ICD-10: Clinical Concepts for Internal Medicine - Centers for Medicare ...

ICD-10

Clinical Concepts

for Internal Medicine

ICD-10 Clinical Concepts Series

Common Codes

Clinical Documentation Tips

Clinical Scenarios

ICD-10 Clinical Concepts for Internal Medicine is a feature

of Road to 10, a CMS online tool built with physician input.

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To get on the Road to 10 and find out more about ICD-10, visit:

ICD10



ICD-10 Compliance Date: October 1, 2015

Official CMS Industry Resources for the ICD-10 Transition

ICD10

1

Table Of Contents

Common Codes

? Abdominal Pain

? Headache

? Acute Respiratory Infections

? Hypertension

? Back and Neck

Pain (Selected)

? Pain in Joint

? Chest Pain

? Diabetes Mellitus w/o

Complications Type 2

? General Medical Examination

? Pain in Limb

? Other Forms of

Heart Disease

? Urinary Tract

Infection, Cystitis

Clinical Documentation Tips

? Acute Myocardial

Infarction (AMI)

? Hypertension

? Asthma

? Underdosing

? Diabetes Mellitus,

Hypoglycemia and

Hyperglycemia

? Abdominal Pain and

Tenderness

Clinical Scenarios

? Scenario 1: Follow-Up:

Kidney Stone

? Scenario: Cervical

Disc Disease

? Scenario 2: Epigastric Pain

? Scenario: Abdominal Pain

? Scenario 3: Diabetic

Neuropathy

? Scenario: Diabetes

? Scenario 4: Poisoning

? Scenario: COPD with Acute

Pneumonia Example

? Scenario: ER Follow Up

Common Codes

ICD-10 Compliance Date: October 1, 2015

Abdominal Pain (ICD-9-CM 789.00 to 789.09 range)

R10.0

R10.10

R10.11

R10.12

R10.13

R10.2

R10.30

R10.31

R10.32

R10.33

R10.84

R10.9*

Acute abdomen

Upper abdominal pain, unspecified

Right upper quadrant pain

Left upper quadrant pain

Epigastric pain

Pelvic and perineal pain

Lower abdominal pain

Right lower quadrant pain

Left lower quadrant pain

Periumbilical pain

Generalized abdominal pain

Unspecified abdominal pain

*Codes with a greater degree of specificity should be considered first.

3

Acute Respiratory Infections (ICD-9-CM 462, 465.9, 466.0)

[Note: Organisms should be specified where possible]

J02.8

J02.9*

J06.9*

J20.0

J20.1

J20.2

J20.3

J20.4

J20.5

J20.6

J20.7

J20.8

J20.9*

Acute pharyngitis due to other specified organisms

Acute pharyngitis, unspecified

Acute upper respiratory infection, unspecified

Acute bronchitis due to Mycoplasma pneumoniae

Acute bronchitis due to Hemophilus influenzae

Acute bronchitis due to streptococcus

Acute bronchitis due to coxsackievirus

Acute bronchitis due to parainfluenza virus

Acute bronchitis due to respiratory syncytial virus

Acute bronchitis due to rhinovirus

Acute bronchitis due to echovirus

Acute bronchitis due to other specified organisms

Acute bronchitis, unspecified

*Codes with a greater degree of specificity should be considered first.

Back and Neck Pain (Selected) (ICD-9-CM 723.1, 724.1, 724.2, 724.5)

M54.2

M54.5

M54.6

M54.89

M54.9*

Cervicalgia

Low back pain

Pain in thoracic spine

Other dorsalgia

Dorsalgia, unspecified

*Codes with a greater degree of specificity should be considered first.

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Chest Pain (ICD-9-CM 786.50 to 786.59 range)

R07.1

R07.2

R07.81

R07.82

R07.89

R07.9*

Chest pain on breathing

Precordial pain

Pleurodynia

Intercostal pain

Other chest pain

Chest pain, unspecified

*Codes with a greater degree of specificity should be considered first.

Diabetes Mellitus w/o Complications Type 2 (ICD-9-CM 250.00)

E11.9

Type 2 diabetes mellitus without complications

General Medical Examination (ICD-9-CM V70.0)

Z00.00

Z00.01

Encounter for general adult medical exam without abnormal findings

Encounter for general adult medical exam with abnormal findings

Headache (ICD-9-CM 784.0)

R51

Headache

Hypertension (ICD-9-CM 401.9)

I10

Essential (primary) hypertension

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