JCAAI Top ICD9CM to ICD10CM

Transcription

1 JCAAI Top ICD9CM to ICD10CM Excludes 1 Indicates that the code excluded should never be used at the same time as the code above the EXCLUDES 1 note. Excludes 2 Indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. ICD 9 Description ICD 9 Code ICD 10 Code Notes/ICD 10 Descriptions Encounter for allergy testing Z01.82 Encounter for antibody response examination, Encounter for immunity status testing Z01.84 EXCLUDES 1: encounter for allergy testing (Z01.82) Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70 R94. (eg: SOB R06.02 Encounter for immunization Z23 Immunization not carried out because of acute illness of patient Z28.01 Immunization not carried out because of chronic illness or condition of patient Z28.02 Immunization not carried out because of immune compromised state of patient Z28.03 Immunization not carried out because of patient allergy to vaccine or component Z28.04 Immunization not carried out because of other contraindication Z28.09 Immunization not carried out because of patient decision for reasons of belief or group pressure, Immunization not carried out because of Z28.1 Immunization not carried out because of patient decision for unspecified reason Z28.20 Immunization not carried out because of patient refusal Z28.21 Immunization not carried out because of patient decision for other reason Z28.29

2 Allergy status, other than to drugs and biological substances, allergy to peanuts Z EXCLUDES 2: Allergy status to drugs, medicaments, and biological substances (Z88. ) food additives allergy status (Z91.02) Allergy status, other than to drugs and biological substances, allergy to milk products Z EXCLUDES 1: lactose intolerance (E73. ) Allergy status, other than to drugs and biological substances, allergy to eggs Z biological substances, allergy to seafood, allergy to shellfish allergy to octopus or squid ink Z Allergy status, other than to drugs and biological substances, allergy to other foods, allergy to nuts other than peanuts Z biological substances, food additives allergy status Z91.02 Allergy status, other than to drugs and biological substances, bee allergy status Z Allergy status, other than to drugs and biological substances, other insect allergy Z Allergy status, other than to drugs and biological substances, latex allergy status, latex Z Allergy status, other than to drugs and biological substances, Radiographic dye allergy status, allergy status to contrast media used for diagnostic X ray procedure Z Allergy status, other than to drugs and biological substances, other nonmedicinal substance allergy status Z Other allergy status, other than to drugs and biological substances Z91.09 Allergy status to penicillin Z88.0 Allergy status to other antibiotic agents status Z88..1 Allergy status to sulfonamides status Z88.2 Allergy status to other anti infective agents Z88.3 Allergy status to anesthetic agent status Z88.4 Allergy status to narcotic agent status Z88.5 Allergy status to analgesic agent status Z88.6 Allergy status to serum and vaccine status Z88.7 Allergy status to other drugs, medicaments and biological substances status Z88.8

3 Allergy status to unspecified drugs, medicaments and biological substances status Z88.9 Adverse Effects Other allergy T78.49Xx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela (K52.2) allergic gastroenteritis and colitis (K52.2) dermatitis (L23 L25, L27. ) hay fever (J30.1) Adverse Effects Other adverse effects, not elsewhere classified T78..8Xx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Anaphylaxis (NOS) Personal history of anaphylaxis Z Code also allergy status such as: allergy status to drugs, medicaments and biological substances (Z88. ) allergy status, other than to drugs and biological substances (Z91.0 ) Anaphylactic reaction due to adverse effect of correct drug or medicament properly T88.6XXx allergy status to drugs, medicaments and biological substances (Z88. ) allergy status, other than to drugs and biological substances (Z91.0 ) EXCLUDES 1: anaphylactic reaction due to serum (T80.5 ) anaphylactic shock or reaction due to adverse food reaction (T78.0 ) Anaphylactic shock, unspecified T78.2XXx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Anaphylaxis, unspecified food T78.00Xx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Anaphylactic reaction due to peanuts T78.01Xx Anaphylactic reaction due to shellfish (crustaceans) T78.02Xx Anaphylactic reaction due to other fish T78.03Xx Anaphylactic reaction due to fruits and vegetables T78.04Xx Anaphylactic reaction due to tree nuts and seeds T78.05Xx EXCLUDES 1: anaphylactic reaction to peanuts (T78.01 ) Anaphylactic reaction due to food additives T78.06Xx Anaphylactic reaction due to milk and dairy products T78.07Xx Anaphylactic reaction due to eggs T78.08Xx Anaphylactic reaction due to other food products T78.09Xx Other adverse food reactions, not otherwise classified T78.1XXx Adverse effect of other drugs, medicaments and biological substances T50.995x 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Adverse effect of unspecified drugs, medicaments and biological substances T50.905x 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Allergic alveolitis (extrinsic) NOS, Hypersensitivity pneumonitis NOS J67.9 EXCLUDES 2: asthma (J45. ) malignant neoplasm of bronchus and lung (C34. ) Angioderma T78.3XXx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Heriditary angioedema (other immunodeficiencies: defecdts in the complement system: C1 esterase inhibitor [C1 D84.1

