ICD-10-CM TABULAR LIST of DISEASES and INJURIES2019 Addenda

No Change Chapter 1No Change Certain infectious and parasitic diseases (A00-B99) No Change Arthropod-borne viral fevers and viral hemorrhagic fevers (A90-A99) No Change A92 Other mosquito-borne viral fevers No Change A92.5 Zika virus disease Add Excludes1: congenital Zika virus disease (P35.4) No Change Mycoses (B35-B49) No Change B39 Histoplasmosis No Change Use Additional Revise from retinitits (H32)Revise to retinitis (H32) No Change Protozoal diseases (B50-B64) No Change B51 Plasmodium vivax malaria No Change Excludes1: Revise from plasmodium vivav with Plasmodium falciparum (B50.-)Revise to plasmodium vivax with Plasmodium falciparum (B50.-)

No Change Chapter 2No Change Neoplasms (C00-D49) No Change Melanoma and other malignant neoplasms of skin (C43-C44) No Change C43 Malignant melanoma of skin No Change C43.1 Malignant melanoma of eyelid, including canthus No Change C43.11 Malignant melanoma of right eyelid, including canthus Add C43.111 Malignant melanoma of right upper eyelid, including canthus Add C43.112 Malignant melanoma of right lower eyelid, including canthus No Change C43.12 Malignant melanoma of left eyelid, including canthus Add C43.121 Malignant melanoma of left upper eyelid, including canthus Add C43.122 Malignant melanoma of left lower eyelid, including canthus No Change C4A Merkel cell carcinoma No Change C4A.1 Merkel cell carcinoma of eyelid, including canthus No Change C4A.11 Merkel cell carcinoma of right eyelid, including canthus Add C4A.111 Merkel cell carcinoma of right upper eyelid, including canthus Add C4A.112 Merkel cell carcinoma of right lower eyelid, including canthus No Change C4A.12 Merkel cell carcinoma of left eyelid, including canthus Add C4A.121 Merkel cell carcinoma of left upper eyelid, including canthus Add C4A.122 Merkel cell carcinoma of left lower eyelid, including canthus No Change C44 Other and unspecified malignant neoplasm of skin No Change C44.1 Other and unspecified malignant neoplasm of skin of eyelid, including canthus No Change C44.10 Unspecified malignant neoplasm of skin of eyelid, including canthus No Change C44.102 Unspecified malignant neoplasm of skin of right eyelid, including canthus Add C44.1021 Unspecified malignant neoplasm of skin of right upper eyelid,

including canthus Add C44.1022 Unspecified malignant neoplasm of skin of right lower eyelid,

including canthus No Change C44.109 Unspecified malignant neoplasm of skin of left eyelid, including canthus Add C44.1091 Unspecified malignant neoplasm of skin of left upper eyelid,

including canthus Add C44.1092 Unspecified malignant neoplasm of skin of left lower eyelid,

including canthus No Change C44.11 Basal cell carcinoma of skin of eyelid, including canthus No Change C44.112 Basal cell carcinoma of skin of right eyelid, including canthus

Add C44.1121 Basal cell carcinoma of skin of right upper eyelid, includingcanthus

Add C44.1122 Basal cell carcinoma of skin of right lower eyelid, including

canthus No Change C44.119 Basal cell carcinoma of skin of left eyelid, including canthus Add C44.1191 Basal cell carcinoma of skin of left upper eyelid, including

canthus Add C44.1192 Basal cell carcinoma of skin of left lower eyelid, including canthus No Change C44.12 Squamous cell carcinoma of skin of eyelid, including canthus No Change C44.122 Squamous cell carcinoma of skin of right eyelid, including canthus Add C44.1221 Squamous cell carcinoma of skin of right upper eyelid, including

canthus Add C44.1222 Squamous cell carcinoma of skin of right lower eyelid, including

canthus No Change C44.129 Squamous cell carcinoma of skin of left eyelid, including canthus Add C44.1291 Squamous cell carcinoma of skin of left upper eyelid, including

canthus Add C44.1292 Squamous cell carcinoma of skin of left lower eyelid, including

canthus Add C44.13 Sebaceous cell carcinoma of skin of eyelid, including canthus Add C44.131 Sebaceous cell carcinoma of skin of unspecified eyelid, including canthus Add C44.132 Sebaceous cell carcinoma of skin of right eyelid, including canthus Add C44.1321 Sebaceous cell carcinoma of skin of right upper eyelid, including

canthus Add C44.1322 Sebaceous cell carcinoma of skin of right lower eyelid, including

canthus Add C44.139 Sebaceous cell carcinoma of skin of left eyelid, including canthus Add C44.1391 Sebaceous cell carcinoma of skin of left upper eyelid, including

canthus Add C44.1392 Sebaceous cell carcinoma of skin of left lower eyelid, including

canthus No Change C44.19 Other specified malignant neoplasm of skin of eyelid, including canthus No Change C44.192 Other specified malignant neoplasm of skin of right eyelid, including

canthus Add C44.1921 Other specified malignant neoplasm of skin of right upper eyelid,

including canthus Add C44.1922 Other specified malignant neoplasm of skin of right lower eyelid,

including canthus No Change C44.199 Other specified malignant neoplasm of skin of left eyelid, including canthus

Add C44.1991 Other specified malignant neoplasm of skin of left upper eyelid,including canthus

Add C44.1992 Other specified malignant neoplasm of skin of left lower eyelid,

including canthus No Change In situ neoplasms (D00-D09) No Change D03 Melanoma in situ No Change D03.1 Melanoma in situ of eyelid, including canthus No Change D03.11 Melanoma in situ of right eyelid, including canthus Add D03.111 Melanoma in situ of right upper eyelid, including canthus Add D03.112 Melanoma in situ of right lower eyelid, including canthus No Change D03.12 Melanoma in situ of left eyelid, including canthus Add D03.121 Melanoma in situ of left upper eyelid, including canthus Add D03.122 Melanoma in situ of left lower eyelid, including canthus No Change D04 Carcinoma in situ of skin No Change D04.1 Carcinoma in situ of skin of eyelid, including canthus No Change D04.11 Carcinoma in situ of skin of right eyelid, including canthus Add D04.111 Carcinoma in situ of skin of right upper eyelid, including canthus Add D04.112 Carcinoma in situ of skin of right lower eyelid, including canthus No Change D04.12 Carcinoma in situ of skin of left eyelid, including canthus Add D04.121 Carcinoma in situ of skin of left upper eyelid, including canthus Add D04.122 Carcinoma in situ of skin of left lower eyelid, including canthus No Change D07 Carcinoma in situ of other and unspecified genital organs No Change D07.2 Carcinoma in situ of vaginaRevise from Vaginal intraepithelial neoplasia III [VAIN III ]Revise to Vaginal intraepithelial neoplasia III [VAIN III] No Change Benign neoplasms, except benign neuroendocrine tumors (D10-D36) No Change D13 Benign neoplasm of other and ill-defined parts of digestive system No Change D13.3 Benign neoplasm of other and unspecified parts of small intestine No Change Excludes1: Revise from benign carcinoid tumors of the small intestine(D3A.01-)Revise to benign carcinoid tumors of the small intestine (D3A.01-) No Change D22 Melanocytic nevi No Change D22.1 Melanocytic nevi of eyelid, including canthus No Change D22.11 Melanocytic nevi of right eyelid, including canthus Add D22.111 Melanocytic nevi of right upper eyelid, including canthus

Add D22.112 Melanocytic nevi of right lower eyelid, including canthus No Change D22.12 Melanocytic nevi of left eyelid, including canthus Add D22.121 Melanocytic nevi of left upper eyelid, including canthus Add D22.122 Melanocytic nevi of left lower eyelid, including canthus No Change D23 Other benign neoplasms of skin No Change D23.1 Other benign neoplasm of skin of eyelid, including canthus No Change D23.11 Other benign neoplasm of skin of right eyelid, including canthus Add D23.111 Other benign neoplasm of skin of right upper eyelid, including canthus Add D23.112 Other benign neoplasm of skin of right lower eyelid, including canthus No Change D23.12 Other benign neoplasm of skin of left eyelid, including canthus Add D23.121 Other benign neoplasm of skin of left upper eyelid, including canthus Add D23.122 Other benign neoplasm of skin of left lower eyelid, including canthus No Change Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48) No Change D47 Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue No Change D47.0 Mast cell neoplasms of uncertain behavior No Change Excludes1: Revise from congenital cutaneous mastocytosis (Q82.2-)Revise to congenital cutaneous mastocytosis (Q82.2)

No Change Chapter 4No Change Endocrine, nutritional and metabolic diseases (E00-E89) No Change Disorders of other endocrine glands (E20-E35) No Change E20 Hypoparathyroidism No Change Excludes1: Revise from tetany NOS (R29.0 )Revise to tetany NOS (R29.0) No Change E35 Disorders of endocrine glands in diseases classified elsewhere No Change Use Additional Revise from code , if applicable, to identify:Revise to code, if applicable, to identify: No Change Overweight, obesity and other hyperalimentation (E65-E68) No Change E67 Other hyperalimentation Revise from E67.1 HypercarotinemiaRevise to E67.1 Hypercarotenemia No Change Metabolic disorders (E70-E88) No Change E72 Other disorders of amino-acid metabolism No Change E72.5 Disorders of glycine metabolism Revise from E72.53 HyperoxaluriaRevise to E72.53 Primary hyperoxaluria No Change E72.8 Other specified disorders of amino-acid metabolismDelete Disorders of beta-amino-acid metabolismDelete Disorders of gamma-glutamyl cycle Add E72.81 Disorders of gamma aminobutyric acid metabolismAdd 4-hydroxybutyric aciduriaAdd Disorders of GABA metabolismAdd GABA metabolic defectAdd GABA transaminase deficiencyAdd GABA-T deficiencyAdd Gamma-hydroxybutyric aciduriaAdd SSADHDAdd Succinic semialdehyde dehydrogenase deficiency Add E72.89 Other specified disorders of amino-acid metabolismAdd Disorders of beta-amino-acid metabolismAdd Disorders of gamma-glutamyl cycle No Change E75 Disorders of sphingolipid metabolism and other lipid storage disorders No Change E75.2 Other sphingolipidosis Add E75.26 Sulfatase deficiencyAdd Multiple sulfatase deficiency (MSD) No Change E75.29 Other sphingolipidosisDelete Sulfatase deficiency

