15
6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15 Physician/NP Name: BLOOD DISORDERS ICD 9 HCC ICD 10 HCC DESCRIPTOR Anemia n Unspecified 285.9 D64.9 Anemia, unspecified n d/t Blood loss 280 D5Ø.Ø Iron deficiency anemia secondary to blood loss (chronic) n d/t Chronic kidney disease 285.21 D63.1 Anemia in chronic kidney disease n d/t Iron deficiency 280.9 D5Ø.9 Iron deficiency anemia, unspecified n d/t Other chronic illness 285.29 D63.8 Anemia in other chronic diseases classified elsewhere n d/t Vtm B-12 deficiency 281.1 D51.1 Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption with proteinuria D51.3 Other dietary vitamin B12 deficiency anemia D51.8 Other vitamin B12 deficiency anemias Long term use of anticoagulants V58.61 Z79.Ø1 Long term (current) use of anticoagulants Neutrophenia (unspec.) 288 D7Ø.9 Neutropenia, unspecified Therapeutic drug monitoring V58.83 Z51.81 Encounter for therapeutic drug level monitoring Thrombocythemia 238.71 48 D47.3 Essential (hemorrhagic) thrombocythemia Thrombocytopenia, primary (unspec.) 287.3 48 D47.3 Essential (hemorrhagic) thrombocythemia Thrombocytopenia, secondary 287.49 D69.59 Other secondary thrombocytopenia Thrombocytopenia (unspec.) 287.5 48 D69.6 48 Thrombocytopenia, unspecified OTHER: CIRCULATORY DISEASE ICD 9 HCC ICD 10 HCC DESCRIPTOR Abdominal aneurysm w/o rupture 441.4 108 I71.4 108 Abdominal aortic aneurysm, without rupture Angina pectoris (unspec.) 413.9 88 I2Ø.8 88 Other forms of angina pectoris I2Ø.9 88 Angina pectoris, unspecified Aortic ectasia (unspec.) 447.7 108 I77.819 108 Aortic ectasia, unspecified site Aortic valve disorder 424.1 I35.Ø Nonrheumatic aortic (valve) stenosis I35.1 Nonrheumatic aortic (valve) insufficiency I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency I35.8 Other nonrheumatic aortic valve disorders I35.9 Nonrheumatic aortic valve disorder, unspecified Aortic atherosclerosis 440 108 I7Ø.Ø 108 Atherosclerosis of aorta Arterial atherosclerosis of extremities (unspec.) 440.20 108 I7Ø.2Ø9 108 Unspecified atherosclerosis of native arteries of extremities, unspecified extremity n w/ Claudication 440.21 108 I7Ø.219 108 Atherosclerosis of native arteries of extremities with intermittent claudication, unspecified extremity 2015/2016 NPA Model Superbill Note: For physician encounters, service dates cannot exceed 30 days, generally will be one day, and must relate directly to a physician/ NP encounter documented in the medical record. Diagnostic (ICD-9 to ICD-10) Codes Participant Name: Date(s) of Service/Encounter:

2015/2016 NPA Model Superbill...6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15 n€ w/ Gangrene (code ulcer, 707.x, if applicable) 440.24 106 I7Ø.269 106 Atherosclerosis

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Page 1: 2015/2016 NPA Model Superbill...6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15 n€ w/ Gangrene (code ulcer, 707.x, if applicable) 440.24 106 I7Ø.269 106 Atherosclerosis

6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Physician/NP Name:

BLOOD DISORDERS ICD 9 HCC ICD 10 HCC DESCRIPTOR

Anemia

n  Unspecified 285.9 D64.9 Anemia, unspecified

n  d/t Blood loss 280 D5Ø.Ø Iron deficiency anemia secondary to blood loss (chronic)

n  d/t Chronic kidney

disease285.21 D63.1 Anemia in chronic kidney disease

n  d/t Iron deficiency 280.9 D5Ø.9 Iron deficiency anemia, unspecified

n  d/t Other chronic

illness285.29 D63.8 Anemia in other chronic diseases classified elsewhere

n  d/t Vtm B-12

deficiency281.1 D51.1

Vitamin B12 deficiency anemia due to selective vitamin B12 malabsorption

with proteinuria

D51.3 Other dietary vitamin B12 deficiency anemia

D51.8 Other vitamin B12 deficiency anemias

Long term use of anticoagulants V58.61 Z79.Ø1 Long term (current) use of anticoagulants

Neutrophenia (unspec.) 288 D7Ø.9 Neutropenia, unspecified

Therapeutic drug monitoring V58.83 Z51.81 Encounter for therapeutic drug level monitoring

Thrombocythemia 238.71 48 D47.3 Essential (hemorrhagic) thrombocythemia

Thrombocytopenia, primary (unspec.) 287.3 48 D47.3 Essential (hemorrhagic) thrombocythemia

Thrombocytopenia, secondary 287.49 D69.59 Other secondary thrombocytopenia

Thrombocytopenia (unspec.) 287.5 48 D69.6 48 Thrombocytopenia, unspecified

OTHER:

CIRCULATORY DISEASE ICD 9 HCC ICD 10 HCC DESCRIPTOR

Abdominal aneurysm w/o rupture 441.4 108 I71.4 108 Abdominal aortic aneurysm, without rupture

Angina pectoris (unspec.) 413.9 88 I2Ø.8 88 Other forms of angina pectoris

I2Ø.9 88 Angina pectoris, unspecified

Aortic ectasia (unspec.) 447.7 108 I77.819 108 Aortic ectasia, unspecified site

Aortic valve disorder 424.1 I35.Ø Nonrheumatic aortic (valve) stenosis

I35.1 Nonrheumatic aortic (valve) insufficiency

I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency

I35.8 Other nonrheumatic aortic valve disorders

I35.9 Nonrheumatic aortic valve disorder, unspecified

Aortic atherosclerosis 440 108 I7Ø.Ø 108 Atherosclerosis of aorta

Arterial atherosclerosis of extremities

(unspec.)440.20 108 I7Ø.2Ø9 108

Unspecified atherosclerosis of native arteries of extremities, unspecified

extremity

n  w/ Claudication 440.21 108 I7Ø.219 108Atherosclerosis of native arteries of extremities with intermittent

claudication, unspecified extremity

2015/2016 NPA Model Superbill

Note: For physician encounters, service dates cannot exceed 30 days, generally will be one day, and must relate directly to a physician/ NP encounter documented in the medical

record.

