ICD-10 Code Clarification List - Cigna

[Pages:33]ICD-10 Code Clarification List

These codes have been identified as potentially causing confusion. They may be misapplied in physician office and other outpatient settings, or based on gender, geography, or Medicare Advantage member demographics. Please review any use of these codes, using all available coding resources, including the educational materials available on this website. Cigna Healthspring is committed to helping its providers submit accurate and complete codes that correctly reflect the health status and conditions of our members.

I2101 I2102 I2109 I2111 I2119 I2121 I2129 I213 I214 I219 I21A1 I21A9 I220 I221 I222 I228 I229 I234 I235

E849 E840 E8411 E8419 E848

I6000 I6001 I6002 I6010 I6011

Description

MYOCARDIAL INFARCTION DIAGNOSES (HCC 86)

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 Acute myocardial infarction, unspecified Myocardial infarction type 2 Other myocardial infarction type

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 Rupture of chordae tendineae as current complication following acute myocardial infarction Rupture of papillary muscle as current complication following acute myocardial infarction

CYSTIC FIBROSIS DIAGNOSES (HCC 110) Cystic fibrosis, unspecified Cystic fibrosis with pulmonary manifestations Meconium ileus in cystic fibrosis

Cystic fibrosis with other intestinal manifestations Cystic fibrosis with other manifestations

CEREBRAL HEMORRHAGE DIAGNOSES (HCC 99) Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery Nontraumatic subarachnoid hemorrhage from right middle cerebral artery

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

I6012 I602 I6030

Nontraumatic subarachnoid hemorrhage from left middle cerebral artery Nontraumatic subarachnoid hemorrhage from anterior communicating artery Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery

I6031 I6032 I604 I6050 I6051 I6052 I606 I607 I608 I609 I610 I611 I612 I613 I614 I615 I616 I618 I619 I6200 I6201 I6202 I6203 I621 I629

T3111 T3121 T3122 T3131 T3132 T3133 T3141 T3142 T3143 T3144 T3151

Nontraumatic subarachnoid hemorrhage from right posterior communicating artery Nontraumatic subarachnoid hemorrhage from left posterior communicating artery Nontraumatic subarachnoid hemorrhage from basilar artery Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery Nontraumatic subarachnoid hemorrhage from right vertebral artery Nontraumatic subarachnoid hemorrhage from left vertebral artery Nontraumatic subarachnoid hemorrhage from other intracranial arteries Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery Other nontraumatic subarachnoid hemorrhage Nontraumatic subarachnoid hemorrhage, unspecified Nontraumatic intracerebral hemorrhage in hemisphere, subcortical Nontraumatic intracerebral hemorrhage in hemisphere, cortical Nontraumatic intracerebral hemorrhage in hemisphere, unspecified Nontraumatic intracerebral hemorrhage in brain stem Nontraumatic intracerebral hemorrhage in cerebellum Nontraumatic intracerebral hemorrhage, intraventricular Nontraumatic intracerebral hemorrhage, multiple localized Other nontraumatic intracerebral hemorrhage Nontraumatic intracerebral hemorrhage, unspecified Nontraumatic subdural hemorrhage, unspecified Nontraumatic acute subdural hemorrhage Nontraumatic subacute subdural hemorrhage Nontraumatic chronic subdural hemorrhage Nontraumatic extradural hemorrhage Nontraumatic intracranial hemorrhage, unspecified

SEVERE SKIN BURN DIAGNOSES (HCC 162) Burns involving 10-19% of body surface with 10-19% third degree burns Burns involving 20-29% of body surface with 10-19% third degree burns Burns involving 20-29% of body surface with 20-29% third degree burns Burns involving 30-39% of body surface with 10-19% third degree burns Burns involving 30-39% of body surface with 20-29% third degree burns Burns involving 30-39% of body surface with 30-39% third degree burns Burns involving 40-49% of body surface with 10-19% third degree burns Burns involving 40-49% of body surface with 20-29% third degree burns Burns involving 40-49% of body surface with 30-39% third degree burns Burns involving 40-49% of body surface with 40-49% third degree burns Burns involving 50-59% of body surface with 10-19% third degree burns

