ICD 9 Code ICD 10 Code Coding Tips (Notes, and references isted in chapters of ICD 10 Coding Book) Anemia (unspecified)

Transcription

1 Crosswalks from ICD 9 to ICD 10 Codes, using AHN's Most Commonly Used ICD 9 Codes in 2014 ICD 9 Code ICD 10 Code Coding Tips (Notes, and references isted in chapters of ICD 10 Coding Book) Anemia (unspecified) For a Quick Search press down Control F (find), and put in your search term D64.9 Anemia unspecified Chapter 3 - Diseases of the Blood and Blood- Forming Organs and certain Disorders Involving the Immune Mechanism D64.9 Anemia unspecified Code first underlying disease 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 (anemia is plural in code description) D64.81 Anemia due to antineoplastic chemotherapy D64.89 Other specified anemias Dysuria R30.0 Dysuria Chapter 14 - Diseases of the Genitourinary R30.1Vesical tenesmus R30.0 Painful micturition, unspecified (painful urination) Unspecified hypothyroidism E03.9 Hypothyroidism unspecified There are more specific code choice selections available in ICD-10-CM These include: Code first poisoning due to drug or toxin if applicable T36.T65 with fifth or sixth character 1-4 or 6. Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) Chapter 4 - Endocrine, Nurtritional and Metabolic Diseases E03.0 Congenital hypothyroidism with diffuse goiter Code first poisoning due to drug or toxin if applicable T36-T65 with fifth or sixth character 1-4 or 6 E03.1 Congenital hypothyroidism without Goiter

2 Diabetes mellitus without mention of complication. Type 2 or unspecified. Type not stated as uncontrolled Diabetes Type II uncontrolled E03.2 Hypothyroidism due to medications and other exogenous substances E03.3 Postinfectious hypothyroidism E03.4 Atrophy of thyroid (acquired) E03.5 Myxedema coma E03.8 Other specified hypothyroidism E11.9 Type 2 diabetes mellitus without complication Use additional code for adverse effect if applicable to identify drug T36-T50 with fifth or sixth character 5 Chapter 4 - Endocrine, Nurtritional and Metabolic Diseases If type of diabetes is not documented, default to E11 Chapter 4 - Endocrine, Nurtritional and Metabolic Diseases E11.0 (See sections) Type 2 Diabetes E11.2 Type 2 Diabetes with kidney complications E Type 2 Diabetes with opthalmic complications E Type 2 Diabetes with neurological complications E Type 2 Diabetes with circulatory complications E11.6 E E E E11.64 E E11.65 E11.69 E11.8 E11.9 Type 2 Diabetes with other specific complications

3 257.2 Testicular Hypofunction Nec E29.1 Testicular hypofunction Chapter 4 Edocrine, Nutritional and Metabolic Diseases E29.8 Other testiculary dysfunction E29.9 Testicular dysfunction, unspecified Vitamin D Deficiency NOS E55 Vitamin D deficiency Chapter 4 Edocrine, Nutritional and Metabolic Diseases E55.0 Rickets active E55.9 Vitamin D deficiency unspecified Other and unspecified hyperlipidemia E78.5 Hyperlipidemia, unspecified E78.0 Pure hypercholesterolemia E78.1 Pure hyperglyceridemia E78.2 Mixed hyperlipidemia E78.3 Hyperchoylomicronemia E78.6 Lipoprotein deficiency 278 Obesity E66 Overweight and obesity Chapter 4 - Endocrine, Nutritional and Metabolic Diseases E66.0 Obesity due to excess calories E66.1 Drug induced obesity E66.2 Morbid obesity E66.3 Overweight E66.8 Other obesity E66.9 Obesity unspecified 311 Depressive Disorder NEC F32.9 Major depressive disorder, single episode, unspecified Chapter 5 - Mental and Behavioral Disorders F32.0 Major depressive disorder, single episode, mild F32.1 Major depressive disorder, single episode, moderate F32.2 Major depressive disorder single episode, severe without psychotic features F32.3 Major depressive disorder single episode, severe with psychotic features Chapter 4 - Endocrine, Nurtritional and Metabolic Diseases