Diagnostic (ICD-9 to ICD-10) Codes

Participant Name:

Date(s) of Service/Encounter:

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

n  w/ Gangrene (code

ulcer, 707.x, if

applicable)

440.24 106 I7Ø.269 106Atherosclerosis of native arteries of extremities with gangrene, unspecified

extremity

n  w/ Rest pain 440.22 108 I7Ø.229 108Atherosclerosis of native arteries of extremities with rest pain, unspecified

extremity

n  w/ Ulceration (code

ulcer site)440.23 106 I7Ø.25 106;161 Atherosclerosis of native arteries of other extremities with ulceration

Atrial fibrillation 427.31 96 I48.91 96 Unspecified atrial fibrillation

Bundle branch block 426.50 I44.3Ø Unspecified atrioventricular block

I44.39 Other atrioventricular block

I45.4 Nonspecific intraventricular block

Cardiac dysrrhythmias (unspec.) 427.90 I49.9 Cardiac arrhythmia, unspecified

Cardiomyopathy NOS 425.40 I42.5 85 Other restrictive cardiomyopathy

I42.8 85 Other cardiomyopathies

Carotid stenosis w/o cerebral

infarction433.10 Listed-None I65.29 Listed-None Occlusion and stenosis of unspecified carotid artery

Carotid stenosis w/ cerebral

infarction433.11 100 I63.139 100 Cerebral infarction due to embolism of unspecified carotid artery

I63.239 100Cerebral infarction due to unspecified occlusion or stenosis of unspecified

carotid arteries

Cerebrovascular disease - Table D

Chest Pain

n  Unspecified 786.50 RØ7.9 Chest pain, unspecified

n  Precordial pain 786.51 RØ7.2 Precordial pain

Chronic deep venous thrombosis

(DVT)

n  Acute DVT/embol. leg

NOS453.40 108 I82.4Ø9 108

Acute embolism and thrombosis of unspecified deep veins of unspecified

lower extremity

n  Chronic DVT/embol.

leg NOS453.50 108 I82.5Ø9 108

Chronic embolism and thrombosis of unspecified deep veins of unspecified

lower extremity

I82.599 108Chronic embolism and thrombosis of other specified deep vein of

unspecified lower extremity

n  Hx

venous/thrombosis

embolism

V12.51 Z86.718 Personal history of other venous thrombosis and embolism

Congestive heart failure (CHF)

428.0 85 I5Ø.9 85 Heart failure, unspecified

428.1 85 I5Ø.1 85 Left ventricular failure

n  Systolic HF (unspec.) 428.20 85 I5Ø.2Ø 85 Unspecified systolic (congestive) heart failure

n  Diastolic HF

(unspec.)428.30 85 I5Ø.3Ø 85 Unspecified diastolic (congestive) heart failure

Coronary artery disease

n  Unspecified 414.00 Listed-None I25.1Ø Listed-NoneAtherosclerotic heart disease of native coronary artery without angina

pectoris

n  Native coronary

artery414.01 Listed-None I25.1Ø Listed-None

Atherosclerotic heart disease of native coronary artery without angina

pectoris

Edema 782.30 R6Ø.Ø Localized edema

R6Ø.1 Generalized edema

R6Ø.9 Edema, unspecified

Hypertension –Table A

Hypotension

n  Unspecified 458.9 I95.9 Hypotension, unspecified

n  Orthostatic 458.0 I95.1 Orthostatic hypotension

Mitral valve disorder 424.0 I34.Ø Nonrheumatic mitral (valve) insufficiency

I34.8 Other nonrheumatic mitral valve disorders

n  Left ventricular

failure, acute

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Myocardial infarction

n  Old 412 Listed-None I25.2 Listed-None Old myocardial infarction

n  Acute episode NOS 410.90 87 I21.3 86 ST elevation (STEMI) myocardial infarction of unspecified site

n  Acute (initial

diagnosis)410.91 86 I21.3 86 ST elevation (STEMI) myocardial infarction of unspecified site

n  Acute (subseq. 8

weeks)410.92 87 I21.3 86 ST elevation (STEMI) myocardial infarction of unspecified site

Late effects of stroke - Table D

Paroxysmal supraventricular

tachycardia427.0 96 I47.1 96 Supraventricular tachycardia

Paroxysmal ventricular tachycardia 427.1 96 I47.2 96 Ventricular tachycardia

Peripheral vascular disease (unspec.) 443.9 108 I73.9 108 Peripheral vascular disease, unspecified

Sinoatrial node dysfunction 427.81 96 I49.5 96 Sick sinus syndrome

RØØ.1 Bradycardia, unspecified

Stasis dermatitis 454.1 I83.1Ø Varicose veins of unspecified lower extremity with inflammation

Superficial phlebitis, lower

extremities451.0 I83.ØØ9 107 Varicose veins of unspecified lower extremity with ulcer of unspecified site

I83.Ø19 107 Varicose veins of right lower extremity with ulcer of unspecified site

I83.Ø29 107 Varicose veins of left lower extremity with ulcer of unspecified site

Syncope 780.2 R55 Syncope and collapse

Thrombophlebitis, leg, NOS 451.2 I8Ø.3 Phlebitis and thrombophlebitis of lower extremities, unspecified

Thrombophlebitis, personal history of V12.52 Z86.72 Personal history of thrombophlebitis

Tricuspid valve disorder 424.2 I36.Ø Nonrheumatic tricuspid (valve) stenosis

I36.8 Other nonrheumatic tricuspid valve disorders

Venous insufficiency (code ulcer

separately if present)

n  Chronic 459.81 I87.2 Venous insufficiency (chronic) (peripheral)

n  w/ Ulcer (varicose

vein LE)454.0 107 I83.ØØ9 107 Varicose veins of unspecified lower extremity with ulcer of unspecified site

I83.Ø19 107 Varicose veins of right lower extremity with ulcer of unspecified site

I83.Ø29 107 Varicose veins of left lower extremity with ulcer of unspecified site

OTHER:

EENT ICD 9 HCC ICD 10 HCC DESCRIPTOR

Acquired absence of teeth (unspec.) 525.10 KØ8.1Ø9 Complete loss of teeth, unspecified cause, unspecified class

Acute conjunctivitis 372.00 H1Ø.33 Unspecified acute conjunctivitis, bilateral

Background diabetic retinopathy 362.01 18 E11.319 18Type 2 diabetes mellitus with unspecified diabetic retinopathy without

macular edema

Cataract 366.9 H26.9 Unspecified cataract

Cataract, nuclear sclerosis 366.16 H25.1Ø Age-related nuclear cataract, unspecified eye

Cataract, senile (unspec.) 366.10 H25.9 Unspecified age-related cataract

Dry eyes syndrome 375.15 HØ4.129 Dry eye syndrome of unspecified lacrimal gland

Exudative senile macular

degeneration362.52 124 H35.32 124 Exudative age-related macular degeneration

Glaucoma

n  Unspecified 365.9 H4Ø.9 Listed-None Unspecified glaucoma

n  Open angle (use

addt’l code for stage:

365.70 – 365.74)

365.10 Listed-None H4Ø.1ØXØ Listed-None Unspecified open-angle glaucoma, stage unspecified

Page 4: 2015/2016 NPA Model Superbill...6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15 n€ w/ Gangrene (code ulcer, 707.x, if applicable) 440.24 106 I7Ø.269 106 Atherosclerosis