4 Extrinsic bronchial Asthma w/exacerbaton (bronchial asthma cough variant ) J Extrinsic bronchial Asthma w/status J Extrinsic bronchial Asthma unspecified J Intrinsic bronchial Asthma w/acute J Intrinsic bronchial asthma with status asthmitcu J Intrinsic bronchial Asthma, unspecified J Bronchial asthma exercise induced J Other asthma J Bronchial asthma unspecified J Bronchial asthma with acute exacerbation J Bronchitis, acute INCLUDES: acute and subacute broncitis withh bronchospasm, with tracheitis, with tracheobronchitis, acute, acute and subacute fibrinous bronchitis, acute and subacute membranous bronchitis, acute and subacute purulent bronchitis, acute and subacute septic bronchitis EXCLUDES 2: chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0) acute bronchitis with bronchietasis (47.0) acute bronchitis with chronic obstructive asthma (J44.0) acute bronchitis with COPD (J44.0) allergic bronchitis NOS (J45.909) bronchitis due to chemicals funes and vapors (J68.0) bronchitis NOS (J40) chronic bronchitis NOS (J42) chronic mucopurulent bronchitis (J41.1) chronic obstructive bronchitis (J44. ) chronic simple bronchitis (J41.0) chronic tracheobronchitis (J42) Acute bronchitis due to Mycoplasma pneumoniae J20.0 Acute bronchitis due to Hemophilus influenzae J20.1 Acute bronchitis due to streptococcus J20.2 Acute bronchitis due to coxsackievirus J20.3 Acute bronchitis due to parainfluenza virus J20.4 Acute bronchitis due to respiratory syncytial virus J20.5 Acute bronchitis due to rhinovirus J20.6 Acute bronchitis due to echovirus J20.7 Acute bronchitis due to other specified organisms J20.8 Acute bronchitis, unspecified J20.9 Acute bronchitis with bronchietasis J47.0 Acute bronchitis with COPD J44.0 Use additional code to identify the infection Acute bronchitis with chronic obstructive asthma J44.0 Use additional code to identify the infection COPD Chronic obstructive pulmonary disease with acute lower respiratory infection J44.0 Use additional code to identify the infection INCLUDES: asthma with COPD, chronic asthmatic (obstructive) bronchitis, chronic bronchitis with emphysema, chronic emphysematous bronchitis, chronic obstructive asthma, chronic obstructive bronchitis, chronic obstructive tracheobronchitis. Code also type of asthma, if applicable (J45. ) Use additional code to identify: exposure to environmental tobacco smoke (Z77.22) history of tobacco use Z87.891) occupational to environmental tobacco smoke (Z57.31) tobacco dependence (F17. ) tobacco use (Z72.0)

