ICD-9-CM to ICD-10-CM Resource Guide - Quest Diagnostics · PDF fileICD-9-CM to ICD-10-CM Resource Guide | 1 Prescription Drug Monitoring and Toxicology I CD-9-CM to ICD-10-CM Ge cuide

ICD-9-CM to ICD-10-CM Resource Guide | 1
Prescription Drug Monitoring and Toxicology
ICD-9-CM to ICD-10-CM Resource Guide
Provided as a service of Quest Diagnostics

DisclaimerThis list is intended to assist ordering physicians in providing ICD-9 and ICD-10 Diagnosis Codes as required by Medicare and other Insurers. It includes the diagnosis narratives and the codes that are most commonly submitted for toxicology and pain management tests orders, but is not a complete list. The list was compiled from the ICD-9-CM 2012 book and the ICD-10-CM 2015 book. The responsibility for correct coding belongs to the ordering physician. ICD-9-CM and ICD-10-CM books should be used as a complete reference.

Information on the ICD-10 Transition 4
Pain Management: Top Mappings 5
Addiction Medicine: Top Mappings 11
Table of Contents

The ICD-10 Transition: An Introduction
Beginning October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. To accommodate the ICD-10 code structure, the transaction standards used for electronic healthcare claims, Version 4010/4010A, must be upgraded to Version 5010.
IMPORTANT NOTE
Your facility must have to provide the new ICD-10 codes to Quest Diagnostics with each specimen beginning in October 2015. Due to the high specificity of ICD-10, Quest Diagnostics will be unable to translate many former ICD-9 codes to ICD-10 codes.
About ICD-10ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) consists of two parts:
1. ICD-10-CM for diagnosis coding
2. ICD-10-PCS for inpatient procedure coding
ICD-10-CM is for use in all U.S. healthcare settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar.
ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10-PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedure coding.
The transition to ICD-10 occurred because ICD-9 produces limited data about patients medical conditions and hospital inpatient procedures. ICD-9 is over 30 years old, has outdated terms, and is inconsistent with current medical practice.Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full.

Pain Management | Top Mappings
ICD-9-CM CONDITION(S) ICD-10-CM DESCRIPTION
300.00 Anxiety State Unspecified
F41.9 Anxiety Disorder Unspecified
304.00 Opioid Type Dependence Unspecified Abuse
F11.20 Opioid Dependence Uncomplicated
F11.220 Opioid Dependence w/ Intoxication
F11.221 Opioid Dependence w/ Intoxication Delirium
F11.222 Opioid Dependence w/ Intoxication w/ Perceptual Disturbance
F11.229 Opioid Dependence w/ Intoxication Unspecified
F11.23 Opioid Dependence w/ Withdrawal
F11.24 Opioid Dependence w/ Opioid-Induced Mood Disorder
F11.250 Opioid Dependence w/ Induced Psychotic Disorder w/ Delusions
F11.251 Opioid Dependence w/ Induced Psychotic Disorder w/ Hallucinations
F11.259 Opioid Dependence w/ Opioid-Induced Psychotic Disorder Unspecified
F11.281 Opioid Dependence w/ Opioid-Induced Sexual Dysfunction
F11.282 Opioid Dependence w/ Opioid-Induced Sleep Disorder
F11.288 Opioid Dependence w/ Other Opioid-Induced Disorder
F11.29 Opioid Dependence w/ Unspecified Opioid-Induced Disorder
304.01 Opioid Type Dependence Continuous Abuse
F11.20 Opioid Dependence Uncomplicated
304.90 Unspecified Drug Dependence Unspecified Abuse
F19.20 Other Psychoactive Substance Dependence Uncomplicated
304.91 Unspecified Drug Dependence Continuous Abuse
F19.20 Other Psychoactive Substance Dependence Uncomplicated
338.29 Other Chronic Pain G89.28 Other Chronic Post Procedural Pain
338.4 Chronic Pain Syndrome G89.4 Chronic Pain Syndrome

719.41 Pain In Joint Shoulder Region
M25.511 Pain In Right Shoulder
M25.512 Pain In Left Shoulder
M25.519 Pain In Unspecified Shoulder
719.46 Pain In Joint Lower Leg M25.561 Pain In Right Knee
M25.562 Pain In Left Knee
M25.569 Pain In Unspecified Knee
721.0 Cervical Spondylosis w/o Myelopathy
M47.21 Other Spondylosis Radiculopathy OA-AX
M47.22 Other Spondylosis w/ Radiculopathy Cervical Region
M47.23 Other Spondylosis w/ Radiculopathy Cervicothoracic
M47.811 Spondylosis w/o Myelopathy/ Radiculopathy OA-AX Region
M47.812 Spondylosis w/o Myelopathy/ Radiculopathy Cervical Region
M47.813 Spondylosis w/o Myelopathy/ Radiculopathy Cervicothoracic Region
M47.891 Other Spondylosis OA-AX Region
M47.892 Other Spondylosis Cervical Region
M47.893 Other Spondylosis Cervicothoracic Region
721.3 Lumbosacral Spondylosisw/o Myelopathy
M47.26 Other Spondylosis w/ Radiculopathy Lumbar Region
M47.27 Other Spondylosis w/ Radiculopathy Lumbosacral Region
M47.28 Other Spondylosis Radiculopathy Sacral & Sacrococcygeal
M47.816 Spondylosis w/o Myelopathy/ Radiculopathy Lumbar Region
M47.817 Spondylosis w/o Myelopathy/Radiculopathy Lumbosacral Region
M47.818 Spondylosis w/o Myelopathy/Radiculopathy Sacral & Sacrococcygeal Region
M47.896 Other Spondylosis Lumbar Region
M47.897 Other Spondylosis Lumbosacral Region
M47.898 Other Spondylosis Sacral & Sacrococcygeal Region

