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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:
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
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
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
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
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
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
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
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
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
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
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)
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
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
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