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Copyright 2017 Cindy Hughes Consulting All rights reserved Notes for Primary Care – ICD-10-CM 2018: Changes to Tabular List Instructions (not all inclusive) The following tables compare the ICD-10-CM tabular list entries for 2017 and 2018 for those conditions that may be frequently diagnosed and/or managed in primary care. Code numbers in bold font are complete codes. All others require additional characters for completion. New tabular list instructions are underlined. Please see the index and full tabular list in your coding manual or other coding reference for code selection. (Please do check for errors. A lot of cut and paste functionality was used in creating this document based on the 67-page addenda for the 2018 ICD-10-CM tabular list. Chances are some errors were introduced.)

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Page 1: Notes for Primary Care: ICD-10-CM 2018codingforprimarycare.com/.../06/ICD-10-2018-tabular... · Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes ... combined presentation

Copyright 2017 Cindy Hughes Consulting All rights reserved

Notes for Primary Care – ICD-10-CM 2018: Changes to Tabular List Instructions (not all inclusive)

The following tables compare the ICD-10-CM tabular list entries for 2017 and 2018 for those conditions that may be frequently

diagnosed and/or managed in primary care. Code numbers in bold font are complete codes. All others require additional characters for

completion. New tabular list instructions are underlined. Please see the index and full tabular list in your coding manual or other coding

reference for code selection. (Please do check for errors. A lot of cut and paste functionality was used in creating this document based

on the 67-page addenda for the 2018 ICD-10-CM tabular list. Chances are some errors were introduced.)

Page 2: Notes for Primary Care: ICD-10-CM 2018codingforprimarycare.com/.../06/ICD-10-2018-tabular... · Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes ... combined presentation

Copyright 2017 Cindy Hughes Consulting - All rights reserved.

Table 1 General Changes to Tabular Listing 2018

2017 2018

A04.7 Enterocolitis due to Clostridium difficile

Foodborne intoxication by Clostridium difficile

Pseudomembraneous colitis

A04.7 Enterocolitis due to Clostridium difficile

Foodborne intoxication by Clostridium difficile

Pseudomembraneous colitis

A04.71 Enterocolitis due to Clostridium difficile, recurrent

A04.72 Enterocolitis due to Clostridium difficile, not specified as recurrent

E11.0 Type 2 diabetes mellitus with hyperosmolarity

E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic

hyperglycemic-hyperosmolar coma (NKHHC)

E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma

E11.2 Type 2 diabetes mellitus with kidney complications

E11.0 Type 2 diabetes mellitus with hyperosmolarity

E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic

hyperglycemic-hyperosmolar coma (NKHHC)

E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma

E11.1 Type 2 diabetes mellitus with ketoacidosis

E11.10 Type 2 diabetes mellitus with ketoacidosis without coma

E11.11 Type 2 diabetes mellitus with ketoacidosis with coma

E11.2 Type 2 diabetes mellitus with kidney complications

F10.1 Alcohol abuse

Excludes1: alcohol dependence (F10.2-)

alcohol use, unspecified (F10.9-)

F10.10 Alcohol abuse, uncomplicated

Alcohol use disorder, mild

F10.12 Alcohol abuse with intoxication

F10 Alcohol related disorders Use additional code for blood alcohol level, if applicable

(Y90.-) F10.1 Alcohol abuse

Excludes1: alcohol dependence (F10.2-)

alcohol use, unspecified (F10.9-)

F10.10 Alcohol abuse, uncomplicated

Alcohol use disorder, mild

F10.11 Alcohol abuse, in remission

Alcohol use disorder, mild, in early remission

Alcohol use disorder, mild, in sustained remission

F10.12 Alcohol abuse with intoxication

F50.8 Other eating disorders

Excludes2: pica of infancy and childhood (F98.3)

F50.81 Binge eating disorder

F50.89 Other specified eating disorder

Pica in adults

Psychogenic loss of appetite

F50.8 Other eating disorders Excludes2: pica of infancy and childhood (F98.3)

F50.81 Binge eating disorder

F50.82 Avoidant/restrictive food intake disorder

F50.89 Other specified eating disorder

Pica in adults

Psychogenic loss of appetite

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2017 2018

F90 Attention-deficit hyperactivity disorders

Includes: attention deficit disorder with hyperactivity

attention deficit syndrome with hyperactivity

Excludes2: anxiety disorders (F40.-, F41.-)

mood [affective] disorders (F30-F39)

pervasive developmental disorders (F84.-)

schizophrenia (F20.-)

F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type

F90.2 Attention-deficit hyperactivity disorder, combined type

F90.8 Attention-deficit hyperactivity disorder, other type

F90.9 Attention-deficit hyperactivity disorder, unspecified type

Attention-deficit hyperactivity disorder of childhood or adolescence NOS

Attention-deficit hyperactivity disorder NOS

F90 Attention-deficit hyperactivity disorders

Includes: attention deficit disorder with hyperactivity

attention deficit syndrome with hyperactivity

Excludes2: anxiety disorders (F40.-, F41.-)

mood [affective] disorders (F30-F39)

pervasive developmental disorders (F84.-)

schizophrenia (F20.-)

F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

Attention-deficit/hyperactivity disorder, predominantly inattentive presentation

F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type

Attention-deficit/hyperactivity disorder, predominantly hyperactive impulsive

presentation

F90.2 Attention-deficit hyperactivity disorder, combined type

Attention-deficit/hyperactivity disorder, combined presentation

F90.8 Attention-deficit hyperactivity disorder, other type

F90.9 Attention-deficit hyperactivity disorder, unspecified type

Attention-deficit hyperactivity disorder of childhood or adolescence NOS

Attention-deficit hyperactivity disorder NOS

I11 Hypertensive heart disease Includes: any condition in I51.4-I51.9 due to

hypertension I11.0 Hypertensive heart disease with heart failure

Hypertensive heart failure Use additional code to identify type of heart failure (I50.-)

I11.9 Hypertensive heart disease without heart failure

Hypertensive heart disease NOS

I11 Hypertensive heart disease Includes: any condition in I50.-, I51.4-I51.9 due to

hypertension

I11.0 Hypertensive heart disease with heart failure

Hypertensive heart failure Use additional code to identify type of heart failure (I50.-)

I11.9 Hypertensive heart disease without heart failure

Hypertensive heart disease NOS

J09 Influenza due to certain identified influenza viruses

Excludes1: influenza due to other identified influenza virus (J10.-)

influenza due to unidentified influenza virus (J11.-)

seasonal influenza due to other identified influenza virus (J10.-)

seasonal influenza due to unidentified influenza virus (J11.-)

J09 Influenza due to certain identified influenza viruses

Excludes1: influenza A/H1N1 (J10.-)

influenza due to other identified influenza virus (J10.-)

influenza due to unidentified influenza virus (J11.-)

seasonal influenza due to other identified influenza virus (J10.-)

seasonal influenza due to unidentified influenza virus (J11.-)

J15.6 Pneumonia due to other aerobic Gram-negative bacteria

Pneumonia due to Serratia marcescens

J15.6 Pneumonia due to other Gram-negative bacteria

Pneumonia due to other aerobic Gram-negative bacteria

Pneumonia due to Serratia marcescens

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2017 2018

J44.0 Chronic obstructive pulmonary disease with acute lower respiratory

infection

Use additional code to identify the infection

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

Decompensated COPD

Decompensated COPD with (acute) exacerbation

Excludes2: chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)

J44.9 Chronic obstructive pulmonary disease, unspecified

Chronic obstructive airway disease NOS

Chronic obstructive lung disease NOS

J44.0 Chronic obstructive pulmonary disease with acute lower respiratory

infection

Code also to identify the infection

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

Decompensated COPD

Decompensated COPD with (acute) exacerbation

Excludes2: chronic obstructive pulmonary disease [COPD] with acute bronchitis (J44.0)

lung diseases due to external agents (J60-J70)

