ICD-10-CM Quick Reference Code Guide - Cigna
ï»żICD-10-CM Quick Reference Code Guide
ENDOCRINE & NUTRITIONAL
ICD-10
Hyperlipidemia,
unspecified
E78.5
Additional codes indicated by {italics}.
Codes with _ or .- require additional digits to complete - explantory notes in (parentheses).
Hyperthyroidism w/o crisis/storm
E05.90
E03.9
RESPIRATORY
ICD-10 CARDIAC/CEREBRO- & CARDIOVASCULAR ICD-10 Hypothyroidism, unspecified
Upper respiratory infection, unspecified
E89.0
J06.9
Late effect - cerebrovascular dis-(NOT CVA)
I69.8or9? Post-procedural hypothyroidism
Autoimmune thyroiditis/HashimotoĄŻs
E06.3
Rhinitis, allergic (specify type)
J30.Cerebrovascular disease, other
I67.89
G47.33
Goiter, unspecified
E04.9
Obstructive sleep apnea {for CPAP-Z99.89}
Carotid artery stenosis (specify laterality)
I65.2?
Interstitial lung disease
J84.10
Hemochromatosis (specify type)
E83.11
Abdominal aortic aneurysm w/o rupture
171.4
Pneumoconiosis due to asbestos/Asbestosis
J61
Amyloidosis (specify type)
E85.?
PVD, unspecified
I73.9
Pneumonia,unsp organism{Flu 1st if applicable}
J18.9
Vitamin B-12 Deficiency
E53.8
Old MI - > 4 weeks from acute episode
I25.2
J12.9
Vitamin D Deficiency, unspecified
E55.9
Pneumonia,viral {Flu 1st if applicable}
Angina,post-infarction-90
N18.1
Sick
sinus
syndrome
I49.5
Note: For COPD w/Emphysema use J43.9, for other
COPD combinations use J44.- {Also asthma type PRN}
CKD Stage 2 Mild GFR 60 - 89
N18.2
Heart failure unsp/Congestive heart disease
I50.9
Asthma, unspecified, uncomplicated
J45.909
Heart failure, systolic, unspecified
I50.20
CKD Stage 3 Moderate GFR 30 - 59
N18.3
Asthma, unspecified w/acute exacerbation
J45.901
CKD Stage 4 Severe GFR 15 - 29
N18.4
Heart failure, diastolic, unspecified
I50.30
Asthma, mild intermittent (5th digit below)
J45.2?
CKD Stage 5 GFR < 15
N18.5
Heart failure, comb systolic/diastolic, unsp
I50.40
Asthma, mild persistent (5th digit below)
J45.3?
ESRD/Chronic Dialysis {use also Z99.2}
N18.6
End-stage heart failure {HF type, if known}
I50.84
Asthma,moderate persistent (5th digit below)
J45.4?
HYPERTENSION - please specify type with all
Renal dialysis, dependence on
Z99.2
associated conditions {note additional codes}
Asthma, severe persistent (5th digit below)
J45.5?
Non-compliance w/renal dialysis
Z91.15
Hypertension, benign/essential/primary
I10
(5th digit) - uncomplicated
J45._0
CKD, Stage unspecified/CRF/CRI
N18.9
w/heart
disease/LVH/diastolic
dysfunction
I11.9
(5th digit) - with acute exacerbation
J45._1
Nephropathy, unspecified
N28.9
- w/heart failure {code also CHF type}
I11.0
(5th digit) - with status asthmaticus
J45._2
Nephrosis
N04.9
I12.?
UTI,unsp {code also infection B96-B97}
N39.0
Use additional code to indicate smoking status - with CKD {code also stage - N18.-}
- w/heart dis & CKD {code also CKD stage}
I13.1?
BPH without LUTS
N40.0
Cigarette dependence (6th digit for status)
F17.21?
{also
CHF
&
CKD
stage}
I13.0
w/CHF&CKD1-4
BPH w/LUTS {symptom codes below}
N40.1
Other type nicotine dependence/e-cig/vaping
F17.?
2019 Update
Tobacco use (non-dependent)
History of nicotine/tobacco dependence
Occupational exposure to tobacco smoke
Z72.0
Z87.891
Z57.31
- w/CHF&5-ESRD {also CHF & CKD stage}
Hypertensive urgency {code also HTN type}
Pulmonary hypertension {also underlying}
I13.2
I16.0
I27.2
Urinary incontinence (specfy type)
Nocturia
Frequency of micturition
N39.?
R35.1
R35.0
DIABETES MELLITUS TYPES AND COMPLICATIONS
Pre-diabetes
Long-term use of insulin
Long-term use oral antidiabetic drugs
Insulin pump, presence of, internal or external
DM due to underlying condition
DM due to drugs or chemicals
DM - Type 1
DM - Type 2 or unspecified type
Other specified DM / Post-procedural diabetes
ICD-10
R73.03
Z79.4
Z79.84
Z96.41
E08.?
E09.?
E10.E11.?
