acute lymphoblastic leukemia, in remission ICD-9: Acute lymphoid leukemia, in relapse ICD-10: C91.02 Acute lymphoblastic leukemia, in relapse ICD-9: Chronic lymphoid leukemia, without mention of having achieved remission ICD-10: C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission ICD-9: Chronic lymphoid leukemia in remission ICD-10: C91.11 Chronic lymphocytic leukemia of B-cell type in remission ICD-9: Acute myeloid leukemia, without mention of having achieved remission ICD-10: C92.00 Acute myeloblastic leukemia, not having achieved remission C92.40 Acute promyelocytic leukemia, not having achieved remission C92.50 Acute myelomonocytic leukemia, not having achieved remission C92.60 Acute myeloid leukemia with 11q23-abnormality not having achieved remission C92.A0 Acute myeloid leukemia with multilineage dysplasia, not having achieved remission ICD-9: Acute myeloid leukemia in remission ICD-10: C92.01 Acute myeloblastic leukemia, in remission C92.41 Acute promyelocytic leukemia, in remission C92.51 Acute myelomonocytic leukemia, in remission C92.61 Acute myeloid leukemia with 11q23-abnormality in remission C92.A1 Acute myeloid leukemia with multilineage dysplasia, in remission ICD-9: Chronic myeloid leukemia, without mention of having achieved remission ICD-10: C92.10 Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission

7 ICD-9: Chronic myeloid leukemia in remission ICD-10: C92.11 Chronic myeloid leukemia, BCR/ABL-positive, in remission ICD-9: Acute leukemia of unspecified cell type, without mention of having achieved remission ICD-10: C95.00 Acute leukemia of unspecified cell type not having achieved remission ICD-9: Chronic leukemia of unspecified cell type, without mention of having achieved remission ICD-10: C95.10 Chronic leukemia of unspecified cell type not having achieved remission ICD-9: Unspecified leukemia, without mention of having achieved remission ICD-10: C95.90 Leukemia, unspecified not having achieved remission ICD-9: Colon ICD-10: D12.0 Benign neoplasm of cecum D12.1 Benign neoplasm of appendix D12.2 Benign neoplasm of ascending colon D12.3 Benign neoplasm of transverse colon D12.4 Benign neoplasm of descending colon D12.5 Benign neoplasm of sigmoid colon D12.6 Benign neoplasm of colon, unspecified K63.5 Polyp of colon ICD-9: Breast ICD-10: D05.00 Lobular carcinoma in situ of unspecified breast D05.01 Lobular carcinoma in situ of right breast D05.02 Lobular carcinoma in situ of left breast D05.10 Intraductal carcinoma in situ of unspecified breast D05.11 Intraductal carcinoma in situ of right breast D05.12 Intraductal carcinoma in situ of left breast D05.80 Other specified type of carcinoma in situ of unspecified breast D05.81 Other specified type of carcinoma in situ of right breast D05.82 Other specified type of carcinoma in situ of left breast D05.90 Unspecified type of carcinoma in situ of unspecified breast D05.91 Unspecified type of carcinoma in situ of right breast D05.92 Unspecified type of carcinoma in situ of left breast ICD-9: Major salivary glands ICD-10: D Neoplasm of uncertain behavior of the parotid salivary glands D Neoplasm of uncertain behavior of the sublingual salivary glands D Neoplasm of uncertain behavior of the submandibular salivary glands D Neoplasm of uncertain behavior of the major salivary glands, unspecified ICD-9: Bone and articular cartilage ICD-10: D48.0 Neoplasm of uncertain behavior of bone and articular cartilage ICD-9: Connective and other soft tissue ICD-10: D84.1 Neoplasm of uncertain behavior of connective and other soft tissue D84.2 Neoplasm of uncertain behavior of peripheral nerves and autonomic nervous system ICD-9: Skin ICD-10: D48.5 Neoplasm of uncertain behavior of skin ICD-9: Polycythemia vera ICD-10: D45 Polycythemia vera ICD-9: Plasma cells and related tissue ICD-10: D47.Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic ICD-9: Essential thrombocythemia ICD-10: D47.3 Essential (hemorrhagic) thrombocythemia ICD-9: Low grade myelodysplastic syndrome lesions ICD-10: D46.0 Refractory anemia without ring sideroblasts, so stated D46.1 Refractory anemia with ring sideroblasts D46.20 Refractory anemia with excess of blasts, unspecified D46.21 Refractory anemia with excess of blasts 1 D46.4 Refractory anemia, unspecified D46.A Refractory cytopenia with multilineage dysplasia D46.B Refractory cytopenia with multilineage dysplasia and ring sideroblasts ICD-9: High grade myelodysplastic syndrome lesions ICD-10: D46.22 Refractory anemia with excess of blasts 2 ICD-9: Myelodysplastic syndrome with 5q deletion ICD-10: D46.C Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality

8 ICD-9: Myelodysplastic syndrome, unspecified ICD-10: D46.9 Myelodysplastic syndrome, unspecified D46.Z Other myelodysplastic syndromes ICD-9: Other lymphatic and hematopoietic tissues ICD-10: C88.8 Other malignant immunoproliferative diseases C94.40 Acute panmyelosis with myelofibrosis not having achieved remission C94.41 Acute panmyelosis with myelofibrosis, in remission C94.42 Acute panmyelosis with myelofibrosis, in relapse C94.6 Myelodysplastic disease, not classified D47.1 Chronic myeloproliferative disease D47.9 Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified D47.Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue ICD-9: Other specified sites ICD-10: D48.7 Neoplasm of uncertain behavior of other specified sites ICD-9: Digestive system ICD-10: D49.0 Neoplasm of unspecified behavior of digestive system ICD-9: Bone, soft tissue, and skin ICD-10: D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin ICD-9: Neoplasm of unspecified behavior of brain ICD-10: D49.6 Neoplasm of unspecified behavior of brain ICD-9: Monoclonal paraproteinemia ICD-10: D47.2 Monoclonal gammopathy D89.2 Hypergammaglobulinemia, unspecified ICD-9: Other paraproteinemias ICD-10: D89.1 Cryoglobulinemia ICD-9: Macroglobulinemia ICD-10: C88.0 Waldenstrom macroglobulinemia ICD-9: Unspecified disorder of plasma protein metabolism ICD-10: E88.09 Other disorders of plasma-protein metabolism, not elsewhere classified ICD-9: Hypercalcemia ICD-10: E83.52 Hypercalcemia ICD-9: Dehydration ICD-10: E86.0 Dehydration ICD-9: Amyloidosis, unspecified ICD-10: E85.9 Amyloidosis, unspecified ICD-9: Hypogammaglobulinemia, unspecified ICD-10: D80.1 Nonfamilial hypogammaglobulinemia ICD-9: Secondary to blood loss (chronic) ICD-10: D50.0 Iron deficiency anemia secondary to blood loss (chronic) ICD-9: Other specified iron deficiency anemias ICD-10: D50.1 Sideropenic dysphagia D50.8 Other iron deficiency anemias ICD-9: Iron deficiency anemia, unspecified ICD-10: D50.9 Iron deficiency anemia, unspecified ICD-9: Other vitamin B12 deficiency anemia ICD-10: D51.1 Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria D51.2 Transcobalamin II deficiency D51.3 Other dietary vitamin B12 deficiency anemia D51.8 Other vitamin B12 deficiency anemias D51.9 Vitamin B12 deficiency anemia, unspecified ICD-9: Unspecified deficiency anemia ICD-10: D53.9 Nutritional anemia, unspecified ICD-9: Autoimmune hemolytic anemias ICD-10: D59.0 Drug-induced autoimmune hemolytic anemia D59.1 Other autoimmune hemolytic anemias