J44.9 Chronic obstructive pulmonary disease, unspecified

Chronic obstructive airway disease NOS

Chronic obstructive lung disease NOS

Excludes2: lung diseases due to external agents (J60-J70)

K56.5 Intestinal adhesions [bands] with obstruction (postprocedural)

(postinfection)

K56.6 Other and unspecified intestinal obstruction

K56.60 Unspecified intestinal obstruction

K56.69 Other intestinal obstruction

K56.7 Ileus, unspecified

Excludes1: obstructive ileus (K56.69)

K56.5 Intestinal adhesions [bands] with obstruction (postinfection)

K56.50 Intestinal adhesions [bands], unspecified as to partial versus complete

obstruction

K56.51 Intestinal adhesions [bands], with partial obstruction

K56.52 Intestinal adhesions [bands] with complete obstruction

K56.6 Other and unspecified intestinal obstruction

K56.60 Unspecified intestinal obstruction

K56.600 Partial intestinal obstruction, unspecified as to cause

K56.601 Complete intestinal obstruction, unspecified as to cause

K56.609 Unspecified intestinal obstruction, unspecified as to partial versus

complete

obstruction

K56.69 Other intestinal obstruction

K56.690 Other partial intestinal obstruction

K56.691 Other complete intestinal obstruction

K56.699 Other intestinal obstruction unspecified as to partial versus complete

obstruction

K56.7 Ileus, unspecified

Excludes1: obstructive ileus (K56.69-)

Excludes2: intestinal obstruction with hernia (K40-K46)

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2017 2018

L92.9 Granulomatous disorder of the skin and subcutaneous tissue, unspecified L92.9 Granulomatous disorder of the skin and subcutaneous tissue, unspecified

Excludes2: umbilical granuloma (P83.81)

M48.06 Spinal stenosis, lumbar region M48.06 Spinal stenosis, lumbar region

M48.061 Spinal stenosis, lumbar region without neurogenic claudication

M48.062 Spinal stenosis, lumbar region with neurogenic claudication

N63 Unspecified lump in breast N63 Unspecified lump in breast

N63.0 Unspecified lump in unspecified breast

N63.1 Unspecified lump in the right breast

N63.10 Unspecified lump in the right breast, unspecified quadrant

N63.11 Unspecified lump in the right breast, upper outer quadrant

N63.12 Unspecified lump in the right breast, upper inner quadrant

N63.13 Unspecified lump in the right breast, lower outer quadrant

N63.14 Unspecified lump in the right breast, lower inner quadrant

N63.2 Unspecified lump in the left breast

N63.20 Unspecified lump in the left breast, unspecified quadrant

N63.21 Unspecified lump in the left breast, upper outer quadrant

N63.22 Unspecified lump in the left breast, upper inner quadrant

N63.23 Unspecified lump in the left breast, lower outer quadrant

N63.24 Unspecified lump in the left breast, lower inner quadrant

N63.3 Unspecified lump in axillary tail

N63.31 Unspecified lump in axillary tail of the right breast

N63.32 Unspecified lump in axillary tail of the left breast

N63.4 Unspecified lump in breast, subareolar

N63.41 Unspecified lump in right breast, subareolar

N63.42 Unspecified lump in left breast, subareolar

N94.3 Premenstrual tension syndrome

Premenstrual dysphoric disorder

N94.3 Premenstrual tension syndrome

(Deleted inclusion term , premenstrual dysphoric disorder, as this is reported with code

F32.81.)

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2017 2018

R06.0 Dyspnea

Excludes1: tachypnea NOS (R06.82)

transient tachypnea of newborn (P22.1)

R06.00 Dyspnea, unspecified

R06.01 Orthopnea R06.02 Shortness of breath

R06.09 Other forms of dyspnea

R06.0 Dyspnea

Excludes1: tachypnea NOS (R06.82)

transient tachypnea of newborn (P22.1)

R06.00 Dyspnea, unspecified

R06.01 Orthopnea R06.02 Shortness of breath

R06.03 Acute respiratory distress

R06.09 Other forms of dyspnea

R09.0 Asphyxia and hypoxemia

Excludes1: asphyxia due to carbon monoxide (T58.-)

asphyxia due to foreign body in respiratory tract (T17.-)

birth (intrauterine) asphyxia (P84)

hypercapnia (R06.4)

hyperventilation (R06.4)

traumatic asphyxia (T71.-)

R09.01 Asphyxia

R09.02 Hypoxemia

R09.0 Asphyxia and hypoxemia

Excludes1: asphyxia due to carbon monoxide (T58.-)

asphyxia due to foreign body in respiratory tract (T17.-)

birth (intrauterine) asphyxia (P84)

hyperventilation (R06.4)

traumatic asphyxia (T71.-)

Excludes2: hypercapnia (R06.89)

R09.01 Asphyxia

R09.02 Hypoxemia

R39.8 Other symptoms and signs involving the genitourinary system

R39.81 Functional urinary incontinence

Urinary incontinence due to cognitive impairment, or severe physical disability or

immobility

Excludes1: stress incontinence and other specified urinary incontinence (N39.3-N39.4-)

urinary incontinence NOS (R32)

R39.82 Chronic bladder pain

R39.89 Other symptoms and signs involving the genitourinary system

R39.8 Other symptoms and signs involving the genitourinary system

R39.81 Functional urinary incontinence

Urinary incontinence due to cognitive impairment, or severe physical disability or

immobility Excludes1: stress incontinence and other specified urinary incontinence

(N39.3-N39.4-)

urinary incontinence NOS (R32)

R39.82 Chronic bladder pain

R39.83 Unilateral non-palpable testicle

R39.84 Bilateral non-palpable testicles

R39.89 Other symptoms and signs involving the genitourinary system

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2017 2018

R53.8 Other malaise and fatigue

Excludes1: combat exhaustion and fatigue (F43.0)

congenital debility (P96.9)

exhaustion and fatigue due to depressive episode (F32.-)

exhaustion and fatigue due to excessive exertion (T73.3)…

R53.81 Other malaise

Chronic debility

Debility NOS

General physical deterioration

Malaise NOS

Nervous debility

Excludes1: age-related physical debility (R54)

R53.82 Chronic fatigue, unspecified

Chronic fatigue syndrome NOS

Excludes1: postviral fatigue syndrome (G93.3)

R53.83 Other fatigue

Fatigue NOS

Lack of energy

Lethargy

Tiredness

R53.8 Other malaise and fatigue

Excludes1: combat exhaustion and fatigue (F43.0)

congenital debility (P96.9)

exhaustion and fatigue due to excessive exertion (T73.3)…

R53.81 Other malaise

Chronic debility

Debility NOS

General physical deterioration

Malaise NOS

Nervous debility

Excludes1: age-related physical debility (R54)

R53.82 Chronic fatigue, unspecified

Chronic fatigue syndrome NOS

Excludes1: postviral fatigue syndrome (G93.3)

R53.83 Other fatigue

Fatigue NOS

Lack of energy

Lethargy

Tiredness

Excludes2: exhaustion and fatigue due to depressive episode (F32.-)

R57 Shock, not elsewhere classified

Excludes1: anaphylactic shock NOS (T78.2)…

psychic shock (F43.0)

septic shock (R65.21)

shock complicating or following ectopic or molar pregnancy (O00-O07,

O08.3)

shock due to lightning (T75.01)

traumatic shock (T79.4)

toxic shock syndrome (A48.3)