6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

H4Ø.1ØX1 Listed-None Unspecified open-angle glaucoma, mild stage

H4Ø.1ØX2 Listed-None Unspecified open-angle glaucoma, moderate stage

H4Ø.1ØX3 Listed-None Unspecified open-angle glaucoma, severe stage

H4Ø.1ØX4 Listed-None Unspecified open-angle glaucoma, indeterminate stage

n  Primary open angle 365.11 Listed-None H4Ø.11XØ Listed-None Primary open-angle glaucoma, stage unspecified

H4Ø.11X1 Listed-None Primary open-angle glaucoma, mild stage

H4Ø.11X2 Listed-None Primary open-angle glaucoma, moderate stage

H4Ø.11X3 Listed-None Primary open-angle glaucoma, severe stage

H4Ø.11X4 Listed-None Primary open-angle glaucoma, indeterminate stage

Hearing loss 389.9 H91.9Ø Unspecified hearing loss, unspecified ear

Legal blindness 369.4 H54.8 Legal blindness, as defined in USA

Macular degeneration (unspec.) 362.50 H35.3Ø Unspecified macular degeneration

Otitis media, acute 382.00 H66.ØØ9Acute suppurative otitis media without spontaneous rupture of ear drum,

unspecified ear

Retinal hemorrhage 362.81 H35.6Ø Retinal hemorrhage, unspecified eye

Thrush, oral 112.0 B37.Ø Candidal stomatitis

B37.83 Candidal cheilitis

Visual disturbance 368.9 H53.9 Unspecified visual disturbance

Vitreous hemorrhage 379.23 122 H43.13 122 Vitreous hemorrhage, bilateral

OTHER:

ENDOCRINE & METABOLIC

DISORDERSICD 9 HCC ICD 10 HCC DESCRIPTOR

Anorexia 783.0 R63.Ø Anorexia

Body mass index 40.0-44.9 V85.41 22 Z68.41 22 Body mass index (BMI) 40.0-44.9, adult

Body mass index 45.0-49.9 V85.42 22 Z68.42 22 Body mass index (BMI) 45.0-49.9, adult

Body mass index 50.0-59.9 V85.43 22 Z68.43 22 Body mass index (BMI) 50-59.9 , adult

Body mass index 60.0-69.9 V85.44 22 Z68.44 22 Body mass index (BMI) 60.0-69.9, adult

Body mass index 70.0 and over V85.45 22 Z68.45 22 Body mass index (BMI) 70 or greater, adult

Diabetes - Table F & G

Hypercholesterolemia (pure) 272.0 Listed-None E78.Ø Listed-None Pure hypercholesterolemia

Hyperlipidemia NOS 272.4 Listed-None E78.4 Listed-None Other hyperlipidemia

E78.5 Listed-None Hyperlipidemia, unspecified

Hyperparathyroidism 252.01 23 E21.Ø 23 Primary hyperparathyroidism

Hyperparathyroidism (unspec.) 252.00 23 E21.3 23 Hyperparathyroidism, unspecified

Hyperthyroidism 242.90 Listed-None EØ5.9Ø Listed-None Thyrotoxicosis, unspecified without thyrotoxic crisis or storm

Hyposmolality and/or hyponatremia 276.1 E87.1 Hypo-osmolality and hyponatremia

Hypothyroidism 244.9 Listed-None EØ3.9 Listed-None Hypothyroidism, unspecified

Hypovolemia 276.52 E86.1 Hypovolemia

Long term use of insulin V58.67 19 Z79.4 19 Long term (current) use of insulin

Malnutrition (calorie) NOS 263.9 21 E46 21 Unspecified protein-calorie malnutrition

Malnutrition (moderate degree) 263.0 21 E44.Ø 21 Moderate protein-calorie malnutrition

Malnutrition (mild degree) 263.1 21 E44.1 21 Mild protein-calorie malnutrition

Obesity, morbid 278.01 22 E66.Ø1 22 Morbid (severe) obesity due to excess calories

Obesity (unspec.) 278.00 E66.9 Obesity, unspecified

Overweight 278.02 E66.3 Overweight

Underweight 783.22 R63.6 Underweight

Vit B12 deficiency, excludes w/

anemia266.2 E53.8 Deficiency of other specified B group vitamins

Page 5: 2015/2016 NPA Model Superbill...6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15 n€ w/ Gangrene (code ulcer, 707.x, if applicable) 440.24 106 I7Ø.269 106 Atherosclerosis

6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Vit D deficiency (unspec.) 268.9 E55.9 Vitamin D deficiency, unspecified

Weight loss 783.21 R63.4 Abnormal weight loss

OTHER:

GASTROINTESTINAL

DISORDERSICD 9 HCC ICD 10 HCC DESCRIPTOR

Acute abdominal pain 789.00 R1Ø.9 Unspecified abdominal pain

Alcoholic cirrhosis of the liver 571.2 28 K7Ø.3Ø 28 Alcoholic cirrhosis of liver without ascites

Artificial opening status NEC V44.8 188 Z93.8 188 Other artificial opening status

Artificial opening status (unspec.) V44.9 188 Z93.9 188 Artificial opening status, unspecified

574.20 K8Ø.2Ø Calculus of gallbladder without cholecystitis without obstruction

574.21 K8Ø.21 Calculus of gallbladder without cholecystitis with obstruction

Cirrhosis (non-alcoholic) 571.5 28 K74.Ø 28 Hepatic fibrosis

K74.6Ø 28 Unspecified cirrhosis of liver

K74.69 28 Other cirrhosis of liver

Colostomy (attention to) V55.3 188 Z43.3 188 Encounter for attention to colostomy

Colostomy (status) V44.3 188 Z93.3 188 Colostomy status

Constipation (unspec.) 564.00 K59.ØØ Constipation, unspecified

Crohn’s disease NOS 555.9 35 K5Ø.9Ø 35 Crohn's disease, unspecified, without complications

Diarrhea 787.91 K52.2 Allergic and dietetic gastroenteritis and colitis

K52.89 Other specified noninfective gastroenteritis and colitis

R19.7 Diarrhea, unspecified

Diverticulitis 562.11 K57.32Diverticulitis of large intestine without perforation or abscess without

bleeding

Diverticulosis 562.10 K57.3ØDiverticulosis of large intestine without perforation or abscess without

bleeding

Dyspepsia 536.8 K3Ø Functional dyspepsia

Dysphagia (difficulty swallowing) 787.20 R13.Ø Aphagia

R13.1Ø Dysphagia, unspecified

Esophageal stricture 530.3 Listed-None K22.2 Listed-None Esophageal obstruction

Esophagitis 530.10 Listed-None K2Ø.9 Listed-None Esophagitis, unspecified

Fecal impaction 560.32 33 K56.41 33 Fecal impaction

Fecal incontinence 787.60 R15.9 Full incontinence of feces

Gastritis, acute (w/o hemorrhage) 535.00 K29.ØØ Acute gastritis without bleeding

Gastritis, chronic (w/o hemorrhage) 535.10 K29.4Ø Chronic atrophic gastritis without bleeding

K29.5Ø Unspecified chronic gastritis without bleeding

Gastroenteritis 558.9 K52.89 Other specified noninfective gastroenteritis and colitis