5 Chronic obstructive pulmonary disease with (acute) exacerbation (Decompensated COPD Decompensated COPD with (acute) J44.1 Chronic obstructive pulmonary disease, unspecified (Chronic obstructive airway disease NOS, Chronic obstructive lung disease NOS) J44.9 Bronchospasm, acute J98.01 Chest tightness/discompfort EXCLUDES 2: chronic obstructive pulmonory disease (COPD) with acute bronchitis (J44.0) with bronchospasm (J20. ) asthma (J45. ) exercise induced bronchospasm (J45.990) EXCLUDES 2: abnormal findings on antenatal screening of mother (O28. ) certain conditions originating in the perinatal period (P04 P96) signs and symptoms classified in the body system chapters signs and symptoms of Intercostal pain R07.82 Other chest pain (anterior chest wall pain NOS) R07.89 Conjunctivits, acute, unspecified Unspecified acute conjunctivitis, unspecified eye H10.30 EXCLUDES 1: ophthalmia neonatorum NOS (P39.1) Unspecified acute conjunctivitis, right eye H10.31 Unspecified acute conjunctivitis, left eye H10.32 Unspecified acute conjunctivitis, bilateral H10.33 Acute atopic conjunctivitis, unspecified eye H10.10 EXCLUDES 1: keratoconjunctivitis (H16.2 ) Acute atopic conjunctivitis, right eye H10.11 Acute atopic conjunctivitis, left eye H10.12 Acute atopic conjunctivitis, bilateral H10.13 Conjunctivits, allergic (other chronic) Unspecified chronic conjunctivitis, right eye H Unspecified chronic conjunctivitis, left eye H Unspecified chronic conjunctivitis, bilateral H Unspecified chronic conjunctivitis, unspecified eye H Other chronic allergic conjunctivitis H10.45 Chronic serous otitis media Chronic Serous otitis media unspecified ear H65.20 Chronic Serous otitis media right ear H65.21 Chronic Serous otitis media left ear H65.22 Chronic Serous otitis media bilateral H65.23 Chronic mucoid otitis media unspecified ear H65.30 EXCLUDES 1: adhesive middle ear disease (H74.1) Chronic mucoid otitis media right ear H65.31 Chronic mucoid otitis media left ear H65.32 Chronic mucoid otitis media bilateral H65.33 Chronic allergic otitis media, right ear H Chronic allergic otitis media, left ear H Chronic allergic otitis media, bilateral H65.413

6 Chronic allergic otitis media, unspecified ear H Other chronic non suppurative otits media right ear H Other chronic non suppurative otits media left ear H Other chronic non suppurative otits media bilateral H Other chronic non suppurative otits media unspecified H Unspecified nonsuppurative otitis media (Allergic otitis media NOS) unspecified ear H65.90 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) right ear H65.91 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) left ear H65.92 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) bilateral H65.93 Contact Dermatitis, plant L23.7 /L25.5 Contact Dermatitis L23.81 Allergic contact dermatitis due to metals (Chromium, Nickel) L23.0 Allergic contact dermatitis due to adhesives L23.1 Allergic contact dermatitis due to cosmetics L23.2 Allergic contact dermatitis due to drugs in contact with skin L23.4 Allergic contaact dermatitis due to dyes L23.4 Allergic contact dermatitis due to other chemical products (cement, insectiside, plastic L23.5 Allergic contact dermatitis due to food in contact with the skin L23.6 Allergic contact dermatitis due to plants except food L23.7 Allergic contact dermatitis due to animal (cat)(dog) dander and hair L23.81 Allergic contact dermatitis due to other agents L23.89 Allergic contact dermatitis, unspecified cause (Allergic contact eczema, NOS) L23.9 Unspecified contact dermatitis, due to cosmetics L25.0 EXC LUDES 1: allergy NOS (T78.40) contact dermatitis, NOS (L25.9) dermatitis NOS (L30.9) EXCLUDES 2: dermatitis due to substances taken internally (L27. ) dermatitis of eyelid (H01.1 ) diaper dermatitis (L22) ecema of external ear (H60.5 ) irritant contact dermatitis (L24. ) perioral dermatitis (L71.0) radiation related disorders of the skin and subcutaneous tissue (L55 L59) EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation related disorders of the skin and subcutaneous tissue (L55 L59) stasis Use additional code for the adverse effect, if applicable, to identify drug (T36 T50 with fifth or sizth charachhter 5) [see "Adverse Reaction" above]