R57.0 Cardiogenic shock

R57 Shock, not elsewhere classified

Excludes1: anaphylactic shock NOS (T78.2)…

psychic shock (F43.0)

shock complicating or following ectopic or molar pregnancy (O00-O07,

O08.3)

shock due to lightning (T75.01)

traumatic shock (T79.4)

toxic shock syndrome (A48.3)

R57.0 Cardiogenic shock

Excludes2: septic shock (R65.21)

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2017 2018

R60 Edema, not elsewhere classified

Excludes1: angioneurotic edema (T78.3)…

hydrothorax (J94.8)

nutritional edema (E40-E46)

hydrops fetalis NOS (P83.2)

newborn edema (P83.3)

pulmonary edema (J81.-)

R60.1 Generalized edema

R60 Edema, not elsewhere classified

Excludes1: angioneurotic edema (T78.3)…

hydrothorax (J94.8)

hydrops fetalis NOS (P83.2)

newborn edema (P83.3)

pulmonary edema (J81.-)

R60.1 Generalized edema

Excludes2: nutritional edema (E40-E46)

R63.3 Feeding difficulties R63.3 Feeding difficulties

Picky eater

Excludes1: eating disorders (F50.-)

R68.13 Apparent life threatening event in infant (ALTE) R68.13 Apparent life threatening event in infant (ALTE)

Brief resolved unexplained event (BRUE)

R79 Other abnormal findings of blood chemistry

Excludes1: abnormality of fluid, electrolyte or acid-base balance (E86-E87)

asymptomatic hyperuricemia (E79.0)

hyperglycemia NOS (R73.9)

hypoglycemia NOS (E16.2)

neonatal hypoglycemia (P70.3-P70.4)

specific findings indicating disorder of amino-acid metabolism (E70-E72)

specific findings indicating disorder of carbohydrate metabolism (E73-E74)

specific findings indicating disorder of lipid metabolism (E75.-)

R79.1 Abnormal coagulation profile

Excludes1: coagulation defects (D68.-)

R79 Other abnormal findings of blood chemistry

Excludes1: asymptomatic hyperuricemia (E79.0)

hyperglycemia NOS (R73.9)

hypoglycemia NOS (E16.2)

neonatal hypoglycemia (P70.3-P70.4)

specific findings indicating disorder of amino-acid metabolism (E70-E72)

specific findings indicating disorder of carbohydrate metabolism (E73-E74)

specific findings indicating disorder of lipid metabolism (E75.-)

R79.1 Abnormal coagulation profile

Excludes1: coagulation defects (D68.-)

Excludes2: abnormality of fluid, electrolyte or acid-base balance (E86-E87)

S00.531 Contusion of lip

Bruise of lip

Hematoma of oral cavity

S00.532 Contusion of oral cavity

Bruise of lip

Hematoma of oral cavity

S00.531 Contusion of lip

Bruise of lip

Hematoma of lip

S00.532 Contusion of oral cavity

Bruise of oral cavity

Hematoma of oral cavity

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2017 2018

S06 Intracranial injury

Includes: traumatic brain injury

Code also any associated:

open wound of head (S01.-)

skull fracture (S02.-)

Excludes1: head injury NOS (S09.90)

The appropriate 7th character is to be added to each code from category S06

A - initial encounter

D - subsequent encounter

S - sequela

S06 Intracranial injury

Includes: traumatic brain injury

Code also any associated:

open wound of head (S01.-)

skull fracture (S02.-)

Excludes1: head injury NOS (S09.90)

The appropriate 7th character is to be added to each code from category S06

A - initial encounter

D - subsequent encounter

S - sequela

Note: 7th characters D and S do not apply to codes in category S06 with 6th character

7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other

cause prior to regaining consciousness.

T43.205 Adverse effect of unspecified antidepressants T43.205 Adverse effect of unspecified antidepressants

Antidepressant discontinuation syndrome

Z43.1 Encounter for attention to gastrostomy Z43.1 Encounter for attention to gastrostomy

Excludes2: artificial opening status only, without need for care (Z93.-)

Z48 Encounter for other postprocedural aftercare

Excludes1: encounter for follow-up examination after completed treatment (Z08-Z09)

Excludes2: encounter for attention to artificial openings (Z43.-)

encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)

Z48 Encounter for other postprocedural aftercare

Excludes1: encounter for follow-up examination after completed treatment (Z08-Z09)

encounter for aftercare following injury - code to Injury, by site, with appropriate 7th

character for subsequent encounter

Excludes2: encounter for attention to artificial openings (Z43.-)

encounter for fitting and adjustment of prosthetic and other devices (Z44-Z46)

Z68.1 Body mass index (BMI) 19 or less, adult Z68.1 Body mass index (BMI) 19.9 or less, adult

Z71.8 Other specified counseling

Excludes2: counseling for contraception (Z30.0-)

counseling for genetics (Z31.5)

counseling for procreative management (Z31.6-)

Z71.81 Spiritual or religious counseling

Z71.89 Other specified counseling

Z71.9 Counseling, unspecified

Encounter for medical advice NOS

Z71.8 Other specified counseling

Excludes2: counseling for contraception (Z30.0-)

Z71.81 Spiritual or religious counseling

Z71.82 Exercise counseling

Z71.83 Encounter for nonprocreative genetic counseling

Excludes1: counseling for procreative genetics (Z31.5)

counseling for procreative management (Z31.6)

Z71.89 Other specified counseling

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2017 2018

Z79.89 Other long term (current) drug therapy

Z79.890 Hormone replacement therapy (postmenopausal)

Z79.89 Other long term (current) drug therapy

Z79.890 Hormone replacement therapy

No codes provided Z91.84 Oral health risk factors

Z91.841 Risk for dental caries, low

Z91.842 Risk for dental caries, moderate

Z91.843 Risk for dental caries, high

Z91.849 Unspecified risk for dental caries

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Table 2 2018 ICD-10-CM Tabular List Changes: Heart Failure

2017 2018

I50.1 Left ventricular failure

Cardiac asthma

Edema of lung with heart disease NOS

Edema of lung with heart failure

Left heart failure

Pulmonary edema with heart disease NOS

Pulmonary edema with heart failure

Excludes1: edema of lung without heart disease or heart failure (J81.-)

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

I50.1 Left ventricular failure, unspecified

Cardiac asthma

Edema of lung with heart disease NOS

Edema of lung with heart failure

Left heart failure

Pulmonary edema with heart disease NOS

Pulmonary edema with heart failure

Excludes1: edema of lung without heart disease or heart failure (J81.-)

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

I50.2 Systolic (congestive) heart failure

Excludes1: combined systolic (congestive) and diastolic (congestive) heart failure

(I50.4-)

I50.20 Unspecified systolic (congestive) heart failure

I50.21 Acute systolic (congestive) heart failure

I50.22 Chronic systolic (congestive) heart failure

I50.23 Acute on chronic systolic (congestive) heart failure

I50.2 Systolic (congestive) heart failure

Heart failure with reduced ejection fraction [HFrEF]

Systolic left ventricular heart failure

Code also end stage heart failure, if applicable (I50.84)

Excludes1: combined systolic (congestive) and diastolic (congestive) heart failure

(I50.4-)

I50.20 Unspecified systolic (congestive) heart failure

I50.21 Acute systolic (congestive) heart failure

I50.22 Chronic systolic (congestive) heart failure

I50.23 Acute on chronic systolic (congestive) heart failure

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2017 2018

I50.3 Diastolic (congestive) heart failure

Excludes1: combined systolic (congestive) and diastolic (congestive) heart failure

(I50.4-)

I50.30 Unspecified diastolic (congestive) heart failure

I50.31 Acute diastolic (congestive) heart failure

I50.32 Chronic diastolic (congestive) heart failure

I50.33 Acute on chronic diastolic (congestive) heart failure

I50.3 Diastolic (congestive) heart failure

Diastolic left ventricular heart failure

Heart failure with normal ejection fraction

Heart failure with preserved ejection fraction [HFpEF]