K52.9 Noninfective gastroenteritis and colitis, unspecified

Gastroesophageal reflux (GERD) 530.81 Listed-None K21.9 Listed-None Gastro-esophageal reflux disease without esophagitis

Gastroparesis 536.3 K31.84 Gastroparesis

Gastrostomy (status) V44.1 188 Z93.1 188 Gastrostomy status

GI bleeding

n  Hematemesis 578.0 K92.Ø Hematemesis

n  Melena/blood in stool 578.1 K92.1 Melena

Hemorrhoids (external)

n  w/ Bleeding or

complications455.5 K64.4 Residual hemorrhoidal skin tags

n  w/o Bleeding NOS 455.6 K64.9 Unspecified hemorrhoids

Hernia

n  Hiatal 553.3 K44.9 Diaphragmatic hernia without obstruction or gangrene

Calculus of gallbladder w/o

cholecystitis - needs 5th digit:

- 0 w/o obstruction, - 1 w/

obstruction

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

n  Inguinal 550.90 K4Ø.9ØUnilateral inguinal hernia, without obstruction or gangrene, not specified as

recurrent

n  Umbilical 553.1 K42.9 Umbilical hernia without obstruction or gangrene

IBS/ irritable bowel syndrome 564.1 K58.9 Irritable bowel syndrome without diarrhea

Ileostomy (status) V44.2 Z93.2 188 Ileostomy status

Ileostomy (attention to) V55.2 188 Z43.2 188 Encounter for attention to ileostomy

Nausea

n  w/ Vomiting 787.01 R11.2 Nausea with vomiting, unspecified

n  w/o Vomiting 787.02 R11.Ø Nausea

Pancreatitis (chronic) 577.1 34 K86.1 34 Other chronic pancreatitis

GENITOURINARY DISORDERS ICD 9 HCC ICD 10 HCC DESCRIPTOR

Chronic kidney disease - Table H

Cystostomy status NOS V44.50 188 Z93.5Ø 188 Unspecified cystostomy status

ESRD (status) V45.11 134 Z99.2 134 Dependence on renal dialysis

Fit/adjust extracorporeal catheter V56.1 134 Z49.Ø1 134 Encounter for fitting and adjustment of extracorporeal dialysis catheter

Fit/adjust peritoneal catheter V56.2 134 Z49.Ø2 134 Encounter for fitting and adjustment of peritoneal dialysis catheter

Impotence 607.84 N52.9 Male erectile dysfunction, unspecified

Incomplete bladder emptying 788.21 R39.14 Feeling of incomplete bladder emptying

Incontinence

n  Urge 788.31 N39.41 Urge incontinence

n  Stress (female) 625.6 N39.3 Stress incontinence (female) (male)

n  Stress (male) 788.32 N39.3 Stress incontinence (female) (male)

n  Mixed/stress NOS 788.33 N39.46 Mixed incontinence

n  NOS 788.30 R32 Unspecified urinary incontinence

n  Overflow 788.38 N39.49Ø Overflow incontinence

Nocturia 788.43 R35.1 Nocturia

Postmenopausal bleeding 627.1 N95.Ø Postmenopausal bleeding

Prostatitis 601.9 N41.9 Inflammatory disease of prostate, unspecified

Renal dialysis status V45.11 134 Z99.2 134 Dependence on renal dialysis

Urinary frequency 788.41 R35.Ø Frequency of micturition

Urinary retention 788.20 R33.9 Retention of urine, unspecified

UTI (site unspecified) 599.0 N39.Ø Urinary tract infection, site not specified

Vaginitis

n  Atrophic 627.3 N95.2 Postmenopausal atrophic vaginitis

n  Unspecified 616.10 N76.Ø Acute vaginitis

N76.1 Subacute and chronic vaginitis

N76.2 Acute vulvitis

N76.3 Subacute and chronic vulvitis

OTHER:

GERIATRIC CONDITIONS ICD 9 HCC ICD 10 HCC DESCRIPTOR

N4Ø.ØBenign prostatic hypertrophy (BPH)

w/o obstruction (LUTS)600.00

K27.9533.90

Benign prostatic hypertrophy (BPH)

w/ obstruction (LUTS)N4Ø.1

Peptic ulcer, site unspecified, unspecified as acute or chronic, without

hemorrhage or perforation

Enlarged prostate without lower urinary tract symptoms

600.01 Enlarged prostate with lower urinary tract symptoms

Peptic ulcer unspecified as acute or

chronic, w/o mention of hemorrhage

or perforation, w/o mention of

obstruction

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Acute delirium 293.0 FØ5 Delirium due to known physiological condition

Altered mental status 780.97 R41.82 Altered mental status, unspecified

Cachexia 799.4 21 R64 21 Cachexia

Chronic pain 338.29 G89.29 Other chronic pain

Dehydration 276.51 E86.Ø Dehydration

Dizziness 780.4 R42 Dizziness and giddiness

DNR Status V49.86 Z66 Do not resuscitate

Failure to thrive 783.7 R62.7 Adult failure to thrive

Fall, history of V15.88 Z91.81 History of falling

Gait disorder 781.2 R26.Ø Ataxic gait

R26.1 Paralytic gait

R26.89 Other abnormalities of gait and mobility

R26.9 Unspecified abnormalities of gait and mobility

Insomnia 780.52 G47.ØØ Insomnia, unspecified

Lethargy/ weakness/ fatigue 780.79 G93.3 Postviral fatigue syndrome

R53.1 Weakness

R53.81 Other malaise

R53.83 Other fatigue

Lives alone V60.3 Z6Ø.2 Problems related to living alone

Stupor/unconsciousness 780.09 R4Ø.Ø Somnolence

R4Ø.1 Stupor

Wheelchair dependence V46.3 Z99.3 Dependence on wheelchair

OTHER:

INFECTIOUS DISEASES &

DISORDERSICD 9 HCC ICD 10 HCC DESCRIPTOR

Clostridium difficile 008.45 AØ4.7 Enterocolitis due to Clostridium difficile

Gram-negative septicemia NOS 038.4 2 A41.5Ø 2 Gram-negative sepsis, unspecified

Hepatitis C, chronic (viral) 070.54 29 B18.2 29 Chronic viral hepatitis C

Hepatitis, chronic (unspec.) 571.4 29 K73.9 29 Chronic hepatitis, unspecified

HIV/AIDS 042 1 B2Ø 1 Human immunodeficiency virus [HIV] disease

H1N1 influenza virus 488.12 J1Ø.1Influenza due to other identified influenza virus with other respiratory

manifestations

Latent tuberculosis (PPD reactor) 795.51 R76.11 Nonspecific reaction to tuberculin skin test without active tuberculosis

Other staphylococcal septicemia 038.19 2 A41.1 2 Sepsis due to other specified staphylococcus

Pneumococcal septicemia 038.2 2 A4Ø.3 2 Sepsis due to Streptococcus pneumoniae

Staph infection MRSA 041.12 B95.62Methicillin resistant Staphylococcus aureus infection as the cause of

diseases classified elsewhere

Staph infection MSSA 041.11 B95.61Methicillin susceptible Staphylococcus aureus infection as the cause of

diseases classified elsewhere

Staphylococcal septicemia 038.10 2 A41.2 2 Sepsis due to unspecified staphylococcus

