PRIMARY CARE HEALTH HOME DIAGNOSES - ICD-10 …

PRIMARY CARE HEALTH HOME DIAGNOSES - ICD-10

September 1, 2019

General Diagnosis Anxiety

Asthma/COPD

Note: Codes without fourth or fifth digits includes all codes within that series. Newly added codes are highlighted in yellow.

Cyclothymic disorder Dysthymic disorder Other persistent mood (affective) disorders Disruptive mood dysregulation disorder Other specified persistent mood disorders Panic disorder without agoraphobia Generalized anxiety disorder Other mixed anxiety disorders Other specified anxiety disorders Anxiety disorder-unspecified Simple chronic bronchitis Mucopurulent chronic bronchitis Mixed simple and mucopurulent chronic bronchitis Emphysema Other chronic obstructive pulmonary disease Asthma Interstitial emphysema Compensatory emphysema Diseases of mediastinum, not elsewhere classified Mediastinitis Other diseases of mediastinum, not elsewhere classified Disorders of diaphragm Other specified respiratory disorders Respiratory disorder, unspecified

F34.0

F34.1 F34.8 F34.81 F34.89 F41.0 F41.1 F41.3 F41.8 F41.9 J41.0 J41.1 J41.8 J43 J44 J45 J98.2 J98.3 J98.5 J98.51 J98.59 J98.6 J98.8 J98.9

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General Diagnosis

Chronic Pain

Pain disorder with related psychological factors

The definition of Phantom limb syndrome with pain

chronic pain for Central pain syndrome

PCHH enrollment is Chronic pain due to trauma

pain that has been Other chronic pain

present for a

Chronic pain syndrome

minimum of 12

Complex regional pain syndrome I (CRPS I)

months. Qualified Complex regional pain syndrome I, unspecified

participant

Complex regional pain syndrome I of upper limb

eligibility shall be Complex regional pain syndrome I of right upper limb

limited to chronic Complex regional pain syndrome I of left upper limb

non-cancer neck and Complex regional pain syndrome I of upper limb, bilateral

back pain and post- Complex regional pain syndrome I of unspecified upper limb

trauma chronic pain Complex regional pain syndrome I of lower limb

(e.g. motor vehicle Complex regional pain syndrome I of right lower limb

accident). (MO

Complex regional pain syndrome I of left lower limb

Medicaid's Audit Complex regional pain syndrome I of lower limb, bilateral

and Compliance unit Complex regional pain syndrome I of unspecified lower limb

[MMAC] may

Complex regional pain syndrome I of other specified site

conduct periodic Ocular pain

audits to ensure Ocular pain, unspecified eye

that patients

Ocular pain, right eye

enrolled in PCHH Ocular pain, left eye

with chronic pain Ocular pain, bilateral

are those that meet Pain in hip

the above stated Pain in right hip

criteria.)

Pain in left hip

Pain in knee

Pain in right knee

F45.42 G54.6 G89.0 G89.21 G89.29 G89.4 G90.5 G90.50 G90.51 G90.511 G90.512 G90.513 G90.519 G90.52 G90.521 G90.522 G90.523 G90.529 G90.59 H57.1 H57.10 H57.11 H57.12 H57.13 M25.55 M25.551 M25.552 M25.56 M25.561

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are those that meet the above stated criteria.)

General Diagnosis

Pain in left knee Pain in unspecified knee Pain in ankle and joints of foot Pain in right ankle and joints of right foot Pain in left ankle and joints of left foot Pain in unspecified ankle and joints of unspecified foot Dorsalgia Radiculopathy Radiculopathy, site unspecified Radiculopathy, occipito-atlanto-axial region Radiculopathy, cervical region Radiculopathy, cervicothoracic region Radiculopathy, thoracic region Radiculopathy, thoracolumbar region Radiculopathy, lumbar region Radiculopathy, lumbosacral region Radiculopathy, sacral and sacrococcygeal region Cervicalgia Sciatica Sciatica, unspecified site Sciatica, right side Sciatica, left side Lumbago, with sciatica Lumbago with sciatica, unspecified site Lumbago with sciatica, right side Lumbago with sciatica, left side Low back pain Pain in thoracic spine Other dorsalgia

