NUTRITIONAL/ENDOCRINE ICD-10 CIRCULATORY SYSTEM ICD-10 ICD ...
NUTRITIONAL/ENDOCRINE
ICD-10 CIRCULATORY SYSTEM
ICD-10
ICD-10-CM Quick Reference Code Guide
BMI 19 or less
Z68.1 STEMI and NSTEMI, Initial, Acute
I21. -
BMI 20 - 29 (5th character classifies each
Z68.2 - (within 4 weeks of onset)
DIABETES MELLITUS TYPE 2 Insulin Use
ICD-10 DIABETES MELLITUS TYPE 1 Z79.4 DM1 without Complications
ICD-10 increment between 20 and 29)
E10.9
BMI 30 - 39 (5th character classifies each increment between 20 and 29)
STEMI and NSTEMI, Subsequent, Acute Z68.3 (within 4 weeks of a previous MI)
Old MI (greater than 4 weeks from acute episode)
DM2 without Complications
E11.9 DM1 with Diabetic Nephropathy
E10.21 BMI 40.0 - 44.9
Z68.41 Angina, Post infarction (within 28 days of Acute MI)
DM2 with Diabetic Nephropathy
E11.21 DM1 with Chronic Kidney Disease (Code Also CKD N18. -)
E10.22 BMI 45.0 - 49.9
Z68.42 Angina, Unstable/Crescendo Angina/
DM2 with Chronic Kidney Disease (Code Also CKD N18. -)
E11.22 DM1 with Unsp Diabetic Retinopathy with Macular Edema
E10.311 Goiter, NOS/Nontoxic Goiter, Unspecified
E04.9 Intermediate Coronary Syndrome
DM2 with Unsp Diabetic Retinopathy with Macular Edema E11.311 DM1 with Unsp Diabetic Retinopathy w/o Macular Edema
E10.319 Hyperlipidemia, Unspecified and other
E78.5 CAD Native Coronary Artery without
DM2 with Unsp Diabetic Retinopathy w/o Macular Edema
E11.319 DM1 with Mild Nonprolif Diab Retinopathy w/ Macular Edema
E10.321 Hypothyroidism, Unspecified
E03.9 Angina Pectoris/ASHD NOS
DM2 with Mild Nonprolif Diab Retinopathy w/ Macular Edema E11.321 DM1 with Mild Nonprolif Diab Retinopathy w/o Macular Edema
E10.329 Hyperthyroidism, Unspecified without crisis or storm E05.90 CAD Native Coronary Artery with Unstable Angina
DM2 with Mild Nonprolif Diab Retinopathy w/o Macular Edema E11.329 DM1 with Mod Nonprolif Diab Retinopathy w/ Macular Edema
E10.331 Malnutrition, Unspecified protein calorie
E46 CAD Native Coronary Artery with Angina Pectoris
DM2 with Mod Nonprolif Diab Retinopathy w/ Macular Edema E11.331 DM1 with Mod Nonprolif Diab Retinopathy w/o Macular Edema
E10.339 Obesity, Morbid D/T excess calories
E66.01 CAD Bypass Graft, Unspecified, with Unstable Angina
DM2 with Mod Nonprolif Diab Retinopathy w/o Macular Edema E11.339 DM1 with Severe Nonprolif Diab Retinopathy w/Macular Edema E10.341 (documentation of BMI required)
CAD Bypass Graft, Unspecified,with
DM2 with Severe Nonprolif Diab Retinopathy w/Macular Edema E11.341 DM1 with Severe Nonprolif Diab Retinopath w/o Macular Edema
E10.349 Obesity, NOS (documentation of BMI required)
E66.9 Other Forms of Angina Pectoris
DM2 with Severe Nonprolif Diab
E11.349 DM1 with Proliferative Diabetic Retinopathy w/ Macular Edema
E10.351 Vitamin B-12 Deficiency
E53.8 Cardiomyopathy, Idiopathic/NOS/Familial
Retinopathy w/o Macular Edema
DM1 with Proliferative Diabetic Retinopathy w/o Macular Edema E10.359 Vitamin D Deficiency, NOS
E55.9 Atrial Fibrillation
DM2 with Proliferative Diabetic Retinopathy w/ Macular Edema E11.351 DM1 with Diabetic Polyneuropathy