OTHER:

MENTAL HEALTH ICD 9 HCC ICD 10 HCC DESCRIPTOR

Infection and inflammatory reaction due to other internal prosthetic devices,

implants and grafts, initial encounter

Sepsis due to Methicillin susceptible Staphylococcus aureus

996.6 176

2

176

V09.0

T85.79XA

Z16.11

A41.Ø12038.11Methicillin susceptible staphylococcal

aureus septicemia

Resistance to penicillins

Infection/inflammation from internal

prosthetic device, implant and graph

Infection w/ microorganisms resistant

to penicillins

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Abuse

n  Alcohol 305.00 F1Ø.1Ø Alcohol abuse, uncomplicated

n  Tobacco 305.1 F17.2ØØ Nicotine dependence, unspecified, uncomplicated

Anxiety disorder (generalized) 300.02 Listed-None F41.1 Listed-None Generalized anxiety disorder

Bipolar disorder – needs 5th digit 296.8_

296.80 58 F31.9 58 Bipolar disorder, unspecified

296.81 58 F3Ø.8 58 Other manic episodes

296.82 58 F32.8 Listed-None Other depressive episodes

Dementia (unspec.) - Table B 294.20 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Dependence

n  Alcohol 303.90 55 F1Ø.2Ø 55 Alcohol dependence, uncomplicated

n  Narcotic 304.90 55 F19.2Ø 55 Other psychoactive substance dependence, uncomplicated

Depression

n  Major, single episode 296.20 58 F32.9 Listed-None Major depressive disorder, single episode, unspecified

n  Major, recurrent

episode296.30 58 F33.9 58 Major depressive disorder, recurrent, unspecified

n  Major, in remission 296.25 58 F32.4 58 Major depressive disorder, single episode, in partial remission

n  Depression NOS 311 Listed-None F32.9 Listed-None Major depressive disorder, single episode, unspecified

n  Neurotic depression 300.4 Listed-None F34.1 Listed-None Dysthymic disorder

Drug - induced delirium 292.81 54 F19.921 55Other psychoactive substance use, unspecified with intoxication with

delirium

Grief disorder 309.0 F43.21 Adjustment disorder with depressed mood

Obsessive - compulsive disorder 300.3 Listed-None F42 Listed-None Obsessive-compulsive disorder

Panic disorder 300.01 Listed-None F41.Ø Listed-None Panic disorder [episodic paroxysmal anxiety] without agoraphobia

Paranoia 297.9 58 F23 Brief psychotic disorder

Personality disorder 301.9 F6Ø.9 Personality disorder, unspecified

Psychosis (senile - unspecified) 290.9 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Schizo - affective type chronic 295.72 57 F25.9 57 Schizoaffective disorder, unspecified

Schizophrenic disorders (other 5th

digits may apply)

n  Paranoid type -

chronic295.32 57 F2Ø.Ø 57 Paranoid schizophrenia

OTHER:

MUSCULOSKELETAL ICD 9 HCC ICD 10 HCC DESCRIPTOR

Amputation lower limb (status)

NOS V49.70 189 Z89.9 Acquired absence of limb, unspecified

Amputation great toe (status) V49.71 189 Z89.419 189 Acquired absence of unspecified great toe

Amputation other toe(s) (status) V49.72 189 Z89.429 189 Acquired absence of other toe(s), unspecified side

Amputation foot (status) V49.73 189 Z89.439 189 Acquired absence of unspecified foot

Amputation ankle (status) V49.74 189 Z89.449 189 Acquired absence of unspecified ankle

Amputation below knee (status) V49.75 189 Z89.519 189 Acquired absence of unspecified leg below knee

Amputation above knee (status) V49.76 189 Z89.619 189 Acquired absence of unspecified leg above knee

Amputation hip (status) V49.77 189 Z89.629 Acquired absence of unspecified hip joint

57

n  Paranoid type -

chronic w/ acute

exacerbation

295.34 F2Ø.Ø Paranoid schizophrenia57

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Artificial leg fitting V52.1 189 Z44.1Ø9 189Encounter for fitting and adjustment of unspecified artificial leg, unspecified

leg

Bursitis/tendonitis

n  Subacromial/rotator

cuff726.10 M75.1ØØ

Unspecified rotator cuff tear or rupture of unspecified shoulder, not

specified as traumatic

M75.5Ø Bursitis of unspecified shoulder

n  Bursitis NOS 727.3 M71.5Ø Other bursitis, not elsewhere classified, unspecified site

Cervical spondylosis 721.0 M47.812 Spondylosis without myelopathy or radiculopathy, cervical region

Cervicalgia 723.1 M54.2 Cervicalgia

712.2_

712.20 M11.8Ø Other specified crystal arthropathies, unspecified site

712.21 M11.819 Other specified crystal arthropathies, unspecified shoulder

712.22 M11.829 Other specified crystal arthropathies, unspecified elbow

712.23 M11.839 Other specified crystal arthropathies, unspecified wrist

712.24 M11.849 Other specified crystal arthropathies, unspecified hand

712.25 M11.859 Other specified crystal arthropathies, unspecified hip

712.26 M11.869 Other specified crystal arthropathies, unspecified knee

712.27 M11.879 Other specified crystal arthropathies, unspecified ankle and foot

712.28 M11.88 Other specified crystal arthropathies, vertebrae

712.29 M11.89 Other specified crystal arthropathies, multiple sites

Fractures

n  Humerus 812.20 S42.3Ø9AUnspecified fracture of shaft of humerus, unspecified arm, initial encounter

for closed fracture

n  Hip, acute 820.8 170 S72.ØØ9A 170Fracture of unspecified part of neck of unspecified femur, initial encounter

for closed fracturen  Hip, old (late effect

of)905.3 M84.459S Pathological fracture, hip, unspecified, sequela

S72.ØØ9S Fracture of unspecified part of neck of unspecified femur, sequela

n  Pelvis 808.8 170 S32.9XXA 170Fracture of unspecified parts of lumbosacral spine and pelvis, initial

encounter for closed fracture

n  Rib 807.00 S22.39XA Fracture of one rib, unspecified side, initial encounter for closed fracture

n  Vertebral, acute NOS

– closed805.8 169 S12.9XXA 169 Fracture of neck, unspecified, initial encounter

S22.ØØ9A 169Unspecified fracture of unspecified thoracic vertebra, initial encounter for

closed fracture

S32.ØØ9A 169Unspecified fracture of unspecified lumbar vertebra, initial encounter for

closed fracture

S32.1ØXA 169 Unspecified fracture of sacrum, initial encounter for closed fracture

