Common Diabetes ICD-10 Diagnosis Codes - BCBSWNY

[Pages:2]Common Diabetes ICD-10 Diagnosis Codes

Mandatory multiple coding to fully describe the condition

E10.9 E11.9 E10.10 E11.01

Type 1 Diabetes, w/o complication Type 2 Diabetes, w/o complication Type 1 Diabetic Ketoacidosis, w/o Coma Type 2 Diabetes with Hyperosmolar Coma

Diabetic Complications

E10.22/E11.22 Diabetes, Renal Complication

N04.X Nephrotic Syndrome

N08

Nephritis/Nephropathy

PLUS

Select code from Diabetic Renal Manifestation Codes

N18.1 N18.2 N18.3 N18.4 N18.5

CKD Stage I-V and ESRD Add Z99.2 if on dialysis

CKD, Stage I (GFR > 90)

CKD, Stage II (GFR 60-89)

CKD, Stage III (GFR 30-59) CKD, Stage IV (GFR 15-29) CKD, Stage V (GFR 14 or less)

Refer to KDIGO Guidelines

N18.6 ESRD

N18.9 CKD, Unspecified

Diabetes, Circulatory/Vascular Complication

E10.51 Diabetic PVDType 1

E11.51 Diabetic PVDType 2

E10.69 Diabetic Impotence Type 1

E11.69 Diabetic ImpotenceType 2

N52.1 Impotence

E10.62X Diabetic Ulcer

E10.52 Type 1 Diabetic Gangrene

E11.52 Type 2 Diabetic Gangrene

Diabetes, Neurological Complication

E10.43 Type 1 Diabetic Peripheral Autonomic Neuropathy

E11.43 Type 2 Diabetic Peripheral Autonomic Neuropathy

E10.42 Type 1 Diabetic with Polyneuropathy

E11.42 Type 2 Diabetic with Polyneuropathy

E10.43 Type 1 Diabetes with Gastroparesis

E11.43 Type 2 Diabetes with Gastroparesis

Please Note: A 7th digit has been added to designate laterality.

Diabetes, with other Spec. Complications

E10.69 Type 1 Diabetes Mellitus with other specified complications

E11.69

Type 2 Diabetes Mellitus with other specified complications *Use additional code to identify complication

Type 1 Diabetes with Hypoglycemia

E10.64X Type 1 Diabetes with Hypoglycemia

E11.64 X Type 2 Diabetes with Hypoglycemia

Diabetes, Ophthalmic Complication

E10.3XXX Type 1 Diabetic Nonproliferative Retinopathy E11.3XXX Type 2 Diabetic Nonproliferative Retinopathy

E10.35XX E11.35XX E10.3XXX

Type 1 Diabetes Mellitus with Proliferative Retinopathy Type 2 Diabetes Mellitus with Proliferative Retinopathy Type 1 Diabetes with Ophthalmic Complications

E11.3XXXT*y6pteh2dDigiiatbdeetnesotwesithwOithphotrhwalimthiocuCtoMmapcluiclaartiEodnesma

E10.39 Type 1 Diabetes with other Diabetic ophthalmic complication

E11.39

Type 2 Diabetes with other Diabetic ophthalmic complication *Use additional code H40-H42 for Diabetic Glaucoma * Use additional code H43.1XX for Vitreous Hemorrhage

E10.36 Type 1 Diabetes with Diabetic Cataract

E11.36 Type 2 Diabetes with Diabetic Cataract

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Common Chronic Conditions ICD-10 Diagnosis Codes

Amputations

Z89.619 Lower Limb, Unspecified level

Z89.419 GreatToe

Z89.429 Toe

Z89.439 Foot

Z89.449 Ankle

Z89.519 Below Knee

Z89.619 Above Knee

Anemia/Blood

D57.1 Sickle-Cell Anemia, Unspecified

D59.9 Acquired Hemolytic Anemia, Unspecified

D61.9 Aplastic Anemia, Unspecified

D61.811 Other Drug Induced Pancytopenia

D61.818 Other Pancytopenia

D70.9 Neutropenia

Cardiology

I25.2 Old MI (Rx HCC)

