ICD-10 Definition Code - Iowa

Effective Date of Service 10.01.2017

Iowa Department of Public Health Division of Health Promotion Chronic Disease Prevention

Contact Number: 515 242-6200

Iowa Care for Yourself Program

International Classification of Diseases: 9th Revision Clinical Modification

2017 ICD-10-CM/Diagnostic Codes

The ICD-10 Codes listed below are codes that can be used with corresponding CPT codes for reimbursement from the Iowa Care for Yourself

Program.

ICD-10 Code

Definition

B07.8 B97.7 C50.011 C50.012 C50.019 C50.111 C50.112 C50.119 C50.211 C50.212 C50.219 C50.311 C50.312 C50.319 C50.411 C50.412 C50.419 C50.511 C50.512 C50.519 C50.611 C50.612 C50.619 C50.811 C50.812 C50.819 C50.911 C50.912 C50.919 C53.0 C53.1 C53.8 C53.9 D05.00 D05.01 D05.02 D05.10 D05.11 D05.12 D05.80 D05.81 D05.82 D05.90 D05.91 D05.92 D06.0 D06.1 D06.7 D06.9

Viral warts: Other viral warts: verruca plana Viral agents as the cause of diseases classified elsewhere: Papillomavirus as the cause of diseases classified elsewhere Malignant neoplasm of nipple and areola, right female breast Malignant neoplasm of nipple and areola, left female breast Malignant neoplasm of nipple and areola, unspecified female breast Malignant neoplasm of central portion of breast, right female breast Malignant neoplasm of central portion of breast, left female breast Malignant neoplasm of central portion of breast, unspecified female breast Malignant neoplasm of upper-inner quadrant of breast, right female breast Malignant neoplasm of upper-inner quadrant of breast, left female breast Malignant neoplasm of upper-inner quadrant of breast, unspecified female breast Malignant neoplasm of lower-inner quadrant of breast, right female breast Malignant neoplasm of lower-inner quadrant of breast, left female breast Malignant neoplasm of lower-inner quadrant of breast, unspecified female breast Malignant neoplasm of upper-outer quadrant of breast, right female breast Malignant neoplasm of upper-outer quadrant of breast, left female breast Malignant neoplasm of upper-outer quadrant of breast, unspecified female breast Malignant neoplasm of lower-outer quadrant of breast, right female breast Malignant neoplasm of lower-outer quadrant of breast, left female breast Malignant neoplasm of lower-outer quadrant of breast, unspecified female breast Malignant neoplasm of axillary tail of breast, right female breast Malignant neoplasm of axillary tail of breast, left female breast Malignant neoplasm of axillary tail of breast, unspecified female breast Malignant neoplasm of overlapping sites of breast, right female breast Malignant neoplasm of overlapping sites of breast, left female breast Malignant neoplasm of overlapping sites of breast, unspecified female breast Malignant neoplasm of breast of unspecified site, right female breast Malignant neoplasm of breast of unspecified site, left female breast Malignant neoplasm of breast of unspecified site, unspecified female breast Malignant neoplasm of cervix uteri: endocervix Malignant neoplasm of cervix uteri: exocervix Malignant neoplasm of overlapping sites of cervix uteri Malignant neoplasm of cervix uteri: unspecified Lobular carcinoma in situ of unspecified breast Lobular carcinoma in situ of right breast Lobular carcinoma in situ of left breast Intraductal carcinoma in situ of unspecified breast Intraductal carcinoma in situ of right breast Intraductal carcinoma in situ of left breast Other specified type of carcinoma in situ of unspecified breast Other specified type of carcinoma in situ of right breast Other specified type of carcinoma in situ of left breast Unspecified type of carcinoma in situ of unspecified breast Unspecified type of carcinoma in situ of right breast Unspecified type of carcinoma in situ of left breast Carcinoma in situ of endocervix Carcinoma in situ of exocervix Carcinoma in situ of other parts of cervix Carcinoma in situ of cervix, unspecified

Page 1 of 5

09.28.2017

Effective Date of Service 10.01.2017

Iowa Department of Public Health Division of Health Promotion Chronic Disease Prevention