9 ICD-9: Hemoglobinuria due to hemolysis from external causes ICD-10: D59.5 Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli] D59.6 Hemoglobinuria due to hemolysis from other external causes D59.8 Other acquired hemolytic anemias ICD-9: Acquired hemolytic anemia, unspecified ICD-10: D59.9 Acquired hemolytic anemia, unspecified ICD-9: Constitutional red blood cell aplasia ICD-10: D61.01 Constitutional (pure) red blood cell aplasia ICD-9: Antineoplastic chemotherapy induced pancytopenia ICD-10: D Antineoplastic chemotherapy induced pancytopenia ICD-9: Other drug induced pancytopenia ICD-10: D Other drug-induced pancytopenia ICD-9: Other pancytopenia ICD-10: D Other pancytopenia ICD-9: Other specified aplastic anemias ICD-10: D61.1 Drug-induced aplastic anemia D61.2 Aplastic anemia due to other external agents D61.3 Idiopathic aplastic anemia D61.89 Other specified aplastic anemias and other bone marrow failure syndromes ICD-9: Aplastic anemia, unspecified ICD-10: D61.9 Aplastic anemia, unspecified ICD-9: Sideroblastic anemia ICD-10: D64.0 Hereditary sideroblastic anemia D64.1 Secondary sideroblastic anemia due to disease D64.2 Secondary sideroblastic anemia due to drugs and toxins D64.3 Other sideroblastic anemias ICD-9: Anemia in chronic kidney disease ICD-10: D63.1 Anemia in chronic kidney disease ICD-9: Anemia of other chronic disease ICD-10: D63.8 Anemia in other chronic diseases classified elsewhere ICD-9: Other specified anemias ICD-10: D64.4 Congenital dyserythropoietic anemia D64.89 Other specified anemias ICD-9: Anemia, unspecified ICD-10: D64.9 Anemia, unspecified ICD-9: Other and unspecified coagulation defects ICD-10: D68.8 Other specified coagulation defects D68.9 Coagulation defect, unspecified ICD-9: Primary thrombocytopenia, unspecified ICD-10: D69.49 Other primary thrombocytopenia ICD-9: Immune thrombocytopenic purpura ICD-10: D69.3 Immune thrombocytopenic purpura ICD-9: Other secondary thrombocytopenia ICD-10: D69.59 Other secondary thrombocytopenia ICD-9: Thrombocytopenia, unspecified ICD-10: D69.6 Thrombocytopenia, unspecified ICD-9: Neutropenia, unspecified ICD-10: D70.9 Neutropenia, unspecified ICD-9: Other neutropenia ICD-10: D70.8 Other neutropenia ICD-9: Eosinophilia ICD-10: D72.1 Eosinophilia ICD-9: Leukocytopenia, unspecified ICD-10: D Decreased white blood cell count, unspecified

10 ICD-9: Lymphocytopenia ICD-10: D Lymphocytopenia ICD-9: Other decreased white blood cell count ICD-10: D Other decreased white blood cell count ICD-9: Leukocytosis, unspecified ICD-10: D Elevated white blood cell count, unspecified ICD-9: Lymphocytosis (symptomatic) ICD-10: D Lymphocytosis (symptomatic) ICD-9: Monocytosis (symptomatic) ICD-10: D Monocytosis (symptomatic) ICD-9: Other elevated white blood cell count ICD-10: D Other elevated white blood cell count ICD-9: Other specified disease of white blood cells ICD-10: D72.89 Other specified disorders of white blood cells ICD-9: Unspecified disease of white blood cells ICD-10: D72.9 Disorder of white blood cells, unspecified ICD-9: Polycythemia, secondary ICD-10: D75.1 Secondary polycythemia ICD-9: Lymphadenitis, unspecified, except mesenteric ICD-10: I88.8 Other nonspecific lymphadenitis I88.9 Nonspecific lymphadenitis, unspecified ICD-9: Familial polycythemia ICD-10: D75.0 Familial erythrocytosis ICD-9: Primary hypercoagulable state ICD-10: D68.51 Activated protein C resistance D68.52 Prothrombin gene mutation D68.59 Other primary thrombophilia D68.61 Antiphospholipid syndrome D68.62 Lupus anticoagulant syndrome ICD-9: Myelofibrosis ICD-10: D75.81 Myelofibrosis ICD-9: Other specified diseases of blood and blood-forming