No Change E78 Disorders of lipoprotein metabolism and other lipidemias No Change E78.2 Mixed hyperlipidemia No Change Excludes1: Revise from familial combined hyperlipidemia (E78.4)Revise to familial combined hyperlipidemia (E78.49) No Change E78.4 Other hyperlipidemiaDelete Familial combined hyperlipidemia Add E78.41 Elevated Lipoprotein(a)Add Elevated Lp(a) Add E78.49 Other hyperlipidemiaAdd Familial combined hyperlipidemia No Change E83 Disorders of mineral metabolism No Change E83.5 Disorders of calcium metabolism No Change E83.59 Other disorders of calcium metabolismDelete Idiopathic hypercalciuria No Change E88 Other and unspecified metabolic disorders No Change E88.0 Disorders of plasma-protein metabolism, not elsewhere classified Add E88.02 Plasminogen deficiencyAdd DysplasminogenemiaAdd HypoplasminogenemiaAdd Type 1 plasminogen deficiencyAdd Type 2 plasminogen deficiency Add Code also, if applicable, ligneous conjunctivitis (H10.51) Add Use Additional code for associated findings, such as:Add hydrocephalus (G91.4)Add ligneous conjunctivitis (H10.51)Add otitis media (H67.-)Add respiratory disorder related to plasminogen deficiency (J99)

No Change Chapter 5No Change Mental, Behavioral and Neurodevelopmental disorders (F01-F99) No Change Mental and behavioral disorders due to psychoactive substance use (F10-F19) No Change F12 Cannabis related disorders No Change F12.2 Cannabis dependence Add F12.23 Cannabis dependence with withdrawal No Change F12.28 Cannabis dependence with other cannabis-induced disorder No Change F12.288 Cannabis dependence with other cannabis-induced disorderDelete Cannabis withdrawal No Change F12.9 Cannabis use, unspecified Add F12.93 Cannabis use, unspecified with withdrawal No Change F19 Other psychoactive substance related disorders No Change F19.2 Other psychoactive substance dependence No Change F19.21 Other psychoactive substance dependence, in remissionRevise from Other (or unknown) substance use, severe, in sustained remissionRevise to Other (or unknown) substance use disorder, severe, in sustained remission No Change F19.9 Other psychoactive substance use, unspecified No Change F19.98 Other psychoactive substance use, unspecified with other psychoactive substance-

induced disorders No Change F19.988 Other psychoactive substance use, unspecified with other psychoactive

substance-induced disorderRevise from Other (or unknown) substance-induced obsessive-compulsive or relateddisorder,

without use disorderRevise to Other (or unknown) substance-induced obsessive-compulsive or related disorder,

without use disorder No Change Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48) No Change F45 Somatoform disorders No Change Excludes2: Revise from factitious disorders (F68.1-)Revise to factitious disorders (F68.1-, F68.A) No Change Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59) Revise from F53 Puerperal psychosisRevise to F53 Mental and behavioral disorders associated with the puerperium, not elsewhere classifiedDelete Postpartum depression Add F53.0 Postpartum depressionAdd Postnatal depression, NOSAdd Postpartum depression, NOS Add F53.1 Puerperal psychosisAdd Postpartum psychosisAdd Puerperal psychosis, NOS

No Change Disorders of adult personality and behavior (F60-F69) No Change F68 Other disorders of adult personality and behavior Revise from F68.1 Factitious disorderRevise to F68.1 Factitious disorder imposed on self Revise from F68.10 Factitious disorder, unspecifiedRevise to F68.10 Factitious disorder imposed on self, unspecified Revise from F68.11 Factitious disorder with predominantly psychological signs and symptomsRevise to F68.11 Factitious disorder imposed on self, with predominantly psychological signs and

symptoms Revise from F68.12 Factitious disorder with predominantly physical signs and symptomsRevise to F68.12 Factitious disorder imposed on self, with predominantly physical signs and

symptoms Revise from F68.13 Factitious disorder with combined psychological and physical signs and symptomsRevise to F68.13 Factitious disorder imposed on self, with combined psychological and physical

signs and symptoms Add F68.A Factitious disorder imposed on anotherAdd Factitious disorder by proxyAdd Münchausen's by proxy

No Change Chapter 6No Change Diseases of the nervous system (G00-G99) No Change Extrapyramidal and movement disorders (G20-G26) No Change G24 Dystonia No Change G24.0 Drug induced dystonia No Change Use Additional Revise from code code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or

sixth character 5)Revise to code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth

character 5) No Change Nerve, nerve root and plexus disorders (G50-G59) No Change G51 Facial nerve disorders No Change G51.3 Clonic hemifacial spasm Add G51.31 Clonic hemifacial spasm, right Add G51.32 Clonic hemifacial spasm, left Add G51.33 Clonic hemifacial spasm, bilateral Add G51.39 Clonic hemifacial spasm, unspecified No Change Diseases of myoneural junction and muscle (G70-G73) No Change G71 Primary disorders of muscles No Change G71.0 Muscular dystrophyDelete Autosomal recessive, childhood type, muscular dystrophy resembling Duchenne or Becker

muscular dystrophyDelete Benign [Becker] muscular dystrophyDelete Benign scapuloperoneal muscular dystrophy with early contractures [Emery-Dreifuss]Delete Congenital muscular dystrophy NOSDelete Congenital muscular dystrophy with specific morphological abnormalities of the muscle fiberDelete Distal muscular dystrophyDelete Facioscapulohumeral muscular dystrophyDelete Limb-girdle muscular dystrophyDelete Ocular muscular dystrophyDelete Oculopharyngeal muscular dystrophyDelete Scapuloperoneal muscular dystrophyDelete Severe [Duchenne] muscular dystrophy Add G71.00 Muscular dystrophy, unspecified Add G71.01 Duchenne or Becker muscular dystrophyAdd Autosomal recessive, childhood type, muscular dystrophy resembling Duchenne or Becker

muscular dystrophyAdd Benign [Becker] muscular dystrophyAdd Severe [Duchenne] muscular dystrophy Add G71.02 Facioscapulohumeral muscular dystrophyAdd Scapulohumeral muscular dystrophy Add G71.09 Other specified muscular dystrophiesAdd Benign scapuloperoneal muscular dystrophy with early contractures [Emery-Dreifuss]

Add Congenital muscular dystrophy NOSAdd Congenital muscular dystrophy with specific morphological abnormalities of the muscle

fiberAdd Distal muscular dystrophyAdd Limb-girdle muscular dystrophyAdd Ocular muscular dystrophyAdd Oculopharyngeal muscular dystrophyAdd Scapuloperoneal muscular dystrophy No Change Other disorders of the nervous system (G89-G99) No Change G89 Pain, not elsewhere classified No Change Excludes2: Revise from myalgia (M79.1)Revise to myalgia (M79.1-) No Change G91 Hydrocephalus No Change G91.4 Hydrocephalus in diseases classified elsewhere No Change Code first underlying condition, such as:Add plasminogen deficiency (E88.02)

No Change Chapter 7No Change Diseases of the eye and adnexa (H00-H59) No Change Disorders of eyelid, lacrimal system and orbit (H00-H05) No Change H01 Other inflammation of eyelid No Change H01.0 Blepharitis No Change H01.00 Unspecified blepharitis Add H01.00A Unspecified blepharitis right eye, upper and lower eyelids Add H01.00B Unspecified blepharitis left eye, upper and lower eyelids No Change H01.01 Ulcerative blepharitis Add H01.01A Ulcerative blepharitis right eye, upper and lower eyelids Add H01.01B Ulcerative blepharitis left eye, upper and lower eyelids No Change H01.02 Squamous blepharitis Add H01.02A Squamous blepharitis right eye, upper and lower eyelids Add H01.02B Squamous blepharitis left eye, upper and lower eyelids No Change H02 Other disorders of eyelid No Change H02.1 Ectropion of eyelid Add H02.15 Paralytic ectropion of eyelid Add H02.151 Paralytic ectropion of right upper eyelid Add H02.152 Paralytic ectropion of right lower eyelid Add H02.153 Paralytic ectropion of right eye, unspecified eyelid Add H02.154 Paralytic ectropion of left upper eyelid Add H02.155 Paralytic ectropion of left lower eyelid Add H02.156 Paralytic ectropion of left eye, unspecified eyelid Add H02.159 Paralytic ectropion of unspecified eye, unspecified eyelid No Change H02.2 Lagophthalmos No Change H02.20 Unspecified lagophthalmos Add H02.20A Unspecified lagophthalmos right eye, upper and lower eyelids Add H02.20B Unspecified lagophthalmos left eye, upper and lower eyelids Add H02.20C Unspecified lagophthalmos, bilateral, upper and lower eyelids No Change H02.21 Cicatricial lagophthalmos Add H02.21A Cicatricial lagophthalmos right eye, upper and lower eyelids Add H02.21B Cicatricial lagophthalmos left eye, upper and lower eyelids Add H02.21C Cicatricial lagophthalmos, bilateral, upper and lower eyelids

No Change H02.22 Mechanical lagophthalmos Add H02.22A Mechanical lagophthalmos right eye, upper and lower eyelids Add H02.22B Mechanical lagophthalmos left eye, upper and lower eyelids Add H02.22C Mechanical lagophthalmos, bilateral, upper and lower eyelids No Change H02.23 Paralytic lagophthalmos Add H02.23A Paralytic lagophthalmos right eye, upper and lower eyelids Add H02.23B Paralytic lagophthalmos left eye, upper and lower eyelids Add H02.23C Paralytic lagophthalmos, bilateral, upper and lower eyelids No Change H02.8 Other specified disorders of eyelid Add H02.88 Meibomian gland dysfunction of eyelid Add H02.881 Meibomian gland dysfunction right upper eyelid Add H02.882 Meibomian gland dysfunction right lower eyelid Add H02.883 Meibomian gland dysfunction of right eye, unspecified eyelid Add H02.884 Meibomian gland dysfunction left upper eyelid Add H02.885 Meibomian gland dysfunction left lower eyelid Add H02.886 Meibomian gland dysfunction of left eye, unspecified eyelid Add H02.889 Meibomian gland dysfunction of unspecified eye, unspecified eyelid Add H02.88A Meibomian gland dysfunction right eye, upper and lower eyelids Add H02.88B Meibomian gland dysfunction left eye, upper and lower eyelids No Change H04 Disorders of lacrimal system No Change H04.2 Epiphora No Change H04.20 Unspecified epiphora Revise from H04.201 Unspecified epiphora, right lacrimal glandRevise to H04.201 Unspecified epiphora, right side Revise from H04.202 Unspecified epiphora, left lacrimal glandRevise to H04.202 Unspecified epiphora, left side Revise from H04.203 Unspecified epiphora, bilateral lacrimal glandsRevise to H04.203 Unspecified epiphora, bilateral Revise from H04.209 Unspecified epiphora, unspecified lacrimal glandRevise to H04.209 Unspecified epiphora, unspecified side No Change H04.22 Epiphora due to insufficient drainage Revise from H04.221 Epiphora due to insufficient drainage, right lacrimal glandRevise to H04.221 Epiphora due to insufficient drainage, right side Revise from H04.222 Epiphora due to insufficient drainage, left lacrimal glandRevise to H04.222 Epiphora due to insufficient drainage, left side