E10.42 CHRONIC KIDNEY DISEASE/CKD
ICD-10 Atrial Fibrillation, Chronic
DM2 with Proliferative Diabetic Retinopathy w/o Macular Edema DM2 with Diabetic Cataract DM2 with Diabetic Mononeuropathy DM2 with Diabetic Polyneuropathy DM2 with Autonomic (Poly) Neuropathy DM2 with Diabetic Amyotrophy
E11.359
E11.36 E11.41 E11.42 E11.43 E11.44
DM1 with Autonomic (Poly) Neuropathy DM1 with Diabetic Peripheral Angiopathy w/o Gangrene DM1 with Diabetic Peripheral Angiopathy with Gangrene DM1 with Foot Ulcer (Code Also Ulcer Site L97.4-, L97.5-) HYPERTENSION (HTN) AND LINKED CONDITIONS Hypertension (Benign/Idiopathic/Essential/Primary) Pulmonary Hypertension/Cor Pulmonale
E10.43 CKD Stage 1 GFR >90
E10.51 CKD Stage 2 Mild GFR 60 - 89
E10.52 CKD Stage 3 Moderate GFR 30 - 59
E10.621 CKD Stage 4 Severe GFR 15 - 29
ICD-10 CKD Stage 5 GFR < 15
I10
ESRD/CKD Requiring Chronic
I27.2 Dialysis (Code Also Z99.2)
N18.1 Atrial Fibrillation, Paroxysmal N18.2 Heart Failure, unspecified (CHF NOS) N18.3 Heart Failure, Chronic Diastolic N18.4 Heart Failure, Chronic Systolic N18.5 Heart Failure, Chronic Combined Systolic/Diastolic N18.6 Sick Sinus Syndrome
Abdominal Aortic Aneurysm (no mention of rupture)
DM2 with Diabetic Peripheral Angiopathy w/o Gangrene
E11.51 Hypertensive Heart Disease with Heart Failure
I11.0 CKD, Stage Unspecified; CRF; CRI
N18.9 PVD, Unspecified
DM2 with Diabetic Peripheral Angiopathy with Gangrene
E11.52 (Code Also Type I50.-)
Nephropathy
N28.9 DVT, Unspecified, Acute Lower Extremity (DVT NOS)
DM2 with Diabetic Neuropathic Arthropathy
E11.610 Hypertensive Heart Disease w/o Heart Failure
I11.9 Nephrosis
N04.9 DVT, Unspecified, Chronic Lower Extremity
DM2 with Other Diabetic Arthropathy
E11.618 Hypertensive CKD w/Stage 5 CKD or ESRD (Code Also N18- or N26-) I12.0 BRONCHITIS (NON OBSTRUCTIVE)
ICD-10 RESPIRATORY SYSTEM
DM2 with Diabetic Dermatitis
E11.620 Hypertensive CKD w/ CKD Stage 1 through 4 (Code Also N18- or N26-) I12.9 Bronchitis, Simple Chronic
J41.0 Pneumonia, organism unspecified
DM2 with Foot Ulcer (Code Also Ulcer Site L97.4-, L97.5-)
E11.621
For below codes, Code Also N18.- and I50. - if applicable
Bronchitis, Mucopurulent Chronic
J41.1 Pneumonia, Viral
DM2 with Other Skin Ulcer (Code Also Ulcer L97.1-97.9, L98.41-49)
DM2 with Hypoglycemia without Coma
DM2 with Hyperglycemia
E11.622 Hypertensive Heart & CKD with Heart Failure and CKD 1-4, Unspecified
E11.649 Hypertensive Heart & CKD w/o E11.65 Heart Failure and CKD 1-4, Unspecified
I13.0 Bronchitis, Chronic NOS OBSTRUCTIVE BRONCHITIS
I13.10 Obstructive Bronchitis (COPD) w/o exacerbation
J42 Rhinitis, Allergic - cause unspecified ICD-10 Rhinitis, Allergic - pollen (Hay Fever) J44.9 Rhinitis, Chronic
ANEMIA
ICD-10 Hypertensive Heart & CKD w/o Heart Failure and CKD 5/ESRD
I13.11 Obstructive Bronchitis (COPD) with exacerbation J44.1 Sinusitis, Chronic NOS
Pernicious anemia
D51.0 Hypertensive Heart & CKD with Heart Failure and CKD 5/ESRD
I13.2 COPD with Acute Bronchitis
J44.0 Upper Resipiratory Infection
I22.