Contact Number: 515 242-6200

ICD-10 Code D24.1 D24.2 D24.9 D26.0 D48.60 D48.61 D48.62 D49.3 N60.01 N60.02 N60.09 N60.11 N60.12 N60.19 N60.21 N60.22 N60.29 N60.31 N60.32 N60.39 N60.41 N60.42 N60.49 N60.81 N60.82 N60.89 N60.91 N60.92 N60.99 N61.0 N61.1 N63.0 N63.10 N63.11 N63.12 N63.13 N63.14 N63.20 N63.21 N63.22 N63.23 N63.24 N63.31 N63.32 N63.41 N63.42 N64.0 N64.1 N64.4 N64.51 N64.52 N64.53 N64.59 N64.8

Definition

Benign neoplasm of right breast Benign neoplasm of left breast Benign neoplasm of unspecified breast Other benign neoplasm of cervix uteri Neoplasm of uncertain behavior of unspecified breast Neoplasm of uncertain behavior of right breast Neoplasm of uncertain behavior of left breast Neoplasm of unspecified behavior of breast Benign mammary dysplasia: solitary cyst of right breast Benign mammary dysplasia: solitary cyst of left breast Benign mammary dysplasia: solitary cyst of unspecified breast Benign mammary dysplasia: Diffuse cystic mastopathy of right breast Benign mammary dysplasia: Diffuse cystic mastopathy of left breast Benign mammary dysplasia: Diffuse cystic mastopathy of unspecified breast Benign mammary dysplasia: Fibroadenosis of right breast Benign mammary dysplasia: Fibroadenosis of left breast Benign mammary dysplasia: Fibroadenosis of unspecified breast Benign mammary dysplasia: Fibrosclerosis of right breast Benign mammary dysplasia: Fibrosclerosis of left breast Benign mammary dysplasia: Fibrosclerosis of unspecified breast Benign mammary dysplasia: Mammary duct estasia of right breast Benign mammary dysplasia: Mammary duct estasia of left breast Benign mammary dysplasia: Mammary duct estasia of unspecified breast Benign mammary dysplasia: Other benign mammary dysplasias of right breast Benign mammary dysplasia: Other benign mammary dysplasias of left breast Benign mammary dysplasia: Other benign mammary dysplasias of unspecified breast Benign mammary dysplasia: Unspecified benign mammary dysplasia of right breast Benign mammary dysplasia: Unspecified benign mammary dysplasia of left breast Benign mammary dysplasia: Unspecified benign mammary dysplasia of unspecified breast Inflammatory disorders of breast: mastitis without abscess Inflammatory disorders of breast: abscess of the breast and nipple Disorder of breast: Unspecified lump in unspecified breast Disorder of breast: Unspecified lump in right breast, unspecified quadrant Disorder of breast: Unspecified lump in right breast, upper outer quadrant Disorder of breast: Unspecified lump in right breast, upper inner quadrant Disorder of breast: Unspecified lump in right breast, lower outer quadrant Disorder of breast: Unspecified lump in right breast, lower inner quadrant Disorder of breast: Unspecified lump in left breast, unspecified quadrant Disorder of breast: Unspecified lump in left breast, upper outer quadrant Disorder of breast: Unspecified lump in left breast, upper inner quadrant Disorder of breast: Unspecified lump in left breast, lower outer quadrant Disorder of breast: Unspecified lump in left breast, lower inner quadrant Disorder of breast: Unspecified lump in axillary tail of the right breast Disorder of breast: Unspecified lump in axillary tail of the left breast Disorder of breast: Unspecified lump in right breast, subareolar Disorder of breast: Unspecified lump in left breast, subareolar Other disorders of breast: Fissure and fistula of nipple Other disorders of breast: Fat necrosis of breast Other disorders of breast: Mastodynia Other disorders of breast: induration of breast Other disorders of breast: Nipple discharge Other disorders of breast: Retraction of nipple Other disorders of breast: Other signs and symptoms in breast Other disorders of breast: Other specified in breast

Page 2 of 5

09.28.2017

Effective Date of Service 10.01.2017

Iowa Department of Public Health Division of Health Promotion Chronic Disease Prevention