E13.?
NOTE: First 3 digits [E_ _.] indicate type, per list above. Listed
complications indicated by digits after decimal [._ -] are the same
for all DM types. {Some conditions require additional codes}
DM 2 with - (document all that apply to patient currently)
- diabetic nephropathy
- diabetic CKD {use addn'l code for stage - N18}
- other diabetic kidney complication {use addĄŻl}
- retinopathy w/o macular edema (spec laterality)
- diabetic retinopathies (specify type & laterality)
- other diabetic opthalmic compl {use addn'l code}
- diabetic neuropathy, unspecified
- diabetic mononeuropathy
- diabetic polyneuropathy / neuralgia
- diabetic autonomic neuropathy (gastroparesis)
- other diabetic neurological complications {addĄŻl}
- diabetic peripheral angiopathy w/o gangrene
- diabetic peripheral angiopathy w/gangrene
- other circulatory complications {use addĄŻl code}
- diabetic neuropathic arthropathy/CharcotĄŻs joint
- other diabetic arthropathy {use addĄŻl code}
- diabetic dermatitis
- foot ulcer {use addn'l code for site, L97 - L98}
- other skin ulcer {use addn'l code for site, L97-L98}
- other skin complications {use addĄŻl code}
- hypoglycemia, without coma
- hyperglycemia
- unspecified complications
- no complications
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2018 Cigna.
INT_19_72365_C Accepted 12042018
E11.21
E11.22
E11.29
E11.319?
E11.3?
E11.39
E11.40
E11.41
E11.42
E11.43
E11.49
E11.51
E11.52
E11.59
E11.610
E11.618
E11.620
E11.621
E11.622
E11.628
E11.649
E11.65
E11.8
E11.9
916348 a
? 2018 Cigna
Codes with _ or .- require additional digits to complete. Required additional codes indicated by {italics}.
NEUROLOGICAL
Parkinson's Disease
Dementia w/Lewy bodies {code also type}
Alzheimer's disease {code also type}
- dementia w/o behavioral disturbance
- dementia w/behavioral disturbance
- for example, Wandering in diseases
Unsp dementia w/o behavioral disturbance
Unsp dementia with behavioral disturbance
Complete immobilty 2o frailty/sev disability
Muscle weakness, generalized
Dizziness / Vertigo, unspecified
Tremors (specify type)
Myoclonus {also adverse effect,drug T36-50}
Epilepsy, unspecified w/o status epileticus
Insomnia, unspecified
Myopathy, unspecified
Myasthenia gravis w/o acute exacerbation
Amyotrophic lateral sclerosis
Huntington's disease
Multiple sclerosis
Chronic pain syndrome
Note: Neuropathy in presence of diabetes, see front
Polyneuropathy, unspecified
Polyneuropathy, Hereditary/Idiopathic
Neuropathy, Idiopathic progressive
History of stroke or TIA w/o residual effect
Sequlae of cerebral infarction - unspecified
- cognitive deficit (specify type)
- other/e.g., vision/sensation {also type}
- aphasia
- ataxia
- dysphagia {code also type - R13.1-}
- dysphasia
- dysarthria
- fluency disorder / stuttering
- hemiplegia/hemiparesis (sp laterality)
- monoplegia, lower limb (sp laterality)
- monoplegia, upper limb (sp laterality)
ICD-10
G20
G31.83
G30.9
F02.80
F02.81
Z91.83
F03.90
F03.91
R53.2
M62.81
R42
G25.?
G25.3
G40.909
G47.00
G72.9
G70.00
G12.21
G10
G35
G89.4
E11.4?
G62.9
G60.9
G60.3
Z86.73
I69.30
I69.31?
I69.398
I69.320
I69.393
I69.391
I69.321
I69.322
I69.323
I69.35?
I69.34?
I69.33?
ICD-10
PSYCHIATRIC
Generalized anxiety disorder
Anxiety depression,mild or not persistent
Anxiety disorder, unspecified
Bipolar disorders (specify type & severity)
Schizophrenia disorders (type & severity)
Mood / affective disorder, unspecified
Major depressive disorder,single ep(sp sev)
Major depressive disorder,recurrent(sp sev)
Alcohol abuse (sp stage & related disorder)
Alcohol dependence (sp stage&rel disorder)
Opioid abuse (sp stage & related disorder)
Opioid dependence (sp stage&rel disorder)
F41.1
F41.8
F41.9
F31.F20.?
F39
F32.?
F33.F10.1?
F10.2?
F11.1?
F11.2?
GASTROINTESTINAL
Gastro-esophageal reflux disease / GERD
Esophageal reflux with esophagitis
BarrettĄŻs esophagus (specify type & manifest)
Acute gastritis
Nausea (specify with or w/o vomiting)
Irritable bowel syndrome (specify type)
Constipation, unspecified
Diarrhea, unspecified
Diverticular dis, large intestine w/o abscess
CrohnĄŻs disease, unspecified
Celiac disease {also associated disorders}
Ulcerative colitis (specify complications)
Alcoholic cirrhosis of liver(indicate ascites)
Unspecified cirrhosis of liver
Pancreatitis, chronic
ACTIVE MALIGNANT NEOPLASM
ICD-10
K21.9
K21.0
K22.7?
