Lymphoma — continuedbronchial-associated lymphoid tissue [BALT-lym-

phoma] C88.4Burkitt (atypical) C83.7- SBurkitt-like C83.7- Scentrocytic C83.1- Scutaneous follicle center C82.6- Scutaneous T-cell C84.A- S (following C84.7)diffuse follicle center C82.5- Sdiffuse large cell C83.3- S

anaplastic C83.3- SB-cell C83.3- SCD30-positive C83.3- Scentroblastic C83.3- Simmunoblastic C83.3- Splasmablastic C83.3- Ssubtype not specified C83.3- ST-cell rich C83.3- S

enteropathy-type (associated) (intestinal) T-cell C86.2extranodal marginal zone B-cell lymphoma of mucosa-

associated lymphoid tissue [MALT-lymphoma]C88.4

extranodal NK/T-cell, nasal type C86.0follicular C82.9- S

gradeI C82.0- SII C82.1- SIII C82.2- SIIIa C82.3- SIIIb C82.4- S

specified NEC C82.8- Shepatosplenic T-cell (alpha-beta) (gamma-delta) C86.1histiocytic C85.9- S

true C96.A (following C96.6)Hodgkin C81.9 S

lymphocyte depleted (classical) C81.3- Slymphocyte-rich (classical) C81.4- Smixed cellularity (classical) C81.2- Snodular

lymphocyte predominant C81.0- Ssclerosis (classical) C81.1- S

nodular sclerosis (classical) C81.1- Sspecified NEC (classical) C81.7- S

intravascular large B-cell C83.8- SLennert's C84.4- Slymphoblastic (diffuse) C83.5- Slymphoblastic B-cell C83.5- Slymphoblastic T-cell C83.5- Slymphoepithelioid C84.4- Slymphoplasmacytic C83.0- S

with IgM-production C88.0MALT C88.4mantle cell C83.1- Smature T-cell NEC C84.4- Smature T/NK-cell C84.9- S

specified NEC C84.Z- S (following C84.7)mediastinal (thymic) large B-cell C85.2- SMediterranean C88.3mucosa-associated lymphoid tissue [MALT-lymphoma]

C88.4NK/T cell C84.9- Snodal marginal zone C83.0- Snon-follicular (diffuse) C83.9- S

specified NEC C83.8- Snon-Hodgkin (see also Lymphoma, by type) C85.9- S

specified NEC C85.8- Snon-leukemic variant of B-CLL C83.0- Speripheral T-cell, not classified C84.4- Sprimary cutaneous

anaplastic large cell C86.6CD30-positive large T-cell C86.6

primary effusion B-cell C83.8- SSALT C88.4skin-associated lymphoid tissue [SALT-lymphoma]

C88.4small cell B-cell C83.0- Ssplenic marginal zone C83.0- Ssubcutaneous panniculitis-like T-cell C86.3T-precursor C83.5- Strue histiocytic C96.A (following C96.6)

Lymphomatosis — see LymphomaLymphopathia venereum, veneris A55Lymphopenia D72.810Lymphoplasmacytic leukemia — see Leukemia,

chronic lymphocytic, B-cell typeLymphoproliferation, X-linked disease D82.3

Lymphoreticulosis, benign (of inoculation) A28.1Lymphorrhea I89.8Lymphosarcoma (diffuse) (see also Lymphoma)

C85.9- SLymphostasis I89.8Lypemania — see MelancholiaLysine and hydroxylysine metabolism disorder E72.3Lyssa — see Rabies

MMacacus ear Q17.3Maceration, wet feet, tropical (syndrome) T69.02- SMacLeod's syndrome J43.0Macrocephalia, macrocephaly Q75.3Macrocheilia, macrochilia (congenital) Q18.6Macrocolon (see also Megacolon) Q43.1Macrocornea Q15.8

with glaucoma Q15.0Macrocytic — see conditionMacrocytosis D75.89Macrodactylia, macrodactylism (fingers) (thumbs)

Q74.0toes Q74.2

Macrodontia K00.2Macrogenia M26.05Macrogenitosomia (adrenal) (male) (praecox) E25.9

congenital E25.0Macroglobulinemia (idiopathic) (primary) C88.0

monoclonal (essential) D47.2Waldenström C88.0

Macroglossia (congenital) Q38.2acquired K14.8

Macrognathia, macrognathism (congenital)(mandibular) (maxillary) M26.09

Macrogyria (congenital) Q04.8Macrohydrocephalus — see HydrocephalusMacromastia — see Hypertrophy, breastMacrophthalmos Q11.3

in congenital glaucoma Q15.0Macropsia H53.15Macrosigmoid K59.39

congenital Q43.2Macrospondylitis , acromegalic E22.0Macrostomia (congenital) Q18.4Macrotia (external ear) (congenital) Q17.1Macula

cornea, corneal — see Opacity, corneadegeneration (atrophic) (exudative) (senile) (see also

Degeneration, macula)hereditary — see Dystrophy, retina

Maculae ceruleae B85.1Maculopathy, toxic — see Degeneration, macula, toxicMadarosis (eyelid) H02.729

left H02.726lower H02.725upper H02.724

right H02.723lower H02.722upper H02.721

Madelung'sdeformity (radius) Q74.0disease

radial deformity Q74.0symmetrical lipomas, neck E88.89

Madness — see PsychosisMadura

foot B47.9actinomycotic B47.1mycotic B47.0

Maduromycosis B47.0Maffucci's syndrome Q78.4Magnesium metabolism disorder — see Disorder,

metabolism, magnesiumMain en griffe (acquired) (see also Deformity, limb,

clawhand)congenital Q74.0

Maintenance (encounter for)antineoplastic chemotherapy Z51.11antineoplastic radiation therapy Z51.0methadone F11.20

