Pediatrics ICD-10 CM Training. ICD-10-CM will be valid for dates of service on or after October 1, 2015 – Outpatient dates of service of October 1, 2015

Pediatrics

ICD-10 CM Training

• ICD-10-CM will be valid for dates of service on or after October 1, 2015– Outpatient dates of service of October 1, 2015 and

beyond. – Inpatient hospital service claims, is effective for dates of

discharge after September 30, 2015

ICD-10-CM Compliance Dates

• Covered Entities– Everyone covered by the Health Insurance Portability

Accountability Act (HIPAA)

• Non-Covered Entities– Worker’s Compensation– Auto Insurance– Non covered HIPAA entities are exempt but are

encouraged to adapt the new code set

Covered and Non-Covered Entities

• 21 Chapters• Alpha-numeric codes; not case-sensitive

– Codes begin with Alpha letter, A-Z, excluding U– Common errors

• I verses 1• O verses 0

• “x” Placeholder• 3 to 7 characters

– Decimal following 3rd character

ICD-10 Code Structure

• Placeholder “x”– Used for future expansion of a code– Fills in empty characters when a 6th and/or 7th character

apply– The placeholder may be used in different scenarios but

should never serve as the final character.

Example: W19.XXXA Unspecified fall, Initial Encounter


• 7th Character– Provides specified information regarding the clinical visit– Is required for certain categories and must be reported in

the seventh position– May be alpha or numeric– Has different meanings depending on the coding category


• Laterality– Some ICD-10-CM codes indicate laterality, specifying

whether the condition occurs on the left, right or is bilateral.

– If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side.

– If the side is not identified in the medical record, assign the code for the unspecified side.

OGCR section 1.B.13


• “Other” Codes– Codes titled “other” or “other specified” are for use when

the information in the medical record provides detail for which a specific code does not exist.

• “Unspecified” Codes– Codes titled “unspecified” are for use when the

information in the medical record is insufficient to assign a more specific code.

OGCR section 1.A.9.a.b


• Excludes Notes– Excludes1

• A type 1 Excludes note is a pure excludes note• It means “NOT CODED HERE”• The code excluded should never be used at the same time• When two conditions cannot occur together

– Excludes2• Represents “Not included here”• The condition excluded is not part of the condition represented

by the code• It is acceptable to use both the code and the excluded code

together, when appropriateOGCR section 1.A.12.a.b

ICD-10 Structure

• “Code First” and “Use Additional Code”– ICD-10 has a coding convention that requires the

underlying condition be sequenced first followed by the manifestation.

– These instructional notes indicate the proper sequencing order of the codes.

OGCR section 1.A.13

• The “-” indicates there are additional reporting options


From top tool bar• Billing• ICD• ICD-9-CM to ICD-10-CM Conversion Utility (GEMs)

ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW

• Type in ICD-9-CM Code• Select- Map to ICD-10-CM

• ICD-10-CM Code will appear– IF code is not a one-to-to conversion, modifier selections will appear to narrow search.

ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW

IMO is a registered trademark for Intelligent Medical Objects.

• Integrates software in the practice management systems to allow for a quick search of medical terms and codes.

• Allows for a search using physician verbiage, partial terms or ICD codes.

• System integrates with eCW

Smart Search is the result of IMO functionality within a practice management system.

• Is available at no cost• Is found in the assessment section of the progress note• Allows easier search of codes (ICD-9 to ICD-10)

IMO/Smart Search

Most Common Diagnosis Codes

Routine Infant or Child Health ExaminationICD-9 Code ICD-10 Code Description Excludes1 Excludes2

V20.2 Z00.129 Encounter for routine child health examination without abnormal findings• Encounter for

routine child health examination NOS

• Encounter for development testing of infant or child

• Health check (routine) for child over 28 days old

• Health check for child under 29 days old (Z00.11-)

• Health supervision of foundling or other health infant or child (Z76.1-Z76.2)

• Newborn health examination (Z00.11-)

