ICD-10-CM Quick Reference Code Guide Cigna-HealthSpring

ICD-10-CM Quick Reference Code Guide

2018

Update

Additional codes indicated by {italics}.

Codes with _ or .- require additional digits to complete - explantory notes in (parentheses).

RESPIRATORY

Upper respiratory infection, unspecified

Rhinitis, allergic (specify type)

Obstructive sleep apnea {for CPAP-Z99.89}

Interstitial lung disease

Pneumoconiosis due to asbestos/Asbestosis

Pneumonia,unsp organism{Flu 1st if applicable}

Pneumonia,viral {Flu 1st if applicable}

Smoker¡¯s cough

Bronchitis, acute, unspecified

Bronchitis, chronic (specify type)

Bronchitis, chronic, unspecified

Chronic respiratory failure (specify type)

Dependence on supplemental oxygen

Emphysema (specify type)

COPD, unspecified

COPD with exacerbation

COPD w/acute bronchitis/LRI {type B96-B97}

ICD-10

J06.9

J30.G47.33

J84.10

J61

J18.9

J12.9

J41.0

J20.9

J41.J42

J96.Z99.81

J43.J44.9

J44.1

J44.0

Note: For COPD w/Emphysema use J43.9, for other

COPD combinations use J44.- {Also asthma type PRN}

Asthma, unspecified, uncomplicated

J45.909

Asthma, unspecified w/acute exacerbation

J45.901

Asthma, mild intermittent (5th digit below)

J45.2Asthma, mild persistent (5th digit below)

J45.3Asthma,moderate persistent (5th digit below)

J45.4Asthma, severe persistent (5th digit below)

J45.5(5th digit) - uncomplicated

J45._0

(5th digit) - with acute exacerbation

J45._1

(5th digit) - with status asthmaticus

J45._2

Use additional code to indicate smoking status

Cigarette dependence (6th digit for status)

F17.21Other type nicotine dependence/e-cig/vaping

F17.Tobacco use (non-dependent)

Z72.0

History of nicotine/tobacco dependence

Z87.891

Occupational exposure to tobacco smoke

Z57.31

CARDIAC/CEREBRO- & CARDIOVASCULAR

Late effect - cerebrovascular dis-(NOT CVA)

Cerebrovascular disease, other

Carotid artery stenosis (specify laterality)

Abdominal aortic aneurysm w/o rupture

PVD, unspecified

Old MI - > 4 weeks from acute episode

Angina,post-infarction-90

N18.1

I49.5

CKD Stage 2 Mild GFR 60 - 89

N18.2

I50.9

I50.20

CKD Stage 3 Moderate GFR 30 - 59

N18.3

CKD Stage 4 Severe GFR 15 - 29

N18.4

I50.30

CKD Stage 5 GFR < 15

N18.5

I50.40

ESRD/Chronic Dialysis {use also Z99.2}

N18.6

I50.84

Renal dialysis, dependence on

Z99.2

Non-compliance w/renal dialysis

Z91.15

I10

CKD, Stage unspecified/CRF/CRI

N18.9

I11.9

Nephropathy, unspecified

N28.9

I11.0

Nephrosis

N04.9

I12.UTI,unsp {code also infection B96-B97}

N39.0

I13.1BPH without LUTS

N40.0

I13.0

BPH w/LUTS {symptom codes below}

N40.1

I13.2

Urinary incontinence (specfy type)

N39.I16.0

Nocturia

R35.1

Frequency of micturition

R35.0

I27.2

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

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

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INT_18_63641 03192018

ICD-10

R73.03

Z79.4

Z79.84

Z96.41

E08.E09.E10.E11.E13.-

E11.21

E11.22

E11.29

E11.319E11.3E11.39

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

Codes with _ or .- require additional digits to complete. Required additional codes indicated by {italics}.

NEUROLOGICAL

ICD-10

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)

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

E11.4G62.9

G60.9

G60.3

Z86.73

I69.30

I69.31I69.398

I69.320

I69.393

I69.391

I69.321

I69.322

I69.323

I69.35I69.34I69.33-

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)

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

Active indicates cancer has not been eradicated.

Use History (right) if cancer has been eradicated.

ICD-10

F41.1

F41.8

F41.9

F31.F20.F39

F32.F33.F10.1F10.2F11.1F11.2ICD-10

K21.9

K21.0

K22.7K29.0

R11.K58.K59.00

R19.7

K57.3K50.9K90.0

K51.9K70.3K74.60

K86.1

ICD-10

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)

C18.C50.C34.9C61

C44.C43.-

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)

HISTORY OF MALIGNANT NEOPLASM

Personal history,malignant neoplasm

Personal history, thyroid cancer

- ,small intestine non-carcinoid

- ,colon cancer, non-carcinoid

- ,breast cancer

- ,lung cancer, unspecified

- ,prostate cancer

- ,skin cancer, NEC

- ,malignant melanoma, skin

ICD-10

M19.91

M06.9

M35.3

M10.9

M86.9

M86.6M81.0

M80.0M85.8M32.9

L40.50

M48.0M51.M54.1M54.2

M54.2

M54.3M54.5

M25.5G89.29

ICD-10

D51.0

D50.9

D45

ICD-10

H35.3H40.10X

H26.9

H25.9

H91.9ICD-10

Z85.Z85.850

Z85.068

Z85.038

Z85.3

Z85.118

Z85.46

Z85.828

Z85.820

FACTORS INFLUENCING HEALTH STATUS

Acquired absence of limb (specify site/laterality)

- feet, toes, & ankle

- leg below knee amputation / BKA

- leg above knee amputation / AKA

Presence, Artifical limb, complete/partial (spec site)

Mastectomy (specify laterality), history of

Bilateral mastectomy, history of

Total hysterectomy, history of

Prostatectomy, history of

Colostomy, current

Gastrostomy, current

Illeostomy, current

Tracheostomy, current

Cystostomy, current (specify type)

Nephr-/Ureter-/Urethr- ostomy, current

Long-term (current) - drug therapy

- anticoagulants

- antiplatelets/antithrombolitics

- aspirin

- non-steroidal anti-inflamatory drugs / NSAIDs

- systemic steroids

- bisphosphonates

Wheelchair, dependence on

Coronary angioplasty status

Coronary artery bypass graft, presence of

Coronary angioplasty implant/graft, presence of

Prosthetic heart valve, presence of

Cardiac pacemaker,excludes AICD, presence of

Automatic implantable cardiac defibrillator /AICD

Intraocular lens / pseudophakia, presence of

Colon polyps, history of

Transplant status (specify organ)

Pulmonary embolism, history of

Venous thrombosis / embolism, history of

Orthopedic joint implant, presence of (spec site)

Falls, history of / at risk of falling

Noncompliance with dietary regimen

Noncompliance with medication (specify type)

Nonadherence to medical treatment

ICD-10

Z89.Z89.4Z89.51Z89.61Z97.1Z90.1Z90.13

Z90.710

Z93.3

Z93.3

Z93.1

Z93.2

Z93.0

Z93.5Z93.6

Z79.Z79.01

Z79.02

Z79.82

Z79.1

Z79.52

Z79.83

Z99.3

Z98.61

Z95.1

Z95.5

Z95.2

Z95.0

Z95.810

Z96.1

Z86.010

Z94.Z86.711

Z86.718

Z96.6Z91.81

Z91.11

Z91.1Z91.19

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