Majocchi'sdisease L81.7granuloma B35.8

Major — see conditionMal de los pintos — see PintaMal de mer T75.3 S

Malabar itch (any site) B35.5Malabsorption K90.9

calcium K90.89carbohydrate K90.49disaccharide E73.9fat K90.49galactose E74.20glucose (-galactose) E74.39intestinal K90.9

specified NEC K90.89isomaltose E74.31lactose E73.9methionine E72.19monosaccharide E74.39postgastrectomy K91.2postsurgical K91.2protein K90.49starch K90.49sucrose E74.39syndrome K90.9

postsurgical K91.2Malacia, bone (adult) M83.9

juvenile — see RicketsMalacoplakia

bladder N32.89pelvis (kidney) N28.89ureter N28.89urethra N36.8

Malacosteon, juvenile — see RicketsMaladaptation — see MaladjustmentMaladie de Roger Q21.0Maladjustment

conjugal Z63.0involving divorce or estrangement Z63.5

educational Z55.4family Z63.9marital Z63.0

involving divorce or estrangement Z63.5occupational NEC Z56.89simple, adult — see Disorder, adjustmentsituational — see Disorder, adjustmentsocial Z60.9

due toacculturation difficulty Z60.3discrimination and persecution (perceived)

Z60.5exclusion and isolation Z60.4life-cycle (phase of life) transition Z60.0rejection Z60.4specified reason NEC Z60.8

Malaise R53.81Malakoplakia — see MalacoplakiaMalaria, malarial (fever) B54

withblackwater fever B50.8

hemoglobinuric (bilious) B50.8hemoglobinuria B50.8

accidentally induced (therapeutically) — code by typeunder Malaria

algid B50.9cerebral B50.0 [G94]clinically diagnosed (without parasitological confirma-

tion) B54congenital NEC P37.4

falciparum P37.3congestion, congestive B54continued (fever) B50.9estivo-autumnal B50.9falciparum B50.9

with complications NEC B50.8cerebral B50.0 [G94]

severe B50.8hemorrhagic B54malariae B52.9

withcomplications NEC B52.8glomerular disorder B52.0

malignant (tertian) — see Malaria, falciparummixed infections — code to first listed type in B50-B53ovale B53.0parasitologically confirmed NEC B53.8pernicious, acute — see Malaria, falciparumPlasmodium (P.)

falciparum NEC — see Malaria, falciparummalariae NEC B52.9

with Plasmodiumfalciparum (and or vivax) — see Malaria,

falciparum

2 Subterms under main terms may continue to next column or pageS Additional Character Required — Refer to the Tabular List for Character Selection214

ICD-10-CMLymphomaIn

dex

Lym

phom

a—

Mal

aria

, mal

aria

l

Sample

pagegggggggggggggggggggggggggggaaagaaagaaagaaagaagagaagagaagagaaaaaaaagagaagagaaaaaaaaagagaagagaagaagaagaagaagagpapagagpapagagpapagagpapapapapapapapagagpapagagpapapapapapapapapapapapapapaapapaapapapapapapapapapapapapapapaapapaapapapapapppppppppppppppppppppppppppppppppppppppppppppppp

ppppppppmmmmpmmmpmmmpmmmpmmpmmpmmpmmpmmmpmmmpmmmpmmmpmmpmmpmmpmmpmmpmmmpmmmpmmmpmmmmmmmmmpmmmpmmmpmmmmmmmmmpmmmmmmmmmmmmmammammmammmammammammammammammammmammmammammammammammammmammmammmamamamamamamamammmaaaaaaaaaaaaaaaaaaaaaaaaaaaaaSS.9-9- SS

84.Z-Z- S (following llowing C84.7)C84.7)) large B-cell C85.2-arge B-cell C85.2- SS

hoid tissue [MALT-lymphomtissue [MALT

.9

88.0

hism (congenital)enitalary) M26.09

l) Q04.8us — seee HydrocephalusHydr

see Hypertrophy, breastertrophy, bremosmos Q11.3Q

nital glaucoma Q15.0glaucoma Q15.0sia H53.15

osigmoidid K59.39K59.39congenital Q43.2tal Q43.2

Macrospondylitis pondoopopopopp , acromegalicacromega E22.0Macrostomiaomiaomommm (congenital) nit Q18.4Macrotiaacrotiaccacacac (external ear) (congenitaexternal ear) (MaculaMaculaaca

cornea, corneal — cornea, corneal — aa, see Opdegeneration (atrophidegeneration (atrophdddededede

Degenerationhereditary —herrr

Maculae M ceruleMaculopathMaMadaros

left

0.9gical K91.2

bone (adult) M83.9dult) M83.9nile — see RicketsRickets

acoplakiabladder N32.89N32.pelvis vis (kidney) N28.89(kidney) N28.89(k(k(k(k(k(k((ureter N28.89ter N28.89urethra thrarrararara N36.8

Malacosteon, Malacosteonl tal teala teala teala teala te juvenilejuvenile — seMaladaptationMaladaptationll tala tlalalaala — seeee MaMMaladie Maladie lalaalaalaalal de dddd Rogeroger Q21Q21MaladjustmentMaladjustmenttstststst

conjugal Z63.0conjucoinvolvingi

educatiofamilyma

8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx 7 Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title