4 Anxiety Unspecified adjustment reaction F32.4 Major depressive disorder, single episode in partial remission F32.5 Major depressive disorder, single episode, in full remission F32.8 Other depressive episodes F41.9 Anxiety disorder, unspecified There are more specific code choice selections available in ICD-10-CM. These include: F41.1 Generalized anxiety disorder F41.8 Other specified anxiety disorders F43.20 Adjustment disorder unspecified F43.21 Adjustment disorder with depressed mood F43.22 Adjustment disorder with anxiety F43.23 Adjustment disorder with mixed anxiety and depressed mood F43.24 Adjustment disorder with disturbance of conduct. Chapter 5 - Mental and Behavioral Disorders Chapter 5 - Mental and Behavioral Disorders F43.29 Adjustment disorder with other symptoms Insomnia Unspecified G47.00 Insomnia unspecified Chapter 6 - Diseases of the Nervous Chronic pain syndrome G89.4 Chronic pain syndrome Chapter 6 - Diseases of the Nervous Code also related psychological factors Associated with pain (F ) Impacted cerumen H61.21 Impacted cerumen right ear H61.22 impacted cerumen left ear H61.23 Impacted cerumen bilateral H61.20 Impacted cerumen unspecified ear Chapter 7 - Disorder of the Eye and Adnexa Essential hypertension unspecified I10 Essential (primary hypertension ) Chapter 9 - Diseases of the Circulatory Chronic ischemic heart disease I25.10 Arterosclerotic heart disease Chapter 9 - Diseases of the Circulatory There are more specific code choice selections available in ICD-10-CM

5 Coronary atherosclerosis of unspecified type of vessel, native or graft. Bypass graft must be indicated Atrial Fibrillation I48.91 Unspecified atrial fibrillation Chapter 9 - Diseases of the Circulatory 428 Congestive heart failure, unspecified I48.0 Paroxysmal atrial fibrillation I48.1 Persistent atrial fibrillation I48.2 Chronic atrial fibrillation I50.9 Heart failure unspecified Chapter 9 - Diseases of the Circulatory I50.1 Left ventricular 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 There are more specific code choice selections available in ICD-10-CM Code first Heart failure complicating abortion or ectopic or molar preganancy Acute sinusitis, unspecified 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 I97.13 Heart failure following surgery I11.0 Heart failure due to hypertension I13 Heart failure due to hypertension with chronic kidney disease O75.4 Obstetric surgery and procedures I09.81 Rheumatic heart failure J01.90 Acute sinusitis unspecified J01.00 Acute maxillary sinusitis unspecified Chapter 10 - Diseases of the Respiratory

6 J01.10 Acute frontal sinusitis unspecified J01.20 Acute ethmoidal sinusitis unspecified J01.30 Acute sphenoidal sinusitis unspecified J01.40 Acute pansiusitis unspecified J01.80 Other acute sinusitis There are more specific code choice selections available in ICD-10-CM Use additional code (B95-97) to identify infectious agent 462 Acute Pharyngitis J02.8 Acute pharyngitis due to other specified organisms Chapter 10 - Diseases of the Respiratory Acute Upper Respiratory NOS J02.0 Streptococcal pharyngitis J02.9 Acute pharyngitis, unspecified J06.9 Upper Respiratory Infection Unspecified J39.8 Other specified diseases of upper respiratory tract Use additional code (B95-B97) to identify infectious agent Chapter 10 - Diseases of the Respiratory 486 Pneumonia, organism unspecified Acute bronchitis and 490 bronchitis not specified as acute or chronic J18.9 Pneumonia unspecified organism J20.9 Acute bronchitis J40 Bronchitis not specified as acute or chronic J20.0 Acute bronchitis due to Mycoplasma J20.1 Acute bronchitis due to Hemophilus Influenza J20.2 Acute bronchitis due to streptococcus pneumonia J20.3 Acute bronchitis due to coxsakievirus J20.4 Acute bronchitis due to parainfluenza virus J20.5 Acute bronchitis due to respiratory syncytial virus J20.6 Acute bronchitis due to rhinovirus J20.7 Acute bronchitis due to echovirus J20.8 Acute bronchitis due to other specified organisms J20.9 Acute bronchitis unspecified J41.0 Simple chronic bronchitis J41.1 Mucopurulent chronic bronchitis Chapter 10 - Diseases of the Respiratory Code first associated influenza, if applicable (J09.X1 J10.0-J11.0) Chapter 10 - Diseases of the Respiratory There are more specific code choice selections available in ICD-10-CM Use additional code to identify exposure to environmental tobacco smoke