Code also end stage heart failure, if applicable (I50.84)

Excludes1: combined systolic (congestive) and diastolic (congestive) heart failure

(I50.4-)

I50.30 Unspecified diastolic (congestive) heart failure

I50.31 Acute diastolic (congestive) heart failure

I50.32 Chronic diastolic (congestive) heart failure

I50.33 Acute on chronic diastolic (congestive) heart failure

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

I50.40 Unspecified combined systolic (congestive) and diastolic

(congestive) heart failure

I50.41 Acute combined systolic (congestive) and diastolic

(congestive) heart failure

I50.42 Chronic combined systolic (congestive) and diastolic

(congestive) heart failure

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

(congestive) heart failure

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

Combined systolic and diastolic left ventricular heart failure

Heart failure with reduced ejection fraction and diastolic dysfunction

Code also end stage heart failure, if applicable (I50.84)

I50.40 Unspecified combined systolic (congestive) and diastolic

(congestive) heart failure

I50.41 Acute combined systolic (congestive) and diastolic

(congestive) heart failure

I50.42 Chronic combined systolic (congestive) and diastolic

(congestive) heart failure

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

(congestive) heart failure

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2017 2018

No code. See I50.9. I50.8 Other heart failure

I50.81 Right heart failure

Right ventricular failure

I50.810 Right heart failure, unspecified

Right heart failure without mention of left heart failure

Right ventricular failure NOS

I50.811 Acute right heart failure

Acute isolated right heart failure

Acute (isolated) right ventricular failure

I50.812 Chronic right heart failure

Chronic isolated right heart failure

Chronic (isolated) right ventricular failure

I50.813 Acute on chronic right heart failure

Acute on chronic isolated right heart failure

Acute on chronic (isolated) right ventricular failure

Acute decompensation of chronic (isolated) right ventricular failure

Acute exacerbation of chronic (isolated) right ventricular failure

I50.814 Right heart failure due to left heart failure

Right ventricular failure secondary to left ventricular failure

Code also the type of left ventricular failure, if known (I50.2-I50.43)

Excludes1: Right heart failure with but not due to left heart failure (I50.82)

I50.82 Biventricular heart failure

Code also the type of left ventricular failure as systolic, diastolic, or combined, if

known (I50.2-I50.43)

I50.83 High output heart failure

I50.84 End stage heart failure

Stage D heart failure

Code also the type of heart failure as systolic, diastolic, or combined, if known (I50.2-

I50.43)

I50.89 Other heart failure

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2017 2018

I50.9 Heart failure, unspecified

Biventricular (heart) failure NOS

Cardiac, heart or myocardial failure NOS

Congestive heart disease

Congestive heart failure NOS

Right ventricular failure (secondary to left heart failure)

Excludes2: fluid overload (E87.70)

I50.9 Heart failure, unspecified

Cardiac, heart or myocardial failure NOS

Congestive heart disease

Congestive heart failure NOS

Excludes2: fluid overload (E87.70)

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Table 3 2018 ICD-10-CM Changes: Myocardial Infarction

2017 2018

I21 ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial

infarction

I21.1 ST elevation (STEMI) myocardial infarction of inferior wall

I21.11 ST elevation (STEMI) myocardial infarction involving right coronary

artery

Inferoposterior transmural (Q wave) infarction (acute)

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary

artery of inferior wall

Acute transmural myocardial infarction of inferior wall

Inferolateral transmural (Q wave) infarction (acute)

Transmural (Q wave) infarction (acute) (of) diaphragmatic wall

Transmural (Q wave) infarction (acute) (of) inferior (wall) NOS

Excludes2: ST elevation (STEMI) myocardial infarction involving left

circumflex coronary artery (I21.21)

I21 Acute myocardial infarction

I21.1 ST elevation (STEMI) myocardial infarction of inferior wall

Type 1 ST elevation myocardial infarction of inferior wall

I21.11 ST elevation (STEMI) myocardial infarction involving right

coronary artery

Inferoposterior transmural (Q wave) infarction (acute)

I21.19 ST elevation (STEMI) myocardial infarction involving other

coronary artery of inferior wall

Acute transmural myocardial infarction of inferior wall

Inferolateral transmural (Q wave) infarction (acute)

Transmural (Q wave) infarction (acute) (of) diaphragmatic wall

Transmural (Q wave) infarction (acute) (of) inferior (wall) NOS

Excludes2: ST elevation (STEMI) myocardial infarction involving left circumflex

coronary artery (I21.21)

Posteroseptal transmural (Q wave) infarction (acute)

Septal transmural (Q wave) infarction (acute) NOS

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2017 2018

I21.2 ST elevation (STEMI) myocardial infarction of other sites

I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary

artery

ST elevation (STEMI) myocardial infarction involving oblique marginal

coronary artery

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

Acute transmural myocardial infarction of other sites

Apical-lateral transmural (Q wave) infarction (acute)

Basal-lateral transmural (Q wave) infarction (acute)

High lateral transmural (Q wave) infarction (acute)

Lateral (wall) NOS transmural (Q wave) infarction (acute)

Posterior (true) transmural (Q wave) infarction (acute)

Posterobasal transmural (Q wave) infarction (acute)

Posterolateral transmural (Q wave) infarction (acute)

Posteroseptal transmural (Q wave) infarction (acute)

Septal transmural (Q wave) infarction (acute) NOS

I21.2 ST elevation (STEMI) myocardial infarction of other sites

Type 1 ST elevation myocardial infarction of other sites

I21.21 ST elevation (STEMI) myocardial infarction involving left

circumflex coronary artery

ST elevation (STEMI) myocardial infarction involving oblique marginal coronary

artery

I21.29 ST elevation (STEMI) myocardial infarction involving other

sites

Acute transmural myocardial infarction of other sites

Apical-lateral transmural (Q wave) infarction (acute)

Basal-lateral transmural (Q wave) infarction (acute)

High lateral transmural (Q wave) infarction (acute)

Lateral (wall) NOS transmural (Q wave) infarction (acute)

Posterior (true) transmural (Q wave) infarction (acute)

Posterobasal transmural (Q wave) infarction (acute)

Posterolateral transmural (Q wave) infarction (acute)

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

Acute transmural myocardial infarction of unspecified site

Myocardial infarction (acute) NOS

Transmural (Q wave) myocardial infarction NOS

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

Acute transmural myocardial infarction of unspecified site

Transmural (Q wave) myocardial infarction NOS

Type 1 ST elevation myocardial infarction of unspecified site

I21.4 Non-ST elevation (NSTEMI) myocardial infarction

Acute subendocardial myocardial infarction

Non-Q wave myocardial infarction NOS

Nontransmural myocardial infarction NOS

I21.4 Non-ST elevation (NSTEMI) myocardial infarction

Acute subendocardial myocardial infarction

Non-Q wave myocardial infarction NOS

Nontransmural myocardial infarction NOS

Type 1 non-ST elevation myocardial infarction

None. See code I21..3. I21.9 Acute myocardial infarction, unspecified

Myocardial infarction (acute) NOS

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2017 2018

None. See code I21..3. I21.A Other type of myocardial infarction

I21.A1 Myocardial infarction type 2

Myocardial infarction due to demand ischemia

Myocardial infarction secondary to ischemic imbalance

Code also the underlying cause, if known and applicable, such as:

anemia (D50.0-D64.9)

chronic obstructive pulmonary disease (J44.-)

heart failure (I50.-)

paroxysmal tachycardia (I47.0-I47.9)

renal failure (N17.0-N19)

shock (R57.0-R57.9)