K29.0
R11.?
K58.?
K59.00
R19.7
K57.3?
K50.9?
K90.0
K51.9?
K70.3?
K74.60
K86.1
ICD-10
Active indicates cancer has not been eradicated.
Use History (right) if cancer has been eradicated.
HISTORY OF MALIGNANT NEOPLASM
Personal history,malignant neoplasm
Personal history, thyroid cancer
Primary cancer codes listed, metastases coded separately.
Malignant neoplasm, colon (specify site)
- , breast (specify site and laterality)
- , bronchus and lung (specify site)
- , prostate
- , skin (specifiy site)
Malignant melanoma, skin (specifiy site)
MUSCULOSKELATAL
Primary osteoarthritis, unsp site
Rheumatoid arthritis [verify DMARD]
Polymyalgia rheumatica
Gout, unsp {code also manifestations}
Osteomyelitis, unspecified
Osteomyelitis, Other chronic (sp site)
Osteoporosis, Age-related,no fracture
Osteoporosis, Age-related w/fx (site)
Osteopenia (specify site)
Systemic lupus erythematosus, unsp
Arthropathic psoriasis, unspecified
Spinal/caudal stenosis (specify level)
Intervertebral disc disorders, back
Radiculopathy (specify site)
Neck pain/ Cervicalgia
Cervicalgia
Sciatica (specify laterality)
Low back pain/Lumbago
Joint pain (specify site)
Chronic pain -when added to any pain dx
HEMATOLOGY
Pernicious anemia
Iron deficiency anemia
Polycythemia vera
SENSORY ORGANS
Macular degeneration (specify type)
Open-angle glaucoma, stage unsp
Cataract, unspecified
Cataract, senile, unspecified
Hearing loss, unsp (spec laterality)
C18.?
C50.?
C34.9?
C61
C44.?
C43.?
- ,small intestine non-carcinoid
- ,colon cancer, non-carcinoid
- ,breast cancer
- ,lung cancer, unspecified
- ,prostate cancer
- ,skin cancer, NEC
- ,malignant melanoma, skin
FACTORS INFLUENCING HEALTH STATUS ICD-10
Acquired absence of limb (specify site/laterality) Z89.?
- feet, toes, & ankle
Z89.4?
- leg below knee amputation / BKA
Z89.51?
- leg above knee amputation / AKA
Z89.61?
Presence, Artifical limb, complete/partial (spec site)
Z97.1?
Mastectomy (specify laterality), history of
Z90.1?
Bilateral mastectomy, history of
Z90.13
Total hysterectomy, history of
Z90.710
Prostatectomy, history of
Z93.3
Colostomy, current
Z93.3
Gastrostomy, current
Z93.1
Illeostomy, current
Z93.2
Tracheostomy, current
Z93.0
Cystostomy, current (specify type)
Z93.5?
Nephr-/Ureter-/Urethr- ostomy, current
Z93.6
Long-term (current) - drug therapy
Z79.- anticoagulants
Z79.01
- antiplatelets/antithrombolitics
Z79.02
- aspirin
Z79.82
- non-steroidal anti-inflamatory drugs / NSAIDs
Z79.1
- systemic steroids
Z79.52
- bisphosphonates
Z79.83
Wheelchair, dependence on
Z99.3
Coronary angioplasty status
Z98.61
Coronary artery bypass graft, presence of
Z95.1
Coronary angioplasty implant/graft, presence of
Z95.5
Prosthetic heart valve, presence of
Z95.2
Cardiac pacemaker,excludes AICD, presence of
Z95.0
Automatic implantable cardiac defibrillator /AICD
Z95.810
Z96.1
ICD-10 Intraocular lens / pseudophakia, presence of
Colon polyps, history of
Z86.010
Z85.?
Transplant status (specify organ)
Z94.?
Z85.850
Pulmonary
embolism,
history
of
Z86.711
Z85.068
Venous thrombosis / embolism, history of
Z86.718
Z85.038
Orthopedic joint implant, presence of (spec site)
Z96.6?
Z85.3
Falls,
history
of
/
at
risk
of
falling
Z91.81
Z85.118
Noncompliance with dietary regimen
Z91.11
Z85.46
Noncompliance
with
medication
(specify
type)
Z91.1?
Z85.828
Nonadherence to medical treatment
Z91.19
Z85.820
ICD-10
M19.91
M06.9
M35.3
M10.9
M86.9
M86.6?
M81.0
M80.0?
M85.8?
M32.9
L40.50
M48.0?
M51.M54.1?
M54.2
M54.2
M54.3?
M54.5
M25.5?
G89.29
ICD-10
D51.0
D50.9
D45
ICD-10
H35.3?
H40.10X
H26.9
H25.9
H91.9?
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