Revise from H04.223 Epiphora due to insufficient drainage, bilateral lacrimal glandsRevise to H04.223 Epiphora due to insufficient drainage, bilateral Revise from H04.229 Epiphora due to insufficient drainage, unspecified lacrimal glandRevise to H04.229 Epiphora due to insufficient drainage, unspecified side No Change Disorders of conjunctiva (H10-H11) No Change H10 Conjunctivitis No Change H10.5 Blepharoconjunctivitis No Change H10.51 Ligneous conjunctivitis Add Code also underlying condition if known, such as:Add plasminogen deficiency (E88.02) No Change H10.8 Other conjunctivitis Add H10.82 Rosacea conjunctivitis Add Code first underlying rosacea dermatitis (L71.-) Add H10.821 Rosacea conjunctivitis, right eye Add H10.822 Rosacea conjunctivitis, left eye Add H10.823 Rosacea conjunctivitis, bilateral Add H10.829 Rosacea conjunctivitis, unspecified eye No Change Other disorders of eye and adnexa (H55-H57) No Change H57 Other disorders of eye and adnexa No Change H57.8 Other specified disorders of eye and adnexa Add H57.81 Brow ptosis Add H57.811 Brow ptosis, right Add H57.812 Brow ptosis, left Add H57.813 Brow ptosis, bilateral Add H57.819 Brow ptosis, unspecified Add H57.89 Other specified disorders of eye and adnexa

No Change Chapter 8No Change Diseases of the ear and mastoid process (H60-H95) No Change Diseases of middle ear and mastoid (H65-H75) No Change H67 Otitis media in diseases classified elsewhere No Change Code first underlying disease, such as:Add plasminogen deficiency (E88.02) No Change Intraoperative and postprocedural complications and disorders of ear and mastoid process, not

elsewhere classified (H95) No Change H95 Intraoperative and postprocedural complications and disorders of ear and mastoid process, not

elsewhere classified No Change H95.8 Other intraoperative and postprocedural complications and disorders of the ear and

mastoid process, not elsewhere classified No Change H95.88 Other intraoperative complications and disorders of the ear and mastoid process,

not elsewhere classified No Change Use Additional Revise from code , if applicable, to further specify disorderRevise to code, if applicable, to further specify disorder

No Change Chapter 9No Change Diseases of the circulatory system (I00-I99) No Change Ischemic heart diseases (I20-I25) No Change I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction No Change I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sitesRevise from Subsequent posterior (true)transmural (Q wave) myocardial infarction (acute)Revise to Subsequent posterior (true) transmural (Q wave) myocardial infarction (acute) No Change Pulmonary heart disease and diseases of pulmonary circulation (I26-I28) No Change I27 Other pulmonary heart diseases No Change I27.2 Other secondary pulmonary hypertension No Change I27.29 Other secondary pulmonary hypertension No Change Code also No Change other associated disorders, if known, such as:Revise from hypertensive chronic kidney disease with end stage renal disease (I12.0, I12.11,

I13.2)Revise to hypertensive chronic kidney disease with end stage renal disease (I12.0, I13.11,

I13.2) No Change Other forms of heart disease (I30-I52) No Change I44 Atrioventricular and left bundle-branch block No Change I44.1 Atrioventricular block, second degreeRevise from Möbitz block block, type I and IIRevise to Möbitz block, type I and II No Change Cerebrovascular diseases (I60-I69) No Change Use Additional No Change code to identify the presence of:Revise from hypertension (I10-I15)Revise to hypertension (I10-I16) No Change I63 Cerebral infarction No Change I63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries No Change I63.21 Cerebral infarction due to unspecified occlusion or stenosis of vertebral arteries Revise from I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified

vertebral arteriesRevise to I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified

vertebral artery No Change I63.23 Cerebral infarction due to unspecified occlusion or stenosis of carotid arteries Revise from I63.239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified

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

carotid artery No Change I63.3 Cerebral infarction due to thrombosis of cerebral arteries

No Change I63.33 Cerebral infarction due to thrombosis of posterior cerebral artery Revise from I63.333 Cerebral infarction to thrombosis of bilateral posterior cerebral arteriesRevise to I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries No Change I63.34 Cerebral infarction due to thrombosis of cerebellar artery Revise from I63.343 Cerebral infarction to thrombosis of bilateral cerebellar arteriesRevise to I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries No Change I63.8 Other cerebral infarction Add I63.81 Other cerebral infarction due to occlusion or stenosis of small arteryAdd Lacunar infarction Add I63.89 Other cerebral infarction No Change I67 Other cerebrovascular diseases No Change I67.8 Other specified cerebrovascular diseases Add I67.85 Hereditary cerebrovascular diseases Add I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and

leukoencephalopathyAdd CADASIL Add Code also any associated diagnoses, such as:Add epilepsy (G40.-)Add stroke (I63.-)Add vascular dementia (F01.-) Add I67.858 Other hereditary cerebrovascular disease No Change Diseases of arteries, arterioles and capillaries (I70-I79) No Change I77 Other disorders of arteries and arterioles No Change I77.6 Arteritis, unspecified No Change Excludes1: Revise from giant cell (M31.5., M31.6)Revise to giant cell (M31.5, M31.6)

No Change Chapter 10No Change Diseases of the respiratory system (J00-J99) No Change Other diseases of the respiratory system (J96-J99) No Change J99 Respiratory disorders in diseases classified elsewhere No Change Code first underlying disease, such as:Add plasminogen deficiency (E88.02)

No Change Chapter 11No Change Diseases of the digestive system (K00-K95) No Change Diseases of appendix (K35-K38) No Change K35 Acute appendicitis No Change K35.2 Acute appendicitis with generalized peritonitisDelete Perforated appendix NOSDelete Ruptured appendix NOS Add K35.20 Acute appendicitis with generalized peritonitis, without abscessAdd (Acute) appendicitis with generalized peritonitis NOS Add K35.21 Acute appendicitis with generalized peritonitis, with abscess No Change K35.3 Acute appendicitis with localized peritonitisDelete Acute appendicitis with or without perforation or rupture with peritonitis NOSDelete Acute appendicitis with or without perforation or rupture with localized peritonitisDelete Acute appendicitis with peritoneal abscess Add K35.30 Acute appendicitis with localized peritonitis, without perforation or gangreneAdd Acute appendicitis with localized peritonitis NOS Add K35.31 Acute appendicitis with localized peritonitis and gangrene, without perforation Add K35.32 Acute appendicitis with perforation and localized peritonitis, without abscessAdd (Acute) appendicitis with perforation NOSAdd Perforated appendix NOSAdd Ruptured appendix (with localized peritonitis) NOS Add K35.33 Acute appendicitis with perforation and localized peritonitis, with abscessAdd (Acute) appendicitis with (peritoneal) abscess NOSAdd Ruptured appendix with localized peritonitis and abscess No Change K35.8 Other and unspecified acute appendicitis No Change K35.89 Other acute appendicitis Add K35.890 Other acute appendicitis without perforation or gangrene Add K35.891 Other acute appendicitis without perforation, with gangreneAdd (Acute) appendicitis with gangrene NOS No Change K37 Unspecified appendicitis No Change Excludes1: Revise from -unspecified appendicitis with peritonitis (K35.2-K35.3)Revise to -unspecified appendicitis with peritonitis (K35.2-, K35.3-) No Change Noninfective enteritis and colitis (K50-K52) No Change K52 Other and unspecified noninfective gastroenteritis and colitis No Change K52.2 Allergic and dietetic gastroenteritis and colitis No Change K52.21 Food protein-induced enterocolitis syndromeAdd FPIES No Change Other diseases of intestines (K55-K64) No Change K57 Diverticular disease of intestine

Add Code also if applicable peritonitis K65.- No Change K61 Abscess of anal and rectal regions No Change K61.0 Anal abscess Delete Excludes1: intrasphincteric abscess (K61.4) Add Excludes2: intrasphincteric abscess (K61.4) No Change K61.1 Rectal abscess No Change Excludes1: Revise from ischiorectal abscess (K61.3)Revise to ischiorectal abscess (K61.39) No Change K61.3 Ischiorectal abscessDelete Abscess of ischiorectal fossa Add K61.31 Horseshoe abscess Add K61.39 Other ischiorectal abscessAdd Abscess of ischiorectal fossaAdd Ischiorectal abscess, NOS No Change K61.4 Intrasphincteric abscessAdd Intersphincteric abscess Add K61.5 Supralevator abscess No Change K63 Other diseases of intestine No Change K63.0 Abscess of intestine No Change Excludes2: Revise from abscess of appendix (K35.3)Revise to abscess of appendix (K35.3-) No Change K63.1 Perforation of intestine (nontraumatic) No Change Excludes2: Revise from perforation (nontraumatic) of appendix (K35.2, K35.3)Revise to perforation (nontraumatic) of appendix (K35.2-, K35.3-) No Change Diseases of peritoneum and retroperitoneum (K65-K68) No Change K65 Peritonitis No Change Use Additional Revise from code (B95-B97), to identify infectious agentRevise to code (B95-B97), to identify infectious agent, if known Add Code also if applicable diverticular disease of intestine (K57.-) No Change Excludes1: Revise from acute appendicitis with generalized peritonitis (K35.2)Revise to acute appendicitis with generalized peritonitis (K35.2-)Delete diverticulitis of both small and large intestine with peritonitis (K57.4-)Delete diverticulitis of colon with peritonitis (K57.2-)Delete diverticulitis of intestine, NOS, with peritonitis (K57.8-)Delete diverticulitis of small intestine with peritonitis (K57.0-)Delete peritonitis with or following diverticular disease of intestine (K57.-)

