Increase in Number of Codes over ICD-9-CM I A00 B99 Certain infectious and parasitic diseases. Chapter Name
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1 Table 1. Chapter Concept Distribution in ICD-10-CM Chapter Code Block Chapter Name % of All ICD-10-CM Codes Increase in Number of Codes over ICD-9-CM I A00 B99 Certain infectious and parasitic diseases II C00 D48 Neoplasms III D50 D89 Diseases of the blood and bloodforming organs and certain disorders involving the immune mechanism IV E00 E90 Endocrine, nutritional and metabolic diseases V F00 F99 Mental and disorders VI G00 G99 Diseases of the nervous system VII H00 H59 Diseases of the eye and adnexa VIII H60 H95 Diseases of the ear and mastoid process IX I00 I99 Diseases of the circulatory system X J00 J99 Diseases of the respiratory system XI K00 K93 Diseases of the digestive system XII L00 L99 Diseases of the skin and subcutaneous tissue XIII M00 M99 Diseases of the musculoskeletal system and connective tissue XIV N00 N99 Diseases of the genitourinary system XV O00 O99 Pregnancy, childbirth and the puerperium XVI P00 P96 Certain conditions originating in the perinatal period XVII Q00 Q99 Congenital malformations, deformations and chromosomal abnormalities XVIII R00 R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified continued
2 Table 1, continued Chapter Code Block Chapter Name % of All ICD-10-CM Codes Increase in Number of Codes over ICD-9-CM XIX S00 T98 Injury, poisoning and certain other consequences of external causes XX V01 Y98 External causes of morbidity and mortality XXI Z00 Z99 Factors influencing health status and contact with health services XXII U00 U99 Codes for special purposes Based on the January 2009 version of ICD-10-CM with augmented headers. Adapted from: Steindel, Steven J. International Classification of Diseases, 10th Edition, Clinical Modification and Procedure Coding System: Descriptive Overview of the Next Generation HIPAA Code Sets. Journal of the American Medical Informatics Association 17, no. 3 (May June 2010):
3 Table 2. Comparison of Epilepsy and Recurrent Seizure Codes in ICD-9-CM and ICD-10-CM ICD-9-CM Code ICD-9-CM Description ICD-10-CM Reportable Codes* 345 Epilepsy and recurrent seizures G Generalized nonconvulsive epilepsy G40.301, G Generalized convulsive epilepsy G40.301, G Petit mal status G Grand mal status G Localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures Localization-related (focal) (partial) epilepsy and epileptic syndromes with simple partial seizures G40.201, G40.209, G40.211, G G40.109, G40.101, G40.111, G40.119, G40.009, G40.001, G40.019, G Infantile spasms G40.401, G40.409, G40.419, G Epilepsia partialis continua G40.501, G40.509, G40.511, G Other forms of epilepsy and recurrent seizures G40.801, G40.809, G40.811, G Epilepsy, unspecified G40.901, G40.909, G40.911, G *G40.x1: intractable G40.x1; G40.x0: not intractable; G40.z01: with status epilepticus; G40.x19: without status epilepticus
4 Table 3. Injury Letter Suffix Codes Letter Code A B C D E F G H J K M N P Q R S Description (bold indicates common suffix codes) Initial encounter for closed fracture Initial encounter for open fracture type I or II initial encounter for open fracture NOS Initial encounter for open fracture type IIIA, IIIB, or IIIC Subsequent encounter for closed fracture with routine healing Subsequent encounter for open fracture type I or II with routine healing Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing Subsequent encounter for closed fracture with delayed healing Subsequent encounter for open fracture type I or II with delayed healing Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing Subsequent encounter for closed fracture with nonunion Subsequent encounter for open fracture type I or II with nonunion Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion Subsequent encounter for closed fracture with malunion Subsequent encounter for open fracture type I or II with malunion Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion Sequela
5 Figure 1. Example of ICD-10-CM Formula Based Code Generation M90.5 Osteonecrosis in diseases classified elsewhere Code first underlying disease, such as: caisson disease (T70.3) hemoglobinopathy (D50-D64) M90.50 Osteonecrosis in diseases classified elsewhere, unspecified site M90.51 Osteonecrosis in diseases classified elsewhere, shoulder M Osteonecrosis in diseases classified elsewhere, right shoulder M Osteonecrosis in diseases classified elsewhere, left shoulder M Osteonecrosis in diseases classified elsewhere, unspecified shoulder M90.52 Osteonecrosis in diseases classified elsewhere, upper arm M Osteonecrosis in diseases classified elsewhere, right upper arm M Osteonecrosis in diseases classified elsewhere, left upper arm M Osteonecrosis in diseases classified elsewhere, unspecified upper arm M90.53 Osteonecrosis in diseases classified elsewhere, forearm M Osteonecrosis in diseases classified elsewhere, right forearm M Osteonecrosis in diseases classified elsewhere, left forearm M Osteonecrosis in diseases classified elsewhere, unspecified forearm M90.54 Osteonecrosis in diseases classified elsewhere, hand M Osteonecrosis in diseases classified elsewhere, right hand M Osteonecrosis in diseases classified elsewhere, left hand M Osteonecrosis in diseases classified elsewhere, unspecified hand M90.55 Osteonecrosis in diseases classified elsewhere, thigh M Osteonecrosis in diseases classified elsewhere, right thigh M Osteonecrosis in diseases classified elsewhere, left thigh M Osteonecrosis in diseases classified elsewhere, unspecified thigh M90.56 Osteonecrosis in diseases classified elsewhere, lower leg M Osteonecrosis in diseases classified elsewhere, right lower left M Osteonecrosis in diseases classified elsewhere, left lower leg M Osteonecrosis in diseases classified elsewhere, unspecified lower leg M90.57 Osteonecrosis in diseases classified elsewhere, ankle and foot M Osteonecrosis in diseases classified elsewhere, right ankle and foot M Osteonecrosis in diseases classified elsewhere, left ankle and foot M Osteonecrosis in diseases classified elsewhere, unspecified ankle and foot M90.58 Osteonecrosis in diseases classified elsewhere, other site M90.59 Osteonecrosis in diseases classified elsewhere, multiple sites
6 Table 4. Hypothetical Coding Table for S72.0 (Fracture of head and neck of femur) S72.0X Fracture X:[State]Fracture[Laterality] 5th digit subcode of S72.0 Description of S72.0 subcode 6th digit descriptions for S72.0 subcodes. X indicates the number; state indicates the type of fracture; fracture indicates the S72.0 description; lateriality is as stated. Use indicates the specific S72.0 subcodes the 6th digit applies to. Letter Code Use: All 7th digit letter code. Note if the codes did not apply to all 6th digit terms a Use clarifier would appear. 0 Fracture of unspecified part of neck of femur 1 Unspecified intracapsular fracture of femur 2 Fracture of epiphysis (separation) (upper) of femur 3 Midcervical fracture of femur 4 Fracture of base of neck of femur 5 Unspecified fracture of head of femur 6 Articular fracture of head of femur 9 Other fracture of head and neck of femur 1:Fracture [right] Use: All 2:Fracture [left] Use: All 3:[Displaced] Fracture [unspecified] 4:[Nondisplaced] fracture [right] 5:[Nondisplaced] fracture [left] 6:[Nondisplaced] fracture [unspecified] 9:[Other] fracture of [unspecified] Use: 9 only A B C D E F G H J K M N P Q R S
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