456 ICD-10-CM 201

C13–C21.0 Chapter 2. Neoplasms ICD-10-CM 201C1

3–C2

1.0

Chap

ter 2

. Neo

plas

ms b C13 Malignant neoplasm of hypopharynx

Use additional code to identify:exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)

whistory of tobacco dependence (Z87.891)xoccupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)

2 malignant neoplasm of pyriform sinus (C12)C13.0 Malignant neoplasm of postcricoid region

C13.1 Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect

Malignant neoplasm of aryepiglottic fold, marginal zoneMalignant neoplasm of aryepiglottic fold NOSMalignant neoplasm of interarytenoid fold, marginal zoneMalignant neoplasm of interarytenoid fold NOS2 malignant neoplasm of aryepiglottic fold or

interarytenoid fold, laryngeal aspect (C32.1)C13.2 Malignant neoplasm of posterior wall of hypopharynx

C13.8 Malignant neoplasm of overlapping sites of hypopharynx

C13.9 Malignant neoplasm of hypopharynx, unspecified BMalignant neoplasm of hypopharyngeal wall NOS

b C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Use additional code to identify:alcohol abuse and dependence (F10.-)exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)

whistory of tobacco dependence (Z87.891)xoccupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)

1 malignant neoplasm of oral cavity NOS (C06.9)C14.0 Malignant neoplasm of pharynx, unspecified BC14.2 Malignant neoplasm of Waldeyer's ring

C14.8 Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx

Primary malignant neoplasm of two or more contiguous sites of lip, oral cavity and pharynx

1 “book leaf” neoplasm [ventral surface of tongue and floor of mouth] (C06.89)

Malignant neoplasms of digestive organs (C15-C26)1 Kaposi's sarcoma of gastrointestinal sites (C46.4)2wgastrointestinal stromal tumors (C49.A-)x

b C15 Malignant neoplasm of esophagusUse additional code to identify:

alcohol abuse and dependence (F10.-)C15.3 Malignant neoplasm of upper third of esophagus

C15.4 Malignant neoplasm of middle third of esophagus

C15.5 Malignant neoplasm of lower third of esophagus

1 malignant neoplasm of cardio-esophageal junction (C16.0)

C15.8 Malignant neoplasm of overlapping sites of esophagus

C15.9 Malignant neoplasm of esophagus, unspecified B

b C16 Malignant neoplasm of stomachUse additional code to identify:

alcohol abuse and dependence (F10.-)2 malignant carcinoid tumor of the stomach (C7A.092)

C16.0 Malignant neoplasm of cardia Malignant neoplasm of cardiac orificeMalignant neoplasm of cardio-esophageal junctionMalignant neoplasm of esophagus and stomachMalignant neoplasm of gastro-esophageal junction

C16.1 Malignant neoplasm of fundus of stomach

C16.2 Malignant neoplasm of body of stomach

C16.3 Malignant neoplasm of pyloric antrum Malignant neoplasm of gastric antrum

C16.4 Malignant neoplasm of pylorus Malignant neoplasm of prepylorusMalignant neoplasm of pyloric canal

C16.5 Malignant neoplasm of lesser curvature of stomach, B unspecified

Malignant neoplasm of lesser curvature of stomach, not classifiable to C16.1-C16.4

C16.6 Malignant neoplasm of greater curvature of stomach, B unspecified

Malignant neoplasm of greater curvature of stomach, not classifiable to C16.0-C16.4

C16.8 Malignant neoplasm of overlapping sites of stomach

C16.9 Malignant neoplasm of stomach, unspecified BGastric cancer NOS

b C17 Malignant neoplasm of small intestine1 malignant carcinoid tumors of the small intestine (C7A.01)AHA: 2016, 1Q, 19

C17.0 Malignant neoplasm of duodenum

C17.1 Malignant neoplasm of jejunum

C17.2 Malignant neoplasm of ileum

1 malignant neoplasm of ileocecal valve (C18.0) C17.3 Meckel's diverticulum, malignant

1 Meckel’s diverticulum, congenital (Q43.0) C17.8 Malignant neoplasm of overlapping sites of small intestine

C17.9 Malignant neoplasm of small intestine, unspecified B

b C18 Malignant neoplasm of colon1 malignant carcinoid tumors of the colon (C7A.02-)

C18.0 Malignant neoplasm of cecum Malignant neoplasm of ileocecal valve

C18.1 Malignant neoplasm of appendix

C18.2 Malignant neoplasm of ascending colon

C18.3 Malignant neoplasm of hepatic flexure

C18.4 Malignant neoplasm of transverse colon

C18.5 Malignant neoplasm of splenic flexure

C18.6 Malignant neoplasm of descending colon

C18.7 Malignant neoplasm of sigmoid colon Malignant neoplasm of sigmoid (flexure)1 malignant neoplasm of rectosigmoid junction (C19)

C18.8 Malignant neoplasm of overlapping sites of colon

C18.9 Malignant neoplasm of colon, unspecified BMalignant neoplasm of large intestine NOS

C19 Malignant neoplasm of rectosigmoid junctionMalignant neoplasm of colon with rectumMalignant neoplasm of rectosigmoid (colon)1 malignant carcinoid tumors of the colon (C7A.02-)

C20 Malignant neoplasm of rectum Malignant neoplasm of rectal ampulla1 malignant carcinoid tumor of the rectum (C7A.026)

b C21 Malignant neoplasm of anus and anal canal2 malignant carcinoid tumors of the colon (C7A.02-)

malignant melanoma of anal margin (C43.51)malignant melanoma of anal skin (C43.51)malignant melanoma of perianal skin (C43.51)other and unspecified malignant neoplasm of anal margin