Contact Number: 515 242-6200

ICD-10 Code N64.9 N72 N84.1 N86 N87.0 N87.1 N87.9 N88.0 N88.2 N88.8 N88.9 R87.610

R87.611

R87.612

R87.613

R87.614 R87.615 R87.616 R87.618 R87.619

R87.620

R87.621

R87.622

R87.623

R87.624 R87.625 R87.628 R87.629 R87.810

R87.811

R92.0

R92.1

R92.2 R92.8

Definition

Disorder of breast, unspecified Inflammatory diseease of cervix uteri Polyp of cervix uteri Erosion and ectropion of cervix uteri Dysplasia of cervix uteri, Mild Dysplasia of cervix uteri, Moderate Dysplasia of cervix uteri, unspecified Other noninflammatory disorders of cervix uteri: Leukoplakia of cervix uteri Other noninflammatory disorders of cervix uteri: Stricture and stenosis of cervix uteri Other noninflammatory disorders of cervix uteri: Other specified noninflammatory disorders of cervix uteri Other noninflammatory disorders of cervix uteri: Noninflammatory disorder of cervix uteri, unspecified Abnormal cytological findings in specimens from cervix uteri: Atypical squamous cells of undetermined significance on cytologic smear of cervix [ASC-US] Abnormal cytological findings in specimens from cervix uteri: Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix [ASC-H] Abnormal cytological findings in specimens from cervix uteri: Low grade quamous intraepithelial lesion on cytologic smear of cervix [LGSIL] Abnormal cytological findings in specimens from cervix uteri: High grade quamous intraepithelial lesion on cytologic smear of cervix [HGSIL] Abnormal cytological findings in specimens from cervix uteri: Cytologic evidence of malignancy on smear of cervix Abnormal cytological findings in specimens from cervix uteri: Unsatisfactory cytologic smear of cervix Abnormal cytological findings in specimens from cervix uteri: Satisfactory cervical smear but lacking transformation zone Abnormal cytological findings in specimens from cervix uteri: Other abnormal cytological findings on specimens from cervix uteri Abnormal cytological findings in specimens from cervix uteri: Unspecified abnormal cytological findings in specimens from cervix uteri Abnormal cytological findings in specimens from vagina: Atypical squamous cells of undetermined significance on cytologic smear of vagina [ASC-US] Abnormal cytological findings in specimens from vagina: Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina [ASC-H] Abnormal cytological findings in specimens from vagina: Low grade quamous intraepithelial lesion on cytologic smear of vagina [LGSIL] Abnormal cytological findings in specimens from vagina: High grade quamous intraepithelial lesion on cytologic smear of vagina [HGSIL] Abnormal cytological findings in specimens from vagina: Cytologic evidence of malignancy on smear of vagina Abnormal cytological findings in specimens from vagina: Unsatisfactory cytologic smear of vagina Abnormal cytological findings in specimens from vagina: Other abnormal cytological findings on specimens from vagina Abnormal cytological findings in specimens from vagina: Unspecified abnormal cytological findings in specimens from vagina High risk human papillomavirus [HPV] DNA test positive from female genital organs: Cervical high risk human papillomavirus [HPV] DNA test positive High risk human papillomavirus [HPV] DNA test positive from female genital organs: Vaginal high risk human papillomavirus [HPV] DNA test positive Abnormal and inconclusive findings on diagnostic imaging of breast: Mammographic microcalcification found on diagnostic imaging of breast Abnormal and inconclusive findings on diagnostic imaging of breast: Mammographic calcification found on diagnostic imaging of breast Abnormal and inconclusive findings on diagnostic imaging of breast: Inconclusive mammogram Abnormal and inconclusive findings on diagnostic imaging of breast: Other abnormal and inconclusive findings on diagnostic imaging of breast

Z Codes listed below are provided to deal with circumstances not covered by the preceding ICD-10 Codes. If the client is not presenting with a disease or injury, one of the following Z Codes may be used in place of the ICD-10 Code.

Z Code

Definition

Z00.00 Z00.01

Encounter for general examination without complaint, suspected or reported diagnosis: Encounter for general adult medical examination without abnormal findings Encounter for general examination without complaint, suspected or reported diagnosis: Encounter for general adult medical examination with abnormal findings

Page 3 of 5

09.28.2017

Effective Date of Service 10.01.2017

Iowa Department of Public Health Division of Health Promotion Chronic Disease Prevention

Contact Number: 515 242-6200

ICD-10 Code

Definition

Z01.411 Encounter for gynecological examination: Encounter for gynecological examination (general)(routine) with abnormal findings

Z01.419 Encounter for gynecological examination: Encounter for gynecological examination (general)(routine) without abnormal findings

Z01.42

Z09 Z11.51

Z12.31 Z12.39 Z12.4 Z12.72 Z15.01 Z80.3 Z85.3 Z85.41 Z86.000 Z86.001 Z87.410 Z87.411 Z90.10 Z90.11 Z90.12 Z90.13 Z90.710 Z90.711

