Appendix A.1 ICD-10 Code Tables

Table Index

Number Table 1.1 Table 1.2 Table 2.1 Table 2.2 Table 3.1 ? 3.4 Table 4.01 Table 4.02 ? 4.13 Table 5.01 ? 5.08 Table 5.09 Table 5.10 Table 5.11 Table 5.12 ? 5.13 Table 5.14 Table 5.15 Table 5.16 Table 5.17 Table 5.18 Table 5.19 Table 5.20 Table 5.21 Table 5.22 Table 5.23 Table 5.24 Table 5.25 ? 5.26 Table 6.1 Table 7.01 Table 7.02 Table 7.03 Table 7.04 Table 8.1 Table 8.2 Table 8.3 Table 12.1 Table 12.2 Table 12.3 Table 12.4 Table 12.5 Table 12.6 Table 12.7 Table 12.8 Table 12.9 Table 12.10 Table 13.1 Table 13.2 Table 13.3

Appendix A.1 ICD-10 Code Tables

Table Name (Select a table name to be directed to table) Acute Myocardial Infarction (AMI) Reserved for Future Use Heart Failure (HF) Reserved for Future Use Reserved for Future Use Severe Sepsis and Septic Shock (SEP) Reserved for Future Use Reserved for Future Use Infection Reserved for Future Use Cardiac Surgery Reserved for Future Use Burns Transplant Reserved for Future Use Intracranial Neurosurgery Reserved for Future Use General Surgery Gynecological Surgery Urological Surgery Elective Hip Replacement Elective Total Knee Replacement Hip Fracture Surgery Reserved for Future Use Asthma Mental Disorders Obstetrics Venous Thromboembolism (VTE) Obstetrics - VTE Ischemic Stroke Hemorrhagic Stroke Carotid Intervention Procedures Diabetes End-Stage Renal Disease Pregnancy Asthma Chronic Obstructive Pulmonary Disease (COPD) Nephrotic Syndrome Asplenia Human Immunodeficiency Virus (HIV) Influenza Organ Transplant During Current Hospitalization Alcohol Dependence Drug Dependence Alcohol and Drug Treatment Procedures

Last Updated: Version 5.0a

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Appendix A-2

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Appendix A-2

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Appendix A-3

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Appendix A-4

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Appendix A-30

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Appendix A-47 Appendix A-102 N/A

Appendix A-104 N/A

Appendix A-107 Appendix A-190 Appendix A-192 Appendix A-206 Appendix A-211 Appendix A-213 N/A

Appendix A-214 Appendix A-214 Appendix A-237 Appendix A-298 Appendix A-300 Appendix A-301 Appendix A-304 Appendix A-305 Appendix A-322 Appendix A-326 Appendix A-326 Appendix A-375 Appendix A-376 Appendix A-376 Appendix A-377 Appendix A-377 Appendix A-378 Appendix A-378 Appendix A-382 Appendix A-383 Appendix A-394

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-1

Last Updated: Version 5.0

Table 1.1: Acute Myocardial Infarction (AMI)

ICD-10-CMS Code

I2101

I2102

I2109

I2111

I2119

I2121 I2129 I213 I214 I220 I221 I222 I228

I229

Code Description ST elevation (STEMI) myocardial infarction involving left main coronary artery ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall ST elevation (STEMI) myocardial infarction involving right coronary artery ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery ST elevation (STEMI) myocardial infarction involving other sites ST elevation (STEMI) myocardial infarction of unspecified site Non-ST elevation (NSTEMI) myocardial infarction Subsequent ST elevation (STEMI) myocardial infarction of anterior wall Subsequent ST elevation (STEMI) myocardial infarction of inferior wall Subsequent non-ST elevation (NSTEMI) myocardial infarction Subsequent ST elevation (STEMI) myocardial infarction of other sites Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