(C44.500, C44.510, C44.520, C44.590)other and unspecified malignant neoplasm of anal skin

(C44.500, C44.510, C44.520, C44.590)other and unspecified malignant neoplasm of perianal skin

(C44.500, C44.510, C44.520, C44.590)C21.0 Malignant neoplasm of anus, unspecified B

pleB

vity

tiguous sites of es of

urface of tongue and ongue and 9)

e organs (C15-C26)s (C15-C26)nal sites (C46.4)(C46.4)

rs (C49.A-)xx

ophagusdentify:

dependence (F10.-)nce (F10.-)neoplasm of upper third of eso

nt neoplas ddle third o

ant neoplasm of lower third

11 malignant neoplasm of cardiomalignant neo(C16.0)0)

oplasm of o

oplasm o

stomati

um, c

ntestine,

coloncarcinoid tumors of the colon (C7Ad tumors of the colon (

m of cecuant neoplasm of ileocecal valve asm of ileocecal valve

sm o endix

nt neoplasm of ascending

ant neoplasm of hepatic flex

8.4 ant neoplasm of ansvers

C18.5 Malignant neoplasm

C18.68.6 Malignant neoplas

C18.7.7 Malignant Malignant neoplasMalignan11 mal

C18.8C gnan

C18.9C18 anMalig

C19C19 MMaligM

C2

I50–I60.2 Chapter 9. Diseases of the Circulatory System ICD-10-CM 201I5

0–I6

0.2

Chap

ter 9

. Dis

ease

s of t

he C

ircu

lato

ry S

yste

m

8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx 7 Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title

612 ICD-10-CM 201

b I50 Heart failureCode first:

heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)

heart failure due to hypertension (I11.0)heart failure due to hypertension with chronic kidney disease (I13.-)heart failure following surgery (I97.13-)obstetric surgery and procedures (O75.4)rheumatic heart failure (I09.81)

1 neonatal cardiac failure (P29.0)2wcardiac arrest (I46.-)xAHA: 2014, 1Q, 25; 2013, 2Q, 33

I50.1 Left ventricular failure 7Cardiac asthmaEdema of lung with heart disease NOSEdema of lung with heart failureLeft heart failurePulmonary edema with heart disease NOSPulmonary edema with heart failure1 edema of lung without heart disease or heart failure

(J81.-)pulmonary edema without heart disease or failure

(J81.-)

c I50.2 Systolic (congestive) heart failure

1 combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)

AHA: 2016, 1Q, 108 I50.20 Unspecified systolic (congestive) heart failure B

I50.21 Acute systolic (congestive) heart failure 7I50.22 Chronic systolic (congestive) heart failure 7I50.23 Acute on chronic systolic (congestive) heart 7

failure

c I50.3 Diastolic (congestive) heart failure

1 combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)

AHA: 2016, 1Q, 108 I50.30 Unspecified diastolic (congestive) heart failure B

I50.31 Acute diastolic (congestive) heart failure 7I50.32 Chronic diastolic (congestive) heart failure 7I50.33 Acute on chronic diastolic (congestive) heart 7

failure

c I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure

AHA: 2016, 1Q, 108 I50.40 Unspecified combined systolic (congestive) and B

diastolic (congestive) heart failure

I50.41 Acute combined systolic (congestive) and 7diastolic (congestive) heart failure

I50.42 Chronic combined systolic (congestive) and 7diastolic (congestive) heart failure

I50.43 Acute on chronic combined systolic 7(congestive) and diastolic (congestive) heart failure

8 I50.9 Heart failure, unspecified BBiventricular (heart) failure NOSCardiac, heart or myocardial failure NOSCongestive heart diseaseCongestive heart failure NOSRight ventricular failure (secondary to left heart failure)2wfluid overload (E87.70)xAHA: 2014, 4Q, 21; 2012, 4Q, 92

b I51 Complications and ill-defined descriptions of heart disease 1 any condition in I51.4-I51.9 due to hypertension (I11.-)

any condition in I51.4-I51.9 due to hypertension and chronic kidney disease (I13.-)

heart disease specified as rheumatic (I00-I09)I51.0 Cardiac septal defect, acquired y

Acquired septal atrial defect (old)Acquired septal auricular defect (old)Acquired septal ventricular defect (old)1 cardiac septal defect as current complication following

acute myocardial infarction (I23.1, I23.2)I51.1 Rupture of chordae tendineae, not elsewhere classified 7

1 rupture of chordae tendineae as current complication following acute myocardial infarction (I23.4)

I51.2 Rupture of papillary muscle, not elsewhere classified 71 rupture of papillary muscle as current complication

following acute myocardial infarction (I23.5)

I51.3 Intracardiac thrombosis, not elsewhere classified 7Apical thrombosis (old)Atrial thrombosis (old)Auricular thrombosis (old)Mural thrombosis (old)Ventricular thrombosis (old)1 intracardiac thrombosis as current complication

following acute myocardial infarction (I23.6)AHA: 2013, 1Q, 24

I51.4 Myocarditis, unspecified 7BChronic (interstitial) myocarditisMyocardial fibrosisMyocarditis NOS1 acute or subacute myocarditis (I40.-)

I51.5 Myocardial degeneration 7Fatty degeneration of heart or myocardiumMyocardial diseaseSenile degeneration of heart or myocardium