7 Unspecified contact dermatitis, due to drugs in contact with skin L25.1 Use additional code for adverse effect if applicable. To identify drug (T36 T50) with fifth or sixth character 5) [see "Adverse Reaction" above] Unspecified contact dermatitis, due to dyes L25.2 Unspecified contact dermatitis due to other chemicals (cement and insecticide) L25.3 Unspecified contact dermatis due to food in contact with skin L25.4 Unspecified contact dermatitis due to plants, except food L25.5 EXCLUDES 1: nettle rash (L50.9) EXCLUDES 2: allergy NOS due to pollen (J30.1) Unspecified contact dermatitis due to other agents L25.8 Unspecified contact dermatitis due to unspecified cause (contact dermatitis (occupational) NOS Contact eczema L25.9 Cough R05 Dermatitis, atopic L20.9 Besnier's prurigo L20.0 Eczema and Dermatitis is used interchangeably (L20 L30) Atopic neurodermatitis (Diffuse neurodermatitis) L20.81 EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation related disorders of the skin and subcutaneous tissue (L55 L59) stasis Flexural excema L20.82 Infantile (acute)(chronic) eczema L20.83 Intrinsic (allergic) eczema L20.84 Other atopic dermatitis L20.89 Atopic dermatitis unspecified L20.9 EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation Dermatitis cause unspec related disorders of the skin and subcutaneous tissue (L55 L59) stasis Allergic contact dermatitis unspecified cause (allergic contact eczema NOS) L23.9 Irritant contact dermatitis, unspecified cause (irritant contact eczema) L24.9 Unspecified contact dermatitis, unspecified cause (Contact dermatitis (occupational) NOS Contact eczema (occupational) NOS) L25.9 Other specified dermatitis L30.8 Dermatitis unspecified (eczema NOS) L30.9 Drug allergy NOS T78.40Xx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela

8 Dyspnea (R09.2) respiratory arrest of newborn (P28.81) respiratory distress syndrome of newborn (P22. ) respiratory failure (J96. ) respiratory failure of newborn (P28.5) tachypnea NOS (R06.82) transient tachypnea of newborn (P22.1) Dyspnea Unspecified R06.00 Orthopnea R06.01 Shortness of Breath R06.02 Other forms of dyspnea R06.09 Eosinophillic Esophagitis K20.0 use addisitionl code to identify alcolol abuse and dependence (F10. ) Other esophagitis (abscess of esophagus) K20.8 EXCLUDES 1: erosion of esophogus (K22.1 ) esophagitis with gastroesophageal reflux disease (K21.0) reflux esophagitis (K21.0) ulcerative Esophagitis unspecified (esophogitis NOS) K20.9 EXCLUDES 2: eosonophilic gastritis or gastroenteritis (K52.81) Family history of asthma and other chronic lower respiratory diseases (Conditions classifiable to J40 J47) Z82.5 respiratory system. (Conditions classifiable to J00 J39, J60 J99) Z83.6 Food adverse reaction, NOS See Anaphylactic Reaction Food, adverse reaction, peanuts See Anaphylactic Reaction Food adverse reaction, milk See Anaphylactic Reaction GERD/Gastroesophageal Reflux Disease Gastro esophageal reflux disease with esophagitis (Reflux esophagitis) K21.0 Gastro esophageal reflux disease without esophagitis (esophageal reflux, NOS) K21.9 EXCLUDES 2: family history of other diseases of the respiratory system (Z83.6) EXCLUDES 2: family history of asthma and other chronic lower respiratory diseases (Z82.5) EXCLUDES 1: atypical face pain (G50.1) migraine and other headache syndromes (G43 G44) trigeminal neuralgia (G50.0) Headache (Facial Pain NOS) R51 Hymenpttera sensitivity JCAAI Truncated Other serum reaction due to vaccination T80.62Xx 7th digit for this code: A Initial Visit D Subsequent Visit or S for Sequela Hypogammaglobulinemia, NOS D80.1 Immunodeficiency D84.8 Other specified immunodeficiencies D84.9 Immunodefeciency unspecified IGA Immunodeficiency D80.2 Selective deficiency of immunoglogulin A (IgA) Immunodeficiency CD ID D83.8 Other Common variable immunodeficiencies D83.9 Common variable immunodeficiency, unspecified Laryngeal spasticity/vcd J38.5 Laryngeal edema J38.4 Use additional code to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco use (Z72.0)

