Comparison of Top 100 ICD 9 to ICD 10 - Health Network Solutions
Top 100 Diagnosis Codes as Reported by HNS Physicians
Disclaimer: The information in the HNS Code Translator is based on the General Equivalency Mapping (GEM) files published by CMS, and are not intended to be used as an ICD-10 conversion, ICD10 mapping, or ICD-9 to ICD-10 crosswalk tool. HNS makes no guarantee as to the accuracy or appropriateness of the ICD-10 coes provided. While many codes in ICD-9-CM map directly to codes in ICD-10, in some cases, a clinical analysis will be required to determine which code or codes should be selected, and there will be many situations in which you will need to map the ICD-9 code to the most appropriate ICD-10 Code.
The 7th character When to Use "A" At this time, ICD-10 experts suggest that chiropractors should use "A" as the 7th character when reporting injury codes (S codes) for as long as they deem the patient to be receiving "active treatment" (that is, as long as the patient continues to progress).
When to Use "D" At this time, ICD-10 experts suggest that chiropractors should use "D" as the 7th character when billing for care provided after the patient ceases to progress (when MMI has been reached).
As a general rule, when the code requires a "D", it would indicate maintenance/supportive care, which are non-covered services, so unless your patient has a plan that covers maintenance/supportive care, you would not use "D" as the 7th character for S codes on claims submitted to HNS.
ICD-9 Codes are listed in numeric order
ICD-9 Code ICD-9 Descriptor
307.81 Tension Headache
346.00
Migraine with aura, without mention of intractable
Possible
ICD-10 Descriptor
Corresponding
ICD-10 Codes
(assumes
Active care)
G44.209
Tension-type headache, unspecified, not
intractable
G43.109
Migraine with aura, not intractable, without
status migrainosus. Excludes chronic
migraine without aura (G43.7-)
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353.0 Brachial Plexus Lesions
G54.0
Brachial plexus disorders. This category excludes current traumatic nerve root and plexus disorders-see nerve injury by body region. Intervertebral disc disorders (M50M51), neuralgia or neuritis NOS (M79.2), neuritis or radiculitis brachial NOS (M54.13), neuritis or radiculitis lumbar NOS (M54.16), neuritis or radiculits lumbosacral NOS (M54.17), neuritis or radiculits thoracic NOS (M54.14), radiculitis NOS (M54.10), spondylosis (M47-)
ICD-9 Code ICD-9 Descriptor
353.30 354.40 354.00 354.00
Thoracic Root Lesion not elsewhere Lumbosacral Root Lesion Not elsewhere Carpal Tunnel Syndrome
Possible
ICD-10 Descriptor
Corresponding
G54.3
Thoracic root lesion, not elsewhere classified
G54.4 G56.00 G56.01
Lumbosacral root disorders, not elsewhere classified Carpal tunnel syndrome, unspecified upper limb. This category excludes current Carpal tunnel syndrome, right upper limb
354.00
G56.02
Carpal tunnel syndrome, left upper limb
524.60
Temporomandibular joint disorder, unspecified
524.61 524.62
Adhesions/ankylosis of TMJ Arthralgia TMJ
M26.60
M26.69 M26.61 M26.62
Temporomandibular joint disorder, unspecified. This category excludes current Temporomandibular joint dislocation (503.0), current Temporomandibular joint sprain (503.4) Other specified disorders of temporomandibular joint (TMJ) Adhesions and ankylosis of TMJ
Arthralgia of TMJ
718.59 Ankylosis of Joint Multiple Sites
718.98 719.41
Joint derangement not otherwise specified or other specified sites Pain in joint - shoulder region
M24.60 M24.9 M25.519
Ankylosis, unspecified joint (if known, code specific joint and specific side) This category excludes stiffness of joint without ankylosis (M25.6-) spine (M43.2) Joint derangement, unspecified (if known, code specific joint and specific side)
Pain in unspecified shoulder (if known, code specific side) This category excludes pain in hand (M79.64-), pain in fingers (M79.64), pain in foot (M79.67-), pain in limb (M79.6), pain in toes (M79.67)