S32.2XXA 169 Fracture of coccyx, initial encounter for closed fracture

n  Wrist 814.00 S62.1Ø9AFracture of unspecified carpal bone, unspecified wrist, initial encounter for

closed fracture

n  Pathologic frax

vertebra NOS733.13 169 M48.5ØXA 169

Collapsed vertebra, not elsewhere classified, site unspecified, initial

encounter for fracture

M8Ø.Ø8XA 169Age-related osteoporosis with current pathological fracture, vertebra(e),

initial encounter for fracture

M84.48XA Listed-None Pathological fracture, other site, initial encounter for fracture

M84.68XA Listed-NonePathological fracture in other disease, other site, initial encounter for

fracture

n  Pathologic frax hip

NOS733.14 170 M84.459A 170 Pathological fracture, hip, unspecified, initial encounter for fracture

Gout (unspec.) 274.9 M1Ø.9 Gout, unspecified

Gouty arthropathy (unspec.) 274.00 M1Ø.ØØ Idiopathic gout, unspecified site

Gouty arthropathy, acute 274.01 M1Ø.ØØ Idiopathic gout, unspecified site

Chondrocalcinosis: needs 5th digit (0-

9 location) and primary condition

code, e.g. 275.4

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Gouty arthropathy, chronic w/o

tophus274.02 M1A.9XXØ Chronic gout, unspecified, without tophus (tophi)

Gouty arthropathy, chronic w/ tophus 274.03 M1A.ØØX1 Idiopathic chronic gout, unspecified site, with tophus (tophi)

M1A.2ØX1 Drug-induced chronic gout, unspecified site, with tophus (tophi)

M1A.3ØX1 Chronic gout due to renal impairment, unspecified site, with tophus (tophi)

M1A.4ØX1 Other secondary chronic gout, unspecified site, with tophus (tophi)

M1A.9XX1 Chronic gout, unspecified, with tophus (tophi)

Lower back pain 724.2 M54.5 Low back pain

Lumbar disk disease (sciatica) 722.10 M51.26 Other intervertebral disc displacement, lumbar region

M51.27 Other intervertebral disc displacement, lumbosacral region

Lupus (code manifestation if present) 710.0 40 M32.1Ø 40 Systemic lupus erythematosus, organ or system involvement unspecified

Myopathy 359.9 75 G72.9 75 Myopathy, unspecified

Osteoarthritis/ DJD

n  Hip 715.15 M16.1Ø Unilateral primary osteoarthritis, unspecified hip

n  Knee 715.16 M17.1Ø Unilateral primary osteoarthritis, unspecified kne

n  Spine 721.90 M47.819 Spondylosis without myelopathy or radiculopathy, site unspecified

n  Other sites

(generalized)715.09 M15.Ø Primary generalized (osteo)arthritis

730.10 39 M86.6Ø 39 Other chronic osteomyelitis, unspecified site

Osteomyelitis NOS (unspec.) 730.20 39 M86.9 39 Osteomyelitis, unspecified

Osteoporosis, postmenopausal

(senile)733.01 Listed-None M81.Ø Listed-None Age-related osteoporosis without current pathological fracture

Polymyalgia rheumatica 725 40 M35.3 40 Polymyalgia rheumatica

Rheumatoid arthritis 714.0 40 MØ6.9 40 Rheumatoid arthritis, unspecified

Scoliosis and kyphoscoliosis 737.30 M41.2Ø Other idiopathic scoliosis, site unspecified

Spinal stenosis

n  Lumbar region NOS 724.02 M48.Ø6 Spinal stenosis, lumbar region

724.03 M48.Ø6 Spinal stenosis, lumbar region

n  Cervical 723.0 M48.Ø2 Spinal stenosis, cervical region

OTHER:

NEUROLOGICAL ICD 9 HCC ICD 10 HCC DESCRIPTOR

Acute stroke

n  Acute stroke NOS 434.91 100 I63.5Ø 100Cerebral infarction due to unspecified occlusion or stenosis of unspecified

cerebral artery

n  Embolic 434.11 100 I63.4Ø 100 Cerebral infarction due to embolism of unspecified cerebral artery

n  Thrombotic 434.01 100 I63.3Ø 100 Cerebral infarction due to thrombosis of unspecified cerebral artery

333.1 G25.Ø Essential tremor

G25.1 Drug-induced tremor

G25.2 Other specified forms of tremor

Headache 784.0 G44.1 Vascular headache, not elsewhere classified

R51 Headache

Multiple sclerosis 340 77 G35 77 Multiple sclerosis

Paraplegia 344.1 71 G82.2Ø 71 Paraplegia, unspecified

Parkinson’s disease 332.0 78 G2Ø 78 Parkinson's disease

n  Osteomyelitis, chronic

–(unspec.)

n  Lumbar w/

neurogenic claudication

Essential and other specified forms of

tremor: benign, familial, medication -

induced postural

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

n  Drug induced 332.1 78 G21.11 78 Neuroleptic induced parkinsonism

G21.19 78 Other drug induced secondary parkinsonism

G21.8 78 Other secondary parkinsonism

Peripheral neuropathy

n  Unspecified 356.9 75 G6Ø.9 75 Hereditary and idiopathic neuropathy, unspecified

n  Alcoholic

polyneuropathy357.5 75 G62.1 75 Alcoholic polyneuropathy

n  Phantom limb

(syndrome)353.6 189 G54.6 189 Phantom limb syndrome with pain

G54.7 189 Phantom limb syndrome without pain

Seizure

n  Epilepsy (chronic

seizures)345.90 79 G4Ø.9Ø1 79 Epilepsy, unspecified, not intractable, with status epilepticus

G4Ø.9Ø9 79 Epilepsy, unspecified, not intractable, without status epilepticus

n  Single episode 780.39 79 R56.9 79 Unspecified convulsions

Transient ischemic attack, history of V12.54 Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction

without residual deficits

OTHER:

RESPIRATORY DISEASE ICD 9 HCC ICD 10 HCC DESCRIPTOR

Acute and chronic respiratory failure 518.84 84 J96.2Ø 84Acute and chronic respiratory failure, unspecified whether with hypoxia or

hypercapnia

Allergic rhinitis (unspec.) 477.9 J3Ø.Ø Vasomotor rhinitis

J3Ø.9 Allergic rhinitis, unspecified

Asthma (chronic obstructive) 493.20 111 J44.9 111 Chronic obstructive pulmonary disease, unspecified

493.22 111 J44.1 111 Chronic obstructive pulmonary disease with (acute) exacerbation

Bronchitis (chronic) simple 491.0 111 J41.Ø 111 Simple chronic bronchitis

Bronchitis (chronic) NEC 491.8 111 J41.8 111 Mixed simple and mucopurulent chronic bronchitis

Bronchitis (chronic) NOS 491.9 111 J42 111 Unspecified chronic bronchitis

Chronic obstructive bronchitis

n  w/ Acute

exacerbation491.21 111 J44.1 111 Chronic obstructive pulmonary disease with (acute) exacerbation

n  w/o Exacerbation 491.20 111 J44.9 111 Chronic obstructive pulmonary disease, unspecified

n  COPD NOS 496 111 J44.9 111 Chronic obstructive pulmonary disease, unspecified

Cough 786.2 RØ5 Cough

Emphysema 492.8 111 J43.9 111 Emphysema, unspecified

Food/vomit pneumonitis (aspiration) 507.0 114 J69.Ø 114 Pneumonitis due to inhalation of food and vomit