I51.7 Cardiomegaly Cardiac dilatationCardiac hypertrophyVentricular dilatation

c I51.8 Other ill-defined heart diseases

I51.81 Takotsubo syndromeReversible left ventricular dysfunction following

sudden emotional stressStress induced cardiomyopathyTakotsubo cardiomyopathyTransient left ventricular apical ballooning syndrome

I51.89 Other ill-defined heart diseasesCarditis (acute)(chronic)Pancarditis (acute)(chronic)

I51.9 Heart disease, unspecified B

I52 Other heart disorders in diseases classified elsewhereCode first underlying disease, such as:

congenital syphilis (A50.5)mucopolysaccharidosis (E76.3)schistosomiasis (B65.0-B65.9)

1 heart disease (in):gonococcal infection (A54.83)meningococcal infection (A39.50)rheumatoid arthritis (M05.31)syphilis (A52.06)

Cerebrovascular diseases (I60-I69)Use additional code to identify presence of:

alcohol abuse and dependence (F10.-)exposure to environmental tobacco smoke (Z77.22)

whistory of tobacco dependence (Z87.891)x hypertension (I10-I15)occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.-)tobacco use (Z72.0)

1 transient cerebral ischemic attacks and related syndromes (G45.-)traumatic intracranial hemorrhage (S06.-)

AHA: 2014, 3Q, 5; 2012, 4Q, 91-92

b I60 Nontraumatic subarachnoid hemorrhage1 ruptured cerebral aneurysm1 syphilitic ruptured cerebral aneurysm (A52.05)2wsequelae of subarachnoid hemorrhage (I69.0-)x

c I60.0 Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation

I60.00 Nontraumatic subarachnoid hemorrhage 7Bfrom unspecified carotid siphon and bifurcation

I60.01 Nontraumatic subarachnoid hemorrhage from 7right carotid siphon and bifurcation

I60.02 Nontraumatic subarachnoid hemorrhage from 7left carotid siphon and bifurcation

c I60.1 Nontraumatic subarachnoid hemorrhage from middle cerebral artery

I60.10 Nontraumatic subarachnoid hemorrhage 7Bfrom unspecified middle cerebral artery

I60.11 Nontraumatic subarachnoid hemorrhage from 7right middle cerebral artery

I60.12 Nontraumatic subarachnoid hemorrhage from 7left middle cerebral artery

I60.2 Nontraumatic subarachnoid hemorrhage from anterior communicating artery

8 Hospice questionable admission diagnosis.

Sample

page

plere B7777

heart 77

d diastolic (congestive) olic (congestiv

ystolic (congestive) ay BBheart failure

systolic (congestive) ay gestive) heart failu

ined systolic (congeydiastolic (congestive) heart fa

Acute on chronic combined(congestive) and diastoligheart failu

fiedlar (heart) failure NOSr (heart) failu

rt or myocardial fart or myoart disease

failurel

or my

hyation

ned heart diseasest diseases

Takotsubo syndromebo syndromeReversible left ventricular dysfunctioble left ventricu

sudden emotional stressdden emotional sStress induced cardiomyopathStress induced cardiomyoTakotsubo cardiomyopathyTakotsubo cardiomyopatTransient left ventricularTransient left ventricular

I51.89 Other ill-defined heaI51.89 Other ill-definCarditis (acute)(chCarditis (Pancarditis (acanca

I51.9 Heart disease, unspec9 Heart disea

I52 eart disoCode first underlying under

congenital syphal sypmucopolysaschistoso

1

Guidelines and Examples Chapter 10. Diseases of the Respiratory System ICD-10-CM 201Ch

apte

r 10.

Dis

ease

s of t

he R

espi

rato

ry S

yste

m

638 ICD-10-CM 201

Chapter 10. Diseases of the Respiratory System (J00–J99)

Chapter Specific Guidelines with Coding ExamplesThe chapter specific guidelines from the ICD-10-CM Official Guidelines for Coding and Reporting have been provided below. Along with these guidelines are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these guidelines.

a. Chronic obstructive pulmonary disease [COPD] and asthma1) Acute exacerbation of chronic obstructive bronchitis and asthma

The codes in categories J44 and J45 distinguish between uncomplicated cases and those in acute exacerbation. An acute exacerbation is a worsening or a decompensation of a chronic condition. An acute exacerbation is not equivalent to an infection superimposed on a chronic condition, though an exacerbation may be triggered by an infection.

b. Acute respiratory failure1) Acute respiratory failure as principal diagnosis

A code from subcategory J96.0, Acute respiratory failure, or subcategory J96.2, Acute and chronic respiratory failure, may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital, and the selection is supported by the Alphabetic Index and Tabular List. However, chapter-specific coding guidelines (such as obstetrics, poisoning, HIV, newborn) that provide sequencing direction take precedence.

2) Acute respiratory failure as secondary diagnosisRespiratory failure may be listed as a secondary diagnosis if it occurs after admission, or if it is present on admission, but does not meet the definition of principal diagnosis.