M25.511
Pain in right shoulder
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M25.512
Pain in left shoulder
719.43 Pain in joint involving forearm
M25.539 M25.531
Pain in unspecified wrist (if known, code specific joint and specific side. i.e. distal or proximal forearm) Pain in right wrist and distal forearm
M25.532
Pain in left wrist and distal forearm
719.44 Pain in joint involving hand
ICD-9 Code ICD-9 Descriptor
719.44 (cont'd)
M79.643
Pain in unspecified hand (Category excludes
pain in joint M25.5-)
Possible
ICD-10 Descriptor
Corresponding
ICD-10 Codes
(assumes
active care)
M79.641
Pain in right hand
M79.642
Pain in left hand
M79.646 M79.644
Pain in unspecified finger(s) Pain in right finger(s)
719.45 Pain in joint involving pelvic region and thigh
M79.645 M25.559
Pain in left finger(s)
Pain in unspecified hip. This category excludes pain in hand (M79.64), pain in fingers (M79.64), pain in foot (M79,67), pain in limb (M79.6-), pain in toes (M79.67)
M25.551
Pain in right hip
M25.552
Pain in left hip
719.46 Pain in joint involving lower leg
M25.569
Pain in unspecified knee. This category excludes pain in hand (M79.64), pain in fingers (M79.64), pain in foot (M79,67), pain in limb (M79.6-), pain in toes (M79.67)
719.47 Pain in joint involving ankle and foot
M25.561
Pain in right knee
M25.562 M25.579
M25.571
Pain in left knee
Pain in unspecified ankle and unspecified foot. This category excludes pain in hand (M79.64), pain in fingers (M79.64), pain in foot (M79,67), pain in limb (M79.6-), pain in toes (M79.67)
Pain in right ankle and joints of right foot
M25.572
Pain in left ankle and joints of left foot
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719.48 Pain in joint involving other specified sites
719.51
Stiffness of joint not elsewhere classified involving shoulder region
M25.50 M25.619
Pain in unspecified joint. This category excludes ankylosis of joint (M24.6-) and contracture of joint (M24.5-)
Stiffness of unspecified shoulder, not elsewhere classified. This category excludes pain in hand (M79.64), pain in fingers (M79.64), pain in foot (M79,67), pain in limb (M79.6-), pain in toes (M79.67)
Page 4
ICD-9 Code ICD-9 Descriptor
719.51 (cont'd)
Possible
ICD-10 Descriptor
Corresponding
ICD-10 Codes
(assumes
active care)
M25.611
Stiffness of right shoulder, not elsewhere
classified
M25.612
Stiffness of left shoulder, not elsewhere classified
719.55
Stiffness of joint not elsewhere classified involving pelvic region and thigh
M25.659
Stiffness of unspecified hip, not elsewhere classified. This category excludes ankylosis of joint (M24.6-) and contracture of joint (M24.5-)
M25.651
Stiffness of right hip, not elsewhere classified
M25.652
Stiffness of left hip, not elsewhere classified
719.58
719.59 720.10 720.20 721.0
Stiffness of joint not elsewhere classified involving other specified joints
M25.6 M25.60
Stiffness of joint not elsewhere classified. Excludes 1: ankylosis of joint (M24.6-), contracture of joint (M24.5-)
Stiffness of unspecified joint, not elsewhere classified
M25.611
Stiffness of right shoulder, not elsewhere classified
M25.612
Stiffness of left shoulder, not elsewhere classified
Stiffness of joint not elsewhere classified involving multiple sites
M25.60
Stiffness of unspecified joint, not elsewhere classified (NEC)
Spinal enthesopathy
Sacroilitis, not elsewhere classified (NEC) Cervical spondylosis
M46.00 Spondylopathies
(M45 - M49) M46.1
Spinal enthesopathy, site unspecified Sacroilitis, not elsewhere classified
M47.812
Spondylosis without myelopathy or radiculopathy, cervical region
721.3
Lumbosacral spondylosis without myelopathy
M47.813 M47.817
Spondylosis without myelopathy or radiculopathy, cervicothoracic region
Spondylosis without myelopathy or radiculopathy, lumbosacral region
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