organs ICD-10: D47.4 Osteomyelofibrosis D75.89 Other specified diseases of blood and blood-forming organs D77 Other disorders of blood and blood-forming organs in diseases classified elsewhere D89.2 Hypergammaglobulinemia, unspecified ICD-9: Unspecified diseases of blood and blood-forming organs ICD-10: D75.9 Disease of blood and blood-forming organs, unspecified ICD-9: Unspecified ICD-10: I10 Essential (primary) hypertension ICD-9: Other ICD-10: I26.09 Other pulmonary embolism with acute cor pulmonale I26.99 Other pulmonary embolism without acute cor pulmonale ICD-9: Congestive heart failure, unspecified ICD-10: I50.20 Unspecified systolic (congestive) heart failure I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (congestive) heart failure I50.30 Unspecified diastolic (congestive) heart failure I50.31 Acute diastolic (congestive) heart failure I50.32 Chronic diastolic (congestive) heart failure I50.33 Acute on chronic diastolic (congestive) heart failure I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure I50.9 Heart failure, unspecified

11 ICD-9: Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity ICD-10: I Acute embolism and thrombosis of unspecified deep veins of right lower I Acute embolism and thrombosis of unspecified deep veins of left lower extremity I Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral I Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity ICD-9: Of unspecified site ICD-10: I82.91 Chronic embolism and thrombosis of unspecified vein ICD-9: Tonsils with adenoids ICD-10: J35.3 Hypertrophy of tonsils with hypertrophy of adenoids ICD-9: Tonsils alone ICD-10: J35.1 Hypertrophy of tonsils ICD-9: Other ICD-10: J39.2 Other diseases of pharynx ICD-9: 486 Pneumonia, organism unspecified ICD-10: J18.8 Other pneumonia, unspecified organism J18.9 Pneumonia, unspecified organism ICD-9: Unspecified pleural effusion ICD-10: J90 Pleural effusion, not elsewhere classified J91.8 Pleural effusion in other conditions classified elsewhere ICD-9: Other diseases of lung, not elsewhere classified ICD-10: J98.4 Other disorders of lung ICD-9: Other specified diseases of the salivary glands ICD-10: K11.8 Other diseases of salivary glands ICD-9: Esophageal reflux ICD-10: K21.9 Gastro-esophageal reflux disease without esophagitis ICD-9: Barrett s esophagus ICD-10: K22.70 Barrett s esophagus without dysplasia K Barrett s esophagus with low grade dysplasia K Barrett s esophagus with high grade dysplasia K Barrett s esophagus with dysplasia, unspecified ICD-9: Other specified disorders of liver ICD-10: K76.1 Chronic passive congestion of liver K76.5 Hepatic veno-occlusive disease K76.89 Other specified diseases of liver K77 Liver disorders in diseases classified elsewhere ICD-9: Unspecified disorder of liver ICD-10: K76.9 Liver disease, unspecified ICD-9: Hemorrhage of gastrointestinal tract, unspecified ICD-10: K92.2 Gastrointestinal hemorrhage, unspecified ICD-9: Acute kidney failure, unspecified ICD-10: N17.9 Acute kidney failure, unspecified ICD-9: Hematuria, unspecified ICD-10: R31.9 Hematuria, unspecified ICD-9: Gross hematuria ICD-10: R31.0 Gross hematuria ICD-9: Microscopic hematuria ICD-10: R31.1 Benign essential microscopic hematuria R31.2 Other microscopic hematuria ICD-9: Lump or mass in breast ICD-10: N63 Unspecified lump in breast ICD-9: 632 Missed abortion ICD-10: O02.1 Missed abortion ICD-9: 683 Acute lymphadenitis ICD-10: L04.0 Acute lymphadenitis of face, head and neck L04.1 Acute lymphadenitis of trunk L04.2 Acute lymphadenitis of upper limb