I21.A9 Other myocardial infarction type

Myocardial infarction associated with revascularization procedure

Myocardial infarction type 3

Myocardial infarction type 4a

Myocardial infarction type 4b

Myocardial infarction type 4c

Myocardial infarction type 5

Code first, if applicable, postprocedural myocardial infarction following cardiac

surgery (I97.190), or

postprocedural myocardial infarction during cardiac surgery (I97.790)

Code also complication, if known and applicable, such as:

(acute) stent occlusion (T82.897-)

(acute) stent stenosis (T82.857-)

(acute) stent thrombosis (T82.867-)

cardiac arrest due to underlying cardiac condition (I46.2)

complication of percutaneous coronary intervention (PCI) (I97.89)

occlusion of coronary artery bypass graft (T82.218-)

subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)

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I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI)

myocardial infarction

Includes: acute myocardial infarction occurring within four weeks (28 days)

of a previous acute myocardial infarction,

regardless of site

cardiac infarction

coronary (artery) embolism

coronary (artery) occlusion

coronary (artery) rupture

coronary (artery) thrombosis

infarction of heart, myocardium, or ventricle

recurrent myocardial infarction

reinfarction of myocardium

rupture of heart, myocardium, or ventricle

Use additional code, if applicable, to identify:

exposure to environmental tobacco smoke (Z77.22)

history of tobacco dependence (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

status post administration of tPA (rtPA) in a different facility within the last

24 hours prior to admission

to current facility (Z92.82)

tobacco dependence (F17.-)

tobacco use (Z72.0)

I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial

infarction

Includes: acute myocardial infarction occurring within four weeks (28 days) of a

previous acute myocardial infarction,

regardless of site

cardiac infarction

coronary (artery) embolism

coronary (artery) occlusion

coronary (artery) rupture

coronary (artery) thrombosis

infarction of heart, myocardium, or ventricle

recurrent myocardial infarction

reinfarction of myocardium

rupture of heart, myocardium, or ventricle

subsequent type 1 myocardial infarction

Use additional code, if applicable, to identify:

exposure to environmental tobacco smoke (Z77.22)

history of tobacco dependence (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

status post administration of tPA (rtPA) in a different facility within the last 24 hours

prior to admission

to current facility (Z92.82)

tobacco dependence (F17.-)

tobacco use (Z72.0)

Excludes1: subsequent myocardial infarction, type 2 (I21.A1)

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Table 4 2018 ICD-10-CM Tabular List Changes: Newborn and Congenital Conditions

2017 2018

P00.2 Newborn affected by maternal infectious and parasitic diseases

Newborn affected by maternal infectious disease classifiable to A00-B99, J09 and

J10

Excludes1: infections specific to the perinatal period (P35-P39)

maternal genital tract or other localized infections (P00.8)

P00.2 Newborn affected by maternal infectious and parasitic diseases

Newborn affected by maternal infectious disease classifiable to A00-B99, J09 and

J10

Excludes1: maternal genital tract or other localized infections (P00.8)

Excludes2: infections specific to the perinatal period (P35-P39)

P27 Chronic respiratory disease originating in the perinatal period

Excludes1: respiratory distress of newborn (P22.0-P22.9)

P27 Chronic respiratory disease originating in the perinatal period

Excludes2: respiratory distress of newborn (P22.0-P22.9)

P29.3 Persistent fetal circulation

Delayed closure of ductus arteriosus

(Persistent) pulmonary hypertension of newborn

P29.3 Persistent fetal circulation

P29.30 Pulmonary hypertension of newborn

Persistent pulmonary hypertension of newborn

P29.38 Other persistent fetal circulation

Delayed closure of ductus arteriosus

P78.8 Other specified perinatal digestive system disorders

P78.81 Congenital cirrhosis (of liver)

P78.82 Peptic ulcer of newborn

P78.83 Newborn esophageal reflux

Neonatal esophageal reflux

P78.8 Other specified perinatal digestive system disorders

P78.81 Congenital cirrhosis (of liver)

P78.82 Peptic ulcer of newborn

P78.83 Newborn esophageal reflux

Neonatal esophageal reflux

P78.84 Gestational alloimmune liver disease

GALD

Neonatal hemochromatosis

Excludes 1: hemochromatosis (E83.11-)

P83.8 Other specified conditions of integument specific to newborn

Bronze baby syndrome

Neonatal scleroderma

Urticaria neonatorum

P83.8 Other specified conditions of integument specific to newborn

P83.81 Umbilical granuloma

Excludes2: : Granulomatous disorder of the skin and subcutaneous tissue,

unspecified (L92.9)

P83.88 Other specified conditions of integument specific to newborn

Bronze baby syndrome

Neonatal scleroderma

Urticaria neonatorum

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2017 2018

P91.6 Hypoxic ischemic encephalopathy [HIE]

P91.60 Hypoxic ischemic encephalopathy [HIE], unspecified

P91.61 Mild hypoxic ischemic encephalopathy [HIE]

P91.62 Moderate hypoxic ischemic encephalopathy [HIE]

P91.63 Severe hypoxic ischemic encephalopathy [HIE]

P91.8 Other specified disturbances of cerebral status of newborn

P91.6 Hypoxic ischemic encephalopathy [HIE]

Excludes1: Neonatal cerebral depression (P91.4)

Neonatal cerebral irritability (P91.3)

Neonatal coma (P91.5)

P91.60 Hypoxic ischemic encephalopathy [HIE], unspecified

P91.61 Mild hypoxic ischemic encephalopathy [HIE]

P91.62 Moderate hypoxic ischemic encephalopathy [HIE]

P91.63 Severe hypoxic ischemic encephalopathy [HIE]

P91.81 Neonatal encephalopathy

P91.811 Neonatal encephalopathy in diseases classified elsewhere

Code first underlying condition, if known, such as:

congenital cirrhosis (of liver) (P78.71)

intracranial nontraumatic hemorrhage of newborn (P52.-)

kernicterus (P57.-)

P91.819 Neonatal encephalopathy, unspecified

Q53.1 Undescended testicle, unilateral

Q53.10 Unspecified undescended testicle, unilateral

Q53.11 Abdominal testis, unilateral

Q53.2 Undescended testicle, bilateral

Q53.20 Undescended testicle, unspecified, bilateral

Q53.21 Abdominal testis, bilateral

Q53.1 Undescended testicle, unilateral

Q53.10 Unspecified undescended testicle, unilateral

Q53.11 Abdominal testis, unilateral

Q53.111 Unilateral intraabdominal testis

Q53.112 Unilateral inguinal testis

Q53.2 Undescended testicle, bilateral

Q53.20 Undescended testicle, unspecified, bilateral

Q53.21 Abdominal testis, bilateral

Q53.211 Bilateral intraabdominal testes

Q53.212 Bilateral inguinal testes

Q21.8 Other congenital malformations of cardiac septa

Eisenmenger's defect

Pentalogy of Fallot

Excludes1: Eisenmenger's complex (I27.8)

Eisenmenger's syndrome (I27.8)

Q21.8 Other congenital malformations of cardiac septa

Eisenmenger's defect

Pentalogy of Fallot

Code also if applicable:

Eisenmenger's complex (I27.83)

Eisenmenger's syndrome (I27.83)

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2017 2018

Z05 Encounter for observation and evaluation of newborn for suspected diseases

and conditions ruled out

This category is to be used for newborns, within the neonatal period (the first 28

days of life), who are suspected of having an abnormal condition unrelated to

exposure from the mother or the birth process, but without signs or symptoms,

and which, after examination and observation, is ruled out.