No Change K67 Disorders of peritoneum in infectious diseases classified elsewhere No Change Code first Revise from underlying disease, such as :Revise to underlying disease, such as: No Change K68 Disorders of retroperitoneum No Change K68.1 Retroperitoneal abscess No Change K68.11 Postprocedural retroperitoneal abscess Add Excludes2: infection following procedure (T81.4-) No Change Diseases of liver (K70-K77) No Change K74 Fibrosis and cirrhosis of liver No Change K74.3 Primary biliary cirrhosisAdd Primary biliary cholangitis Add Excludes2: primary schlerosing cholangitis (K83.01) No Change K75 Other inflammatory liver diseases No Change K75.0 Abscess of liver No Change Excludes1: Revise from cholangitis without liver abscess (K83.0)Revise to cholangitis without liver abscess (K83.09) No Change Disorders of gallbladder, biliary tract and pancreas (K80-K87) No Change K80 Cholelithiasis No Change K80.0 Calculus of gallbladder with acute cholecystitis Add Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation

of gallbladder (K82.A2) No Change K80.1 Calculus of gallbladder with other cholecystitis Add Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation

of gallbladder (K82.A2) No Change K80.4 Calculus of bile duct with cholecystitis Add Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation

of gallbladder (K82.A2) No Change K80.6 Calculus of gallbladder and bile duct with cholecystitis Add Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation

of gallbladder (K82.A2) No Change K81 Cholecystitis Add Use Additional code if applicable for associated gangrene of gallbladder (K82.A1), or perforation of

gallbladder (K82.A2) No Change K82 Other diseases of gallbladder No Change K82.2 Perforation of gallbladder

Add Excludes1: Perforation of gallbladder in cholecystitis (K82.A2) Add K82.A Disorders of gallbladder in diseases classified elsewhere Add Code first the type of cholecystitis (K81.-), or cholelithiasis with cholecystitis (K80.00-K80.19,

K80.40-K80.47, K80.60-K80.67) Add K82.A1 Gangrene of gallbladder in cholecystitis Add K82.A2 Perforation of gallbladder in cholecystitis No Change K83 Other diseases of biliary tract No Change K83.0 CholangitisDelete Ascending cholangitisDelete Cholangitis NOSDelete Primary cholangitisDelete Recurrent cholangitisDelete Sclerosing cholangitisDelete Secondary cholangitisDelete Stenosing cholangitisDelete Suppurative cholangitis Delete Excludes1: chronic nonsuppurative destructive cholangitis (K74.3) Add Excludes2: chronic nonsuppurative destructive cholangitis (K74.3)Add primary biliary cholangitis (K74.3)Add primary biliary cirrhosis (K74.3) Add K83.01 Primary sclerosing cholangitis Add K83.09 Other cholangitisAdd Ascending cholangitisAdd Cholangitis NOSAdd Primary cholangitisAdd Recurrent cholangitisAdd Sclerosing cholangitisAdd Secondary cholangitisAdd Stenosing cholangitisAdd Suppurative cholangitis No Change K87 Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere No Change Excludes1: Revise from cytomegaloviral pancreatitis(B25.2)Revise to cytomegaloviral pancreatitis (B25.2)

No Change Chapter 12No Change Diseases of the skin and subcutaneous tissue (L00-L99) No Change Urticaria and erythema (L49-L54) No Change L51 Erythema multiforme No Change Use Additional No Change code to identify associated manifestations, such as:Revise from edema of eyelid (H02.84)Revise to edema of eyelid (H02.84-) No Change Other disorders of the skin and subcutaneous tissue (L80-L99) No Change L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified No Change L98.4 Non-pressure chronic ulcer of skin, not elsewhere classified No Change L98.49 Non-pressure chronic ulcer of skin of other sites Revise from L98.495 Non-pressure chronic ulcer of other sites with muscle involvement without

evidence of necrosisRevise to L98.495 Non-pressure chronic ulcer of skin of other sites with muscle involvement

without evidence of necrosis Revise from L98.496 Non-pressure chronic ulcer of other sites with bone involvement without

evidence of necrosisRevise to L98.496 Non-pressure chronic ulcer of skin of other sites with bone involvement

without evidence of necrosis Revise from L98.498 Non-pressure chronic ulcer of other sites with other specified severityRevise to L98.498 Non-pressure chronic ulcer of skin of other sites with other specified

severity

No Change Chapter 13No Change Diseases of the musculoskeletal system and connective tissue (M00-M99) No Change This chapter contains the following blocks:Add M04 Autoinflammatory syndromesAdd M97 Periprosthetic fracture around internal prosthetic joint No Change Dentofacial anomalies [including malocclusion] and other disorders of jaw (M26-M27) No Change M26 Dentofacial anomalies [including malocclusion] No Change M26.2 Anomalies of dental arch relationship No Change M26.22 Open occlusal relationship No Change M26.220 Open anterior occlusal relationshipRevise from Anterior openbiteRevise to Anterior open bite No Change M26.221 Open posterior occlusal relationshipRevise from Posterior openbiteRevise to Posterior open bite No Change Disorders of muscles (M60-M63) No Change M62 Other disorders of muscle No Change Excludes1: Revise from myalgia (M79.1)Revise to myalgia (M79.1-) No Change Other soft tissue disorders (M70-M79) No Change M79 Other and unspecified soft tissue disorders, not elsewhere classified No Change M79.1 Myalgia Add M79.10 Myalgia, unspecified site Add M79.11 Myalgia of mastication muscle Add M79.12 Myalgia of auxiliary muscles, head and neck Add M79.18 Myalgia, other site

No Change Chapter 14No Change Diseases of the genitourinary system (N00-N99) No Change Other diseases of the urinary system (N30-N39) No Change N35 Urethral stricture No Change N35.0 Post-traumatic urethral stricture No Change N35.01 Post-traumatic urethral stricture, male Add N35.016 Post-traumatic urethral stricture, male, overlapping sites No Change N35.1 Postinfective urethral stricture, not elsewhere classified No Change N35.11 Postinfective urethral stricture, not elsewhere classified, male Add N35.116 Postinfective urethral stricture, not elsewhere classified, male, overlapping

sites No Change N35.8 Other urethral stricture Add N35.81 Other urethral stricture, male Add N35.811 Other urethral stricture, male, meatal Add N35.812 Other urethral bulbous stricture, male Add N35.813 Other membranous urethral stricture, male Add N35.814 Other anterior urethral stricture, male, anterior Add N35.816 Other urethral stricture, male, overlapping sites Add N35.819 Other urethral stricture, male, unspecified site Add N35.82 Other urethral stricture, female No Change N35.9 Urethral stricture, unspecified Add N35.91 Urethral stricture, unspecified, male Add N35.911 Unspecified urethral stricture, male, meatal Add N35.912 Unspecified bulbous urethral stricture, male Add N35.913 Unspecified membranous urethral stricture, male Add N35.914 Unspecified anterior urethral stricture, male Add N35.916 Unspecified urethral stricture, male, overlapping sites Add N35.919 Unspecified urethral stricture, male, unspecified siteAdd Pinhole meatus NOSAdd Urethral stricture NOS Add N35.92 Unspecified urethral stricture, female No Change Intraoperative and postprocedural complications and disorders of genitourinary system, not

elsewhere classified (N99) No Change N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not

elsewhere classified

No Change N99.1 Postprocedural urethral stricture No Change N99.11 Postprocedural urethral stricture, male Add N99.116 Postprocedural urethral stricture, male, overlapping sites

No Change Chapter 15No Change Pregnancy, childbirth and the puerperium (O00-O9A) No Change Excludes2: Revise from mental and behavioral disorders associated with the puerperium (F53)Revise to mental and behavioral disorders associated with the puerperium (F53.-) No Change Pregnancy with abortive outcome (O00-O08) No Change O00 Ectopic pregnancy No Change O00.2 Ovarian pregnancy No Change O00.21 Ovarian pregnancy with intrauterine pregnancy Revise from O00.212 Left ovarian pregnancy without intrauterine pregnancyRevise to O00.212 Left ovarian pregnancy with intrauterine pregnancy No Change Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48) No Change O30 Multiple gestation No Change O30.1 Triplet pregnancy Add O30.13 Triplet pregnancy, trichorionic/triamniotic Add O30.131 Triplet pregnancy, trichorionic/triamniotic, first trimester Add O30.132 Triplet pregnancy, trichorionic/triamniotic, second trimester Add O30.133 Triplet pregnancy, trichorionic/triamniotic, third trimester Add O30.139 Triplet pregnancy, trichorionic/triamniotic, unspecified trimester No Change O30.2 Quadruplet pregnancy Add O30.23 Quadruplet pregnancy, quadrachorionic/quadra-amniotic Add O30.231 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester Add O30.232 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second trimester Add O30.233 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester Add O30.239 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified

trimester No Change O30.8 Other specified multiple gestation Add O30.83 Other specified multiple gestation, number of chorions and amnions are both equal

to the number of fetusesAdd Pentachorionic, penta-amniotic pregnancy (quintuplets)Add Hexachorionic, hexa-amniotic pregnancy (sextuplets)Add Heptachorionic, hepta-amniotic pregnancy (septuplets) Add O30.831 Other specified multiple gestation, number of chorions and amnions are

both equal to the number of fetuses, first trimester Add O30.832 Other specified multiple gestation, number of chorions and amnions are

both equal to the number of fetuses, second trimester Add O30.833 Other specified multiple gestation, number of chorions and amnions are

both equal to the number of fetuses, third trimester Add O30.839 Other specified multiple gestation, number of chorions and amnions are