Last Updated: Version 5.0

Table 2.1: Heart Failure

ICD-10-CM Code I110

I130

I132 I501 I5020 I5021 I5022 I5023 I5030 I5031 I5032 I5033

I5040

Code Description Hypertensive heart disease with heart failure Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease Left ventricular failure Unspecified systolic (congestive) heart failure Acute systolic (congestive) heart failure Chronic systolic (congestive) heart failure Acute on chronic systolic (congestive) heart failure Unspecified diastolic (congestive) heart failure Acute diastolic (congestive) heart failure Chronic diastolic (congestive) heart failure Acute on chronic diastolic (congestive) heart failure Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-2

Table 2.1: Heart Failure

ICD-10-CM Code

I5041

I5042

I5043 I509

Code Description Acute combined systolic (congestive) and diastolic (congestive) heart failure Chronic combined systolic (congestive) and diastolic (congestive) heart failure Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure Heart failure, unspecified

New Table: Version 5.0

Table 4.01: Severe Sepsis and Septic Shock (SEP)

ICD-10-CM Code A021 A227 A267 A327 A400 A401 A403 A408 A409 A4101 A4102 A411 A412 A413 A414 A4150 A4151 A4152 A4153 A4159 A4181 A4189 A419 A427 A5486 B377 R6520 R6521

Code Description Salmonella sepsis Anthrax sepsis Erysipelothrix sepsis Listerial sepsis Sepsis due to streptococcus, group A Sepsis due to streptococcus, group B Sepsis due to Streptococcus pneumoniae Other streptococcal sepsis Streptococcal sepsis, unspecified Sepsis due to Methicillin susceptible Staphylococcus aureus Sepsis due to Methicillin resistant Staphylococcus aureus Sepsis due to other specified staphylococcus Sepsis due to unspecified staphylococcus Sepsis due to Hemophilus influenzae Sepsis due to anaerobes Gram-negative sepsis, unspecified Sepsis due to Escherichia coli [E. coli] Sepsis due to Pseudomonas Sepsis due to Serratia Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis Sepsis, unspecified organism Actinomycotic sepsis Gonococcal sepsis Candidal sepsis Severe sepsis without septic shock Severe sepsis with septic shock

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-3

Last Updated: Version 5.0

Table 5.09: Infection

ICD-10-CM Code A000 A001 A009 A0100 A0101 A0102 A0103 A0104 A0105 A0109 A011 A012 A013 A014 A020 A021 A0220 A0221 A0222 A0223 A0224 A0225 A0229 A028 A029 A030 A031 A032 A033 A038 A039 A040 A041 A042 A043 A044 A045 A046 A047 A048 A049 A060

Code Description Cholera due to Vibrio cholerae 01, biovar cholerae Cholera due to Vibrio cholerae 01, biovar eltor Cholera, unspecified Typhoid fever, unspecified Typhoid meningitis Typhoid fever with heart involvement Typhoid pneumonia Typhoid arthritis Typhoid osteomyelitis Typhoid fever with other complications Paratyphoid fever A Paratyphoid fever B Paratyphoid fever C Paratyphoid fever, unspecified Salmonella enteritis Salmonella sepsis Localized salmonella infection, unspecified Salmonella meningitis Salmonella pneumonia Salmonella arthritis Salmonella osteomyelitis Salmonella pyelonephritis Salmonella with other localized infection Other specified salmonella infections Salmonella infection, unspecified Shigellosis due to Shigella dysenteriae Shigellosis due to Shigella flexneri Shigellosis due to Shigella boydii Shigellosis due to Shigella sonnei Other shigellosis Shigellosis, unspecified Enteropathogenic Escherichia coli infection Enterotoxigenic Escherichia coli infection Enteroinvasive Escherichia coli infection Enterohemorrhagic Escherichia coli infection Other intestinal Escherichia coli infections Campylobacter enteritis Enteritis due to Yersinia enterocolitica Enterocolitis due to Clostridium difficile Other specified bacterial intestinal infections Bacterial intestinal infection, unspecified Acute amebic dysentery