Excludes2: newborn observation for suspected condition, related to exposure from

the mother or birth process (P00-P04)

Z05 Encounter for observation and evaluation of newborn for suspected diseases

and conditions ruled out

This category is to be used for newborns, within the neonatal period (the first 28

days of life), who are suspected of having an abnormal condition, but without signs

or symptoms, and which, after examination and observation, is ruled out.

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Table 5 2018 ICD-10-CM Tabular List Changes: Obstetric Conditions

2017 2018

O00.1 Tubal pregnancy

O00.10 Tubal pregnancy without intrauterine pregnancy

O00.11 Tubal pregnancy with intrauterine pregnancy

O00.10 Tubal pregnancy without intrauterine pregnancy

O00.101 Right tubal pregnancy without intrauterine pregnancy

O00.102 Left tubal pregnancy without intrauterine pregnancy

O00.109 Unspecified tubal pregnancy without intrauterine pregnancy

O00.11 Tubal pregnancy with intrauterine pregnancy

O00.111 Right tubal pregnancy with intrauterine pregnancy

O00.112 Left tubal pregnancy with intrauterine pregnancy

O00.119 Unspecified tubal pregnancy with intrauterine pregnancy

O00.2 Ovarian pregnancy

O00.20 Ovarian pregnancy without intrauterine pregnancy

O00.21 Ovarian pregnancy with intrauterine pregnancy

O00.20 Ovarian pregnancy without intrauterine pregnancy

O00.201 Right ovarian pregnancy without intrauterine pregnancy

O00.202 Left ovarian pregnancy without intrauterine pregnancy

O00.209 Unspecified ovarian pregnancy without intrauterine pregnancy

O00.21 Ovarian pregnancy with intrauterine pregnancy

O00.211 Right ovarian pregnancy with intrauterine pregnancy

O00.212 Left ovarian pregnancy without intrauterine pregnancy

O00.219 Unspecified ovarian pregnancy with intrauterine pregnancy

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Previously reported with O35.8 (Maternal care for other (suspected) fetal abnormality

and damage)

O36.83 Maternal care for abnormalities of the fetal heart rate or rhythm

O36.831 Maternal care for abnormalities of the fetal heart rate or rhythm, first

trimester

O36.832 Maternal care for abnormalities of the fetal heart rate or rhythm, second

trimester

O36.833 Maternal care for abnormalities of the fetal heart rate or rhythm, third

trimester

O36.839 Maternal care for abnormalities of the fetal heart rate or rhythm,

unspecified trimester

O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving

the immune mechanism complicating pregnancy, childbirth and the puerperium

Conditions in D65-D89

Excludes2: hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)

O99.1 Other diseases of the blood and blood-forming organs and certain disorders

involving the immune mechanism complicating pregnancy, childbirth and the

puerperium

Conditions in D65-D89

Excludes1: hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)

Z36 Encounter for antenatal screening of mother

Excludes1: abnormal findings on antenatal screening of mother (O28.-)

diagnostic examination- code to sign or symptom

encounter for suspected maternal and fetal conditions ruled out (Z03.7-)

suspected fetal condition affecting management of pregnancy - code to condition in

Chapter 15

Excludes2: genetic counseling and testing (Z31.43-, Z31.5)

routine prenatal care (Z34)

Z36 Encounter for antenatal screening of mother

Includes: Encounter for placental sample (taken vaginally)

Screening is the testing for disease or disease precursors in asymptomatic individuals so

that early detection and treatment can be provided for those who test positive for the

disease.

Excludes1: diagnostic examination- code to sign or symptom

encounter for suspected maternal and fetal conditions ruled out (Z03.7-)

suspected fetal condition affecting management of pregnancy - code to condition in

Chapter 15

Excludes2: abnormal findings on antenatal screening of mother (O28.-)

genetic counseling and testing (Z31.43-, Z31.5)

routine prenatal care (Z34)

Z36.0 Encounter for antenatal screening for chromosomal anomalies

Z36 Encounter for antenatal screening of mother Z36.1 Encounter for antenatal screening for raised alphafetoprotein level

Encounter for antenatal screening for elevated maternal serum alphafetoprotein level

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2017 2018

Z36 Encounter for antenatal screening of mother Z36.2 Encounter for other antenatal screening follow-up

Non-visualized anatomy on a previous scan

Z36 Encounter for antenatal screening of mother Z36.3 Encounter for antenatal screening for malformations

Screening for a suspected anomaly

Z36 Encounter for antenatal screening of mother Z36.4 Encounter for antenatal screening for fetal growth retardation

Intrauterine growth restriction (IUGR)/small-for-dates

Z36 Encounter for antenatal screening of mother Z36.5 Encounter for antenatal screening for isoimmunization

Z36 Encounter for antenatal screening of mother Z36.8 Encounter for other antenatal screening

Z36.81 Encounter for antenatal screening for hydrops fetalis

Z36.82 Encounter for antenatal screening for nuchal translucency

Z36.83 Encounter for fetal screening for congenital cardiac abnormalities

Z36.84 Encounter for antenatal screening for fetal lung maturity

Z36.85 Encounter for antenatal screening for Streptococcus B

Z36.86 Encounter for antenatal screening for cervical length

Screening for risk of pre-term labor

Z36.87 Encounter for antenatal screening for uncertain dates

Z36.88 Encounter for antenatal screening for fetal macrosomia

Screening for large-for-dates

Z36.89 Encounter for other specified antenatal screening

Z36.8A Encounter for antenatal screening for other genetic defects

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Table 6 2018 ICD-10-CM Tabular List Changes: Orthopedic

2017 2018

S62.62 Displaced fracture of medial phalanx of finger

S62.620 Displaced fracture of medial phalanx of right index finger

S62.621 Displaced fracture of medial phalanx of left index finger

S62.622 Displaced fracture of medial phalanx of right middle finger

S62.623 Displaced fracture of medial phalanx of left middle finger

S62.624 Displaced fracture of medial phalanx of right ring finger

S62.625 Displaced fracture of medial phalanx of left ring finger

S62.626 Displaced fracture of medial phalanx of right little finger

S62.627 Displaced fracture of medial phalanx of left little finger

S62.628 Displaced fracture of medial phalanx of other finger

Displaced fracture of medial phalanx of specified finger with unspecified laterality

S62.629 Displaced fracture of medial phalanx of unspecified finger

S62.62 Displaced fracture of middle phalanx of finger

S62.620 Displaced fracture of middle phalanx of right index finger

S62.621 Displaced fracture of middle phalanx of left index finger

S62.622 Displaced fracture of middle phalanx of right middle finger

S62.623 Displaced fracture of middle phalanx of left middle finger

S62.624 Displaced fracture of middle phalanx of right ring finger

S62.625 Displaced fracture of middle phalanx of left ring finger

S62.626 Displaced fracture of middle phalanx of right little finger

S62.627 Displaced fracture of medial phalanx of left little finger

S62.628 Displaced fracture of middle phalanx of other finger

Displaced fracture of middle phalanx of specified finger with unspecified laterality