9 Allergic contact dermatitis due to metals (Chromium, Nickel) L23.0 Allergic contact dermatitis due to adhesives L23.1 EXC LUDES 1: allergy NOS (T78.40) contact dermatitis, NOS (L25.9) dermatitis NOS (L30.9) EXCLUDES 2: dermatitis due to substances taken internally (L27. ) dermatitis of eyelid (H01.1 ) diaper dermatitis (L22) ecema of external ear (H60.5 ) irritant contact dermatitis (L24. ) perioral dermatitis (L71.0) radiation related disorders of the skin and subcutaneous tissue (L55 L59) EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation related disorders of the skin and subcutaneous tissue (L55 L59) stasis Allergic contact dermatitis due to cosmetics L23.2 Allergic contact dermatitis due to drugs in Use additional code for the adverse effect, if applicable, to identify drug (T36 contact with skin L23.4 T50 with fifth or sizth charachhter 5) [see "Adverse Reaction" above] Allergic contaact dermatitis due to dyes L23.4 Allergic contact dermatitis due to other chemical products L23.5 Allergic dermatitis due to cement, insectiside, plastic and rubber Allergic contact dermatitis due to food in contact with the skin L23.6 Allergic contact dermatitis due to plants except food L23.7 Allergic contact dermatitis due to animal (cat)(dog) dander and hair L23.81 Latex allergy (Allergic contact dermatitis due to other agents) V15.07 L23.89 Allergic contact dermatitis, unspecified cause (Allergic contact eczema, NOS) L23.9 Use additional code to identify: exposure to enviromental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17. ) tobacco use (Z72.0) Nasal polyps, Cavity (Choanal polyp, Nasopharyngeal polyp) J33.0 Polypoid sinus degeneration (Woakes' syndrome or ethmoiditis) J33.1 EXCLUDES 1: adenomatous polyps (D14.0) Other polyps of sinus J33.8 Accessory polyp of sinus, Ethmoid polyp of sinus, Maxillary polyp o Nasal polyp, unspecified J33.9 Patient's noncompliance with dietary regimen Z91.11 Patient's intentional underdosing of medication regimen due to financial hardship Z Patient's intentional underdosing of medication regimen for other reason Z Patient's unintentional underdosing of medication regimen due to age related debility Z Patient's unintentional underdosing of medication regimen for other reason Z91.138