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-4

Table 5.09: Infection

ICD-10-CM Code A063 A064 A065 A066 A0681 A0682 A0689 A069 A071 A088 A09 A1801 A1803 A1814 A1884 A200 A201 A202 A203 A207 A208 A209 A210 A211 A212 A213 A217 A218 A219 A220 A221 A222 A227 A228 A229 A230 A231 A232 A233 A238 A239 A240 A241 A242 A243

Code Description Ameboma of intestine Amebic liver abscess Amebic lung abscess Amebic brain abscess Amebic cystitis Other amebic genitourinary infections Other amebic infections Amebiasis, unspecified Giardiasis [lambliasis] Other specified intestinal infections Infectious gastroenteritis and colitis, unspecified Tuberculosis of spine Tuberculosis of other bones Tuberculosis of prostate Tuberculosis of heart Bubonic plague Cellulocutaneous plague Pneumonic plague Plague meningitis Septicemic plague Other forms of plague Plague, unspecified Ulceroglandular tularemia Oculoglandular tularemia Pulmonary tularemia Gastrointestinal tularemia Generalized tularemia Other forms of tularemia Tularemia, unspecified Cutaneous anthrax Pulmonary anthrax Gastrointestinal anthrax Anthrax sepsis Other forms of anthrax Anthrax, unspecified Brucellosis due to Brucella melitensis Brucellosis due to Brucella abortus Brucellosis due to Brucella suis Brucellosis due to Brucella canis Other brucellosis Brucellosis, unspecified Glanders Acute and fulminating melioidosis Subacute and chronic melioidosis Other melioidosis

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-5

Table 5.09: Infection

ICD-10-CM Code A249 A250 A251 A259 A260 A267 A268 A269 A270 A2781 A2789 A279 A280 A281 A282 A288 A289 A310 A311 A312 A318 A319 A320 A3211 A3212 A327 A3281 A3282 A3289 A329 A34 A35 A360 A361 A362 A363 A3681 A3682 A3683 A3684 A3685 A3686 A3689 A369 A3700

Code Description Melioidosis, unspecified Spirillosis Streptobacillosis Rat-bite fever, unspecified Cutaneous erysipeloid Erysipelothrix sepsis Other forms of erysipeloid Erysipeloid, unspecified Leptospirosis icterohemorrhagica Aseptic meningitis in leptospirosis Other forms of leptospirosis Leptospirosis, unspecified Pasteurellosis Cat-scratch disease Extraintestinal yersiniosis Other specified zoonotic bacterial diseases, not elsewhere classified Zoonotic bacterial disease, unspecified Pulmonary mycobacterial infection Cutaneous mycobacterial infection Disseminated mycobacterium avium-intracellulare complex (DMAC) Other mycobacterial infections Mycobacterial infection, unspecified Cutaneous listeriosis Listerial meningitis Listerial meningoencephalitis Listerial sepsis Oculoglandular listeriosis Listerial endocarditis Other forms of listeriosis Listeriosis, unspecified Obstetrical tetanus Other tetanus Pharyngeal diphtheria Nasopharyngeal diphtheria Laryngeal diphtheria Cutaneous diphtheria Diphtheritic cardiomyopathy Diphtheritic radiculomyelitis Diphtheritic polyneuritis Diphtheritic tubulo-interstitial nephropathy Diphtheritic cystitis Diphtheritic conjunctivitis Other diphtheritic complications Diphtheria, unspecified Whooping cough due to Bordetella pertussis without pneumonia

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-6

Table 5.09: Infection

ICD-10-CM Code A3701 A3710 A3711 A3780 A3781 A3790 A3791 A380 A381 A388 A389 A390 A391 A392 A394 A3950 A3951 A3952 A3953 A3981 A3982 A3983 A3984 A3989 A399 A400 A401 A403 A408 A409 A4101 A4102 A411 A412 A413 A414 A4150 A4151 A4152 A4153 A4159 A4181 A4189 A419 A420

