Figure B 7. Commonly Used ICD 9 CM Codes Crosswalked to ICD 10 CM a
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1 Abdominal pain, loc R10. Abnormal neonatal screen P09 Acne L70.9 ADD w/o hyperactivity F90.0 ADD w/ hyperactivity F90.1 Allergic rhinitis J30.9 Anal fissure K60.2 Anemia (NOS) D64.9 Anemia Fe deficiency D50.8 Anxiety F41.9 Apnea (newborn) R28.3 Apnea (sleep) G47.30 Asthma (acute exacerbation) J45. Asthma extrinsic J45. Atopic dermatitis/eczema L20.89 Back pain (unspecified) M54.9 Behavior problems, NOS F91.9 Body mass index, spec V85. Z68. Bronchiolitis, oth organism J21.8 Bronchitis J20.9 Bullous myringitis H73.01 Candidiasis (skin/nails) B37.2 Chest pain (NOS) R07.9 Colic (NOS) R10.83 Conjunctivitis (NOS) H10.3 Constipation K59.00 Contact dermatitis, spec L23.9 Corneal abrasion S05.00X (unspecified eye) Costochondritis M94.0 Cough R05
2 Coxsackievirus (herpangina) B08.5 Croup J05.0 Dacryostenosis (neonatal) H04.53 Dacryocystitis (neonatal) P39.1 Dehydration E86.0 P74.1 (neonatal) Delayed milestones R62.0 Dermatitis (NOS) L23.9 Diabetes type I (controlled) E10.9 Diabetes type I (uncont) E10.9 Diaper dermatitis L22 Diarrhea (NOS) R19.7 Dysuria R30.0 Encopresis, nonorganic F98.1 Enuresis, nonorganic F98.0 Enuresis (nocturnal) N39.44 Epistaxis R04.0 Erythema infectiosum (5 th dis ) B08.3 Erythema multiforme, spec L51.8 Eustachian tube dysfn H69.9 Excessive crying infant R68.11 Exposure to strep V01.89 Z20.89 Failure to thrive (neonatal) P92.6 Failure to thrive R62.51 Fatigue R53.83 Fecal impaction K56.41 Feeding disorder F98.29 Feeding problem (neonatal) P92.8 Fever, unspec R50.9 Fever, postvaccination R50.83
3 Fussy infant R68.12 Fracture loc By location By location Gastroenteritis, presumed inf No Code Gastroenteritis, non inf K52.9 (unspecified) GE reflux K21.9 w/o esophagitis Giardiasis A07.1 Gingivostomatitis (herpetic) B00.2 Hand, foot, mouth disease B08.4 Headache (NOS) R51 Heart murmur R01.1 Hematochezia K92.1 Hematuria, gross R31.0 Hematuria, microscopic R31.2 Hematuria, unspec R31.9 Hordeolum (stye) H00.01 (by site) Hyperbilirubinemia, (neonatal) P59.9 Hypercholesterolemia E78.0 Impetigo 684 L01.00 Impacted cerumen H61.2 Influenza NOS J11.1 Ingrown nail L60.0 Inguinal hernia (unilateral) K40.90 Insect bite (NOS), non infec T04. Jaw pain R68.84 Kawasaki disease M30.3 Learning disability F81.89 Leukocytosis D Lice (head) B85.0 Lymphadenitis (acute) 683 L04.9 Lymphadenopathy R59.1
4 Migraine spec 346. G43.10 w/ aura G43.00 w/o aura Molluscum contagiosum B08.1 Mononucleosis, infectious 075 B27.90 MRSA A41.0 Nausea R11.0 Nursemaid s elbow S Obesity E66.9 Otalgia H92.0 (by site) Otitis externa, infective H60.9 Otitis media, chronic, purulent H66.3X Otitis media, purulent, perforated H66.01 Otitis media, acute, purulent H66.00 Otitis media w/ effusion H65.9 Otitis serous, acute H65.0 Otitis serous, chronic H65.2 Overweight E66.3 Pharyngitis (NOS) 462 J02.9 Poison ivy L23.7 Pneumonia 486 J18.9 Prematurity, birth wt P07.0 Preop exam, type V72.8 Z Rhinitis, chronic J31.0 RSV bronchiolitis J21.0 RSV B97.4 Scabies B86 Scarlatina A38.9 Scoliosis M41. Screen for lead poisoning V82.5 Z13.88 Seborrhea capitis (Infant) L21.0
5 Seborrheic dermatitis (infant) L21.1 Seizure (epileptic), spec G40.9 Seizure (febrile) R56.00 Seizure (post traumatic) R56.1 Seizure (NOS) R56.9 Sinusitis (NOS) J01.90 Speech disorder, spec F80. Strabismus H50.9 Strep throat J02.0 Strep pharyngitis/strep sore throat J03.00 Strep Tonsillitis Stuttering F80.81 Suture removal V58.32 Z48.02 Teething syndrome K00.7 Thrush B37.0 P37.5 (neonatal) Tonsillitis 463 J03 Tinea capitis B35.0 Tinea corporis B35.4 Umbilical granuloma (neonatal) P38.9 Umbilical hernia K42.9 Upper respiratory infection J06.9 Urinary frequency R35.0 Urinary tract infection N39.0 Urticaria (NOS) L50.9 Vaginitis (NOS) N76.0 Varicella B01.9 Vertigo/dizziness R42 Viral exanthem (NOS) B09 Vomiting R11.11 Vomiting, (neonatal) P92.09 Wart B07.9
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PATIENT DEMOGRAPHICS:
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Associated Ear, Nose & Throat Specialists, LLC. OCCUPATION: Employer: Work Phone: PHYSICIAN REQUESTING CONSULTATION: TOWN: PHONE:
Associated Ear, Nose & Throat Specialists, LLC Todd A. Zachs, M.D. Kevin C. Krebsbach, M.D Thomas Hinchey, Au.D., CCC-A Amanda Hessenauer, Au.D. Name: Birth date: SOCIAL SECURITY SEX: M F (IF MINOR) PARENT'S
Western Center Eye Care 2720 Western Center Blvd Ste 316 Fort Worth, TX 76131
Today s Date Western Center Eye Care WELCOME TO OUR OFFICE Patient s Name (First, Middle, Last): Address: City: State: Zip Code: Email: Main Contact #: Alternate#: Date of Birth: / / Sex: Male Female Primary
PLEASE COMPLETE PRIOR TO VISIT***Place your name at the bottom of each sheet
PLEASE COMPLETE PRIOR TO VISIT***Place your name at the bottom of each sheet GASTROINTESTINAL ASSOCIATES, INC. PATIENT REGISTRATION Welcome to our practice. Please complete all sections of this registration