10 Patient's other noncompliance with medication regimen, patient's underdosing of medication Z91.14 Patient's noncompliance with other medical treatment and regimen Z91.19 Pruritis, other L29.8 Pruritus unspecified (itch NOS) L29.9 Rhinitis, vasomotor J30.0 INCLUDES: spasmodic rhinorrhea Rhinitis, allergic pollen J30.1 EXCLUDES 1: allergic rhinitis with asthma (bronchial) (J45.909) rhinitis, NOS (J3 Other seasonal allergic rhinitis J30.2 Allergic rhinitis due to food J30.5 Allergic rhinits due to animal (cat) (dog) hair and dander J30.81 Other Allergic rhinitis (Perennial allergic J30.89 Allergic rhinitis, unpecified J30.9 Rhinitis allergic, other J30.9 Rhinitis, Chronic J31.0 Excludes1: allergic rhinitis (J30.1 J30.9) vasomotor rhinitis (J30.0) Nasopharyngitis, Chronic J31.1 Excludes2: acute nasopharyngitis (J00) Pharyngitis, Chronic J31.2 Excludes2: acute pharyngitis (J02.9) Urticaria, allergic L50.0 EXCLUDES 1: allergic contact dermatitis (L23. ) angioneurotic edema (T78.3) giant urticaria (T78.3) heriditary angio edema (D84.1) Quincke's edema (T78.3) serum urticaria (T80.6 ) solar urticaria (L56.3) urticaria neonatroum (P83.8) urticaria papulosa (L28.2) urticaria pigmentosa (Q82.2) Urticaria, idiopathic L50.1 Urticaria secondary to cold/heat L50.2 Urticaria, dermographia L50.3 Urticaria, Vibratory L50.4 Uriticaria Cholinergic L50.5 Urticaria, contact L50.6 Other urticaria L50.8 Urticaria, unspecified (Chronic Uriticaria / Recurrent periodic uriticaria) L50.9 Wheezing R06.2 EXC LUDES 2: asthma (J45. ) Upper respiratory Infection/common cold 460 Acute rhinitis, Acute Coryza, Infective nasopharyngitis, NOS, Infective rhinitis, Acute nasal catarrh, Nasopharyngitis, NOS Upper respiratory infection J06.9 EXCLUDES 1: acute pharyngitis (J02. ) acute sore throat, NOS (J02.9) pharyngitis, NOS (J02.9) rhinitis, NOS (J31.0) sore throat NOS (J31.0) Upper respiratory tract hypersensitivity EXCLUDES 1: hypersensitivity reaction of upper respiratory tract, such as: reaction, site unspecified J39.3 extrinsic allergic alveolitis (J67.9) pneumoconiosis (J60 J67.9) EXCLUDES 2: allergic rhinitis (J30.1 J30.9) chronic pharyngitis (J31.2) chronic rhinitis (J31.0) chronic sore throat (J31.2) nasopharyngitis, chronic (J31.1) Acute Nasopharyngitis (common Cold) J00 vasomotor rhinitis (J30.0)

11 INCLUDES: Acute abscess of sinus, acute empyema of sinus, acute infectiion Sinusitis, acute NOS of sinus, acute inflamation of sinus and acute suppuration of sinus Acute Maxillary sinusitus unspecified J01.00 Use additional code (B5 B97) to identify infectious agent Acute Recurrent Maxillary sinusitis J01.01 EXCLUDES 1: sinusitis NOS (J32.9) Acute Frontal sinusitis unspecified J01.10 EXCLUDES 2: chronic sinusitis (J32.0 J32.9) Acute Recurrent Frontal sinusitis J01.11 Acute Ethmoidal sinusitis unspecified J01.20 Acute Recurrent Ethmoidal sinusitis J01.21 Acute Sphenoidal sinusitis unspecified J01.30 Acute Recurrent Sphenoidal sinusitis J01.31 Acute Panusitis unspecified J01.40 Acute Recurrent Pansusitis J01.41 Other Acute sinusitis J01.80 Acute sinusitis involving more than one sinus but not pansinusitis Other Acute Recurrent Sinusitis J01.81 Acute sinusitis involving more than one sinus but not pansinusitis Acute Sinusitis Unspecified J01.90 Acute Recurrent Sinusitis Unspecified J01.91 Sinusitis, chronic Chronic Maxillary sinusitis J32.0 Chronic Frontal sinusitis J32.1 Chronic Ethmoidal sinusitis J32.2 Chronic Sphenoidal sinusitis J32.3 Chronic Panusitis J32.4 Other Chronic sinusitis J32.8 Chronic sinusitis involving more than one sinus but not pansinusiti Chronic sinusitis NOS J32.9 Toxic effect of venom of centipedes and venomous millipedes, accidental T63.411x 7th digit required for these codes Toxic effect of venom of centipedes and venomous millipedes, intentional self harm T63.412x A Initial Encunter Toxic effect of venom of centipedes and venomous millipedes, assault T63.413x D Subsequent Encounter Toxic effect of venom of centipedes and venomous millipedes, undetermined T63.414x S Sequela Toxic effect of venom of ants, accidental (unintentional), T63.421x harm T63.422x Toxic effect of venom of ants, assault T63.423x Toxic effect of venom of ants, undertermined T63.424x Toxic effect of venom of caterpillars, accidental (unintentional) T63.431x