3) Sequencing of acute respiratory failure and another acute conditionWhen a patient is admitted with respiratory failure and another acute condition, (e.g., myocardial infarction, cerebrovascular accident, aspiration pneumonia), the principal diagnosis will not be the same in every situation. This applies whether the other acute condition is a respiratory or nonrespiratory condition. Selection of the principal diagnosis will be dependent on the circumstances of admission. If both the respiratory failure and the other acute condition are equally responsible for occasioning the admission to the hospital, and there areno chapter-specific sequencing rules, the guideline regarding two or more diagnoses that equally meet the definition for principal diagnosis (Section II, C.) may be applied in these situations.If the documentation is not clear as to whether acute respiratory failure and another condition are equally responsible for occasioning the admission, query the provider for clarification.

c. Influenza due to certain identified influenza virusesCode only confirmed cases of influenza due to certain identified influenza viruses (category J09), and due to other identified influenza virus (category J10). This is an exception to the hospital inpatient guideline Section II, H. (Uncertain Diagnosis).In this context, “confirmation” does not require documentation of positive laboratory testing specific for avian or other novel influenza A or other identified influenza virus. However, coding should be based on the provider’sdiagnostic statement that the patient has avian influenza, or other novel influenza A, for category J09, or has another particular identified strain of influenza, such as H1N1 or H3N2, but not identified as novel or variant, for category J10.

Acute streptococcal bronchitis with acute exacerbation of COPD

J20.2 Acute bronchitis due to streptococcus

J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection

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

Explanation: ICD-10-CM uses combination codes to create organism-specific classifications for acute bronchitis. Category J44 codes include combination codes with severity components, which differentiate between COPD with acute lower respiratory infection (acute bronchitis), COPD with acute exacerbation, and COPD without mention of a complication (unspecified).

An acute exacerbation is a worsening or a decompensation of a chronic condition. An acute exacerbation is not equivalent to an infection superimposed on a chronic condition, though an exacerbation may be triggered by an infection, as in this example.

Exacerbation of moderate persistent asthma with status asthmaticus

J45.42 Moderate persistent asthma with status asthmaticus

Explanation: Category J45 Asthma includes severity-specific subcategories and fifth-character codes to distinguish between uncomplicated cases, those in acute exacerbation, and those with status asthmaticus.

Acute hypoxic respiratory failure due to COPD exacerbation

J96.01 Acute respiratory failure with hypoxia

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

Explanation: Category J96 classifies respiratory failure with combination codes that designate the severity and the presence of hypoxia and hypercapnia. Code J96.01 is sequenced as the first-listed diagnosis, as the reason for the admission. Respiratory failure may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital and the selection is supported by the Alphabetic Index and Tabular List.

Acute respiratory failure due to accidental oxycodone overdose

T40.2X1A Poisoning by other opioids, accidental (unintentional), initial encounter

J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

Explanation: Respiratory failure may be assigned as a principal diagnosis when it is the condition established after study to be chiefly responsible for occasioning the admission to the hospital, and the selection is supported by the Alphabetic Index and Tabular List. However, chapter-specific coding guidelines, such as poisoning, that provide sequencing direction take precedence. When coding a poisoning or reaction to the improper use of a medication (e.g. overdose, wrong substance given or taken in error, wrong route of administration), first assign the appropriate code from categories T36–T50. Use additional code(s) for all manifestations of the poisoning. In this instance, the respiratory failure is a manifestation of the poisoning and is sequenced as a secondary diagnosis.

Acute pneumococcal pneumonia with subsequent development of acute respiratory failure

J13 Pneumonia due to Streptococcus pneumoniae

J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

Explanation: Acute respiratory failure may be listed as a secondary diagnosis if it occurs after admission, or if it is present on admission but does not meet the definition of principal diagnosis.

Acute pneumococcal pneumonia and acute respiratory failure, both present on admission

J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

J13 Pneumonia due to Streptococcus pneumoniae

Explanation: When a patient is admitted with respiratory failure and another acute condition, such as a bacterial pneumonia, the principal diagnosis is not the same in every situation. This applies whether the other acute condition is a respiratory or nonrespiratory condition. The principal diagnosis depends on the circumstances of admission.

Samure as principal diagnosise as principal diagnosisegory J96.0, Acute respiratory failure, oegory J96.0, Acute respiratory f

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K50.9–K52.22 Chapter 11. Diseases of the Digestive System ICD-10-CM 201K5

0.9–

K52.

22Ch

apte

r 11.

Dis

ease

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8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx 7 Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title

662 ICD-10-CM 201

c K50.9 Crohn's disease, unspecified

K50.90 Crohn's disease, unspecified, without Bcomplications

Crohn's disease NOSRegional enteritis NOS

d K50.91 Crohn's disease, unspecified, with complications

K50.911 Crohn's disease, unspecified, with Brectal bleeding

K50.912 Crohn's disease, unspecified, with B intestinal obstruction

K50.913 Crohn's disease, unspecified, with Bfistula

K50.914 Crohn's disease, unspecified, with *Babscess

K50.918 Crohn's disease, unspecified, with Bother complication

K50.919 Crohn's disease, unspecified, with B unspecified complications

b K51 Ulcerative colitisUse additional code to identify manifestations, such as:

pyoderma gangrenosum (L88)1 Crohn’s disease [regional enteritis] (K50.-)

c K51.0 Ulcerative (chronic) pancolitisBackwash ileitis

K51.00 Ulcerative (chronic) pancolitis without complications

Ulcerative (chronic) pancolitis NOSd K51.01 Ulcerative (chronic) pancolitis with complications