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

T3152 T3153 T3154 T3155 T3161 T3162 T3163 T3164 T3165 T3166 T3171 T3172 T3173 T3174 T3175 T3176 T3177 T3181 T3182 T3183 T3184 T3185 T3186 T3187 T3188 T3191 T3192 T3193 T3194 T3195 T3196 T3197 T3198 T3199 T3211 T3221 T3222 T3231 T3232 T3233 T3241

Burns involving 50-59% of body surface with 20-29% third degree burns Burns involving 50-59% of body surface with 30-39% third degree burns Burns involving 50-59% of body surface with 40-49% third degree burns Burns involving 50-59% of body surface with 50-59% third degree burns Burns involving 60-69% of body surface with 10-19% third degree burns Burns involving 60-69% of body surface with 20-29% third degree burns Burns involving 60-69% of body surface with 30-39% third degree burns Burns involving 60-69% of body surface with 40-49% third degree burns Burns involving 60-69% of body surface with 50-59% third degree burns Burns involving 60-69% of body surface with 60-69% third degree burns Burns involving 70-79% of body surface with 10-19% third degree burns Burns involving 70-79% of body surface with 20-29% third degree burns Burns involving 70-79% of body surface with 30-39% third degree burns Burns involving 70-79% of body surface with 40-49% third degree burns Burns involving 70-79% of body surface with 50-59% third degree burns Burns involving 70-79% of body surface with 60-69% third degree burns Burns involving 70-79% of body surface with 70-79% third degree burns Burns involving 80-89% of body surface with 10-19% third degree burns Burns involving 80-89% of body surface with 20-29% third degree burns Burns involving 80-89% of body surface with 30-39% third degree burns Burns involving 80-89% of body surface with 40-49% third degree burns Burns involving 80-89% of body surface with 50-59% third degree burns Burns involving 80-89% of body surface with 60-69% third degree burns Burns involving 80-89% of body surface with 70-79% third degree burns Burns involving 80-89% of body surface with 80-89% third degree burns Burns involving 90% or more of body surface with 10-19% third degree burns Burns involving 90% or more of body surface with 20-29% third degree burns Burns involving 90% or more of body surface with 30-39% third degree burns Burns involving 90% or more of body surface with 40-49% third degree burns Burns involving 90% or more of body surface with 50-59% third degree burns Burns involving 90% or more of body surface with 60-69% third degree burns Burns involving 90% or more of body surface with 70-79% third degree burns Burns involving 90% or more of body surface with 80-89% third degree burns Burns involving 90% or more of body surface with 90% or more third degree burns Corrosions involving 10-19% of body surface with 10-19% third degree corrosion Corrosions involving 20-29% of body surface with 10-19% third degree corrosion Corrosions involving 20-29% of body surface with 20-29% third degree corrosion Corrosions involving 30-39% of body surface with 10-19% third degree corrosion Corrosions involving 30-39% of body surface with 20-29% third degree corrosion Corrosions involving 30-39% of body surface with 30-39% third degree corrosion Corrosions involving 40-49% of body surface with 10-19% third degree corrosion

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

T3242 T3243 T3244 T3251 T3252 T3253 T3254 T3255 T3261 T3262 T3263 T3264 T3265 T3266 T3271 T3272 T3273 T3274 T3275 T3276 T3277 T3281 T3282 T3283 T3284 T3285 T3286 T3287 T3288 T3291 T3292 T3293 T3294 T3295 T3296 T3297 T3298 T3299