12 Toxic effect of venom of caterpillars, intentional self harm Toxic effect of venom of caterpillars, assault Toxic effect of venom of caterpillars, undetermined Toxic effect of venom of bees, accidental (unintentional) Toxic effect of venom of bees, intentional self harm Toxic effect of venom of bees, assault Toxic effect of venom of bees, undertermined Toxic effect of venom of hornets, accidental (unintentional) Toxic effect of venom of hornets, intentional self harm Toxic effect of venom of hornets, assault Toxic effect of venom of hornets, Toxic effect of venom of wasps, accidental (unintentional) Toxic effect of venom of wasps, intentional self harm Toxic effect of venom of wasps assault Toxic effect of venom of wasps, undertermined Toxic effects of venom of other arthropod accidental (unintentional) Toxic effects of venom of other arthropod intentional self harm Toxic effects of venom of other arthropod accidental assault Toxic effects of venom of other arthropod accidental undetermined T63.432x T63.433x T63.434x T63.441x T63.442x T63.443x T63.444x T63.451x T63.452x T63.453x T63.454x T63.461x T63.462x T63.463x T63.464x T63.481x T63.482x T63.483x T63.484x ASTHMA See Asthma Severity Chart Sheet 2 Mild intermittent asthma, uncomplicated J45.20 INCLUDES: Allergic (predominately) asthma, Allergic bronchitis, NOS, Allergic rhinitis with asthma, Atopic asthma, Extrinsic allergic asthma, Hay fever with asthma, Idiosyncratic asthma, Intrinsic nonallergic asthma, Nonallergic Use additional code to identify: exposure to enviromental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17. ) tobacco use (Z72.0)

13 Mild intermittent asthma with (acute) exacerbation J45.21 Mild intermittent asthma with status asthmaticus J45.22 Mild persistent asthma, uncomplicated J45.30 Mild persistent asthma with (acute) exacerbation J45.31 Mild persistent asthma with status asthmaticus J45.32 Moderate persistent asthma, uncomplicated J45.40 Moderate persistent asthma with (acute) exacerbation J45.41 Moderate persistent asthma with status asthmaticus J45.42 Severe persistent asthma, uncomplicated J45.50 Severe persistent asthma with (acute) exacerbation J45.51 Severe persistent asthma with status asthmaticus J45.52 Unspecified asthma with (acute) exacerbation (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,intrinsic asthma, Extrinsic asthma) J Unspecified asthma with status asthmaticus (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,intrinsic asthma, Extrinsic asthma) J Unspecified asthma, uncomplicated (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,intrinsic asthma, Extrinsic J Exercise induced bronchospasm J Cough variant asthma J Other asthma J EXCLUDES 1: detergent asthma (J69.8) eosinophillic asthma (J82) lung diseases due to External agents (J60 J70) miner's asthma (J60) wheezing NOS (R06.2) wood asthma (J67.8) EXCLUDES 2: asthma with COPD (J44.9) chronic asthmatic (obstructive) bronchitis (J44.9) chronic obstructive asthma (J44.9)

14 Asthma Serverity Symptoms Nighttime Awakenings Rescue 2 or less days Inhaler Use per week Interference None with Normal Activity Lung Function FEVI >80% predicted and normal between exacerbation Intermittent Mild Persistent 2 or less days More than 2 Daily per week days per week 2x's per 3 4 X's per month or month less More than 2 days per week, but not daily Minor limitation FEVI > 80% Predicted Moderat Persistent more than once per week but not nightly Daily Some limitation FEVI 60 80% predicted Severe Persistent Throughout the day Nightly Several times per day Extremely limited FEVI less than 60% predicted