722.10 Displacement Lumbar Intervertebral Disc w/o Myelopathy
M51.26 Other Intervertebral Disc Displacement Lumbar Region
M51.27 Other Intervertebral Disc Displacement Lumbosacral Region
722.4 Degeneration Of Cervical Intervertebral Disc
M50.30 Other Cervical Disc Degeneration Unspecified Cervical Region
M50.31 Other Cervical Disc Degeneration OA-AX Region
M50.32 Other Cervical Disc Degeneration Mid-Cervical Region
M50.33 Other Cervical Disc Degeneration Cervicothoracic Region
722.52 Degeneration Lumbar/Lumbosacral Intervertebral Disc
M51.36 Other Intervertebral Disc Degeneration Lumbar Region
M51.37 Other Intervertebral Disc Degeneration Lumbosacral Region
722.83 Postlaminectomy Syndrome Lumbar Region
M96.1 Postlaminectomy Syndrome NEC
723.1 Cervicalgia M54.2 Cervicalgia
723.4 Brachial Neuritis Or Radiculitis NOS
M50.10 Cervical Disc Disorder w/ Radiculopathy Unspecified Cervical Region
M50.11 Cervical Disc Disorder w/ Radiculopathy OA-AX Region
M50.12 Cervical Disc Disorder w/ Radiculopathy Mid-Cervical Region
M50.13 Cervical Disc Disorder Radiculopathy Cervicothoracic Region
M54.11 Radiculopathy OA-AX Region
M54.12 Radiculopathy Cervical Region
M54.13 Radiculopathy Cervicothoracic Region
724.2 Lumbago M54.5 Low Back Pain
724.4 Thoracic/Lumbosacral Neuritis/Radiculitis Unspecified
M51.14 Intervertebral Disc Disorder w/ Radiculopathy Thoracic
M51.15 IV Disc Disorder w/ Radiculopathy Thoracolumbar Region
M51.16 Intervertebral Disc Disorder w/ Radiculopathy Lumbar Region

724.4 Thoracic/Lumbosacral Neuritis/Radiculitis Unspecified (Continued)
M51.17 IV Disc Disorder w/ Radiculopathy Lumbosacral Region
M54.14 Radiculopathy Thoracic Region
M54.15 Radiculopathy Thoracolumbar Region
M54.16 Radiculopathy Lumbar Region
M54.17 Radiculopathy Lumbosacral Region
724.5 Unspecified Backache M54.89 Other Dorsalgia
M54.9 Dorsalgia Unspecified
729.1 Unspecified Myalgia And Myositis
M60.80 Other Myositis Unspecified Site
M60.811 Other Myositis Right Shoulder
M60.812 Other Myositis Left Shoulder
M60.819 Other Myositis Unspecified Shoulder
M60.821 Other Myositis Right Upper Arm
M60.822 Other Myositis Left Upper Arm
M60.829 Other Myositis Unspecified Upper Arm
M60.831 Other Myositis Right Forearm
M60.832 Other Myositis Left Forearm
M60.839 Other Myositis Unspecified Forearm
M60.841 Other Myositis Right Hand
M60.842 Other Myositis Left Hand
M60.849 Other Myositis Unspecified Hand
M60.851 Other Myositis Right Thigh
M60.852 Other Myositis Left Thigh
M60.859 Other Myositis Unspecified Thigh
M60.861 Other Myositis Right Lower Leg
M60.862 Other Myositis Left Lower Leg
M60.869 Other Myositis Unspecified Lower Leg
M60.871 Other Myositis Right Ankle And Foot
M60.872 Other Myositis Left Ankle And Foot
M60.879 Other Myositis Unspecified Ankle And Foot
M60.88 Other Myositis Other Site
M60.89 Other Myositis Multiple Sites
M60.9 Other Myositis Unspecified

729.1 Unspecified Myalgia And Myositis (Continued)
M79.1 Myalgia
M79.7 Fibromyalgia
729.5 Pain In Soft Tissues Of Limb
M79.601 Pain In Right Arm
M79.602 Pain In Left Arm
M79.603 Pain In A

ICD-9-CM to ICD-10-CM Resource Guide - Quest Diagnostics · PDF fileICD-9-CM to ICD-10-CM Resource Guide | 1 Prescription Drug Monitoring and Toxicology I CD-9-CM to ICD-10-CM Ge cuide

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