K51.011 Ulcerative (chronic) pancolitis with rectal bleeding

K51.012 Ulcerative (chronic) pancolitis with intestinal obstruction

K51.013 Ulcerative (chronic) pancolitis with fistula

K51.014 Ulcerative (chronic) pancolitis withabscess

K51.018 Ulcerative (chronic) pancolitis with other complication

K51.019 Ulcerative (chronic) pancolitis with B unspecified complications

c K51.2 Ulcerative (chronic) proctitis

K51.20 Ulcerative (chronic) proctitis without complicationsUlcerative (chronic) proctitis NOS

d K51.21 Ulcerative (chronic) proctitis with complications

K51.211 Ulcerative (chronic) proctitis with rectal bleeding

K51.212 Ulcerative (chronic) proctitis with intestinal obstruction

K51.213 Ulcerative (chronic) proctitis with fistula

K51.214 Ulcerative (chronic) proctitis with abscess

K51.218 Ulcerative (chronic) proctitis with other complication

K51.219 Ulcerative (chronic) proctitis with B unspecified complications

c K51.3 Ulcerative (chronic) rectosigmoiditis

K51.30 Ulcerative (chronic) rectosigmoiditis without complications

Ulcerative (chronic) rectosigmoiditis NOSd K51.31 Ulcerative (chronic) rectosigmoiditis with

complications

K51.311 Ulcerative (chronic) rectosigmoiditis with rectal bleeding

K51.312 Ulcerative (chronic) rectosigmoiditis with intestinal obstruction

K51.313 Ulcerative (chronic) rectosigmoiditis with fistula

K51.314 Ulcerative (chronic) rectosigmoiditis with abscess

K51.318 Ulcerative (chronic) rectosigmoiditis with other complication

K51.319 Ulcerative (chronic) rectosigmoiditis Bwith unspecified complications

c K51.4 Inflammatory polyps of colon

1 adenomatous polyp of colon (D12.6)polyposis of colon (D12.6)polyps of colon NOS (K63.5)

K51.40 Inflammatory polyps of colon without complicationsInflammatory polyps of colon NOS

d K51.41 Inflammatory polyps of colon with complications

K51.411 Inflammatory polyps of colon with rectal bleeding

K51.412 Inflammatory polyps of colon with intestinal obstruction

K51.413 Inflammatory polyps of colon with fistula

K51.414 Inflammatory polyps of colon with abscess

K51.418 Inflammatory polyps of colon with other complication

K51.419 Inflammatory polyps of colon with B unspecified complications

c K51.5 Left sided colitisLeft hemicolitis

K51.50 Left sided colitis without complicationsLeft sided colitis NOS

d K51.51 Left sided colitis with complications

K51.511 Left sided colitis with rectal bleeding

K51.512 Left sided colitis with intestinal obstruction

K51.513 Left sided colitis with fistula

K51.514 Left sided colitis with abscess

K51.518 Left sided colitis with other complication

K51.519 Left sided colitis with unspecified B complications

c K51.8 Other ulcerative colitis

K51.80 Other ulcerative colitis without complications

d K51.81 Other ulcerative colitis with complications

K51.811 Other ulcerative colitis with rectal bleeding

K51.812 Other ulcerative colitis with intestinal obstruction

K51.813 Other ulcerative colitis with fistula

K51.814 Other ulcerative colitis with abscess

K51.818 Other ulcerative colitis with other complication

K51.819 Other ulcerative colitis with Bunspecified complications

c K51.9 Ulcerative colitis, unspecified

K51.90 Ulcerative colitis, unspecified, without B complications

d K51.91 Ulcerative colitis, unspecified, with complications

K51.911 Ulcerative colitis, unspecified with Brectal bleeding

K51.912 Ulcerative colitis, unspecified with B intestinal obstruction

K51.913 Ulcerative colitis, unspecified with Bfistula

K51.914 Ulcerative colitis, unspecified with Babscess

K51.918 Ulcerative colitis, unspecified with Bother complication

K51.919 Ulcerative colitis, unspecified with B unspecified complications

b K52 Other and unspecified noninfective gastroenteritis and colitisK52.0 Gastroenteritis and colitis due to radiation

K52.1 Toxic gastroenteritis and colitisDrug-induced gastroenteritis and colitisCode first (T51-T65) to identify toxic agentUse additional code for adverse effect, if applicable, to identify

drug (T36-T50 with fifth or sixth character 5)c K52.2 Allergic and dietetic gastroenteritis and colitis

Use additional code to identify type of food allergy (Z91.01-, Z91.02-)

2wallergic eosinophilic colitis (K52.82) allergic eosinophilic esophagitis (K20.0) allergic eosinophilic gastritis (K52.81) allergic eosinophilic gastroenteritis (K52.81) food protein-induced proctocolitis (K52.82) x

DEF: True immunoglobulin E (IgE)-mediated allergic reaction of the lining of the stomach, intestines, or colon to food proteins; causes nausea, vomiting, diarrhea, and abdominal cramping.

● K52.21 Food protein-induced enterocolitis syndrome Use additional code for hypovolemic shock, if present

(R57.1) ● K52.22 Food protein-induced enteropathy

Sample

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S79.12–S80.849 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes ICD-10-CM 201S7

9.12

–S80

.849

Chap

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jury

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8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx 7 Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title