Hemoptysis 786.30 RØ4.2 Hemoptysis

RØ4.9 Hemorrhage from respiratory passages, unspecified

Hypoxemia 799.02 Listed-None RØ9.Ø2 Hypoxemia

Long term oxygen therapy V46.2 Z99.81 Dependence on supplemental oxygen

793.19 R91.8 Other nonspecific abnormal finding of lung field

Painful respiration 786.52 RØ7.1 Chest pain on breathing

RØ7.81 Pleurodynia

Pleural effusion 511.9 J91.8 Pleural effusion in other conditions classified elsewhere

Pneumonia (unspec.) 486 J18.9 Pneumonia, unspecified organism

Pneumococcal pneumonia 481 115 J13 115 Pneumonia due to Streptococcus pneumoniae

J18.1 115 Lobar pneumonia, unspecified organism

482._ _

482.0 114 J15.Ø 114 Pneumonia due to Klebsiella pneumoniae

Nonspecific abnormal finding on

radiological exam of lung

Pneumonia (bacterial) specify

organism________ needs 4th or 5

th

digit

Asthma (chronic obstructive) w/ acute

exacerbation

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

482.1 114 J15.1 114 Pneumonia due to Pseudomonas

482.2 115 J14 115 Pneumonia due to Hemophilus influenzae

482.9 J15.9 Unspecified bacterial pneumonia

Pulmonary embolism V12.55 Z86.711 Personal history of pulmonary embolism

Pulmonary hypertension, primary 416.0 85 I27.Ø 85 Primary pulmonary hypertension

Pulmonary hypertension, secondary 416.8 85 I27.2 85 Other secondary pulmonary hypertension

I27.89 85 Other specified pulmonary heart diseases

Respiratory abnormality (unspec.) 786.00 RØ6.9 Unspecified abnormalities of breathing

Respiratory failure (chronic)

(oxygen dependent) 518.83 84 J96.1Ø 84Chronic respiratory failure, unspecified whether with hypoxia or

hypercapnia

Shortness of breath 786.05 RØ6.Ø2 Shortness of breath

Sinusitis NOS 473.9 J32.9 Chronic sinusitis, unspecified

Sleep apnea (unspec.) 780.57 G47.3Ø Sleep apnea, unspecified

Sleep apnea, obstructive 327.23 G47.33 Obstructive sleep apnea (adult) (pediatric)

Sleep apnea w/ insomnia 780.51 G47.3Ø Sleep apnea, unspecified

Tobacco use, personal history of V15.82 Z87.891 Personal history of nicotine dependence

Tracheostomy V44.0 Z93.Ø 82 Tracheostomy status

Upper respiratory infection, acute 465.9 JØ6.9 Acute upper respiratory infection, unspecified

OTHER:

SKIN DISORDERS ICD 9 HCC ICD 10 HCC DESCRIPTOR

Candidal intertrigo 112.3 B37.2 Candidiasis of skin and nail

Cellulitis NOS 682.9 LØ3.9Ø Cellulitis, unspecified

LØ3.91 Acute lymphangitis, unspecified

Pressure / decubitus ulcer – Table E

Pruritis 698.9 L29.9 Pruritus, unspecified

Psoriasis 696.1 Listed-None L4Ø.Ø Listed-None Psoriasis vulgaris

L4Ø.1 Listed-None Generalized pustular psoriasis

L4Ø.2 Listed-None Acrodermatitis continua

L4Ø.3 Listed-None Pustulosis palmaris et plantaris

L4Ø.4 Listed-None Guttate psoriasis

L4Ø.8 Listed-None Other psoriasis

Rash 782.1 R21 Rash and other nonspecific skin eruption

Seborrheic dermatitis 690.10 L21.9 Seborrheic dermatitis, unspecified

Ulcer - Table E

Urticaria, allergic 708.0 L5Ø.Ø Allergic urticaria

OTHER:

TRAUMA ICD 9 HCC ICD 10 HCC DESCRIPTOR

Burn

n  Unspecified degree 949.0 T3Ø.Ø Burn of unspecified body region, unspecified degree

T3Ø.4 Corrosion of unspecified body region, unspecified degree

n  Erythema (1st degree) 949.1 T3Ø.Ø Burn of unspecified body region, unspecified degree

n  Blisters, epidermal

loss (2nd

degree)

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

949.2 T3Ø.Ø Burn of unspecified body region, unspecified degree

949.3 T3Ø.Ø Burn of unspecified body region, unspecified degree

Laceration

n  Lower leg 891.0 S71.Ø29A Laceration with foreign body, unspecified hip, initial encounter

S71.129A Laceration with foreign body, unspecified thigh, initial encounter

n  Lower limb (w/o

comp)894.0 S71.ØØ9A Unspecified open wound, unspecified hip, initial encounter

n  Other body part (w/o

comp)879.8 S31.ØØØA

Unspecified open wound of lower back and pelvis without penetration into

retroperitoneum, initial encounter

n  Thigh and hip 890.0 S71.ØØ9A Unspecified open wound, unspecified hip, initial encounter

S71.1Ø9A Unspecified open wound, unspecified thigh, initial encounter

n  Upper limb (w/o

comp)884.0 S41.ØØ9A Unspecified open wound of unspecified shoulder, initial encounter

OTHER:

Hypertension: ICD 9 HCC ICD 10 HCC DESCRIPTOR

Benign essential hypertension 401.1 Listed-None I1Ø Listed-None Essential (primary) hypertension

Essential hypertension 401.9 Listed-None I1Ø Listed-None Essential (primary) hypertension

Hypertensive heart disease:†

(unspecified)ICD 9 HCC ICD 10 HCC DESCRIPTOR

w/ Hypertensive HF 402.91 85 I11.Ø 85 Hypertensive heart disease with heart failure

w/o HF 402.90 Listed-None I11.9 Listed-None Hypertensive heart disease without heart failure

Hypertensive kidney disease:

(unspecified)‡ ICD 9 HCC ICD 10 HCC DESCRIPTOR

w/ CKD (stages I-IV,or unspec.) 403.90 139 I12.9 139Hypertensive chronic kidney disease with stage 1 through stage 4 chronic

kidney disease, or unspecified chronic kidney disease

w/ CKD (stage 5 or ESRD) 403.91 136 I12.Ø 136Hypertensive chronic kidney disease with stage 5 chronic kidney disease or

end stage renal disease

Hypertensive heart & CKD:‡ ICD 9 HCC ICD 10 HCC DESCRIPTOR

139

404.10 I13.1Ø

Hypertensive heart and chronic kidney disease without heart failure, with

stage 1 through stage 4 chronic kidney disease, or unspecified chronic

kidney disease

139139

404.11 I13.Ø

Hypertensive heart and chronic kidney disease with heart failure and stage

1 through stage 4 chronic kidney disease, or unspecified chronic kidney

disease

139

404.02 I13.11Hypertensive heart and chronic kidney disease without heart failure, with

stage 5 chronic kidney disease, or end stage renal disease136

404.03 I13.2Hypertensive heart and chronic kidney disease with heart failure and with

stage 5 chronic kidney disease, or end stage renal disease85;136136

136

Hypertensive heart and chronic kidney disease without heart failure, with

stage 1 through stage 4 chronic kidney disease, or unspecified chronic

kidney disease

139

404.01 I13.Ø

Hypertensive heart and chronic kidney disease with heart failure and stage

1 through stage 4 chronic kidney disease, or unspecified chronic kidney

disease

139

404.00 I13.1Ø

Table A- HYPERTENSION

For hypertensive kidney disease, code CKD 585.x. For hypertensive heart & CKD, code CKD 585.x and HF 428.x