12 ICD-9: 683 Continued from previous page ICD-10: L04.3 Acute lymphadenitis of lower limb L04.8 Acute lymphadenitis of other sites L04.9 Acute lymphadenitis, unspecified ICD-9: Unspecified disorder of skin and subcutaneous tissue ICD-10: L98.9 Disorder of the skin and subcutaneous tissue, unspecified ICD-9: Disorder of bone and cartilage, unspecified ICD-10: M85.9 Disorder of bone density and structure, unspecified M89.9 Disorder of bone, unspecified M94.9 Disorder of cartilage, unspecified ICD-9: Congenital pigmentary anomalies of skin ICD-10: Q82.1 Xeroderma pigmentosum Q82.2 Mastocytosis Q82.3 Incontinentia pigmenti ICD-9: Fever, unspecified ICD-10: R50.2 Drug induced fever R50.9 Fever, unspecified ICD-9: Other malaise and fatigue ICD-10: G93.3 Postviral fatigue syndrome R53.0 Neoplastic (malignant) related fatigue R53.1 Weakness R53.81 Other malaise R53.83 Other fatigue ICD-9: Localized superficial swelling, mass, or lump ICD-10: R22.0 Localized swelling, mass and lump, head R22.1 Localized swelling, mass and lump, neck R22.2 Localized swelling, mass and lump, trunk R22.30 Localized swelling, mass and lump, unspecified upper limb R22.31 Localized swelling, mass and lump, right upper limb R22.32 Localized swelling, mass and lump, left upper limb R22.33 Localized swelling, mass and lump, upper limb, bilateral R22.40 Localized swelling, mass and lump, unspecified lower limb R22.41 Localized swelling, mass and lump, right lower limb R22.42 Localized swelling, mass and lump, left lower limb R22.43 Localized swelling, mass and lump, lower limb, bilateral R22.9 Localized swelling, mass and lump, unspecified ICD-9: Loss of weight ICD-10: R63.4 Abnormal weight loss ICD-9: Swelling, mass, or lump in head and neck ICD-10: R22.0 Localized swelling, mass and lump, head R22.1 Localized swelling, mass and lump, neck R90.0 Intracranial space-occupying lesion found on diagnostic imaging of central nervous system ICD-9: Enlargement of lymph nodes ICD-10: R59.0 Localized enlarged lymph nodes R59.1 Generalized enlarged lymph nodes R59.9 Enlarged lymph nodes, unspecified ICD-9: Shortness of breath ICD-10: R06.02 Shortness of breath ICD-9: Chest pain, unspecified ICD-10: R07.9 Chest pain, unspecified ICD-9: Swelling, mass, or lump in chest ICD-10: R22.2 Localized swelling, mass and lump, trunk ICD-9: Nausea with vomiting ICD-10: R11.2 Nausea with vomiting, unspecified ICD-9: Abdominal pain, unspecified site ICD-10: R10.0 Acute abdomen R10.9 Unspecified abdominal pain ICD-9: Splenomegaly ICD-10: R16.1 Splenomegaly, not elsewhere classified R16.2 Hepatomegaly with splenomegaly, not elsewhere classified

13 ICD-9: Abdominal or pelvic swelling, mass or lump, unspecified site ICD-10: R19.00 Intra-abdominal and pelvic swelling, mass and lump, unspecified site ICD-9: Abdominal or pelvic swelling, mass, or lump, other specified site ICD-10: R19.09 Other intra-abdominal and pelvic swelling, mass and lump ICD-9: Other abnormality of red blood cells ICD-10: R71.8 Other abnormality of red blood cells ICD-9: Other abnormal blood chemistry ICD-10: E79.0 Hyperuricemia without signs of inflammatory arthritis and tophaceous disease R78.71 Abnormal lead level in blood R78.79 Finding of abnormal level of heavy metals in blood R78.89 Finding of other specified substances, not normally found in blood R79.0 Abnormal level of blood mineral R79.89 Other specified abnormal findings of blood chemistry R79.9 Abnormal finding of blood chemistry, unspecified ICD-9: Other nonspecific findings on examination of blood ICD-10: R70.1 Abnormal plasma viscosity R77.0 Abnormality of albumin R77.1 Abnormality of globulin R77.2 Abnormality of