both equal to the number of fetuses, unspecified trimester No Change Complications of labor and delivery (O60-O77) No Change O75 Other complications of labor and delivery, not elsewhere classified No Change O75.4 Other complications of obstetric surgery and procedures No Change Excludes2: Revise from infection of obstetrical (surgical) wound (O86.0)Revise to infection of obstetrical (surgical) wound (O86.0-) No Change Complications predominantly related to the puerperium (O85-O92) No Change Excludes2: Revise from mental and behavioral disorders associated with the puerperium (F53)Revise to mental and behavioral disorders associated with the puerperium (F53.-) No Change O86 Other puerperal infections No Change O86.0 Infection of obstetric surgical wound Add Excludes1: complications of procedures, not elsewhere classified (T81.4-)Add postprocedural fever NOS (R50.82)Add postprocedural retroperitoneal abscess (K68.11) Add O86.00 Infection of obstetric surgical wound, unspecified Add O86.01 Infection of obstetric surgical wound, superficial incisional siteAdd Subcutaneous abscess following an obstetrical procedureAdd Stitch abscess following an obstetrical procedure Add O86.02 Infection of obstetric surgical wound, deep incisional siteAdd Intramuscular abscess following an obstetrical procedureAdd Sub-fascial abscess following a procedure Add O86.03 Infection of obstetric surgical wound, organ and space siteAdd Intraabdominal abscess following an obstetrical procedureAdd Subphrenic abscess following an obstetrical procedure Add O86.04 Sepsis following an obstetrical procedure Add Use Additional code to identify the sepsis Add O86.09 Infection of obstetric surgical wound, other surgical site No Change O90 Complications of the puerperium, not elsewhere classified No Change O90.6 Postpartum mood disturbance No Change Excludes1: Revise from postpartum depression (F53)Revise to postpartum depression (F53.0)Revise from puerperal psychosis (F53)Revise to puerperal psychosis (F53.1) No Change Other obstetric conditions, not elsewhere classified (O94-O9A) No Change O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the

puerperium No Change O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth

and the puerperium No Change O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium No Change Excludes2: Revise from postnatal psychosis (F53)Revise to postnatal psychosis (F53.1)Revise from puerperal psychosis (F53)Revise to puerperal psychosis (F53.1)

No Change Chapter 16No Change Certain conditions originating in the perinatal period (P00-P96) No Change Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00-

P04) No Change P02 Newborn affected by complications of placenta, cord and membranes No Change P02.7 Newborn affected by chorioamnionitisDelete Newborn affected by amnionitisDelete Newborn affected by membranitisDelete Newborn affected by placentitis Add P02.70 Newborn affected by fetal inflammatory response syndromeAdd Newborn affected by FIRS Add P02.78 Newborn affected by other conditions from chorioamnionitisAdd Newborn affected by amnionitisAdd Newborn affected by membranitisAdd Newborn affected by placentitis No Change P04 Newborn affected by noxious substances transmitted via placenta or breast milk No Change P04.0 Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and deliveryRevise from Newborn affected by reactions and intoxications from maternal opiates and tranquilizers

administered during labor and deliveryRevise to Newborn affected by reactions and intoxications from maternal opiates and tranquilizers

administered for procedures during pregnancy or labor and delivery Add Excludes2: newborn affected by other maternal medication (P04.1-) No Change P04.1 Newborn affected by other maternal medicationDelete Newborn affected by cancer chemotherapyDelete Newborn affected by cytotoxic drugs Add Code first withdrawal symptoms from maternal use of drugs of addiction, if applicable (P96.1) Delete Excludes1: maternal use of drugs of addiction (P04.4-) Add Excludes2: maternal anesthesia and analgesia in pregnancy, labor and delivery (P04.0)Add maternal use of drugs of addiction (P04.4-) Add P04.11 Newborn affected by maternal antineoplastic chemotherapy Add P04.12 Newborn affected by maternal cytotoxic drugs Add P04.13 Newborn affected by maternal use of anticonvulsants Add P04.14 Newborn affected by maternal use of opiates Add P04.15 Newborn affected by maternal use of antidepressants Add P04.16 Newborn affected by maternal use of amphetamines Add P04.17 Newborn affected by maternal use of sedative-hypnotics Add P04.1A Newborn affected by maternal use of anxiolytics Add P04.18 Newborn affected by other maternal medication Add P04.19 Newborn affected by maternal use of unspecified medication

No Change P04.4 Newborn affected by maternal use of drugs of addiction Add P04.40 Newborn affected by maternal use of unspecified drugs of addiction Add P04.42 Newborn affected by maternal use of hallucinogens Add Excludes2: newborn affected by other maternal medication (P04.1-) No Change P04.8 Newborn affected by other maternal noxious substances Add P04.81 Newborn affected by maternal use of cannabis Add P04.89 Newborn affected by other maternal noxious substances No Change Infections specific to the perinatal period (P35-P39) No Change P35 Congenital viral diseases Add P35.4 Congenital Zika virus disease Add Use Additional code to identify manifestations of congenital Zika virus disease No Change Transitory endocrine and metabolic disorders specific to newborn (P70-P74) No Change P74 Other transitory neonatal electrolyte and metabolic disturbances No Change P74.2 Disturbances of sodium balance of newborn Add P74.21 Hypernatremia of newborn Add P74.22 Hyponatremia of newborn No Change P74.3 Disturbances of potassium balance of newborn Add P74.31 Hyperkalemia of newborn Add P74.32 Hypokalemia of newborn No Change P74.4 Other transitory electrolyte disturbances of newborn Add P74.41 Alkalosis of newbornAdd Hyperbicarbonatemia Add P74.42 Disturbances of chlorine balance of newborn Add P74.421 Hyperchloremia of newbornAdd Hyperchloremic metabolic acidosis Add Excludes2: late metabolic acidosis of the newborn (P77.0) Add P74.422 Hypochloremia of newborn Add P74.49 Other transitory electrolyte disturbance of newborn No Change Digestive system disorders of newborn (P76-P78) No Change P78 Other perinatal digestive system disorders No Change P78.8 Other specified perinatal digestive system disorders No Change P78.84 Gestational alloimmune liver diseaseDelete Excludes 1: hemochromatosis (E83.11-) Add Excludes1: hemochromatosis (E83.11-)

No Change Conditions involving the integument and temperature regulation of newborn (P80-P83) No Change P83 Other conditions of integument specific to newborn No Change P83.8 Other specified conditions of integument specific to newborn No Change P83.81 Umbilical granuloma No Change Excludes2: Revise from : Granulomatous disorder of the skin and subcutaneous tissue, unspecified

(L92.9)Revise to Granulomatous disorder of the skin and subcutaneous tissue, unspecified

(L92.9) No Change Other disorders originating in the perinatal period (P90-P96) No Change P91 Other disturbances of cerebral status of newborn No Change P91.8 Other specified disturbances of cerebral status of newborn No Change P91.81 Neonatal encephalopathy No Change P91.811 Neonatal encephalopathy in diseases classified elsewhere No Change Code first Revise from congenital cirrhosis (of liver) (P78.71)Revise to congenital cirrhosis (of liver) (P78.81) No Change P93 Reactions and intoxications due to drugs administered to newborn No Change Excludes1: Revise from reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-

P04.1, P04.4)Revise to reactions and intoxications from maternal opiates, tranquilizers and other medication (P04.0-

P04.1, P04.4-)

No Change Chapter 17No Change Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) No Change Note: Revise from Codes from this chapter are not for use on maternal or fetal recordsRevise to Codes from this chapter are not for use on maternal records No Change Congenital malformations of the nervous system (Q00-Q07) No Change Q02 Microcephaly Add Use Additional code, if applicable, to identify congenital Zika virus disease No Change Congenital malformations of genital organs (Q50-Q56) No Change Q51 Congenital malformations of uterus and cervix No Change Q51.2 Other doubling of uterusRevise from Septate uterus, complete or partialRevise to Septate uterus Add Q51.20 Other doubling of uterus, unspecifiedAdd Septate uterus, unspecified Add Q51.21 Other complete doubling of uterusAdd Complete septate uterus Add Q51.22 Other partial doubling of uterusAdd Partial septate uterus Add Q51.28 Other doubling of uterus, other specifiedAdd Septate uterus, other specified No Change Congenital malformations and deformations of the musculoskeletal system (Q65-Q79) No Change Q67 Congenital musculoskeletal deformities of head, face, spine and chest No Change Q67.5 Congenital deformity of spine No Change Excludes1: Revise from infantile idiopathic scoliosis (M41.0 )Revise to infantile idiopathic scoliosis (M41.0) No Change Chromosomal abnormalities, not elsewhere classified (Q90-Q99) No Change Q93 Monosomies and deletions from the autosomes, not elsewhere classified No Change Q93.5 Other deletions of part of a chromosomeDelete Angelman syndrome Add Q93.51 Angelman syndrome Add Q93.59 Other deletions of part of a chromosome No Change Q93.8 Other deletions from the autosomes Add Q93.82 Williams syndrome

No Change Chapter 18No Change Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) No Change Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46) No Change R40 Somnolence, stupor and coma No Change R40.2 Coma No Change R40.21 Coma scale, eyes open No Change R40.211 Coma scale, eyes open, neverAdd Coma scale eye opening score of 1 No Change R40.212 Coma scale, eyes open, to painAdd Coma scale eye opening score of 2 No Change R40.213 Coma scale, eyes open, to soundAdd Coma scale eye opening score of 3 No Change R40.214 Coma scale, eyes open, spontaneousAdd Coma scale eye opening score of 4 No Change R40.22 Coma scale, best verbal response No Change R40.221 Coma scale, best verbal response, noneAdd Coma scale verbal score of 1 No Change R40.222 Coma scale, best verbal response, incomprehensible wordsAdd Coma scale verbal score of 2 No Change R40.223 Coma scale, best verbal response, inappropriate wordsAdd Coma scale verbal score of 3 No Change R40.224 Coma scale, best verbal response, confused conversationAdd Coma scale verbal score of 4 No Change R40.225 Coma scale, best verbal response, orientedAdd Coma scale verbal score of 5 No Change R40.23 Coma scale, best motor response No Change R40.231 Coma scale, best motor response, noneAdd Coma scale motor score of 1 No Change R40.232 Coma scale, best motor response, extensionAdd Coma scale motor score of 2 Revise from R40.233 Coma scale, best motor response, abnormalRevise to R40.233 Coma scale, best motor response, abnormal flexionRevise from Abnormal flexure posturing to pain or noxious stimuli (0-5 years of age)Revise to Abnormal flexure posturing to pain or noxious stimuli (2-5 years of age)Add Coma scale motor score of 3 No Change R40.234 Coma scale, best motor response, flexion withdrawalDelete Withdraws from pain or noxious stimuli (0-5 years of age)Add Coma scale motor score of 4Add Withdraws from pain or noxious stimuli (2-5 years of age) No Change R40.235 Coma scale, best motor response, localizes painAdd Coma scale motor score of 5

