ICD-10-CM Quick Reference Code Guide Cigna-HealthSpring
ï»żICD-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}
SmokerĄŻs 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 addĄŻl}
- 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 {addĄŻl}
- diabetic peripheral angiopathy w/o gangrene
- diabetic peripheral angiopathy w/gangrene
- other circulatory complications {use addĄŻl code}
- diabetic neuropathic arthropathy/CharcotĄŻs joint
- other diabetic arthropathy {use addĄŻl 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 addĄŻl code}
- hypoglycemia, without coma
- hyperglycemia
- unspecified complications
- no complications
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2018 Cigna.
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
BarrettĄŻs 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
CrohnĄŻs 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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