S62.629 Displaced fracture of middle phalanx of unspecified finger

S62.65 Nondisplaced fracture of medial phalanx of finger

S62.650 Nondisplaced fracture of medial phalanx of right index finger

S62.651 Nondisplaced fracture of medial phalanx of left index finger

S62.652 Nondisplaced fracture of medial phalanx of right middle finger

S62.653 Nondisplaced fracture of medial phalanx of left middle finger

S62.654 Nondisplaced fracture of medial phalanx of right ring finger

S62.655 Nondisplaced fracture of medial phalanx of left ring finger

S62.656 Nondisplaced fracture of medial phalanx of right little finger

S62.657 Nondisplaced fracture of medial phalanx of left little finger

S62.658 Nondisplaced fracture of medial phalanx of other finger

Nondisplaced fracture of medial phalanx of specified finger with unspecified

laterality

S62.659 Nondisplaced fracture of medial phalanx of unspecified finger

S62.65 Nondisplaced fracture of middle phalanx of finger

S62.650 Nondisplaced fracture of middle phalanx of right index finger

S62.651 Nondisplaced fracture of middle phalanx of left index finger

S62.652 Nondisplaced fracture of middle phalanx of right middle finger

S62.653 Nondisplaced fracture of middle phalanx of left middle finger

S62.654 Nondisplaced fracture of middle phalanx of right ring finger

S62.655 Nondisplaced fracture of middle phalanx of left ring finger

S62.656 Nondisplaced fracture of middle phalanx of right little finger

S62.657 Nondisplaced fracture of middle phalanx of left little finger

S62.658 Nondisplaced fracture of middle phalanx of other finger

Nondisplaced fracture of middle phalanx of specified finger with unspecified

laterality

S62.659 Nondisplaced fracture of middle phalanx of unspecified finger

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S63.12 Subluxation and dislocation of unspecified interphalangeal joint of thumb

S63.121 Subluxation of unspecified interphalangeal joint of right thumb

S63.122 Subluxation of unspecified interphalangeal joint of left thumb

S63.123 Subluxation of unspecified interphalangeal joint of unspecified

thumb

S63.124 Dislocation of unspecified interphalangeal joint of right thumb

S63.125 Dislocation of unspecified interphalangeal joint of left thumb

S63.126 Dislocation of unspecified interphalangeal joint of unspecified

thumb

S63.12 Subluxation and dislocation of interphalangeal joint of thumb

S63.121 Subluxation of interphalangeal joint of right thumb

S63.122 Subluxation of interphalangeal joint of left thumb

S63.123 Subluxation of interphalangeal joint of unspecified thumb

S63.124 Dislocation interphalangeal joint of right thumb

S63.125 Dislocation of interphalangeal joint of left thumb

S63.126 Dislocation of interphalangeal joint of unspecified thumb

S63.13 Subluxation and dislocation of proximal interphalangeal joint of thumb

S63.131 Subluxation of proximal interphalangeal joint of right thumb

S63.132 Subluxation of proximal interphalangeal joint of left thumb

S63.133 Subluxation of proximal interphalangeal joint of unspecified thumb

S63.134 Dislocation of proximal interphalangeal joint of right thumb

S63.135 Dislocation of proximal interphalangeal joint of left thumb

S63.136 Dislocation of proximal interphalangeal joint of unspecified thumb

Deleted

S63.14 Subluxation and dislocation of distal interphalangeal joint of thumb

S63.141 Subluxation of distal interphalangeal joint of right thumb

S63.142 Subluxation of distal interphalangeal joint of left thumb

S63.143 Subluxation of distal interphalangeal joint of unspecified thumb

S63.144 Dislocation of distal interphalangeal joint of right thumb

S63.145 Dislocation of distal interphalangeal joint of left thumb

S63.146 Dislocation of distal interphalangeal joint of unspecified thumb

Deleted

S73.03 Other anterior dislocation of hip S73.03 Other anterior subluxation and dislocation of hip

S73.04 Central dislocation of hip S73.04 Central subluxation and dislocation of hip

S92.52 Fracture of medial phalanx of lesser toe(s)

S92.521 Displaced fracture of medial phalanx of right lesser toe(s)

S92.522 Displaced fracture of medial phalanx of left lesser toe(s)

S92.523 Displaced fracture of medial phalanx of unspecified lesser toe(s)

S92.524 Nondisplaced fracture of medial phalanx of right lesser toe(s)

S92.525 Nondisplaced fracture of medial phalanx of left lesser toe(s)

S92.526 Nondisplaced fracture of medial phalanx of unspecified lesser toe(s)

S92.52 Fracture of middle phalanx of lesser toe(s)

S92.521 Displaced fracture of middle phalanx of right lesser toe(s)

S92.522 Displaced fracture of middle phalanx of left lesser toe(s)

S92.523 Displaced fracture of middle phalanx of unspecified lesser toe(s)

S92.524 Nondisplaced fracture of middle phalanx of right lesser toe(s)

S92.525 Nondisplaced fracture of middle phalanx of left lesser toe(s)

S92.526 Nondisplaced fracture of middle phalanx of unspecified lesser toe(s)

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Orthopedic Conditions Page 26 of 32

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Table 7 2018 ICD-10-CM Tabular List Changes: Pulmonary Hypertension

2017 2018

I27.0 Primary pulmonary hypertension

Excludes1: pulmonary hypertension NOS (I27.2)

secondary pulmonary hypertension (I27.2)

I27.0 Primary pulmonary hypertension

Heritable pulmonary arterial hypertension

Idiopathic pulmonary arterial hypertension

Primary group 1 pulmonary hypertension

Primary pulmonary arterial hypertension

Excludes1: persistent pulmonary hypertension of newborn (P29.30)

pulmonary hypertension NOS (I27.20)

secondary pulmonary arterial hypertension (I27.21)

secondary pulmonary hypertension (I27.29)

I27.1 Kyphoscoliotic heart disease I27.1 Kyphoscoliotic heart disease

I27.2 Other secondary pulmonary hypertension

Pulmonary hypertension NOS

Code also associated underlying condition

I27.2 Other secondary pulmonary hypertension

Code also associated underlying condition

Excludes1: Eisenmenger's syndrome (I27.83)

I27.20 Pulmonary hypertension, unspecified

Pulmonary hypertension NOS

I27.2 Other secondary pulmonary hypertension I27.21 Secondary pulmonary arterial hypertension

(Associated) (drug-induced) (toxin-induced) pulmonary arterial hypertension NOS

(Associated) (drug-induced) (toxin-induced) (secondary) group 1 pulmonary hypertension Code also associated

conditions if applicable, or adverse effects of drugs or toxins, such as:

adverse effect of appetite depressants (T50.5X5)

congenital heart disease (Q20-Q28)

human immunodeficiency virus [HIV] disease (B20)

polymyositis (M33.2-)

portal hypertension (K76.6)

rheumatoid arthritis (M05.-)

schistosomiasis (B65.-)

Sjögren syndrome (M35.0-)

systemic sclerosis (M34.-)

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Pulmonary Hypertension Page 27 of 32

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2017 2018

I27.2 Other secondary pulmonary hypertension I27.22 Pulmonary hypertension due to left heart disease

Group 2 pulmonary hypertension

Code also associated left heart disease, if known, such as:

multiple valve disease (I08.-)

rheumatic mitral valve diseases (I05.-)

rheumatic aortic valve diseases (I06.-)

I27.2 Other secondary pulmonary hypertension I27.23 Pulmonary hypertension due to lung diseases and hypoxia

Group 3 pulmonary hypertension

Code also associated lung disease, if known, such as:

bronchiectasis (J47.-)

cystic fibrosis with pulmonary manifestations (E84.0)

interstitial lung disease (J84.-)

pleural effusion (J90)

sleep apnea (G47.3-)

I27.2 Other secondary pulmonary hypertension I27.24 Chronic thromboembolic pulmonary hypertension

Group 4 pulmonary hypertension

Code also associated pulmonary embolism, if applicable (I26.-, I27.82)

I27.2 Other secondary pulmonary hypertension I27.29 Other secondary pulmonary hypertension

Group 5 pulmonary hypertension

Pulmonary hypertension with unclear multifactorial mechanisms

Pulmonary hypertension due to hematologic disorders

Pulmonary hypertension due to metabolic disorders

Pulmonary hypertension due to other systemic disorders

Code also other associated disorders, if known, such as:

chronic myeloid leukemia (C92.10- C92.22)

essential thrombocythemia (D47.3)