No Change R40.236 Coma scale, best motor response, obeys commandsAdd Coma scale motor score of 6 No Change Abnormal findings on examination of blood, without diagnosis (R70-R79) No Change R77 Other abnormalities of plasma proteins No Change Excludes1: Revise from disorders of plasma-protein metabolism (E88.0)Revise to disorders of plasma-protein metabolism (E88.0-) No Change Abnormal findings on examination of urine, without diagnosis (R80-R82) No Change R82 Other and unspecified abnormal findings in urine No Change R82.9 Other and unspecified abnormal findings in urine No Change R82.99 Other abnormal findings in urineDelete Cells and casts in urineDelete CrystalluriaDelete Melanuria Add R82.991 Hypocitraturia Add R82.992 Hyperoxaluria Add Excludes1: Primary hyperoxaluria (E72.53) Add R82.993 Hyperuricoscuria Add R82.994 HypercalciuriaAdd Idiopathic hypercalciuria Add R82.998 Other abnormal findings in urineAdd Cells and casts in urineAdd CrystalluriaAdd Melanuria No Change Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94) No Change R93 Abnormal findings on diagnostic imaging of other body structures No Change R93.6 Abnormal findings on diagnostic imaging of limbs No Change Excludes2: Revise from abnormal finding in skin and subcutaneous tissue (R93.8)Revise to abnormal finding in skin and subcutaneous tissue (R93.8-) No Change R93.8 Abnormal findings on diagnostic imaging of other specified body structuresDelete Abnormal finding by radioisotope localization of placentaDelete Abnormal radiological finding in skin and subcutaneous tissueDelete Mediastinal shift Add R93.81 Abnormal radiologic findings on diagnostic imaging of testis Add R93.811 Abnormal radiologic findings on diagnostic imaging of right testicle Add R93.812 Abnormal radiologic findings on diagnostic imaging of left testicle Add R93.813 Abnormal radiologic findings on diagnostic imaging of testicles, bilateral Add R93.819 Abnormal radiologic findings on diagnostic imaging of unspecified testicle

Add R93.89 Abnormal findings on diagnostic imaging of other specified body structuresAdd Abnormal finding by radioisotope localization of placentaAdd Abnormal radiological finding in skin and subcutaneous tissueAdd Mediastinal shift

No Change Chapter 19No Change Injury, poisoning and certain other consequences of external causes (S00-T88) No Change Injuries to the head (S00-S09) No Change S04 Injury of cranial nerve No Change S04.8 Injury of other cranial nerves No Change S04.89 Injury of other cranial nervesRevise from Injury of vagus [10th ] nerveRevise to Injury of vagus [10th] nerve No Change Injuries to the wrist, hand and fingers (S60-S69) No Change S62 Fracture at wrist and hand level No Change S62.6 Fracture of other and unspecified finger(s) No Change S62.62 Displaced fracture of middle phalanx of finger Revise from S62.626 Displaced fracture of medial phalanx of right little fingerRevise to S62.626 Displaced fracture of middle phalanx of right little finger Revise from S62.627 Displaced fracture of medial phalanx of left little fingerRevise to S62.627 Displaced fracture of middle phalanx of left little finger Revise from S62.628 Displaced fracture of medial phalanx of other fingerRevise to S62.628 Displaced fracture of middle phalanx of other fingerRevise from Displaced fracture of medial phalanx of specified finger with unspecified lateralityRevise to Displaced fracture of middle phalanx of specified finger with unspecified laterality Revise from S62.629 Displaced fracture of medial phalanx of unspecified fingerRevise to S62.629 Displaced fracture of middle phalanx of unspecified finger No Change S62.65 Nondisplaced fracture of middle phalanx of finger Revise from S62.654 Nondisplaced fracture of medial phalanx of right ring fingerRevise to S62.654 Nondisplaced fracture of middle phalanx of right ring finger Revise from S62.655 Nondisplaced fracture of medial phalanx of left ring fingerRevise to S62.655 Nondisplaced fracture of middle phalanx of left ring finger Revise from S62.656 Nondisplaced fracture of medial phalanx of right little fingerRevise to S62.656 Nondisplaced fracture of middle phalanx of right little finger Revise from S62.657 Nondisplaced fracture of medial phalanx of left little fingerRevise to S62.657 Nondisplaced fracture of middle phalanx of left little finger Revise from S62.658 Nondisplaced fracture of medial phalanx of other fingerRevise to S62.658 Nondisplaced fracture of middle phalanx of other fingerRevise from Nondisplaced fracture of medial phalanx of specified finger with unspecified

lateralityRevise to Nondisplaced fracture of middle phalanx of specified finger with unspecified

laterality Revise from S62.659 Nondisplaced fracture of medial phalanx of unspecified fingerRevise to S62.659 Nondisplaced fracture of middle phalanx of unspecified finger No Change Burns and corrosions of external body surface, specified by site (T20-T25)

No Change T21 Burn and corrosion of trunk No Change T21.0 Burn of unspecified degree of trunk No Change T21.01 Burn of unspecified degree of chest wallRevise from Burn of of unspecified degree of breastRevise to Burn of unspecified degree of breast No Change Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances

(T36-T50) No Change Code first Revise from adverse effect NOS (T88.7 )Revise to adverse effect NOS (T88.7)Revise from blood disorders (D56-D76 )Revise to blood disorders (D56-D76)Revise from contact dermatitis (L23-L25 )Revise to contact dermatitis (L23-L25) Revise from T37 Poisoning by, adverse effect of and underdosing of other systemic anti- infectives and

antiparasiticsRevise to T37 Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and

antiparasitics No Change T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics

[hallucinogens] No Change T40.8 Poisoning by and adverse effect of lysergide [LSD] No Change T40.8X Poisoning by and adverse effect of lysergide [LSD] No Change T40.8X1 Poisoning by lysergide [LSD], accidental (unintentional)Revise from Poisoning by lysergide [LSD]NOSRevise to Poisoning by lysergide [LSD] NOS No Change T43 Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified No Change T43.6 Poisoning by, adverse effect of and underdosing of psychostimulants Add T43.64 Poisoning by ecstasyAdd Poisoning by MDMAAdd Poisoning by 3,4-methylenedioxymethamphetamine Add T43.641 Poisoning by ecstasy, accidental (unintentional)Add Poisoning by ecstasy NOS Add T43.642 Poisoning by ecstasy, intentional self-harm Add T43.643 Poisoning by ecstasy, assault Add T43.644 Poisoning by ecstasy, undetermined No Change Other and unspecified effects of external causes (T66-T78) No Change T74 Adult and child abuse, neglect and other maltreatment, confirmed No Change T74.3 Psychological abuse, confirmedAdd Bullying and intimidation, confirmedAdd Intimidation through social media, confirmed Add T74.5 Forced sexual exploitation, confirmed

Add T74.51 Adult forced sexual exploitation, confirmed Add T74.52 Child sexual exploitation, confirmed Add T74.6 Forced labor exploitation, confirmed Add T74.61 Adult forced labor exploitation, confirmed Add T74.62 Child forced labor exploitation, confirmed No Change T76 Adult and child abuse, neglect and other maltreatment, suspected No Change T76.3 Psychological abuse, suspectedAdd Bullying and intimidation, suspectedAdd Intimidation through social media, suspected Add T76.5 Forced sexual exploitation, suspected Add T76.51 Adult forced sexual exploitation, suspected Add T76.52 Child sexual exploitation, suspected Add T76.6 Forced labor exploitation, suspected Add T76.61 Adult forced labor exploitation, suspected Add T76.62 Child forced labor exploitation, suspected No Change Complications of surgical and medical care, not elsewhere classified (T80-T88) No Change T80 Complications following infusion, transfusion and therapeutic injection No Change T80.3 ABO incompatibility reaction due to transfusion of blood or blood products No Change Excludes1: Revise from minor blood group antigens reactions (Duffy) (E) (K(ell)) (Kidd) (Lewis) (M) (N) (P) (S)

(T80.A)Revise to minor blood group antigens reactions (Duffy) (E) (K) (Kell) (Kidd) (Lewis) (M) (N) (P)

(S) (T80.A-) No Change T81 Complications of procedures, not elsewhere classified No Change T81.4 Infection following a procedureDelete Intra-abdominal abscess following a procedureDelete Postprocedural infection, not elsewhere classifiedDelete Sepsis following a procedureDelete Stitch abscess following a procedureDelete Subphrenic abscess following a procedure Delete Excludes1: obstetric surgical wound infection (O86.0)Delete postprocedural fever NOS (R50.82)Delete postprocedural retroperitoneal abscess (K68.11) Add Excludes2: obstetric surgical wound infection (O86.0-)Add postprocedural fever NOS (R50.82)Add postprocedural retroperitoneal abscess (K68.11) Add T81.40 Infection following a procedure, unspecified Add T81.41 Infection following a procedure, superficial incisional surgical siteAdd Subcutaneous abscess following a procedureAdd Stitch abscess following a procedure

Add T81.42 Infection following a procedure, deep incisional surgical siteAdd Intra-muscular abscess following a procedure Add T81.43 Infection following a procedure, organ and space surgical siteAdd Intra-abdominal abscess following a procedureAdd Subphrenic abscess following a procedure Add T81.44 Sepsis following a procedure Add Use Additional code to identify the sepsis Add T81.49 Infection following a procedure, other surgical site No Change T85 Complications of other internal prosthetic devices, implants and grafts No Change T85.1 Mechanical complication of implanted electronic stimulator of nervous system No Change T85.11 Breakdown (mechanical) of implanted electronic stimulator of nervous system No Change T85.113 Breakdown (mechanical) of implanted electronic neurostimulator, generatorRevise from Breakdown (mechanical) of implanted electronic neurostimuator generator, brain,

peripheral, gastric, spinalRevise to Breakdown (mechanical) of implanted electronic neurostimulator generator, brain,

peripheral, gastric, spinal

No Change Chapter 20No Change External causes of morbidity (V00-Y99) No Change This chapter contains the following blocks:Add X50 Overexertion and strenuous or repetitive movements No Change Transport accidents (V00-V99) No Change Note: Revise from (e) A pedestrian is any person involved in an accident who was not at the time of the accident riding in

or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle oranimal. This includes, a person changing a tire, working on a parked car, or a person on foot. It alsoincludes the user of a pedestrian conveyance such as a babystroller, ice-skates, skis, sled, rollerskates, a skateboard, nonmotorized or motorized wheelchair, motorized mobility scooter, ornonmotorized scooter.