15 Section Notes Diseases of the respiratory system (J00 J99) Note: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40). Use additional code, where applicable, to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17. ) tobacco use (Z72.0) Excludes2: certain conditions originating in the perinatal period (P04 P96) certain infectious and parasitic diseases (A00 B99) complications of pregnancy, childbirth and the puerperium (O00 O9A) (Q00 Q99) endocrine, nutritional and metabolic diseases (E00 E88) injury, poisoning and certain other consequences of external causes (S00 T88) neoplasms (C00 D49) smoke inhalation (T59.81 ) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00 R94) poisoning by wrong substance given or taken in error underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed Note: The drug giving rise to the adverse effect should be identified by use of codes from categories T36 T50 with fifth or sixth character 5. Use additional code(s) to specify: manifestations of poisoning underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8 Y63.9)

16 Other and unspecified effects of external causes (T66 T78) Complications of surgical and medical care, not elsewhere classified (T80 Use additional code for adverse effect, if applicable, to identify drug (T36 T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62 Y82) Y90 Y99 External Cause Coding Guidelines (Use with any Code in Range of A00.0 T88.9, Z00.99 Supplementary factors related to causes of morbidity classified elsewhere Place of occurance of external cause Category Y92 Place of occurrence of the external cause The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code. Place of occurrence should be recorded only at the initial encounter for Assign as many external cause codes as necessary guided by the Index of Index Causes which is located after the Alpha Index to diseases and by Inclusion and Exclusion notes in the Tabular list Place of Occurance Y92 is alsways a secondary code for use after the external cause codees to identify the location of the patient at the time of the injury or other condition. Place of occurrence code is used only once, at the initial encounter for treatment. No 7th character is used. A place of occurance code should be used in conjunction with an activity code, Y93) Activity codes

17 Category Y93 is provided for use to indicate the activity of the person seeking healthcare for an injury or health condition, such as a heart attack while shoveling snow, which resulted from, or was contributed to, by the activity. These codes are appropriate for use for both acute injuries, such as those from chapter 19, and conditions that are due to the long term, cumulative effects of an activity, such as those from chapter 13. They are also appropriate for use with external cause codes for cause and intent if identifying the activity provides additional information on the event. These codes should be used in conjunction with codes for external cause status This section contains the following broad activity categories: Y93.0 Activities involving walking and running Y93.1 Activities involving water and water craft Y93.2 Activities involving ice and snow Y93.3 Activities involving climbing, rappelling, and jumping off Y93.4 Activities involving dancing and other rhythmic movement Y93.5 Activities involving other sports and athletics played individually Y93.6 Activities involving other sports and athletics played as a team or Y93.7 Activities involving other specified sports and athletics Y93.A Activities involving other cardiorespiratory exercise Y93.B Activities involving other muscle strengthening exercises Y93.C Activities involving computer technology and electronic devices Y93.D Activities involving arts and handcrafts Y93.E Activities involving personal hygiene and interior property and clothing maintenance Y93.F Activities involving caregiving Y93.G Activities involving food preparation, cooking and grilling Y93.H Activities involving exterior property and land maintenance, building and construction Y93.I Activities involving roller coasters and other types of external motion Y93.J Activities involving playing musical instrument Y93.K Activities involving animal care Y93.8 Activities, other specified Y93.9 Activity, unspecified

18 Codes from category Y93, Activity codes for use with external cause codes are used to identify the activity the patient was participating at the time of injury. The activity code is used only once, at the initial encounter for treatment. Only one code from Y93 should be recorded on a medical record. An activity code should be used in conjunction with a place of occurance, Y92. y y p applicable. A code from Y93 is appropriate for use with external cause and intent ocdes if identifying the activity proivides additional information about the event External cause status Category Y99 A single code from category Y99 should be used in conjunction with the external cause code(s) assigned to a record to indicate the status of the person at the time the event occurred. Factors influencing health status and contact with health services (Z00 Z99) Z codes are not procedure codes. A corresponding procedure code must accompany a Z code to desxribe the procedure performed Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00 Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.