Benign, w/o HF and w/ CKD stage I-

IV or unspecified

Benign, w/ HF and w/ CKD stage I-IV

or unspecified

n  Blisters, epidermal

loss (2nd

degree)

n  Full thickness skin

loss (3rd

degree

NOS)

Malignant, w/o HF and w/ CKD

stage I-IV, or unspecified

Malignant, w/ HF and w/ CKD stage I-

IV, or unspecified

Malignant, w/o HF and w/ CKD

stage V or ESRD

Malignant, w/ HF and w/ CKD stage

V or ESRD

139

139

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Primary Diagnosis: ICD 9 HCC ICD 10 HCC DESCRIPTOR

Alzheimer’s disease 331.0 52 G3Ø.9 52 Alzheimer's disease, unspecified

Cerebral degeneration, classified

elsewhere331.7 52 G94 52 Other disorders of brain in diseases classified elsewhere

Cerebral degeneration NEC 331.9 52 G31.9 52 Degenerative disease of nervous system, unspecified

Cerebrovascular disease 437.0 Listed-None I67.2 Listed-None Cerebral atherosclerosis

Creutzfeldt- jakob disease 046.19 52 A81.ØØ 52 Creutzfeldt-Jakob disease, unspecified

A81.Ø9 52 Other Creutzfeldt-Jakob disease

Frontotemporal dementia 331.19 52 G31.Ø9 52 Other frontotemporal dementia

Hydrocephalus

n  Communicating 331.3 51 G91.Ø 51 Communicating hydrocephalus

n  Obstructive 331.4 51 G91.1 51 Obstructive hydrocephalus

Lewy body disease 331.82 52 G31.83 52 Dementia with Lewy bodies

Mild cognitive impairment 331.83 G31.84 Mild cognitive impairment, so stated

Pick’s disease (frontotemporal) 331.11 52 G31.Ø1 52 Pick's disease

Senile brain degeneration 331.2 52 G31.1 52 Senile degeneration of brain, not elsewhere classified

Wandering V40.31 Z91.83 Wandering in diseases classified elsewhere

Uncomplicated

manifestations:ICD 9 HCC ICD 10 HCC DESCRIPTOR

Amnestic disorders 294.0 52 FØ4 52 Amnestic disorder due to known physiological condition

Cognitive disorder NOS 294.9 52 FØ6.8 52 Other specified mental disorders due to known physiological condition

Dementia NOS w/o behav.

disturbance294.20 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

404.93 I13.2Hypertensive heart and chronic kidney disease with heart failure and with

stage 5 chronic kidney disease, or end stage renal disease85;136

404.91 I13.Ø

Hypertensive heart and chronic kidney disease with heart failure and stage

1 through stage 4 chronic kidney disease, or unspecified chronic kidney

disease

139

404.92 I13.11Hypertensive heart and chronic kidney disease without heart failure, with

stage 5 chronic kidney disease, or end stage renal disease136

404.13 I13.2Hypertensive heart and chronic kidney disease with heart failure and with

stage 5 chronic kidney disease, or end stage renal disease85;136

404.90 I13.1Ø

Hypertensive heart and chronic kidney disease without heart failure, with

stage 1 through stage 4 chronic kidney disease, or unspecified chronic

kidney disease

139

404.12 I13.11Hypertensive heart and chronic kidney disease without heart failure, with

stage 5 chronic kidney disease, or end stage renal disease136

139

136

404.11 I13.Ø

Hypertensive heart and chronic kidney disease with heart failure and stage

1 through stage 4 chronic kidney disease, or unspecified chronic kidney

disease

139

Unspecified, w/o HF and w/ CKD

stage V or ESRD

Unspecified, w/ HF and w/ CKD

stage V or ESRD

Table B- DEMENTIA

Code mental manifestations of pathology AND code complications of dementia AND THEN code underlying neuropathology. If etiology unknown, use mental manifestation codes only with new codes 294.20

or 294.21.

Benign, w/ HF and w/ CKD stage I-IV

or unspecified

Benign, w/o HF and w/ CKD stage V

or ESRD

Benign, w/ HF and w/ CKD stage V

or ESRD

Unspecified, w/o HF and w/ CKD

stage I-IV or unspecified

Unspecified, w/ HF and w/ CKD

stage I-IV or unspecified

136

139

139

136

136

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6. C. 2015-2016 NPA Model Superbill ICD-9 to ICD-10 Crosswalk 5.26.15

Dementia w/o behav. disturbance 294.10 52 FØ2.8Ø 52Dementia in other diseases classified elsewhere without behavioral

disturbance

Persistent mental disorders NEC 294.8 52 FØ6.Ø Psychotic disorder with hallucinations due to known physiological condition

FØ6.8 52 Other specified mental disorders due to known physiological condition

Presenile dementia 290.10 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Senile dementia 290.0 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Vascular dementia 290.40 52 FØ1.5Ø 52 Vascular dementia without behavioral disturbance

Complicated manifestations: ICD 9 HCC ICD 10 HCC DESCRIPTOR

Dementia (unspec.), w/ behav.

disturbance294.21 51 FØ3.91 51 Unspecified dementia with behavioral disturbance

Dementia w/ behav. disturbance 294.11 51 FØ2.81 51Dementia in other diseases classified elsewhere with behavioral

disturbance

Presenile dementia

n  w/ Delirium 290.11 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

n  w/ Delusions 290.12 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

FØ5 Delirium due to known physiological condition

n  w/ Depression 290.13 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Reye’s syndrome 331.81 52 G93.7 52 Reye's syndrome

Senile dementia

n  w/ Delirium 290.3 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

FØ5 Delirium due to known physiological condition

n  w/ Delusions 290.20 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

FØ5 Delirium due to known physiological condition

n  w/ Depression 290.21 51 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Senile psychotic cond. 290.8 52 FØ3.9Ø 52 Unspecified dementia without behavioral disturbance

Vascular dementia

n  w/ Delirium 290.41 51 FØ1.51 51 Vascular dementia with behavioral disturbance

n  w/ Delusions 290.42 51 FØ1.51 51 Vascular dementia with behavioral disturbance

n  w/ Depression 290.43 51 FØ1.51 51 Vascular dementia with behavioral disturbance