M25.562 M25.569 M25.57 M25.571 M25.572 M25.579

M54 M54.1 M54.10 M54.11 M54.12 M54.13 M54.14 M54.15 M54.16 M54.17 M54.18 M54.2 M54.3 M54.30 M54.31 M54.32 M54.4 M54.40 M54.41 M54.42 M54.5 M54.6 M54.8

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General Diagnosis

Occipital neuralgia Other dorsalgia Dorsalgia, unspecified Myalgia Pain in limb, hand, foot, fingers and toes Pain in limb, unspecified Pain in right arm Pain in left arm Pain in right leg Pain in left leg Pain in leg, unspecified Pain in unspecified limb Pain in right upper arm Pain in left upper arm Pain in right forearm Pain in left forearm Pain in unspecified forearm Pain in right hand Pain in left hand Pain in unspecified hand Pain in right finger(s) Pain in left finger(s) Pain in unspecified finger(s) Pain in right thigh Pain in left thigh Pain in unspecified thigh Pain in right lower leg Pain in left lower leg Pain in unspecified lower leg

M54.81 M54.89 M54.9 M79.1 M79.6 M79.60 M79.601 M79.602 M79.604 M79.605 M79.606 M79.609 M79.621 M79.622 M79.631 M79.632 M79.639 M79.641 M79.642 M79.643 M79.644 M79.645 M79.646 M79.651 M79.652 M79.659 M79.661 M79.662 M79.669

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General Diagnosis Depression Diabetes

Pain in right foot Pain in left foot Pain in unspecified foot Pain in right toe(s) Pain in left toe(s) Pain in throat Intercostal pain Other chest pain Jaw pain Major depressive disorder, single episode, mild Major depressive disorder, single episode, moderate Major depressive disorder, single episode, severe without psych features Major depressive disorder, single episode, severe with psych features Major depressive disorder, single episode, in partial remission Major depressive disorder, single episode, in full remission Major depressive disorder, single episode, unspecified Major depressive disorder, recurrent episode, mild Major depressive disorder, recurrent episode, moderate Major depressive disorder, recurrent, severe, without psych features Major depressive disorder, recurrent, severe, with psych features Major depressive disorder, recurrent, in remission, unspecified Major depressive disorder, recurrent, in partial remission Major depressive disorder, recurrent, in full remission Major depressive disorder, recurrent, unspecified Diabetes mellitus due to underlying condition Drug or chemical induced diabetes mellitus Type 1 diabetes mellitus Type 2 diabetes mellitus Other specified diabetes mellitus

M79.671 M79.672 M79.673 M79.674 M79.675

R07.0 R07.82 R07.89 R68.84 F32.0 F32.1 F32.2 F32.3 F32.4 F32.5 F32.9 F33.0 F33.1 F33.2 F33.3 F33.40 F33.41 F33.42 F33.9

E08 E09 E10 E11 E13

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General Diagnosis Heart Disease

Angina pectoris ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction

Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction Certain current complications following ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction (within the 28 day period) Other acute ischemic heart diseases Atherosclerotic heart disease of native coronary artery without angina pectoris Atherosclerotic heart disease of native coronary artery w unstable angina pectoris Atherosclerotic heart disease of native cor artery w angina pectoris w spasm Atherosclerotic heart disease of native cor artery w other angina pectoris Atherosclerotic heart disease of native cor artery w unspecified angina pectoris Old myocardial infarction Ischemic cardiomyopathy Silent myocardial ischemia Atherosclerosis of CABG, unspecified, w/ unstable angina pectoris Atherosclerosis of CABG, unspecified, w/ angina pectoris, w/ documented spasm Atherosclerosis of CABG, unspecified, with other angina pectoris Atherosclerosis autologous vein CABG w/ unspecified angina pectoris Atherosclerosis autologous vein CABG w/ unstable angina pectoris Atherosclerosis autologous vein CABG w/ angina pectoris with documented spasm Atherosclerosis autologous vein CABG w other angina pectoris Atherosclerosis autologous vein CABG w unspecified angina pectoris Atherosclerosis autologous artery CABG w unstable angina pectoris Atherosclerosis autologous artery CABG w ang pectoris w documented spasm Atherosclerosis autologous artery CABG w other angina pectoris Atherosclerosis autologous artery CABG w unspecified angina pectoris Atherosclerosis nonautologous biological CABG w unstable angina pectoris