Revise to (e) A pedestrian is any person involved in an accident who was not at the time of the accident riding inor on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle oranimal. This includes, a person changing a tire, working on a parked car, or a person on foot. It alsoincludes the user of a pedestrian conveyance such as a baby stroller, ice-skates, skis, sled, rollerskates, a skateboard, nonmotorized or motorized wheelchair, motorized mobility scooter, ornonmotorized scooter.

Revise from (w) A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate over roughor soft terrain , snow or sand. Examples of special design are high construction, special wheels andtires, tracks, and support on a cushion of air. This includes snow mobiles, All-terrain vehicles (ATV),and dune buggies. It does not include passenger vehicle designated as Sport Utility Vehicles. (SUV)

Revise to (w) A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate over roughor soft terrain, snow or sand. Examples of special design are high construction, special wheels andtires, tracks, and support on a cushion of air. This includes snow mobiles, All-terrain vehicles (ATV),and dune buggies. It does not include passenger vehicle designated as Sport Utility Vehicles. (SUV)

No Change Pedestrian injured in transport accident (V00-V09) No Change V00 Pedestrian conveyance accident No Change V00.1 Rolling-type pedestrian conveyance accident No Change Excludes1: Revise from accident with babystroller (V00.82-)Revise to accident with baby stroller (V00.82-) No Change V00.14 Scooter (nonmotorized) accident No Change Excludes1: Revise from motorscooter accident (V20-V29)Revise to motor scooter accident (V20-V29) No Change V00.2 Gliding-type pedestrian conveyance accident No Change V00.21 Ice-skates accident No Change V00.218 Other ice-skates accident No Change Excludes1: Revise from ice-skater collision with other land transport vehicle (V01-V09 with 5th

digit 9)Revise to ice-skater collision with other land transport vehicle (V01-V09 with 5th

character 9) No Change V00.22 Sled accident No Change V00.228 Other sled accident

No Change Excludes1: Revise from sled collision with other land transport vehicle (V01-V09 with 5th digit

9)Revise to sled collision with other land transport vehicle (V01-V09 with 5th

character 9) No Change V00.28 Other gliding-type pedestrian conveyance accident No Change V00.288 Other accident on other gliding-type pedestrian conveyance No Change Excludes1: Revise from gliding-type pedestrian conveyance collision with other land transport

vehicle (V01-V09 with 5th digit 9)Revise to gliding-type pedestrian conveyance collision with other land transport

vehicle (V01-V09 with 5th character 9) No Change V00.3 Flat-bottomed pedestrian conveyance accident No Change V00.31 Snowboard accident No Change V00.318 Other snowboard accident No Change Excludes1: Revise from snowboarder collision with other land transport vehicle (V01-V09 with

5th digit 9)Revise to snowboarder collision with other land transport vehicle (V01-V09 with

5th character 9) No Change V00.32 Snow-ski accident No Change V00.328 Other snow-ski accident No Change Excludes1: Revise from snow-skier collision with other land transport vehicle (V01-V09 with

5th digit 9)Revise to snow-skier collision with other land transport vehicle (V01-V09 with

5th character 9) No Change V00.8 Accident on other pedestrian conveyance Revise from V00.82 Accident with babystrollerRevise to V00.82 Accident with baby stroller Revise from V00.821 Fall from babystrollerRevise to V00.821 Fall from baby stroller Revise from V00.822 Babystroller colliding with stationary objectRevise to V00.822 Baby stroller colliding with stationary object Revise from V00.828 Other accident with babystrollerRevise to V00.828 Other accident with baby stroller No Change V00.89 Accident on other pedestrian conveyance No Change V00.898 Other accident on other pedestrian conveyance No Change Excludes1: Revise from other pedestrian (conveyance) collision with other land transport

vehicle (V01-V09 with 5th digit 9)Revise to other pedestrian (conveyance) collision with other land transport

vehicle (V01-V09 with 5th character 9) No Change V01 Pedestrian injured in collision with pedal cycle

No Change V01.0 Pedestrian injured in collision with pedal cycle in nontraffic accident No Change V01.09 Pedestrian with other conveyance injured in collision with pedal cycle in nontraffic

accidentRevise from Pedestrian with babystroller injured in collision with pedal cycle in nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with pedal cycle in nontraffic accident No Change V01.1 Pedestrian injured in collision with pedal cycle in traffic accident No Change V01.19 Pedestrian with other conveyance injured in collision with pedal cycle in traffic

accidentRevise from Pedestrian with babystroller injured in collision with pedal cycle in traffic accidentRevise to Pedestrian with baby stroller injured in collision with pedal cycle in traffic accident No Change V01.9 Pedestrian injured in collision with pedal cycle, unspecified whether traffic or nontraffic

accident No Change V01.99 Pedestrian with other conveyance injured in collision with pedal cycle, unspecified

whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with pedal cycle, unspecified whether traffic

or nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with pedal cycle, unspecified whether traffic

or nontraffic accident No Change V02 Pedestrian injured in collision with two- or three-wheeled motor vehicle No Change V02.0 Pedestrian injured in collision with two- or three-wheeled motor vehicle in nontraffic

accident No Change V02.09 Pedestrian with other conveyance injured in collision with two- or three-wheeled

motor vehicle in nontraffic accidentRevise from Pedestrian with babystroller injured in collision with two- or three-wheeled motor vehicle in

nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with two- or three-wheeled motor vehicle in

nontraffic accident No Change V02.1 Pedestrian injured in collision with two- or three-wheeled motor vehicle in traffic accident No Change V02.19 Pedestrian with other conveyance injured in collision with two- or three-wheeled

motor vehicle in traffic accidentRevise from Pedestrian with babystroller injured in collision with two- or three-wheeled motor vehicle in

traffic accidentRevise to Pedestrian with baby stroller injured in collision with two- or three-wheeled motor vehicle in

traffic accident No Change V02.9 Pedestrian injured in collision with two- or three-wheeled motor vehicle, unspecified

whether traffic or nontraffic accident No Change V02.99 Pedestrian with other conveyance injured in collision with two- or three-wheeled

motor vehicle, unspecified whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with two- or three-wheeled motor vehicle,

unspecified whether traffic or nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with two- or three-wheeled motor vehicle,

unspecified whether traffic or nontraffic accident No Change V03 Pedestrian injured in collision with car, pick-up truck or van No Change V03.0 Pedestrian injured in collision with car, pick-up truck or van in nontraffic accident No Change V03.09 Pedestrian with other conveyance injured in collision with car, pick-up truck or van

in nontraffic accidentRevise from Pedestrian with babystroller injured in collision with car, pick-up truck or van in nontraffic

accidentRevise to Pedestrian with baby stroller injured in collision with car, pick-up truck or van in nontraffic

accident No Change V03.1 Pedestrian injured in collision with car, pick-up truck or van in traffic accident No Change V03.19 Pedestrian with other conveyance injured in collision with car, pick-up truck or van

in traffic accidentRevise from Pedestrian with babystroller injured in collision with car, pick-up truck or van in traffic

accidentRevise to Pedestrian with baby stroller injured in collision with car, pick-up truck or van in traffic

accident No Change V03.9 Pedestrian injured in collision with car, pick-up truck or van, unspecified whether traffic or

nontraffic accident No Change V03.99 Pedestrian with other conveyance injured in collision with car, pick-up truck or van,

unspecified whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with car, pick-up truck or van, unspecified

whether traffic or nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with car, pick-up truck or van, unspecified

whether traffic or nontraffic accident No Change V04 Pedestrian injured in collision with heavy transport vehicle or bus No Change V04.0 Pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident No Change V04.09 Pedestrian with other conveyance injured in collision with heavy transport vehicle or

bus in nontraffic accidentRevise from Pedestrian with babystroller injured in collision with heavy transport vehicle or bus in

nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with heavy transport vehicle or bus in

nontraffic accident No Change V04.1 Pedestrian injured in collision with heavy transport vehicle or bus in traffic accident No Change V04.19 Pedestrian with other conveyance injured in collision with heavy transport vehicle or

bus in traffic accidentRevise from Pedestrian with babystroller injured in collision with heavy transport vehicle or bus in traffic

accidentRevise to Pedestrian with baby stroller injured in collision with heavy transport vehicle or bus in traffic

accident No Change V04.9 Pedestrian injured in collision with heavy transport vehicle or bus, unspecified whether

traffic or nontraffic accident No Change V04.99 Pedestrian with other conveyance injured in collision with heavy transport vehicle or

bus, unspecified whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with heavy transport vehicle or bus,

unspecified whether traffic or nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with heavy transport vehicle or bus,

unspecified whether traffic or nontraffic accident No Change V05 Pedestrian injured in collision with railway train or railway vehicle No Change V05.0 Pedestrian injured in collision with railway train or railway vehicle in nontraffic accident No Change V05.09 Pedestrian with other conveyance injured in collision with railway train or railway

vehicle in nontraffic accidentRevise from Pedestrian with babystroller injured in collision with railway train or railway vehicle in

nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with railway train or railway vehicle in

nontraffic accident No Change V05.1 Pedestrian injured in collision with railway train or railway vehicle in traffic accident No Change V05.19 Pedestrian with other conveyance injured in collision with railway train or railway

vehicle in traffic accidentRevise from Pedestrian with babystroller injured in collision with railway train or railway vehicle in traffic

accidentRevise to Pedestrian with baby stroller injured in collision with railway train or railway vehicle in traffic

accident No Change V05.9 Pedestrian injured in collision with railway train or railway vehicle, unspecified whether

traffic or nontraffic accident No Change V05.99 Pedestrian with other conveyance injured in collision with railway train or railway

vehicle, unspecified whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with railway train or railway vehicle,

