ICD-10-CM: NEUROLOGY PART 2 - HealthARCH

IC D- 10- C M: NEURO LO G Y PA RT 2

AG ENDA

G o a l: Pa rtic ip a nts will b e a b le to und e rsta nd the p rinc ip le s o f IC D10-C M c o d ing re la te d to ne uro lo g y ? C o d ing fo r Dia b e te s ? C ha p te r 6: Dise a se s o f the Ne rvo us Syste m ? C ha p te r 13: Dise a se s o f the Musc ulo ske le ta l Syste m a nd

C o nne c tive Tissue ? C ha p te r 18: Sig ns a nd Sym p to m s ? C ha p te r 19: Injurie s a nd Po iso ning s ? C ha p te r 20: Exte rna l C a use s ? C ha p te r 21: Fa c to rs Influe nc ing C o nta c t with He a lth Se rvic e s

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C HAPTER 4

ENDO C RINE, NUTRITIO NAL AND METABO LIC DISEASES

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C ha pte r 4

C o mb ina tio n c o d e s fo r d ia b e te s ? Typ e o f d ia b e te s ? Bo d y syste m a ffe c te d ? Sp e c ific c o mp lic a tio ns a ffe c ting tha t b o d y syste m

Endo c rine , Nutritio na l a nd Me ta b o lic Dise a se s

No lo ng e r c la ssifie d a s c o ntro lle d o r unc o ntro lle d

? Ina d e q ua te ly c o ntro lle d , o ut o f c o ntro l o r p o o rly c o ntro lle d : C o d e d b y typ e with hype rglyc e mia

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C ATEG O RIES O F DIABETES MELLITUS

? E08 ? Dia b e te s me llitus d ue to und e rlying c o nd itio n ? E09 ? Drug o r c he m ic a l ind uc e d d ia b e te s m e llitus ? E10 ? Typ e 1 d ia b e te s m e llitus ? E11 ? Typ e 2 d ia b e te s m e llitus ? E13 ? O the r sp e c ifie d d ia b e te s m e llitus

* No te : " Use a d d itio na l c o d e to id e ntify a ny insulin use (Z79.4)"

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SC ENARIO 6

A 43-ye a r-o ld fe m a le , ne w p a tie nt, p re se nts fo r m a na g e m e nt o f d ia b e tic ne ura lg ia . She ha s typ e 1 d ia b e te s, with sta g e 3 c hro nic kid ne y d ise a se . E10.42 Dia b e te s, typ e 1, with, ne ura lg ia E10.22 Dia b e te s, typ e 1, with, c hro nic kid ne y d ise a se N18.3 Dise a se , kid ne y, c hro nic , sta g e 3, (m o d e ra te )

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SC ENARIO 7

This p a tie nt ha s typ e 2 d ia b e te s. He c o m p la ins o f inc re a se d lo ss o f se nsa tio n in b o th fe e t. Up o n insp e c tio n, the le ft he e l ha s a n ulc e r with skin b re a kd o wn. He is d ia g no se d with ne uro p a thy d ue to p o o rly c o ntro lle d d ia b e te s. E11.40 Dia b e te s, typ e 2, with, ne uro p a thy E11.621 Dia b e te s, typ e 2, with, fo o t ulc e r L97.421 Ulc e r, lo we r lim b , he e l, le ft, with, skin b re a kd o wn o nly E11.65 Dia b e te s, typ e 2, with, hyp e rg lyc e mia

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C HAPTER 6

DISEASES O F THE NERVO US SYSTEM

C ha pte r 6

Dise a se s o f the Ne rvo us Syste m

? Se nse o rg a ns (Eye s a nd Ea rs) ha ve b e e n se p a ra te d fro m ne rvo us syste m d iso rd e rs

? C o d e s fo r TIA a re no w inc lud e d in the ne rvo us syste m c ha p te r o f IC D-10-C M

? C o d e s fo r m ig ra ine ha ve b e e n e xp a nd e d to 5th a nd 6th c ha ra c te rs to re fle c t a d d itio na l sp e c ific ity

? C o d e s fo r se c o nd a ry Pa rkinso nism ha ve b e e n e xp a nd e d

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C ha pte r 6

Ep ile p sy te rmino lo g y up d a te d

? Lo c a liza tio n-re la te d id io p a thic ? G e ne ra lize d id io p a thic ? Sp e c ia l e p ile p tic synd ro me s

Dise a se s o f the Ne rvo us Syste m

Pro vid e s sp e c ific ity fo r:

? Se izure s o f lo c a lize d o nse t ? C o mp le x p a rtia l se izure s ? Intra c ta b le ? Sta tus e p ile p tic us

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HEMI/ MO NO PLEG IA

? C o d e s fo r he m ip le g ia a nd m o no p le g ia id e ntify do m ina nt o r no n- do m ina nt sid e

? If the a ffe c te d sid e is d o c um e nte d b ut no t sp e c ifie d a s d o m ina nt/ no n-d o mina nt:

If the le ft sid e is a ffe c te d , the d e fa ult is le ft no n- do m ina nt If the rig ht sid e is a ffe c te d , the d e fa ult is rig ht do m ina nt

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C ATEG O RY G 40 (EPILEPSY AND REC URRENTSEIZURES) AND G 43 (MIG RAINE)

Note: The following terms are equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically), and poorly controlled.

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G 89: PAIN NO TELSEWHERE C LASSIFIED ? C a n b e use d with c o d e s fro m o the r c a te g o rie s to p ro vid e

m o re d e ta il, inc lud ing site -sp e c ific c o d e s ? Do no t use G 89 if the re is a d e finitive d ia g no sis unle ss the

re a so n fo r the e nc o unte r is p a in c o ntro l/ m a na g e m e nt ? C hro nic p a in synd ro m e is d iffe re nt tha n " c hro nic p a in," a nd

must b e d o c ume nte d b y the p ro vid e r ? Exc lud e s1: p a in NO S a nd p a in d iso rd e rs e xc lusive ly re la te d to

p syc ho lo g ic a l fa c to rs

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TABLE O F DRUG S AND C HEMIC ALS

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SC ENARIO 8

Pa tie nt ha s c o ntinuing p a in d ue to c a rp a l tunne l synd ro m e (b ila te ra l) G 56.01 Synd ro m e , c a rp a l tunne l G 56.02 Synd ro m e , c a rp a l tunne l

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