Clinical Concepts for Family Practice - Centers for Medicare & Medicaid ...
ICD-10
Clinical Concepts for Family Practice
ICD-10 Clinical Concepts Series
Common Codes Clinical Documentation Tips Clinical Scenarios
ICD-10 Compliance Date: October 1, 2015
Official CMS Industry Resources for the ICD-10 Transition ICD10
1
Table Of Contents
Common Codes
? Abdominal Pain ? Acute Respiratory Infections ? Back and Neck
Pain (Selected) ? Chest Pain ? Diabetes Mellitus w/o
Complications Type 2 ? General Medical Examination
Clinical Documentation Tips
? Hypertension ? Asthma ? Underdosing ? Abdominal Pain Tenderness
? Headache ? Hypertension ? Pain in Joint ? Pain in Limb ? Other Forms of
Heart Disease ? Urinary Tract
Infection, Cystitis
? Diabetes Mellitus, Hypoglyemia and Hyperglycemia
? Injuries
Clinical Scenarios
? Scenario 1: Abdominal Pain
? Scenario 2: Annual Physical Exam
? Scenario 3: Earache
? Scenario 4: Anemia
? Scenario: COPD with Acute Pneumonia Example
? Scenario: Cervical Disc Disease
? Scenario: Abdominal Pain ? Scenario: Diabetes ? Scenario: ER Follow Up
Common Codes
ICD-10 Compliance Date: October 1, 2015
Abdominal Pain (ICD-9-CM 789.00 to 789.09 range)
R10.0 R10.10 R10.11 R10.12 R10.13 R10.2 R10.30 R10.31 R10.32 R10.33 R10.84 R10.9*
Acute abdomen Upper abdominal pain, unspecified Right upper quadrant pain Left upper quadrant pain Epigastric pain Pelvic and perineal pain Lower abdominal pain Right lower quadrant pain Left lower quadrant pain Periumbilical pain Generalized abdominal pain Unspecified abdominal pain
*Codes with a greater degree of specificity should be considered first.
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Acute Respiratory Infections (ICD-9-CM 462, 465.9, 466.0)
[Note: Organisms should be specified where possible]
J02.8 J02.9* J06.9* J20.0 J20.1 J20.2 J20.3 J20.4 J20.5 J20.6 J20.7 J20.8 J20.9*
Acute pharyngitis due to other specified organisms Acute pharyngitis, unspecified Acute upper respiratory infection, unspecified Acute bronchitis due to Mycoplasma pneumoniae Acute bronchitis due to Hemophilus influenzae Acute bronchitis due to streptococcus Acute bronchitis due to coxsackievirus Acute bronchitis due to parainfluenza virus Acute bronchitis due to respiratory syncytial virus Acute bronchitis due to rhinovirus Acute bronchitis due to echovirus Acute bronchitis due to other specified organisms Acute bronchitis, unspecified
*Codes with a greater degree of specificity should be considered first.
Back and Neck Pain (Selected) (ICD-9-CM 723.1, 724.1, 724.2, 724.5)
M54.2 M54.5 M54.6 M54.89 M54.9*
Cervicalgia Low back pain Pain in thoracic spine Other dorsalgia Dorsalgia, unspecified
*Codes with a greater degree of specificity should be considered first.
4
Chest Pain (ICD-9-CM 786.50 to 786.59 range)
R07.1 R07.2 R07.81 R07.82 R07.89 R07.9*
Chest pain on breathing Precordial pain Pleurodynia Intercostal pain Other chest pain Chest pain, unspecified
*Codes with a greater degree of specificity should be considered first.
Diabetes Mellitus w/o Complications Type 2 (ICD-9-CM 250.00)
E11.9
Type 2 diabetes mellitus without complications
General Medical Examination (ICD-9-CM V70.0)
Z00.00 Z00.01
Encounter for general adult medical exam without abnormal findings Encounter for general adult medical exam with abnormal findings
Headache (ICD-9-CM 784.0)
R51 Headache
Hypertension (ICD-9-CM 401.9)
I10
Essential (primary) hypertension
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