N/A

V20.2 Z00.121 Encounter for routine child health examination with abnormal findings• Use additional code

to identify abnormal findings

• Health check for child under 29 days old (Z00.11-)

• Health supervision of foundling or other health infant or child (Z76.1-Z76.2)

• Newborn health examination (Z00.11-)

N/A

• Identify routine health check– Adult– Child– Newborn

• Under 8 days old• 8-28 days old

• Identify presence/absence of abnormal findings– With abnormal findings– Without abnormal findings

• Use an additional code for any abnormal findings

Well Examination Documentation Tips

Encounter for examination of ears and hearingICD-9 Code ICD-10 Code Description Excludes1 Excludes2

V72.19 Z01.10 Encounter for examination of ears and hearing without abnormal findings

• encounter for examination for administrative purposes (Z02.-)

• encounter for examination for suspected conditions, proven not to exist (Z03.-)

• encounter for laboratory and radiologic examinations as a component of general medical examinations(Z00.0-)

• encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to thesign(s) or symptom(s)

N/A

There are more specific code choice selections below:

Z01.110 Encounter for hearing examination following failed hearing screening

Z01.118 Encounter for examination of ears and hearing with other abnormal findingsUse additional code to identify abnormal findings


• Use an additional code for any abnormal findings• Identify previous failed hearing screening• Z01 codes are not to be used if the examination is for diagnosis

of a suspected condition or for treatment purposes.• During a routine exam, should a diagnosis or condition be

discovered, it should be coded as an additional code. • Pre-existing and chronic conditions and history codes may also

be included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.

Examination of ears and hearingDocumentation Tips

Encounter for examination of eyes and visionICD-9 Code ICD-10 Code Description Excludes1 Excludes2

V72.0 Z01.00 Encounter for examination of eyes and vision without abnormal findings

Encounter for examination of eyes and vision NOS

• encounter for examination for administrative purposes (Z02.-)

• encounter for examination for suspected conditions, proven not to exist (Z03.-)

• encounter for laboratory and radiologic examinations as a component of general medical examinations(Z00.0-)

• encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)

• screening examinations (Z11-Z13)

Z01.01 Encounter for examination of eyes and vision with abnormal findings

Use additional code to identify abnormal findings


• Use an additional code for any abnormal findings• Identify high risk medication• Identify diabetes and diabetes retinopathy• Z01 codes are not to be used if the examination is for diagnosis of a

suspected condition or for treatment purposes.• During a routine exam, should a diagnosis or condition be

discovered, it should be coded as an additional code. • Pre-existing and chronic conditions and history codes may also be

included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.

Examination of eyeDocumentation Tips

AsthmaICD-9 Code ICD-10 Code Description Excludes1 Excludes2

493.00, 493.10 J45.20 Mild intermittent asthma, uncomplicated or NOS

• bronchitis due to chemicals, gases, fumes and vapors (J68.0)

• cystic fibrosis (E84.-)

493.01, 493.11 J45.22 Mild intermittent asthma with status asthmaticus

N/A N/A

493.02, 493.12 J45.21 Mild intermittent asthma with (acute) exacerbation

N/A N/A

493.82 J45.991 Cough variant asthma N/A N/A

493.90 J45.909J45.998

Unspecified asthma, uncomplicatedOther asthma

N/A N/A

493.91 J45.902 Unspecified asthma with status asthmaticus


• cystic fibrosis (E84.-)

493.92 J45.901 Unspecified asthma with (acute) exacerbation


cystic fibrosis (E84.-)

Asthma Severity ChartINTERMITTENT MILD

PERSISTENTMODERATE PERSISTENT

SEVERE PERSISTENT

SYMPTOMS 2 or less daysper week

More than 2days perweek

Daily Throughoutthe day

NIGHTIME AWAKENINGS

2 x’s permonth or less

3 – 4 x’s permonth

More thanonce perweek but notnightly

Nightly

RESCUE INHALER USE

2 or less daysper week

More than 2days perweek, but notdaily

Daily Several timesper day

INTERFERENCE WITH NORMAL ACTIVITY

None Minorlimitation

Somelimitation

Extremelylimited

LUNG FUNCTION FEVI>80% predicted and normal between exacerbations

FEV1>80%predicted

FEV1 60 –80%predicted

FEV1 lessthan 60%predicted

• Identify – Severity

• Mild intermittent• Mild persistent• Moderate persistent• Severe persistent• Unspecified

