ICD-10-CA Reference Guide - Canadian Institute for Health Information
[Pages:12]ICD-10-CA
Reference Guide
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How to cite this document: Canadian Institute for Health Information. ICD-10-CA Reference Guide. Ottawa, ON: CIHI; 2022.
Cette publication est aussi disponible en fran?ais sous le titre Guide de r?f?rence de la CIM-10-CA.
ICD-10-CA Reference Guide
Introduction
The ICD-10-CA Reference Guide was developed by the Canadian Institute for Health Information (CIHI). It provides a list of common terms used to describe diseases and health conditions that are often encountered in long-term care and home care settings, along with their corresponding ICD-10-CA codes. The codes in this reference guide represent a small subset of codes in the complete 2022 version of the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada (ICD-10-CA). For a complete list of all diseases and health conditions (with additional specificity) not included in this reference guide, CIHI recommends that users refer to the full classification.
Purpose
The purpose of this document is to assist RAI assessors in completing Section I2: Other Diseases Diagnoses of the interRAI Long-Term Care Facilities (LTCF) or Section I2: Other Diseases Diagnoses of the interRAI Home Care (HC). This document is not intended to be used as a pick-list for a vendor assessment solution. When completing interRAI assessments, the level of specificity, as well as the application of ICD-10-CA coding conventions and standards, used in acute and ambulatory patient-level abstracting is not required. This document was designed to help assessors find appropriate ICD-10-CA codes to document the presence of any diseases or other conditions relevant to the person's current health status that are not listed in Section I1: Disease Diagnoses of the interRAI LTCF or interRAI HC.
New for 2022
ICD-10-CA codes related to the COVID-19 pandemic have been added (see Table 12).
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ICD-10-CA Reference Guide
Table 1 Neurological diseases and conditions
Terms ALS, amyotrophic lateral sclerosis, Lou Gehrig's disease, Charcot's disease, motor neuron disease Bell's palsy, facial palsy Brain cancer (primary) Brain injury, late effect Cauda equina syndrome Cerebral palsy Epilepsy
Huntington's disease, chorea Hydrocephalus Lewy body disease
Migraine Myasthenia gravis Parkinson's disease Peripheral neuropathy Pick's disease Post-polio syndrome Seizure disorder Transischemic attack, transient ischemic attack, TIA
ICD-10-CA code Code title
G12.20
Amyotrophic lateral sclerosis
G51.0 C71.9 T90.5 G83.4 G80.9 G40.10
G10 G91.9 G31.8
G43.9 G70.0 G20 G62.9 G31.00 G14 R56.80 G45.9
Bell's palsy Malignant neoplasm of brain unspecified Sequelae of intracranial injury Cauda equina syndrome Cerebral palsy, unspecified Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not stated as intractable Huntington's disease Hydrocephalus, unspecified Other specified degenerative diseases of nervous system Migraine, unspecified Myasthenia gravis Parkinson's disease Polyneuropathy, unspecified Pick's disease Postpolio syndrome Seizure disorder, so described Transient cerebral ischaemic attack, unspecified
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ICD-10-CA Reference Guide
Table 2 Eye diseases and conditions
Terms Blindness in both eyes Cataracts Diabetic retinopathy Glaucoma Macular degeneration
ICD-10-CA code
H54.0 H25.9 H36.0 H40.9 H35.3
Code title
Blindness, binocular Senile cataract, unspecified Diabetic retinopathy Glaucoma, unspecified Degeneration of macula and posterior pole
Table 3 Pulmonary diseases and conditions
Terms Asthma Common cold Cystic fibrosis Emphysema Flu, influenza
ICD-10-CA code
J45.90 J00 E84.9 J43.9 J11.1
Lung cancer
C34.99
Obstructive sleep apnea G47.30
Pleural effusion
J90
Aspiration pneumonia J69.0
Pulmonary edema,
J81
congestion
Pulmonary fibrosis
J84.1
Pulmonary
I27.2
hypertension
Code title
Asthma, unspecified, without stated status asthmaticus Acute nasopharyngitis [common cold] Cystic fibrosis, unspecified Emphysema, unspecified Influenza with other respiratory manifestations, virus not identified Malignant neoplasm bronchus or lung, unspecified, unspecified side Sleep apnoea, obstructed Pleural effusion, not elsewhere classified Pneumonitis due to food and vomit Pulmonary oedema
Other interstitial pulmonary diseases with fibrosis Other secondary pulmonary hypertension
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ICD-10-CA Reference Guide
Table 4 Cardiac and circulatory diseases and conditions