7 J41.8 Mixed simple and mucopurulent chronic bronchitis Allergic rhinitis, unspecified J42 Unspecified chronic bronchitis J30.9 Allergic rhinitis unspecified More specific code choice J30.10 Vasomotor rhinitis J30.1 Allergic rhinitis due to pollen J30.2 Other seasonal allergic rhinitis J30.5 Allergic rhinitis due to food J30.81 Allergic rhinitis due to animal (cat)(dog) hair and dander J30.89 Other allergic rhinitis Chapter 10 - Diseases of the Respiratory 490 Bronchitis not specified as acute J40 Bronchitis not specified as acute or chronic or chronic Chapter 10 - Diseases of the Respiratory Use additional code to identify exposure to environmental tobacco smoke 496 Chronic Airway Obstruction Nec J44.9 Chronic obstructive pulmonary disease unspecified Chapter 10 - Diseases of the Respiratory Asthma unspecified J44.0 Chronic obstruction pulmonary disease with acute lower respiratory infection (additional code to identify the infection) J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation There are more specific code choice selections available in ICD-10-CM Code also type of asthma if applicable (J45.- Use additional code to identify: Z77.22 Exposure to environmental tobacco smoke Z History of tobacco use Z57.31 Occupational exposure to environmental tobacco smoke F17. Tobacco dependence Z27.0 Tobacco use J Unspecified asthma, uncomplicated Chapter 10 - Diseases of the Resp. Use additional code to identify: F17- Tobacco dependence Chapter 5 - Mental and Behavioral J45.20 Mild intermittent asthma, uncomplicated Chapter 10 - Diseases of the Respiratory

8 J45.21 Mild intermittent asthma with acute exacerbation J45.22 Mild intermittent asthma with status asthmaticus J45.31 Mild persistent asthma with acute exacerbation J45.32 Mild persistent asthma with status asthmaticus J45.40 Moderate persistent asthma uncomplicated J45.41 Moderate persistent asthma with acute exacerbation J45.42 Moderate persistent asthma with status asthmaticus J45.50 Severe persistent asthma uncomplicated J45.51 Severe persistent asthma with acute exacerbation J45.52 Severe persistent asthma with status asthmaticus J Unspecified asthma with acute exacerbation J Unspecified asthma with status asthmaticus J Exercise induced bronchospasm J Cough variant asthma J Other asthma P96.81 Exposure to tobacco smoke in the perinatal period Chapter 16 - Certain Conditions Originating in the Perinatal Period Z57.31 Occupational exposure to environmental tobacco smoke Z72.0 Tobacco use Z77.22 Exposure to envioronmental tabacco smoke Z History of tobacco use K21.9 Gastro-esophageal reflux disease without esophagitis K21.0 Gastro-esophageal reflux disease with esophagitis Esophageal reflux Chapter 11 - Diseases of the Digestive External hemorrhoids with complications NEC K64.4 Residual hemorrhoidal skin tags K64.5 Perianal venous thrombosis Chapter 11 - Diseases of the Digestive