– Complication• With acute exacerbation• With status asthmaticus• Uncomplicated

– Due to• Allergies• Fumes

• When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

• Use additional code, where applicable, to identify:– exposure to environmental tobacco smoke (Z77.22)– exposure to tobacco smoke in the perinatal period (P96.81)– history of tobacco use (Z87.891)– occupational exposure to environmental tobacco smoke (Z57.31)– tobacco dependence (F17.-)– tobacco use (Z72.0)

Asthma Documentation Tips

Undiagnosed Cardiac MurmursICD-9 Code ICD-10 Code Description Excludes1 Excludes2

785.2 R01.1 Cardiac murmur, unspecified

Applicable to:• Cardiac bruit NOS• Heart murmur NOS

• cardiac murmurs and sounds originating in the perinatal period (P29.8)

N/A

There are more specific code choice selections

R01.0 Benign and innocent cardiac murmursFunctional cardiac murmur

R01.2 Other cardiac soundsCardiac dullness, increased or decreasedPrecordial friction

IMO Smart Search

• R00-R99 codes that describe symptoms and signs are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.

• R00-R99 codes for signs and symptoms may be reported in addition to a related definitive diagnosis when the sign or symptom is not routinely associated with that diagnosis, such as the various signs and symptoms associated with complex syndromes. The definitive diagnosis code should be sequenced before the symptom code.

• R01.0 – undiagnosed cardiac murmur

Documentation Tips

Acute upper respiratory infection, unspecifiedICD-9 Code ICD-10 Code Description Excludes1 Excludes2

465.9 J06.9 Acute upper respiratory infection, unspecified

Applicable To:• Upper

respiratory disease, acute

• Upper respiratory infection NOS

• acute respiratory infection NOS (J22)

• streptococcal pharyngitis (J02.0)

N/A

Use additional code, where applicable, to identify:• exposure to environmental tobacco smoke (Z77.22)• exposure to tobacco smoke in the perinatal period (P96.81)• history of tobacco use (Z87.891)• occupational exposure to environmental tobacco smoke (Z57.31)• tobacco dependence (F17.-)• tobacco use (Z72.0)

Otitis media, unspecifiedICD-9 Code ICD-10 Code Description Excludes1 Excludes2

382.9 H66.90 Otitis media, unspecified, unspecified ear• Otitis media

NOS• Acute otitis

media NOS• Chronic otitis

media NOS

Use additional code for any associated perforated tympanic membrane (H72.-)

N/A N/A

There are more specific code choice selections

382.9 H66.91 Otitis media, unspecified, right ear

382.9 H66.92 Otitis media, unspecified, left ear

382.9 H66.93 Otitis media, unspecified, bilateral

• Otitis Media Type– Laterality– Chronicity– Recurrence– Spontaneous tympanic membrane rupture– Suppurative otitis media location

• Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition

• Use additional code to identify:– exposure to environmental tobacco smoke (Z77.22)– exposure to tobacco smoke in the perinatal period (P96.81)– history of tobacco use (Z87.891)– occupational exposure to environmental tobacco smoke (Z57.31)– tobacco dependence (F17.-)– tobacco use (Z72.0)

Documentation Tips

Acute pharyngitis, unspecifiedICD-9 Code ICD-10 Code Description Excludes1 Excludes2

462 J02.9 Acute pharyngitis, unspecified

Applicable To:• Gangrenous pharyngitis

(acute)• Infective pharyngitis

(acute) NOS• Pharyngitis (acute) NOS• Sore throat (acute) NOS• Suppurative pharyngitis