I20 I21 I22

I23

I24 I25.10 I25.110 I25.111 I25.118 I25.119 I25.2 I25.5 I25.6 I25.700 I25.701 I25.708 I25.709 I25.710 I25.711 I25.718 I25.719 I25.720 I25.721 I25.728 I25.729 I25.730

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General Diagnosis

Atherosclerosis nonautologous biological CABG w ang pect w documented spasm Atherosclerosis nonautologous biological CABG w other angina pectoris Atherosclerosis nonautologous biological CABG w unspecified angina pectoris Atherosclerosis native coronary artery of transplanted heart w unstable angina Atherosclerosis native cor art of xplanted heart w ang pectoris w spasm Atherosclerosis native cor art of xplanted heart w other angina pectoris Atherosclerosis native cor art of xplanted heart w unspecified angina pectoris Atherosclerosis bypass of cor art of xplanted heart w unstable angina Atherosclerosis bypass of cor art of xplanted heart w angina pectoris w spasm Atherosclerosis bypass of cor art of xplanted heart w other angina pectoris Atherosclerosis bypass of cor art of xplanted heart w unspecified angina pectoris Atherosclerosis of CABG w unstable angina pectoris Atherosclerosis of CABG w angina pectoris w documented spasm Atherosclerosis of CABG w angina pectoris w other angina pectoris Atherosclerosis of CABG w angina pectoris w unspecified angina pectoris Atherosclerosis of CABG w/o angina pectoris Atherosclerosis native cor art of xplanted heart w/o angina pectoris Atherosclerosis bypass of cor art of xplanted heart w/o angina pectoris Chronic total occlusion of coronary artery Coronary atherosclerosis due to lipid rich plaque Coronary atherosclerosis due to calcified coronary lesion Other forms of chronic ischemic heart disease Chronic ischemic heart disease, unspecified Heart failure, unspecified Heart disease, unspecified Disorders of lipoprotein metabolism and other lipidemias Other and unspecified metabolic disorders Essential (primary) hypertension

I25.731 I25.738 I25.739 I25.750 I25.751 I25.758 I25.759 I25.760 I25.761 I25.768 I25.769 I25.790 I25.791 I25.798 I25.799 I25.810 I25.811 I25.812 I25.82 I25.83 I25.84 I25.89

I25.9 I50 I51.9 E78 E88 I10

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General Diagnosis Hypertensive heart disease Hypertensive chronic kidney disease Hypertensive heart and chronic kidney disease Secondary hypertension Atherosclerosis

Overweight/ Obesity Obesity, unspecified Body mass index (BMI) 25.0-25.9, adult Body mass index (BMI) 26.0-26.9, adult Body mass index (BMI) 27.0-27.9, adult Body mass index (BMI) 28.0-28.9, adult Body mass index (BMI) 29.0-29.9, adult Body mass index (BMI) 30.0-30.9, adult Body mass index (BMI) 31.0-31.9, adult Body mass index (BMI) 32.0-32.9, adult Body mass index (BMI) 33.0-33.9, adult Body mass index (BMI) 34.0-34.9, adult Body mass index (BMI) 35.0-35.9, adult Body mass index (BMI) 36.0-36.9, adult Body mass index (BMI) 37.0-37.9, adult Body mass index (BMI) 38.0-38.9, adult Body mass index (BMI) 39.0-39.9, adult Body Mass Index 40.0-44.9, adult Body Mass Index 45.0-49.9, adult Body Mass Index 50.0-59.9, adult Body Mass Index 60.0-69.9, adult Body Mass Index 70 and over, adult Body mass index (MBI) pediatric, 85th percentile to 94th percentile for age Body mass index (BMI) pediatric, 95th percentile for age

I11 I12 I13 I15 I70 E66 Z68.25 Z68.26 Z68.27 Z68.28 Z68.29 Z68.30 Z68.31 Z68.32 Z68.33 Z68.34 Z68.35 Z68.36 Z68.37 Z68.38 Z68.39 Z68.41 Z68.42 Z68.43 Z68.44 Z68.45 Z68.53 Z68.54

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