alphafetoprotein R77.8 Other specified abnormalities of plasma proteins R77.9 Abnormality of plasma protein, unspecified R78.1 Finding of opiate drug in blood R78.2 Finding of cocaine in blood R78.3 Finding of hallucinogen in blood R78.4 Finding of other drugs of addictive potential in blood R78.5 Finding of other psychotropic drug in blood R78.6 Finding of steroid agent in blood R78.89 Finding of other specified substances, not normally found in blood R78.9 Finding of unspecified substance, not normally found in blood R79.89 Other specified abnormal findings of blood chemistry ICD-9: Other nonspecific findings on examination of urine ICD-10: R82.5 Elevated urine levels of drugs, medicaments and biological substances R82.6 Abnormal urine levels of substances chiefly nonmedicinal as to source R82.7 Abnormal findings on microbiological examination of urine R82.8 Abnormal findings on cytological and histological examination of urine R82.90 Unspecified abnormal findings in urine R82.91 Other chromoabnormalities of urine R82.99 Other abnormal findings in urine ICD-9: Solitary pulmonary nodule ICD-10: R91.1 Solitary pulmonary nodule ICD-9: Other nonspecific abnormal finding of lung field ICD-10: R91.8 Other nonspecific abnormal finding of lung field ICD-9: Musculoskeletal system ICD-10: R93.6 Abnormal findings on diagnostic imaging of limbs R93.7 Abnormal findings on diagnostic imaging of other parts of musculoskeletal system ICD-9: Abnormal mammogram, unspecified ICD-10: R92.8 Other abnormal and inconclusive findings on diagnostic imaging of breast ICD-9: Other nonspecific (abnormal) findings on radiological and other examination of body structure ICD-10: R90.89 Other abnormal findings on diagnostic imaging of central nervous system R93.8 Abnormal findings on diagnostic imaging of other specified body structures ICD-9: Other nonspecific abnormal histological findings ICD-10: R Other abnormal cytological findings on specimens from cervix uteri R Unspecified abnormal cytological findings in specimens from cervix uteri R Unspecified abnormal cytological findings in specimens from vagina R89.7 Abnormal histological findings in specimens from other organs, systems and tissues ICD-9: Other abnormal clinical findings ICD-10: R68.89 Other general symptoms and signs ICD-9: Sepsis ICD-10: A02.1 Salmonella sepsis A22.7 Anthrax sepsis A26.7 Erysipelothrix sepsis A32.7 Listerial sepsis A40.0 Sepsis due to streptococcus, group A

14 ICD-9: Continued from previous page ICD-10: A40.1 Sepsis due to streptococcus, group B A40.3 Sepsis due to Streptococcus pneumoniae A40.8 Other streptococcal sepsis A40.9 Streptococcal sepsis, unspecified A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus A41.1 Sepsis due to other specified staphylococcus A41.2 Sepsis due to unspecified staphylococcus A41.3 Sepsis due to Hemophilus influenzae A41.4 Sepsis due to anaerobes A41.50 Gram-negative sepsis, unspecified A41.51 Sepsis due to Escherichia coli [E. coli] A41.52 Sepsis due to Pseudomonas A41.53 Sepsis due to Serratia A41.59 Other Gram-negative sepsis A41.81 Sepsis due to Enterococcus A41.89 Other specified sepsis A41.9 Sepsis, unspecified organism A42.7 Actinomycotic sepsis A54.86 Gonococcal sepsis B37.7 Candidal sepsis ICD-9: V10.3 Breast ICD-10: Z85.3 Personal history of malignant neoplasm of breast ICD-9: V10.60 Leukemia, unspecified ICD-10: Z85.6 Personal history of leukemia ICD-9: V10.79 Other ICD-10: Z85.72 Personal history of non-hodgkin lymphomas Z85.79 Personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues 201 Route 17 North Rutherford NJ Office Fax