978 ICD-10-CM 201

d S79.12 Salter-Harris Type II physeal fracture of lower end of femur

1e S79.121 Salter-Harris Type II physeal fracture of lower end of right femur

1e S79.122 Salter-Harris Type II physeal fracture of lower end of left femur

e S79.129 Salter-Harris Type II physeal fracture Bof lower end of unspecified femur

d S79.13 Salter-Harris Type III physeal fracture of lower end of femur

1e S79.131 Salter-Harris Type III physeal fracture of lower end of right femur

1e S79.132 Salter-Harris Type III physeal fracture of lower end of left femur

e S79.139 Salter-Harris Type III physeal fracture Bof lower end of unspecified femur

d S79.14 Salter-Harris Type IV physeal fracture of lower end of femur

1e S79.141 Salter-Harris Type IV physeal fracture of lower end of right femur

1e S79.142 Salter-Harris Type IV physeal fracture of lower end of left femur

e S79.149 Salter-Harris Type IV physeal fracture Bof lower end of unspecified femur

d S79.19 Other physeal fracture of lower end of femur1e S79.191 Other physeal fracture of lower end of

right femur1e S79.192 Other physeal fracture of lower end of left

femur

e S79.199 Other physeal fracture of lower end of B unspecified femur

c S79.8 Other specified injuries of hip and thigh

d S79.81 Other specified injuries of hip

e S79.811 Other specified injuries of right hip

e S79.812 Other specified injuries of left hip

e S79.819 Other specified injuries of unspecified Bhip

d S79.82 Other specified injuries of thigh

e S79.821 Other specified injuries of right thigh

e S79.822 Other specified injuries of left thigh

e S79.829 Other specified injuries of unspecified B thigh

c S79.9 Unspecified injury of hip and thigh

d S79.91 Unspecified injury of hip

e S79.911 Unspecified injury of right hip Be S79.912 Unspecified injury of left hip Be S79.919 Unspecified injury of unspecified hip B

d S79.92 Unspecified injury of thigh

e S79.921 Unspecified injury of right thigh Be S79.922 Unspecified injury of left thigh Be S79.929 Unspecified injury of unspecified thigh B

Injuries to the knee and lower leg (S80-S89)2 burns and corrosions (T20-T32)

frostbite (T33-T34)injuries of ankle and foot, except fracture of ankle and malleolus

(S90-S99)insect bite or sting, venomous (T63.4)

b S80 Superficial injury of knee and lower leg2 superficial injury of ankle and foot (S90.-)

c S80.0 Contusion of knee

g S80.00 Contusion of unspecified knee Bg S80.01 Contusion of right knee

g S80.02 Contusion of left knee

c S80.1 Contusion of lower leg

g S80.10 Contusion of unspecified lower leg Bg S80.11 Contusion of right lower leg

g S80.12 Contusion of left lower leg

c S80.2 Other superficial injuries of knee

d S80.21 Abrasion of knee

e S80.211 Abrasion, right knee

e S80.212 Abrasion, left knee

e S80.219 Abrasion, unspecified knee Bd S80.22 Blister (nonthermal) of knee

e S80.221 Blister (nonthermal), right knee

e S80.222 Blister (nonthermal), left knee

e S80.229 Blister (nonthermal), unspecified knee Bd S80.24 External constriction of knee

e S80.241 External constriction, right knee

e S80.242 External constriction, left knee

e S80.249 External constriction, unspecified knee Bd S80.25 Superficial foreign body of knee

Splinter in the kneee S80.251 Superficial foreign body, right knee

e S80.252 Superficial foreign body, left knee

e S80.259 Superficial foreign body, unspecified Bknee

d S80.26 Insect bite (nonvenomous) of knee

e S80.261 Insect bite (nonvenomous), right knee

e S80.262 Insect bite (nonvenomous), left knee

e S80.269 Insect bite (nonvenomous), unspecifiedB knee

d S80.27 Other superficial bite of knee

1 open bite of knee (S81.05-)e S80.271 Other superficial bite of right knee

e S80.272 Other superficial bite of left knee

e S80.279 Other superficial bite of unspecified Bknee

c S80.8 Other superficial injuries of lower leg

d S80.81 Abrasion of lower leg

e S80.811 Abrasion, right lower leg

e S80.812 Abrasion, left lower leg

e S80.819 Abrasion, unspecified lower leg Bd S80.82 Blister (nonthermal) of lower leg

e S80.821 Blister (nonthermal), right lower leg

e S80.822 Blister (nonthermal), left lower leg

e S80.829 Blister (nonthermal), unspecified Blower leg

d S80.84 External constriction of lower leg

e S80.841 External constriction, right lower leg

e S80.842 External constriction, left lower leg

e S80.849 External constriction, unspecified Blower leg

1 Clinical dimension diagnosis with 7th character indicating subsequent encounter.

The appropriate 7th character is to be added to each code in subcategory S79.8.A initial encounterD subsequent encounter S sequela

The appropriate 7th character is to be added to each code in subcategory S79.9.A initial encounterD subsequent encounter S sequela

The appropriate 7th character is to be added to each code from category S80.A initial encounterD subsequent encounterS sequela

d in

Sample

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9.829 Other specified injuries of uns9.829 Other specified injuriethighh

ecified injury of hip and thighified injury of hip and thigh

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ft knee

eg

ion of unspecified lower legnspecified lower le

tusion of of rightright lower leg lower leg

Contusion of n of left lower leg lower leg

r superficial injuries of njur kneeknee

80.21 AbrasionAbrasion of kneeof knee

e S80.211 Abrasion, S80.211 Abrasion rightright k

e S80.212 Abrasion, S80.212 Abrasion, leflef

ee S80.219 Abrasion80.219 A

dd S80.22S BlisterBlister (nonther(n

e S80.221 BlS8

ee S80.222S

ee S80.2

d S80.24 EE

e

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ICD-10-CM 201 Illustrations

ICD-10-CM 201 Illustrations–27

Chapter 1 . Diseases of the Respiratory System (J00–J99)

Respiratory System

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