9 682.6 Cellulitis and abscess leg except foot Contact dermatitis and other eczema, unspecified L Cellulitis of right lower limb L Cellulitis of left lower limb L Cellulitis of unspecified part of limb L Acute lymphangitis of right lower limb L Acute lymphangitis of left lower limb L Acute lymphangitis of unspecified part of limb L25.9 Unspecified contact dermatitis, unspecified nature L30.9 Dermatitis unspecified L25.0 Unspecified contact dermatitis due to cosmetics L25.1 Unspecified contact dermatitis due to drugs in contact with skin L25.2 Unspecified contact dermatitis due to dyes L25.3 Unspecified contact dermatitis due to other chemical products L25.4 Unspecified contact dermatitis due to food in contact with skin L25.5 Unspecified contact dermatitis due to plants except food L25.8 Unspecified contact dermatitis due to other agents Chapter 12 - Diseases of the Skin and Subcutaneous Tissue Chapter 12 - Diseases of the Skin and Subcutaneous Tissue Use additional code for adverse effect, if applicable to identify drug (T36-T50 with fifth or sixth character 5) Pain in joint, shoulder region Pain in joint pelvic region and thigh M Pain in right shoulder M Pain in left shoulder M Pain in unspecified shoulder M Pain in right hip Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue Pain in joint, lower leg M Pain in left hip M Pain in unspecified hip M Pain in right knee M Pain in left knee M Pain in unspecified knee Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue Backache, unspecified M54.0 Dorsalgia, unspecified Chapter 13 - Diseases of the Musculoskeletal There are more specific code choice selections available in and Connective Tissue ICD-10-CM. These include:

10 M54.89 Other dorsalgia M54.6 Pain in thoracic spine M54.5 Low back pain M53.3 Sacroccoccygeal disorders, not elsewhere classified Cervicalgia M54.2 Cervcalgia Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue Lumbago M54.5 Low Back Pain (Lumbago) Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue Pain in Limb M Pain in unspecified limb M to M M Pain in right arm M Pain in left arm M Pain in arm unspecified M Pain in right leg M Pain in left leg M Pain in leg unspecified M Pain in right upper arm M Pin in left upper arm M Pain in unspecified upper arm M Pain in right forearm M Pain in left forearm M Pain in unspecified forearm M Pain in right hand M Pain in left hand M Pain in unspecified hand M Pin in right finger(s) M79.45 Pain in left finger(s) M79.46 Pain in unspecified finger(s) M Pain in right thigh M Pain in left thigh M Pain in unspecified thigh Chapter 13 - Diseases of the Musculoskeletal and Connective Tissue There are more specific code choice selections available in ICD-10-CM

11 M Pain in right lower leg M Pain in left lower leg M Pain in right foot M Pain in left foot M Pain in unspecified foot M Pain right toe(s) M Pain in left toe(s) M Pain in unspecified toe(s) Most codes have site and laterality designations. Multiple site codes are available Urinary tract infection N39.0 Urinary tract infection site not specified N30.00 Acute Cystitis without hematuria N30.10 Acute cystitis with hematuria N30.10 Interstitial cystitis chronic without hematuria Chapter 14 - Diseases of the Genitourinary N30.11 Intersitial cystitis chronic with hematuria N30.20 Other chronic cystitis without hematuria N30.30 Trigonitis without hematuria N30.31 Trigonitis with hematuria N30.40 Irradiation cystitis without hematuria N30.41 Irradiation cystitis with hematuria N30.80 Other cystitis without N30.81 Other cystitis with hematuria N30.90 Cystitis unspecified without hematuria N30.91 Cystitis unspecified with hematuria N15.9 Renal tubule interstitial disease unspecified Use additional code (B95-B97) to identify infectious agent N34.1 Nonspecific urethritis N34.2 Other urethritis Cough RO5 Cough Chapter 18 - Symptoms, Signs and Abnormal