Encounter for gynecological examination: Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Encounter for screening for infectious and parasitic diseases: Encounter for screening for other viral diseases: Encounter for screening for human papillomavirus (HPV) Encounter for screening for malignant neoplasms: Encounter for screening mammogram for malignant neoplasm of breast Encounter for screening for malignant neoplasms: Encounter for other screening for malignant neoplasm of breast Encounter for screening for malignant neoplasms: Encounter for screening for malignant neoplasm of cervix Encounter for screening for malignant neoplasms: Encounter for screening for malignant neoplasm of vagina Genetic susceptibility to disease: Genetic susceptibility to malignant neoplasm of breast Family history of primary malignant neoplasm: Family history of malignant neoplasm of breast Personal history of malignant neoplasm: Personal history of malignant neoplasm of breast Personal history of malignant neoplasm: Personal history of malignant neoplasm of cervix uteri Personal history of certain other diseases: Personal history of in-situ neoplasm of breast Personal history of certain other diseases: Personal history of in-situ neoplasm of cervix uteri Personal history of diseases of genitourinary system: Personal history of cervical dysplasia Personal history of diseases of genitourinary system: Personal history of vaginal dysplasia Acquired absence of organs, not elsewhere classified: Acquired absence of unspecified breast and nipple Acquired absence of organs, not elsewhere classified: Acquired absence of right breast and nipple Acquired absence of organs, not elsewhere classified: Acquired absence of left breast and nipple Acquired absence of organs, not elsewhere classified: Acquired absence of bilateral breast and nipple Acquired absence of organs, not elsewhere classified: Acquired absence of both cervix and uterus Acquired absence of organs, not elsewhere classified: Acquired absence of uterus with remaining cervical stump

Not every woman receiving breast and cervical cancer screening is eligible for heart disease risk screening. Please check with the coordinator of your local program to see if the woman you are providing services to is eligible. A woman receiving services for which she is not eligible will be responsible for the charges.

ICD-10 Code

Definition

E10.8 E10.9 E11.8 E11.9 E13.9 E78.0 E78.1 E78.2 E78.5 E78.9 I10

Type 1 diabetes mellitus: Type 1 diabetes mellitus with unspecified complications Type 1 diabetes mellitus: Type 1 diabetes mellitus without complications Type 2 diabetes mellitus: Type 2 diabetes mellitus with unspecified complications Type 2 diabetes mellitus: Type 2 diabetes mellitus without complications Other specified diabetes mellitus: Other specified diabetes mellitus without complications Disorders of lipoprotein metabolism and other lipidemias: Pure hypercholesterolemia Disorders of lipoprotein metabolism and other lipidemias: Pure hyperglyceridemia Disorders of lipoprotein metabolism and other lipidemias: Mixed hyperlipidemia Disorders of lipoprotein metabolism and other lipidemias: Hyperlipidemia, unspecified Disorders of lipoprotein metabolism and other lipidemias: Disorder of lipoprotein metabolism, unspecified Hypertensive diseases: Essential (primary) hypertension

Z Codes listed below are provided to deal with circumstances not covered by the preceding ICD-10 Codes. If the client is not presenting with a disease or injury, one of the following Z Codes may be used in place of the ICD-10 Code.

Z Code Z01.30 Z01.31 Z13.1

Definition

Encounter for other special examination without complaint, suspected or reported diagnosis: Encounter for examination of blood pressure without abnormal findings Encounter for other special examination without complaint, suspected or reported diagnosis: Encounter for examination of blood pressure with abnormal findings Encounter for screening for other diseases and disorders: Encounter for screening for diabetes mellitus

Page 4 of 5

09.28.2017

Effective Date of Service 10.01.2017

Iowa Department of Public Health Division of Health Promotion Chronic Disease Prevention

Contact Number: 515 242-6200

ICD-10 Code Z13.220 Z13.6 Z82.41

Z82.49

Z83.3

Definition

Encounter for screening for other diseases and disorders: Encounter for screening for lipoid disorders Encounter for screening for other diseases and disorders: Encounter for screening for cardiovascular disorders Family history of certain disabilities and chronic diseases (leading to disablement): Family history of ischemic heart disease and other diseases of the circulatory system: Family history of sudden cardiac death Family history of certain disabilities and chronic diseases (leading to disablement): Family history of ischemic heart disease and other diseases of the circulatory system Family history of other specific disorders: Family history of diabetes mellitus

Page 5 of 5

09.28.2017

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download