I20.9 Angina Pectoris, Other and Unspecified

I27.2 Pulmonary Hypertension NOS

I42.9 Cardiomyopathy, Other

I47.1 PSVT / PAT

I47.2 Paroxysmal Ventricular Tachycardia

I47.1 Paroxysmal Tachycardia, Unspecified

I48.91 Atrial Fibrillation *document treatment

I48.92 Atrial Flutter

I49.01 Ventricular Fibrillation

I49.5 Sinoatrial Node Dysfunction

I50.9 CHF

I50.1 Left Heart Failure

Digestive

K73.9 Chronic Hepatitis C w/o Mention of Hepatic Coma

K86.1 Chronic Pancreatitis

K73.9 Chronic Hepatitis

K90.0 Celiac Disease

Malignancies

C18.9 Cancer Colon

C34.90 Cancer Lung

C43.9 Melanoma of Skin, Site Unspecified

C50.919 Cancer Breast- Female

C61

Cancer Prostate

C67.9 Cancer Bladder

C73

Cancer Thyroid

C77.9 Metastic Cancer to Lymph Node, NOS

C78.7 Metastic Cancer to Liver and Intrahepathic Bile duct

C71.9 Metastic Cancer to Brain

C79.51 Metastic Cancer to Bone

C80.1 Cancer Unspecified Site Primary

C90.0X Multiple Myeloma

C91.0X Lymphoid Leukemia

C92.XX Myeloid Leukemia

C93.XX Monocytic Leukemia

C94.8X Other Specified Leukemia

Malnutrition

E43

Other Protein Calorie Malnutrition, Severe

E44.0 Protein Calorie Malnutrition, Moderate

E44.1 Protein Calorie Malnutrition, Mild

E46

Protein-Calorie Malnutrition, Unspecified

R64

Cachexia

Morbid Obesity /BMI

E66.01 Morbid Obesity

Z68.41 Body Mass Index 40.0-44.9, Adult

Z68.42 Body Mass Index 45.0-49.9, Adult

Z68.43 Body Mass Index 50.0-59.9, Adult

Z68.44 Body Mass Index 60.0-69.9, Adult

Z68.45 Body Mass Index 70.0 and over, Adult

Neurological/Psychological

F03.90 Dementia, unspecified w/o Behavioral Disturbance (RX HCC)

F03.91 Dementia with Behavioral Disturbance

F20.9 Schizophrenia, Unspecified

F32.9 Major Depression

F33.9 Major Depression, Recurrent Episode

F31.9 Bipolar Disorder, Unspecified

F10.20 Alcohol Dependence, Uncomplicated

G20

Parkinsonism

G35

Multiple Sclerosis

G82.50 Quadriplegia

G82.20 Paraplegia

G40.909 Epileptic, Unspecified - Epileptic Convulsion, Fits or Seizures

G62.9 Peripheral Neuropathy (not diabetic)

I69.359 Sequelae CVA Hemiplegia/Hemiparesis

I69.339 Sequelae CVA Monoplegia Upper Limb

I69.349 Sequelae CVA Monoplegia Lower Limb

R56.1 Post Traumatic Seizures

R56.9 Convulsive Disorder NOS, Seizure NOS

R53.2 Functional Quadriplegia

Ostomy Status

Z93.0 Tracheostomy

Z93.1 Gastrostomy

Z93.2 Ileostomy

Z93.3 Colostomy

Z93.4 Enterostomy Status, Other

Z93.50 Cystostomy, Unspecified

Z93.51 Cutaneous-Vesicos Status

Z93.52 Appendico-Vesicos Status

Z93.59 Other Cystostomy

Z93.6 Other Artificial Opening Status of UrinaryTract

Pulmonary

J41.0 Simple Chronic Bronchitis -Smoker's Cough

J44.9 Bronchitis w/ COPD w/o Exacerbation

J44.1 Bronchitis w/ COPD w/ Exacerbation

J43.9 Emphysema

J44.9 Asthma w/ COPD

J44.9 COPD

J96.10 Chronic Respiratory Failure, Unspecified w/Hypoxiaor Hypercapnia

Rheumatology

M06.09 Rheumatoid Arthritis

M35.2 Polymyalgia Rheumatica

M32.9 SLE

M45.9 Ankylosing Spondylitis Unspecified

Pressure Ulcers/Decubitis Ulcer

L89. XXX

Stage is included

Skin Ulcers, EXCEPT Pressure Ulcer

L97.10X Ulcer of Thigh

L97.20X Ulcer of Calf

L97.30X Ulcer of Ankle

L97.40X Ulcer of Heel and Midfoot

L97.50X Ulcer of Other part of Foot (Toe)

L97.80X Ulcer of Other part of Lower Limb

L98.49X Chronic Ulcer, Unspecified sites

Transplant Status

Z94.1 Heart Transplant

Z94.2 Lung Transplant

Z94.4 Liver Transplant

Z94.81 Bone Marrow Transplant

Vascular

I70.0 Atherosclerosis Aorta

I70.1 Atherosclerosis Renal Artery

I70.209 Atherosclerosis Extremities, Unspecified

I70.219 Atherosclerosis Extremities w/Intermittent Claudication

I70.229 Atherosclerosis Extremities w/Rest Pain

I70.23I70.25

Atherosclerosis Extremities w/Ulceration

I70.269 Atherosclerosis Extremities w/Gangrene

I71.4 Abdominal Aneurysm w/o Rupture

I71.9 Aortic Aneurysm, Unspecified Site w/o Rupture

177.819 Aortic Ectasia, Unspecified site

177.810 Thoracic Ectasia

177.811 Abdominal Ectasia

177.812 Thoraoabdominal Ectasia

173.9 Peripheral Vascular Disease, Unspecified

I82.4XX Acute Embolism and Thrombosis of Deep Veins of Lower Ext.

I82.5XX Chronic Embolism and Thrombosis of Deep Veins of Lower Ext.

I82.6XX Acute Embolism and Thrombosis of Veins of Upper Ext.

I82.7XX Chronic Embolism and Thrombosis of Veins of Upper Ext.

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