(acute)• Ulcerative pharyngitis

(acute)

• acute laryngopharyngitis (J06.0)

• peritonsillar abscess (J36)

• pharyngeal abscess (J39.1)

• retropharyngeal abscess (J39.0)

• chronic pharyngitis (J31.2)

There are more code choices below:

J02.0 Streptococcal pharyngitis

J02.8 Acute pharyngitis due to other specified organism• Use additional code (B95-B97) to identify infectious agent

Use additional code, where applicable, to identify:• exposure to environmental tobacco smoke (Z77.22)• exposure to tobacco smoke in the perinatal period (P96.81)• history of tobacco use (Z87.891)• occupational exposure to environmental tobacco smoke (Z57.31)• tobacco dependence (F17.-)• tobacco use (Z72.0

• Type of pharyngitis• Identify infectious agent

– Streptococcus– Other organism

• Identify acute or chronic. Chronic pharyngitis code J31.2• When a respiratory condition is described as occurring in

more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

Acute pharyngitis, unspecifiedDocumentation Tips

Cystic fibrosisICD-9 Code ICD-10 Code Description Excludes1 Excludes2

277.00 E84.9 Cystic fibrosis, unspecified

Includes:mucoviscidosis

N/A N/A


E84.0 Cystic fibrosis with pulmonary manifestationsUse additional code to identify any infectious organism present, such as: Pseudomonas (B96.5)

E84.11 Meconium ileus in cystic fibrosisExcludes1: meconium ileus not due to cystic fibrosis (P76.0)

E84.19 Cystic fibrosis with other intestinal manifestationsDistal intestinal obstruction syndrome

E84.8 Cystic fibrosis with other manifestations

Identify:• Anatomical site• Manifestations (e.g. bronchopneumonia)

Documentation Tips

Acute lymphoblastic leukemia not having achieved remissionICD-9 Code ICD-10 Code Description Excludes1 Excludes2

204.00 C91.00 Acute lymphoblastic leukemia not having achieved remission

Applicable to:• Acute lymphoblastic

leukemia with failed remission

• Acute lymphoblastic leukemia NOS

• personal history of leukemia (Z85.6)

N/A


C91.01 Acute lymphoblastic leukemia, in remission

C91.02 Acute lymphoblastic leukemia, in relapse

• Code C91.0 should only be used for T-cell and B-cell precursor leukemia

• Identify:– In remission– In relapse– Achieved remission

Documentation Tips

Type 1 diabetes mellitus without complicationsICD-9 Code ICD-10 Code Description Excludes1 Excludes2

250.01 E10.9 Type 1 diabetes mellitus without complications

Applicable to:• brittle diabetes

(mellitus)• diabetes (mellitus) due

to autoimmune process• diabetes (mellitus) due

to immune mediated pancreatic islet beta-cell destruction

• idiopathic diabetes (mellitus)

• juvenile onset diabetes (mellitus)

• ketosis-prone diabetes (mellitus)

• diabetes mellitus due to underlying condition (E08.-)

• drug or chemical induced diabetes mellitus (E09.-)

• gestational diabetes (O24.4-)• hyperglycemia NOS (R73.9)• neonatal diabetes mellitus

(P70.2)• postpancreatectomy diabetes

mellitus (E13.-)• postprocedural diabetes

mellitus (E13.-)• secondary diabetes mellitus NEC

(E13.-)• type 2 diabetes mellitus (E11.-)

N/A

Diabetes is a chronic condition that requires multi-specialty management. • The documentation should indicate relevant details regarding the

management of each case as it relates to the services rendered or actions taken to coordinate the patients care.

• The HPI, at a minimal, should include some indication of the historical timeline or duration of the illness, levels as it relates to the date of service, manifestations or impairments associated with the condition and effectiveness of current medication regimen.