Gaucher disease (E75.22)

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

hyperthyroidism (E05.-)

hypothyroidism (E00-E03)

polycythemia vera (D45)

sarcoidosis (D86.-)

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Pulmonary Hypertension Page 28 of 32

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2017 2018

I27.8 Other specified pulmonary heart diseases

I27.81 Cor pulmonale (chronic)

Cor pulmonale NOS

Excludes1: acute cor pulmonale (I26.0-)

I27.82 Chronic pulmonary embolism

Use additional code, if applicable, for associated long-term

(current) use of anticoagulants (Z79.01)

Excludes1: personal history of pulmonary embolism (Z86.711)

I27.89 Other specified pulmonary heart diseases

Eisenmenger's complex

Eisenmenger's syndrome

Excludes1: Eisenmenger's defect (Q21.8)

I27.8 Other specified pulmonary heart diseases

I27.81 Cor pulmonale (chronic)

Cor pulmonale NOS

Excludes1: acute cor pulmonale (I26.0-)

I27.82 Chronic pulmonary embolism

Use additional code, if applicable, for associated long-term (current) use of anticoagulants (Z79.01)

Excludes1: personal history of pulmonary embolism (Z86.711)

I27.83 Eisenmenger's syndrome

Eisenmenger's complex

(Irreversible) Eisenmenger's disease

Pulmonary hypertension with right to left shunt related to congenital heart disease

Code also underlying heart defect, if known, such as:

atrial septal defect (Q21.1)

Eisenmenger's defect (Q21.8)

patent ductus arteriosus (Q25.0)

ventricular septal defect (Q21.0)

I27.89 Other specified pulmonary heart diseases

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Pulmonary Hypertension Page 29 of 32

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Table 8 2018 ICD-10-CM Tabular List Changes: Chronic Wounds (Non-pressure)

2017 2018

(Codes for unspecified sites omitted.)

I96 Gangrene, not elsewhere classified

Gangrenous cellulitis

Excludes1: gangrene in atherosclerosis of native arteries of the extremities (I70.26)

gangrene in diabetes mellitus (E08-E13 with .52)

gangrene in hernia (K40.1, K40.4, K41.1, K41.4, K42.1, K43.1-, K44.1, K45.1, K46.1)

gangrene in other peripheral vascular diseases (I73.-)

gangrene of certain specified sites - see Alphabetical Index

gas gangrene (A48.0)

pyoderma gangrenosum (L88)

I96 Gangrene, not elsewhere classified

Gangrenous cellulitis

Excludes1: gangrene in atherosclerosis of native arteries of the extremities (I70.26)

gangrene in hernia (K40.1, K40.4, K41.1, K41.4, K42.1, K43.1-, K44.1, K45.1, K46.1)

gangrene in other peripheral vascular diseases (I73.-)

gangrene of certain specified sites - see Alphabetical Index

gas gangrene (A48.0)

pyoderma gangrenosum (L88)

Excludes2: gangrene in diabetes mellitus (E08-E13 with .52)

L97.112 Non-pressure chronic ulcer of right thigh with fat layer exposed Non-pressure chronic ulcer:

L97.115 of right thigh with muscle involvement without evidence of

necrosis

L97.116 of right thigh with bone involvement without evidence of necrosis

L97.122 Non-pressure chronic ulcer of left thigh with fat layer exposed Non-pressure chronic ulcer:

L97.125 of left thigh with muscle involvement without evidence of necrosis

L97.126 of left thigh with bone involvement without evidence of necrosis

L97.212 Non-pressure chronic ulcer of right calf with fat layer exposed Non-pressure chronic ulcer:

L97.215 of right calf with muscle involvement without evidence of necrosis

L97.216 of right calf with bone involvement without evidence of necrosis

L97.222 Non-pressure chronic ulcer of left calf with fat layer exposed Non-pressure chronic ulcer:

L97.225 of left calf with muscle involvement without evidence of necrosis

L97.226 of left calf with bone involvement without evidence of necrosis

L97.312 Non-pressure chronic ulcer of right ankle with fat layer exposed Non-pressure chronic ulcer:

L97.315 of right ankle with muscle involvement without evidence of

necrosis

L97.316 of right ankle with bone involvement without evidence of necrosis

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Chronic Wounds Page 30 of 32

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2017 2018

L97.322 Non-pressure chronic ulcer of left ankle with fat layer exposed Non-pressure chronic ulcer:

L97.325 of left ankle with muscle involvement without evidence of necrosis

L97.326 of left ankle with bone involvement without evidence of necrosis

L97.412 Non-pressure chronic ulcer of right heel and midfoot with fat layer

exposed

Non-pressure chronic ulcer:

L97.415 of right heel and midfoot with muscle involvement without

evidence of necrosis

L97.416 of right heel and midfoot with bone involvement without evidence

of necrosis

L97.422 Non-pressure chronic ulcer of left heel and midfoot with fat layer

exposed

Non-pressure chronic ulcer:

L97.425 of left heel and midfoot with muscle involvement without evidence

of necrosis

L97.426 of left heel and midfoot with bone involvement without evidence

of necrosis

L97.512 Non-pressure chronic ulcer of other part of right foot with fat layer

exposed

Non-pressure chronic ulcer:

L97.515 of other part of right foot with muscle involvement without

evidence of necrosis

L97.516 of other part of right foot with bone involvement without evidence

of necrosis

L97.522 Non-pressure chronic ulcer of other part of left foot with fat layer

exposed

Non-pressure chronic ulcer:

L97.525 of other part of left foot with muscle involvement without

evidence of necrosis

L97.526 of other part of left foot with bone involvement without evidence

of necrosis

L97.812 Non-pressure chronic ulcer of other part of right lower leg with fat

layer exposed

Non-pressure chronic ulcer:

L97.815 of other part of right lower leg with muscle involvement without

evidence of necrosis

L97.816 of other part of right lower leg with bone involvement without

evidence of necrosis

L97.822 Non-pressure chronic ulcer of other part of left lower leg with fat

layer exposed

Non-pressure chronic ulcer:

L97.825 of other part of left lower leg with muscle involvement without

evidence of necrosis

L97.826 of other part of left lower leg with bone involvement without

evidence of necrosis

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Chronic Wounds Page 31 of 32

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2017 2018

L97.912 Non-pressure chronic ulcer of unspecified part of right lower leg

with fat layer exposed

Non-pressure chronic ulcer:

L97.915 of unspecified part of right lower leg with muscle involvement

without evidence of necrosis

L97.916 of unspecified part of right lower leg with bone involvement

without evidence of necrosis

L97.922 Non-pressure chronic ulcer of unspecified part of left lower leg with

fat layer exposed

Non-pressure chronic ulcer:

L97.925 of unspecified part of left lower leg with muscle involvement

without evidence of necrosis

L97.926 of unspecified part of left lower leg with bone involvement without

evidence of necrosis

L98.412 Non-pressure chronic ulcer of buttock with fat layer exposed Non-pressure chronic ulcer:

L98.415 of buttock with muscle involvement without evidence of necrosis

L98.416 of buttock with bone involvement without evidence of necrosis

L98.422 Non-pressure chronic ulcer of back with fat layer exposed Non-pressure chronic ulcer:

L98.425 of back with muscle involvement without evidence of necrosis

L98.426 of back with bone involvement without evidence of necrosis

L98.492 Non-pressure chronic ulcer of skin of other sites with fat layer

exposed

Non-pressure chronic ulcer:

L98.495 of other sites with muscle involvement without evidence of necrosis

L98.496 of other sites with bone involvement without evidence of necrosis

Notes for Primary Care - ICD-10-CM 2018 Tabular List Changes - Chronic Wounds Page 32 of 32