Terms Angina, cardiac chest pain Abdominal aortic aneurysm, dilation, AAA Aortic valve disorder Arrhythmia Atrial fibrillation Cardioverter, defibrillator Coronary angioplasty, presence of coronary stent, post-angioplasty Deep vein thrombosis, DVT
Hypertension Hypotension Lymphedema Mitral valve disorder Pacemaker Peripheral vascular disease, not specified as diabetic Peripheral vascular disease (PVD) due to diabetes with gangrene Phlebitis, thrombophlebitis
Venous insufficiency
ICD-10-CA code
I20.9 I71.4
I35.9 I49.9 I48.90 Z95.01 Z95.5
I80.2
I10.0 I95.9 I89.0 I34.9 Z95.00 I73.9
E14.51
I80.9
I87.2
Code title
Angina pectoris, unspecified Abdominal aortic aneurysm, without mention of rupture Aortic valve disorder, unspecified Cardiac arrhythmia, unspecified Atrial fibrillation, unspecified Presence of cardioverter/defibrillator Presence of coronary angioplasty implant and graft Phlebitis and thrombophlebitis of other deep vessels of lower extremities Benign hypertension Hypotension, unspecified Lymphoedema, not elsewhere classified Nonrheumatic mitral valve disorder, unspecified Presence of cardiac pacemaker Peripheral vascular disease, unspecified
Unspecified diabetes mellitus with peripheral angiopathy with gangrene Phlebitis and thrombophlebitis of unspecified site Venous insufficiency (chronic) (peripheral)
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ICD-10-CA Reference Guide
Table 5 Gastrointestinal diseases and conditions
Terms Celiac disease C. difficile infection, enterocolitis Colon cancer, large intestine Alcoholic cirrhosis Diverticulitis
ICD-10-CA code
K90.0 A04.7
C18.9 K70.3 K57.9
Esophageal stenosis, stricture Gastroenteritis Hemorrhoids Chronic hepatitis Hernia, abdominal, ventral
K22.2 A09.9 K64.9 K73.9 K46.9
Hernia, hiatal Hernia, inguinal
K44.9 K40.9
Irritable bowel syndrome, IBS Liver cancer Liver disease Rectal prolapse
K58.8 C22.9 K76.9 K62.3
Code title
Coeliac disease Enterocolitis due to Clostridium difficile
Malignant neoplasm colon, unspecified Alcoholic cirrhosis of liver Diverticular disease of intestine, part unspecified, without perforation or abscess Oesophageal obstruction Gastroenteritis and colitis of unspecified origin Haemorrhoids, unspecified Chronic hepatitis, unspecified Unspecified abdominal hernia without obstruction or gangrene Diaphragmatic hernia without obstruction or gangrene Unilateral or unspecified inguinal hernia, without obstruction or gangrene Other and unspecified irritable bowel syndrome Malignant neoplasm of liver unspecified Liver disease, unspecified Rectal prolapse
Table 6 Metabolic/endocrine diseases and conditions
Terms Cachexia, adult failure to thrive Diabetes type 1
Diabetes type 2
Goitre Hemochromatosis Hypercholesteremia, high cholesterol
ICD-10-CA code
R64
E10.9
E11.9
E04.9 E83.10 E78.0
Code title
Cachexia
Type 1 diabetes mellitus without (mention of) complication Type 2 diabetes mellitus without (mention of) complications Nontoxic goitre, unspecified Haemochromatosis Pure hypercholesterolaemia
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ICD-10-CA Reference Guide
Terms
ICD-10-CA code
Hypoglycemia, low blood sugar E16.2
Hyperthyroidism
E05.9
Hypothyroidism, myoedema E03.9
Hyperkalemia, high potassium E87.5
Hypokalemia, low potassium, E87.6 potassium deficiency
Obesity
E66.9
PKU, phenylketonuria
E70.0
Code title
Hypoglycemia, unspecified Thyrotoxicosis, unspecified Hypothyroidism, unspecified Hyperkalaemia Hypokalaemia
Obesity, unspecified Classical phenylketonuria
Table 7 Musculoskeletal diseases and conditions
Terms
ICD-10-CA code
Amputee (leg), loss of limb (post-traumatic/-operative)
Z89.6
Arthritis, osteoarthritis, OA (knee) M17.9
Arthritis, osteoarthritis OA (hip) M16.9
Arthritis, osteoarthritis, OA (general)
M19.9
Degenerative disc disease
M51.3
(thoracic, lumbar or sacral areas)
Degenerative disc disease (cervical)
M50.3
Fibromyalgia
M79.7
Lupus, systemic lupus erythematosus, SLE
M32.9
Muscular dystrophy
G71.0
Osteoporosis
M81.9
Osteomyelitis, bone infection
M86.99
Prosthetic knee, knee replacement Z96.61
Prosthetic hip, hip replacement Z96.60
Restless leg syndrome
G25.8
Rotator cuff syndrome Rheumatoid arthritis
M75.1 M06.9
Code title
Acquired absence of leg above knee
Gonarthrosis, unspecified Coxarthrosis, unspecified Arthrosis, unspecified
Other specified intervertebral disc degeneration
Other cervical disc degeneration
Fibromyalgia Systemic lupus erythematosus, unspecified
Muscular dystrophy Osteoporosis, unspecified Osteomyelitis, unspecified, unspecified site Presence of artificial knee Presence of artificial hip Other specified extrapyramidal and movement disorders Rotator cuff syndrome Rheumatoid arthritis, unspecified
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