unspecified whether traffic or nontrafficRevise to Pedestrian with baby stroller injured in collision with railway train or railway vehicle,

unspecified whether traffic or nontraffic No Change V06 Pedestrian injured in collision with other nonmotor vehicle No Change V06.0 Pedestrian injured in collision with other nonmotor vehicle in nontraffic accident No Change V06.09 Pedestrian with other conveyance injured in collision with other nonmotor vehicle in

nontraffic accidentRevise from Pedestrian with babystroller injured in collision with other nonmotor vehicle in nontraffic

accidentRevise to Pedestrian with baby stroller injured in collision with other nonmotor vehicle in nontraffic

accident No Change V06.1 Pedestrian injured in collision with other nonmotor vehicle in traffic accident No Change V06.19 Pedestrian with other conveyance injured in collision with other nonmotor vehicle in

traffic accidentRevise from Pedestrian with babystroller injured in collision with other nonmotor vehicle in nontraffic

accidentRevise to Pedestrian with baby stroller injured in collision with other nonmotor vehicle in nontraffic

accident No Change V06.9 Pedestrian injured in collision with other nonmotor vehicle, unspecified whether traffic or

nontraffic accident No Change V06.99 Pedestrian with other conveyance injured in collision with other nonmotor vehicle,

unspecified whether traffic or nontraffic accidentRevise from Pedestrian with babystroller injured in collision with other nonmotor vehicle, unspecified

whether traffic or nontraffic accidentRevise to Pedestrian with baby stroller injured in collision with other nonmotor vehicle, unspecified

whether traffic or nontraffic accident No Change Exposure to forces of nature (X30-X39) No Change X37 Cataclysmic storm No Change X37.9 Unspecified cataclysmic storm No Change Excludes1: Revise from collapse of dam or man-made structure causing earth movement (X39.0)Revise to collapse of dam or man-made structure causing earth movement (X36.0) No Change X38 Flood

No Change Excludes1: Revise from collapse of dam or man-made structure causing earth movement (X39.0)Revise to collapse of dam or man-made structure causing earth movement (X36.0)Revise from tidal wave caused by storm (X37.2)Revise to tidal wave caused by storm (X37.42) No Change X39 Exposure to other forces of nature No Change X39.0 Exposure to natural radiation No Change Excludes1: Revise from contact with and (suspected) exposure to radon and other naturally occuring radiation

(Z77.123)Revise to contact with and (suspected) exposure to radon and other naturally occurring radiation

(Z77.123) No Change Assault (X92-Y09) No Change Y07 Perpetrator of assault, maltreatment and neglect Add Y07.6 Multiple perpetrators of maltreatment and neglect No Change Medical devices associated with adverse incidents in diagnostic and therapeutic use (Y70-Y82) Delete Excludes2: breakdown or malfunctioning of medical device (after implantation) (during procedure) (ongoing

use) (Y70-Y82) No Change Supplementary factors related to causes of morbidity classified elsewhere (Y90-Y99) No Change Y93 Activity codes No Change Y93.2 Activities involving ice and snow Revise from Y93.23 Activity, snow (alpine) (downhill) skiing, snow boarding, sledding, tobogganing and

snow tubingRevise to Y93.23 Activity, snow (alpine) (downhill) skiing, snowboarding, sledding, tobogganing and

snow tubing

No Change Chapter 21No Change Factors influencing health status and contact with health services (Z00-Z99) No Change This chapter contains the following blocks:Add Z19 Hormone sensitivity malignancy status No Change Persons encountering health services for examinations (Z00-Z13) No Change Z00 Encounter for general examination without complaint, suspected or reported diagnosis No Change Z00.1 Encounter for newborn, infant and child health examinations No Change Z00.12 Encounter for routine child health examinationDelete Encounter for development testing of infant or childAdd Immunizations appropriate for ageAdd Routine developmental screening of infant or childAdd Routine vision and hearing testing No Change Z02 Encounter for administrative examination No Change Z02.7 Encounter for issue of medical certificate No Change Excludes1: Revise from encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9, )Revise to encounter for general medical examination (Z00-Z01, Z02.0-Z02.6, Z02.8-Z02.9) No Change Z03 Encounter for medical observation for suspected diseases and conditions ruled out No Change Excludes1: Revise from encounter for observation and evaluation of newborn for suspected diseases and conditions

ruled out (Z05.0-)Revise to encounter for observation and evaluation of newborn for suspected diseases and conditions

ruled out (Z05.-) No Change Z04 Encounter for examination and observation for other reasons No Change Z04.8 Encounter for examination and observation for other specified reasons Add Z04.81 Encounter for examination and observation of victim following forced sexual

exploitation Add Z04.82 Encounter for examination and observation of victim following forced labor

exploitation Add Z04.89 Encounter for examination and observation for other specified reasons No Change Z13 Encounter for screening for other diseases and disorders Add Z13.3 Encounter for screening examination for mental health and behavioral disorders Add Z13.30 Encounter for screening examination for mental health and behavioral disorders,

unspecified Add Z13.31 Encounter for screening for depressionAdd Encounter for screening for depression, adultAdd Encounter for screening for depression for child or adolescent Add Z13.32 Encounter for screening for maternal depressionAdd Encounter for screening for perinatal depression Add Z13.39 Encounter for screening examination for other mental health and behavioral

disorders

Add Encounter for screening for alcoholismAdd Encounter for screening for intellectual disabilities No Change Z13.4 Encounter for screening for certain developmental disorders in childhoodAdd Encounter for development testing of infant or child Delete Excludes1: routine development testing of infant or child (Z00.1-) Add Excludes2: encounter for routine child health examination (Z00.12-) Add Z13.40 Encounter for screening for unspecified developmental delays Add Z13.41 Encounter for autism screening Add Z13.42 Encounter for screening for global developmental delays (milestones)Add Encounter for screening for developmental handicaps in early childhood Add Z13.49 Encounter for screening for other developmental delays No Change Retained foreign body fragments (Z18) No Change Z18 Retained foreign body fragments No Change Z18.2 Retained plastic fragmentsRevise from Diethylhexylphthalates fragmentsRevise to Diethylhexyl phthalates fragments No Change Persons with potential health hazards related to communicable diseases (Z20-Z29) No Change Z20 Contact with and (suspected) exposure to communicable diseases No Change Z20.8 Contact with and (suspected) exposure to other communicable diseases No Change Z20.82 Contact with and (suspected) exposure to other viral communicable diseases Add Z20.821 Contact with and (suspected) exposure to Zika virus No Change Z28 Immunization not carried out and underimmunization status No Change Z28.8 Immunization not carried out for other reason Add Z28.83 Immunization not carried out due to unavailability of vaccineAdd Delay in delivery of vaccineAdd Lack of availability of vaccineAdd Manufacturer delay of vaccine No Change Z29 Encounter for other prophylactic measuresDelete Excludes 1: desensitization to allergens (Z51.6)Delete prophylactic surgery (Z40.-) Add Excludes1: desensitization to allergens (Z51.6)Add prophylactic surgery (Z40.-) No Change Encounters for other specific health care (Z40-Z53) No Change Z40 Encounter for prophylactic surgery No Change Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms Revise from Z40.03 Encounter for prophylactic removal of fallopian tube(s )Revise to Z40.03 Encounter for prophylactic removal of fallopian tube(s)

No Change Persons with potential health hazards related to socioeconomic and psychosocial circumstances(Z55-Z65)

No Change Z62 Problems related to upbringing No Change Z62.8 Other specified problems related to upbringing No Change Z62.81 Personal history of abuse in childhood Add Z62.813 Personal history of forced labor or sexual exploitation in childhood No Change Body mass index [BMI] (Z68) No Change Z68 Body mass index [BMI] No Change Z68.4 Body mass index (BMI) 40 or greater, adult Revise from Z68.43 Body mass index (BMI) 50-59.9 , adultRevise to Z68.43 Body mass index (BMI) 50-59.9, adult No Change Persons encountering health services in other circumstances (Z69-Z76) No Change Z76 Persons encountering health services in other circumstances No Change Z76.5 Malingerer [conscious simulation] No Change Excludes1: Revise from factitious disorder (F68.1-)Revise to factitious disorder (F68.1-, F68.A) No Change Persons with potential health hazards related to family and personal history and certain conditions

influencing health status (Z77-Z99) No Change Z77 Other contact with and (suspected) exposures hazardous to health No Change Z77.1 Contact with and (suspected) exposure to environmental pollution and hazards in the

physical environment No Change Z77.12 Contact with and (suspected) exposure to hazards in the physical environment Revise from Z77.123 Contact with and (suspected) exposure to radon and other naturally

occuring radiationRevise to Z77.123 Contact with and (suspected) exposure to radon and other naturally

occurring radiation Revise from Z77.2 Contact with and (suspected ) exposure to other hazardous substancesRevise to Z77.2 Contact with and (suspected) exposure to other hazardous substances Revise from Z77.29 Contact with and (suspected ) exposure to other hazardous substancesRevise to Z77.29 Contact with and (suspected) exposure to other hazardous substances No Change Z83 Family history of other specific disorders No Change Z83.4 Family history of other endocrine, nutritional and metabolic diseases Add Z83.43 Family history of other disorder of lipoprotein metabolism and other lipidemias Add Z83.430 Family history of elevated lipoprotein(a)Add Family history of elevated Lp(a) Add Z83.438 Family history of other disorder of lipoprotein metabolism and other

lipidemia

Add Family history of familial combined hyperlipidemia No Change Z91 Personal risk factors, not elsewhere classified No Change Z91.4 Personal history of psychological trauma, not elsewhere classified Add Z91.42 Personal history of forced labor or sexual exploitation No Change Z95 Presence of cardiac and vascular implants and grafts No Change Z95.8 Presence of other cardiac and vascular implants and grafts No Change Z95.81 Presence of other cardiac implants and grafts No Change Z95.810 Presence of automatic (implantable) cardiac defibrillatorRevise from Presence of cardioverter-defribillator (ICD)Revise to Presence of cardioverter-defibrillator (ICD) No Change Z99 Dependence on enabling machines and devices, not elsewhere classified No Change Z99.3 Dependence on wheelchair No Change Code first Revise from muscular dystrophy (G71.0)Revise to muscular dystrophy (G71.0-)