I25.2 I23.7 I20.0
I25.10
I25.110 I25.119 I25.700 I25.708
I42.9 I48.91 I48.2 I48.0 I50.9 I50.32 I50.22 I50.42 I49.5 I71.4 I73.9 I82.40 I82.59 ICD-10 J18.9 J12.9 J30.9 J30.1 J31.0 J32.9 J06.9
Iron Deficiency anemia
D50.9 EMPHYSEMA
CEREBROVASCULAR DISEASE
ICD-10 Emphysema bleb
Late Effects/Sequelae of Cerebrovascular Disease (NOT Infarction) I69.9 - Other emphysema
ICD-10 *Use additional code to identify Tobacco Use or Exposure TOBACCO USE/EXPOSURE
J43.9 SENSORY ORGANS - OPHTHALMIC
ICD-10 Exposure to Environmental Tobacco Smoke
J43.8 Macular degeneration, senile, unspecified
H35.30 History of Tobacco Use
Z77.22 Z87.891
Cerebrovascular Disease, Other
I67.89 *Use additional code to identify Tobacco Use or Exposure
Glaucoma, unspecified
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. Cataract, unspecified
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ? 2015 Cigna
INT_15_31770 08042015 Senile Cataract, unspecified
H40.9 H26.9 H25.9
Occupational Exposure to Environmental Tobacco Smoke Z57.31
Tobacco use (Non-dependent)
Z72.0
Tobacco Dependence
F17. -
38
39
CVA: SEQUELAE/LATE EFFECTS
ICD-10 DIGESTIVE SYSTEM
ICD-10
For CVA or TIA history without residual deficits, see Status codes section (Z86.73)
Cognitive Deficits
I69.31
Esophageal reflux (GERD) Esophageal reflux w/Esophagitis Barrett's esophagus
K21.9 K21.0 K22.70
Disturbance of Vision
I69.398 Enteritis, Regional/Crohn's Disease, Unspecified Site K50.90
Aphasia Ataxia Dysphagia (Code also type of dysphagia R13.1-) Dysphasia Dysarthria Fluency disorder (stuttering) Hemiplegia/Hemiparesis Right Dominant Side Hemiplegia/Hemiparesis Left Dominant Side Hemiplegia/Hemiparesis Affecting Unspecified Side Monoplegia Lower Limb Monoplegia Upper Limb Paralytic Syndrome Speech Deficit, Not Elsewhere Classified GENITOURINARY
I69.320 Diverticulosis of colon, without I69.393 mention of hemorrhage
K57.30
I69.391 Diverticulitis of colon, without mention of hemorrhage K57.32
I69.321 Colitis, Ulcerative (Chronic) NOS
K51.90
I69.322 Irritable bowel syndrome (IBS) NOS
K58.9
I69.323 Irritable bowel syndrome (IBS) NOS w/Diarrhea
K58.0
I69.351 Alcoholic cirrhosis of liver I69.352 Alcoholic cirrhosis of liver w/Ascites
Cirrhosis, Liver w/o mention of alcohol, NOS I69.359
Pancreatitis, Chronic, NOS I69.34
NERVOUS SYSTEM I69.33 Alzheimer's Disease without Behavioral Disturbance I69.36
K70.30 K70.31 K74.60 K86.1 ICD-10 G30.9 / F02.80
I69.328 Alzheimer's Disease with Behavioral Disturbance
G30.9 /
ICD-10
F02.81
Enlarged Prostate with LUTS (Code also symptoms) Enlarged Prostate without LUTS Frequency Micturition (Urinary Frequency) Polyuria Polyuria, Nocturnal Stress and Urge Incontinence, Male/Female Stress incontinence, Male/Female Urge incontinence Urinary incontinence, unpecified MUSCULOSKELETAL SYSTEM / CONNECTIVE TISSUE Rheumatoid Arthritis NOS Osteoarthritis - Multiple sites, NOS DDD, Lumbosacral DDD, Lumbar Polymyalgia Rheumatica Osteomyelitis, unspecified Osteomyelitis, Chronic (Specify Site)
N40.1 Parkinson's Disease/Parkinsonism
N40.0 Parkinson's with Dementia
R35.0 Tremors, Drug Induced (Also Code Drug T36-T50)
R35.8 Tremors, Essential (Benign)
R35.1 Myoclonus (Also Code Drug T36-T50)
N39.46 Huntington's Disease/Chorea
N39.3 Myopathy, unspecified
N39.41 Seizure Disorder/EpilepsyNOS
R32 Multiple Sclerosis
ICD-10 Polyneuropathy, (peripheral), Unspecified
M06.9
Polyneuropathy, drug induced (Code Also Drug T36-T50)
M19.90 Polyneuropathy, idiopathic
M51.37 Polyneuropahy, idiopathic, progressive
M51.36 Chronic Pain, Other
M35.3 Chronic Pain Syndrome
M86.9 AMPUTATION STATUS/ACQUIRED ABSENCE
M86.6 Acquired Absence of Great Toe
G20 G31.83 G25.1 G25.0 G25.3 G10 G72.9 G40.909 G35 G62.9 G62.0