12 Shortness of breath R06.02 Shortness of breath (Dyspnea) Chapter 18 - Symptoms, Signs and Abnormal Other symptoms involving respiratory system and other chest symptoms Chest pain, unspecified Abdominal pain, unspecified site R06.83 Snoring R06.00 Dyspnea unspecified R06.3 Periodic breathing R06.4 Hyperventilation R06.89 Other abnormalities of breathing R07.9 Chest pain unspecified Chapter 18 - Symptoms, Signs and Abnormal R07.1 Chest pain on breathing There are more specific code choice selections available in ICD-10-CM R07.2 Precordial pain R07.81 Pleurodynia R07.89 Other chest pain R10.9 Unspecified abdominal pain R10.0 Acute abdomen R10.10 Upper abdominal pain unspecified R10.11 Right upper quadrant pain R10.12 Left upper quadrant pain R10.13 Epigastric pain R10.2 Pelvic and perineal pain R10.30 Lower abdominal pain, unspecified R10.31 Right lower quadrant pain R10.32 Left lower quadrant pain R10.33 Periumbilical pain R10.84 Generalized abdominal pain Chapter 18 - Symptoms, Signs and Abnormal Chapter 18 - Symptoms, Signs and Abnormal Diarrhea R19.7 Diarrhea, unspecified Chapter 18 - Symptoms, Signs and Abnormal

13 782.1 Rash and other nonspecific skin eruption R21 Rash and other nonspecific skin eruption Chapter 18 - Symptoms, Signs and Abnormal Dizziness and giddiness R42 Dizziness and giddiness Chapter 18 - Symptoms, Signs and Abnormal Headache R51 Headache Chapter 18 - Symptoms, Signs and Abnormal Other malaise and fatigue R53.0 Neoplasm (malignant) related fatigue R53.1 Weakness R53.81 Other malaise R53.83 Other fatigue Chapter 18 - Symptoms, Signs and Abnormal Code first associated neoplasm Edema G93.3 Post-viral fatigue syndrome R60.0 Localized edema R60.1 Generalized edema R60.9 Edema unspecified Chapter 18 - Symptoms, Signs and Abnormal Impaired Fasting Glucose R73.01 Impaired fasting glucose Chapter 18 - Symptoms, Signs and Abnormal Abnormal Glucose Other R73.09 Other abnormal glucose Chapter 18 - Symptoms, Signs and Abnormal V72.62 Laboratory examination ordered as part of a routine general medical exam V70.0 Routine general medical examination at a health care facility Z00.00 Encounter for general adult medical examination without abnormal findings Z00.00 Encounter for general adult medical examination without abnormal findings Z00.01 Encounter for general adult medical examination with abnormal findings V20.2 Routine Child Health Exam ZOO.129 Encounter for routine child health examination without abnormal findings

14 V72.31 Routine Gynecological Exam Z Encounter for gynecological examination (general) (routine) with abnormal findings Z Encounter for gynecological examination *general) (routine) without abnormal findings V72.83 Other specified preoperative Z Encounter for other pre-procedural examination V76.12 Screening Mammogram NEC Z12.31 Encounter for screening mammogram for malignant neoplasm of breast V76.44 Screen-mal Prostate Neo Z12.5 Encounter for screening for malignant neoplasm of prostate V77.91 Screen Lipoid Disorders Z Screening for lipoid disorders V03.82 Vaccine Strep Pneumoniae Z23 Encounter for immunization V04.81 Need for prophylactic vaccination and inoculation against influenza virus Z23 Encounter for immunization Code first any childhood examination V06.1 Vaccination for DTP-DTap Z23 Encounter for immunization V06.9 Vaccination and inoculation against combinations of diseases V58.69 Encounter Long RX use Nec Z Long term (current) use of opiate analgesic Z Other long term (current) drug therapy V58.61 Long anticoagulant use Z79.01 Long term (current) use of anticoagulants Z79.02 antithrombotics/anticoagulants Z79.1 Long term current use of non-steroidal anti inflammatories Z79.22 Long term current use of antibiotics Z79.3 Long term current use of hormonal contraceptives Z79.4 Long term use of insulin Z79.5 Long term use of steroids Z79.51 inhaled steroids Z79.52 ic steroids