Corrosions involving 40-49% of body surface with 20-29% third degree corrosion Corrosions involving 40-49% of body surface with 30-39% third degree corrosion Corrosions involving 40-49% of body surface with 40-49% third degree corrosion Corrosions involving 50-59% of body surface with 10-19% third degree corrosion Corrosions involving 50-59% of body surface with 20-29% third degree corrosion Corrosions involving 50-59% of body surface with 30-39% third degree corrosion Corrosions involving 50-59% of body surface with 40-49% third degree corrosion Corrosions involving 50-59% of body surface with 50-59% third degree corrosion Corrosions involving 60-69% of body surface with 10-19% third degree corrosion Corrosions involving 60-69% of body surface with 20-29% third degree corrosion Corrosions involving 60-69% of body surface with 30-39% third degree corrosion Corrosions involving 60-69% of body surface with 40-49% third degree corrosion Corrosions involving 60-69% of body surface with 50-59% third degree corrosion Corrosions involving 60-69% of body surface with 60-69% third degree corrosion Corrosions involving 70-79% of body surface with 10-19% third degree corrosion Corrosions involving 70-79% of body surface with 20-29% third degree corrosion Corrosions involving 70-79% of body surface with 30-39% third degree corrosion Corrosions involving 70-79% of body surface with 40-49% third degree corrosion Corrosions involving 70-79% of body surface with 50-59% third degree corrosion Corrosions involving 70-79% of body surface with 60-69% third degree corrosion Corrosions involving 70-79% of body surface with 70-79% third degree corrosion Corrosions involving 80-89% of body surface with 10-19% third degree corrosion Corrosions involving 80-89% of body surface with 20-29% third degree corrosion Corrosions involving 80-89% of body surface with 30-39% third degree corrosion Corrosions involving 80-89% of body surface with 40-49% third degree corrosion Corrosions involving 80-89% of body surface with 50-59% third degree corrosion Corrosions involving 80-89% of body surface with 60-69% third degree corrosion Corrosions involving 80-89% of body surface with 70-79% third degree corrosion Corrosions involving 80-89% of body surface with 80-89% third degree corrosion Corrosions involving 90% or more of body surface with 10-19% third degree corrosion Corrosions involving 90% or more of body surface with 20-29% third degree corrosion Corrosions involving 90% or more of body surface with 30-39% third degree corrosion Corrosions involving 90% or more of body surface with 40-49% third degree corrosion Corrosions involving 90% or more of body surface with 50-59% third degree corrosion Corrosions involving 90% or more of body surface with 60-69% third degree corrosion Corrosions involving 90% or more of body surface with 70-79% third degree corrosion Corrosions involving 90% or more of body surface with 80-89% third degree corrosion Corrosions involving 90% or more of body surface with 90% or more third degree corrosion

SEVERE HEAD INJURY DIAGNOSES (HCC 166)

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

S061X3A Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S061X4A Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter

S061X5A Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S061X6A Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S062X3A Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S062X4A Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S062X5A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter

S062X6A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to preexisting conscious level with patient surviving, initial encounter

S06303A Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06304A Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S06305A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06306A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06313A Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06314A Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06315A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06316A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06323A S06324A S06325A S06326A

Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

S06333A S06334A S06335A S06336A

Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter

Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06343A S06344A S06345A S06346A S06353A S06354A S06355A S06356A S06363A S06364A S06365A S06366A

Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06373A S06374A S06375A

Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter

Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

S06376A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06383A S06384A S06385A S06386A

Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter

Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S064X3A Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S064X4A Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter S064X5A Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing

conscious level, initial encounter

S064X6A Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S065X3A Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S065X4A Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter

S065X5A S065X6A S066X3A S066X4A

Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to preexisting conscious level, initial encounter

Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to preexisting conscious level with patient surviving, initial encounter

Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter

S066X5A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to preexisting conscious level, initial encounter

S066X6A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06813A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06814A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter

S06815A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

S06816A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06823A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06824A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter

S06825A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06826A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06893A Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06894A Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S06895A Other specified intracranial injury with loss of consciousness greater than 24 hours with return to preexisting conscious level, initial encounter

S06896A Other specified intracranial injury with loss of consciousness greater than 24 hours without return to preexisting conscious level with patient surviving, initial encounter

S069X3A Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S069X4A Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S069X5A Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S069X6A Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to preexisting conscious level with patient surviving, initial encounter

S020XXA S020XXB S020XXS S02101A S02101B S02101S S02102A S02102B S02102S S02109A S02109B S02109S

MAJOR HEAD INJURY DIAGNOSES (HCC 167) Fracture of vault of skull, initial encounter for closed fracture Fracture of vault of skull, initial encounter for open fracture Fracture of vault of skull, sequela Fracture of base of skull, right side, initial encounter for closed fracture Fracture of base of skull, right side, initial encounter for open fracture Fracture of base of skull, right side, sequela Fracture of base of skull, left side, initial encounter for closed fracture Fracture of base of skull, left side, initial encounter for open fracture Fracture of base of skull, left side, sequela Fracture of base of skull, unspecified side, initial encounter for closed fracture Fracture of base of skull, unspecified side, initial encounter for open fracture Fracture of base of skull, unspecified side, sequela

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2019 Cigna INT_19_74271_C 03122019

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download