G60.9 G60.3 G89.29 G89.4 ICD-10 Z89.41
Osteoporosis, Age Related
M81.0 Acquired Absence of Other Toe(s)
Z89.42
Osteoporosis, Age Related w/Pathological Fx (Specify Site) M80.0 - Acquired Absence of Foot
Z89.43
Osteopenia
M85.8 Acquired Absence of Leg Below Knee (BKA)
Z89.51
Gout, unspecified
M10.9 Acquired Absence of Leg Above Knee (AKA)
Z89.61
Gouty arthropathy (By site and side)
M10.0 - Requires 6th character indicating Right (1) or Left (2)
BEHAVIORAL HEALTH DISORDERS
ICD-10
Senile Dementia/Psychosis, NOS w/o Behavioral Disturb
F03.90
Senile Dementia/Psychosis, NOS w/ Behavioral Disturb
F03.91
Dementia, Vascular/Mixed w/o Behavioral Disturbance
F01.50
Dementia, Vascular/Mixed w/Behavioral Disturbance
F01.51
Presenile Dementia/Psychosis, NOS w/o Behavioral Disturb
F03.90
Presenile Dementia/Psychosis, NOS w/ Behavioral Disturb
F03.91
Generalized Anxiety Disorder (GAD)
F41.1
Anxiety Depression (mild or not persistent)
F41.8
Anxiety Disorder, unspecified
F41.9
Bipolar Disorders
F31. -
Schizophrenia disorders
F20. -
Mood Disorder/Affective Psychosis NOS
F39
Depression NOS/Major Depression NOS
F32.9
Major Depressive Disorder, Single Episode*
F32.
Major Depressive Disorder, Recurrent*
F33. -
*Major depression requires a 4th character indicating Mild (0), Moderate (1), Severe (2), with Psychotic features (3), in Partial Remission, in Full Remission
ASTHMA
ICD-10
Asthma with chronic obstructive bronchitis
J44.9
Asthma (bronchial/catarrh/spasmodic)
J45.909
Mild intermittent Asthma
J45.20
Mild intermittent Asthma w/exacerbation
J45.21
Mild persistent Asthma
J45.30
Mild persistent Asthma w/exacerbation
J45.31
Moderate persistent Asthma
J45.40
Moderate persistent Asthma w/exacerbation
J45.41
Severe persistent Asthma
J45.50
Severe persistent Asthma w/exacerbation
J45.51
Asthma w/Acute Exacerbation
J45.901
*Use additional code to identify Tobacco Use or Exposure
SYMPTOMS, SIGNS, AND ILL DEFINED
ICD-10
Convulsions, NOS
R56.9
Constipation
K59.00
Cough
R05
Diarrhea NOS
R19.7
Dizziness/Vertigo, Unspecified
R42
Gangrene, Unspecified
I96
Insomnia, Unspecified
G47.00
Nausea with Vomiting
R11.2
Shortness of breath
R06.02
ARTIFICIAL OPENING STATUS
ICD-10
Colostomy
Z93.3
Gastrostomy
Z93.1
Illeostomy
Z93.2
Tracheostomy
Z93.0
Other artificial opening urinary tract (Nephrostomy) Z93.6
ACTIVE MALIGNANT NEOPLASM
Active malignancies are those which have not been excised or eradicated and/or are currently undergoing active treatment.
Malignant Neoplasm Breast
C50.9
Malignant Neoplasm Colon
C18.9
Malignant Neoplasm Lung
C34.9
Malignant Neoplasm Prostate
C61
Malignant Melanoma Skin (additional characters by site)
C43. -
HISTORY OF MALIGNANT NEOPLASM
ICD-10
History of Breast Cancer
Z85.3
History of Colon Cancer, Large intestine NEC
Z85.038
History of Colon Cancer, Small intestine, NEC
Z85.068
History of Lung Cancer, NEC
Z85.118
History of Prostate Cancer
Z85.46
History of Malignant Melanoma of skin
Z85.820
History of Skin Cancer, NEC
Z85.828
History of Thyroid Cancer
Z85.850
STATUS CODES History of PE
ICD-10 Z86.711
History of Venous Thrombosis/Embolism
Z86.718
History of Falling or At Risk of Falling
Z91.81
History of CABG
Z95.1
Presence of Pacemaker (not AICD)
Z95.0
History of TIA or CVA without Residual Effects Z86.73
CURRENT/LONG TERM USE OF MEDICATIONS ICD-10
Long term use of Tamoxifen
Z79.810
Long term use of anticoagulants
Z79.01
Long term use of antiplatelets/antithrombolitics Z79.02
Long term use of NSAIDs
Z79.1
Long term use of steroids - systemic
Z79.52
Long term use of aspirin
Z79.82
Long term use of Insulin
Z79.4
Long term use of bisphosphonates
Z79.83
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