Code Description Whooping cough due to Bordetella pertussis with pneumonia Whooping cough due to Bordetella parapertussis without pneumonia Whooping cough due to Bordetella parapertussis with pneumonia Whooping cough due to other Bordetella species without pneumonia Whooping cough due to other Bordetella species with pneumonia Whooping cough, unspecified species without pneumonia Whooping cough, unspecified species with pneumonia Scarlet fever with otitis media Scarlet fever with myocarditis Scarlet fever with other complications Scarlet fever, uncomplicated Meningococcal meningitis Waterhouse-Friderichsen syndrome Acute meningococcemia Meningococcemia, unspecified Meningococcal carditis, unspecified Meningococcal endocarditis Meningococcal myocarditis Meningococcal pericarditis Meningococcal encephalitis Meningococcal retrobulbar neuritis Meningococcal arthritis Postmeningococcal arthritis Other meningococcal infections Meningococcal infection, unspecified Sepsis due to streptococcus, group A Sepsis due to streptococcus, group B Sepsis due to Streptococcus pneumoniae Other streptococcal sepsis Streptococcal sepsis, unspecified Sepsis due to Methicillin susceptible Staphylococcus aureus Sepsis due to Methicillin resistant Staphylococcus aureus Sepsis due to other specified staphylococcus Sepsis due to unspecified staphylococcus Sepsis due to Hemophilus influenzae Sepsis due to anaerobes Gram-negative sepsis, unspecified Sepsis due to Escherichia coli [E. coli] Sepsis due to Pseudomonas Sepsis due to Serratia Other Gram-negative sepsis Sepsis due to Enterococcus Other specified sepsis Sepsis, unspecified organism Pulmonary actinomycosis

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-7

Table 5.09: Infection

ICD-10-CM Code A421 A422 A427 A4281 A4282 A4289 A429 A430 A431 A438 A439 A440 A441 A448 A449 A46 A480 A481 A482 A483 A484 A488 A4901 A4902 A491 A492 A493 A498 A499 A5001 A5002 A5003 A5004 A5005 A5006 A5007 A5008 A5009 A501 A502 A5030 A5031 A5032 A5039 A5040

Code Description Abdominal actinomycosis Cervicofacial actinomycosis Actinomycotic sepsis Actinomycotic meningitis Actinomycotic encephalitis Other forms of actinomycosis Actinomycosis, unspecified Pulmonary nocardiosis Cutaneous nocardiosis Other forms of nocardiosis Nocardiosis, unspecified Systemic bartonellosis Cutaneous and mucocutaneous bartonellosis Other forms of bartonellosis Bartonellosis, unspecified Erysipelas Gas gangrene Legionnaires' disease Nonpneumonic Legionnaires' disease [Pontiac fever] Toxic shock syndrome Brazilian purpuric fever Other specified bacterial diseases Methicillin susceptible Staphylococcus aureus infection, unspecified site Methicillin resistant Staphylococcus aureus infection, unspecified site Streptococcal infection, unspecified site Hemophilus influenzae infection, unspecified site Mycoplasma infection, unspecified site Other bacterial infections of unspecified site Bacterial infection, unspecified Early congenital syphilitic oculopathy Early congenital syphilitic osteochondropathy Early congenital syphilitic pharyngitis Early congenital syphilitic pneumonia Early congenital syphilitic rhinitis Early cutaneous congenital syphilis Early mucocutaneous congenital syphilis Early visceral congenital syphilis Other early congenital syphilis, symptomatic Early congenital syphilis, latent Early congenital syphilis, unspecified Late congenital syphilitic oculopathy, unspecified Late congenital syphilitic interstitial keratitis Late congenital syphilitic chorioretinitis Other late congenital syphilitic oculopathy Late congenital neurosyphilis, unspecified

Specifications Manual for National Hospital Inpatient Quality Measures Discharges 10-01-15 (4Q15) through 06-30-16 (2Q16)

Appendix A-8

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