ICD-10-CM Quick Reference Code Guide - Cigna

ICD-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/Hashimoto¡¯s

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 add¡¯l}

- 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 {add¡¯l}

- diabetic peripheral angiopathy w/o gangrene

- diabetic peripheral angiopathy w/gangrene

- other circulatory complications {use add¡¯l code}

- diabetic neuropathic arthropathy/Charcot¡¯s joint

- other diabetic arthropathy {use add¡¯l 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 add¡¯l 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

Barrett¡¯s 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

Crohn¡¯s 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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