• The examination should notate any physical signs related to the diabetic conditions. (Ulcers, nails, edema, discoloration, sensitivity to touch)

Diabetes Documentation Tips

• Indicate Type• Indicate additional conditions, manifestations, or

complications• Cataract• Circulatory complication• Foot ulcer• Gastroparesis

• Notate causal relationships (due to, with, secondary)• State due to drugs or chemicals

Diabetes Documentation Tips

Malignant neoplasm of adrenal glandICD-9 Code ICD-10 Code Description Excludes1 Excludes2

194.0 C74.90 Malignant neoplasm of adrenal gland

N/A N/A


C74.00 Malignant neoplasm of cortex of unspecified adrenal gland

C74.01 Malignant neoplasm of cortex of right adrenal gland

C74.02 Malignant neoplasm of cortex of left adrenal gland

C74.10 Malignant neoplasm of medulla of unspecified adrenal gland

C74.11 Malignant neoplasm of medulla of right adrenal gland

C74.12 Malignant neoplasm of medulla of left adrenal gland

C74.91 Malignant neoplasm of unspecified part of right adrenal gland

C74.92 Malignant neoplasm of unspecified part of left adrenal gland

• Identify:– Laterality– Type

• Symptoms, signs, and ill-defined conditions listed in Chapter 18 (R00-R99) characteristic of, or associated with, an existing primary or secondary site malignancy cannot be used to replace the malignancy as principal or first-listed diagnosis, regardless of the number of admissions or encounters for treatment and care of the neoplasm.

Documentation Tips

Encounter for screening for respiratory tuberculosisICD-9 Code ICD-10 Code Description Excludes1 Excludes2

V74.1 Z11.1 Encounter for screening for respiratory tuberculosis

• examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

N/A

• The testing of a person to rule out or confirm a suspected diagnosis because the patient has some sing or symptom is a diagnostic examination, NOT A SCREENING.

• Should a condition be discovered during a screening then the code for the condition may be assigned as an additional diagnosis.

• Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Documentation Tips

CoughICD-9 Code ICD-10 Code Description Excludes1 Excludes2

786.2 R05 Cough • Cough with hemorrhage (R04.2)

• Smoker’s Cough (J41.0)

N/A

• Symptom Codes – Codes that describe symptoms and signs are acceptable for reporting

purposes when a related definitive diagnosis has not been established (confirmed) by the provider.

• Use of a symptom code with a definitive diagnosis code– Codes for signs and symptoms may be reported in addition to a

related definitive diagnosis when the sign or symptom is not routinely associated with that diagnosis code.

• Signs or symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.

Cough Documentation Tips

Contact with and (suspected) exposure to tuberculosisICD-9 Code ICD-10 Code Description Excludes1 Excludes2

V01.1 R01.1 Contact with and (suspected) exposure to tuberculosis

• carrier of infectious disease (Z22.-)

• diagnosed current infectious or parasitic disease -see Alphabetic Index

• personal history of infectious and parasitic diseases (Z86.1-)

• Category Z20 indicates contact with, and suspected exposure to, communicable diseases. These codes are for patients who do not show any sign or symptom of a disease but are suspected to have been exposed to it by close personal contact with an infected individual or are in an area where a disease is epidemic.

• Contact/exposure codes may be used as a first-listed code to explain an encounter for testing, or, more commonly, as a secondary code to identify a potential risk.

Documentation Tips

• GroupOne will submit ICD-10 CM test batch to Clearinghouse prior to October 1, 2015

• Update all eCW ICD-10 settings to be effective on October 1, 2015

Clearinghouse Testing

On October 01, 2015 we will monitor claims for date of service rules

• Outpatient claims cannot have crossover dates • Outpatient claims will be coded according to date of

service• Inpatient facility claims will be coded per date of discharge

We will monitor claims to resolve any unanticipated problems with the submission process

Monitor Claims

• We will monitor for claim denials• We will monitor editing trends for ICD-10 Coding

guidelines• We will provide feedback to the physicians regarding

supporting documentation requirements • We will monitor WC or Liability carriers for published

rules on use of ICD-9 or ICD-10 code sets

Claim Denial and Management

• Client will need to update in eCW– Templates– Order Sets– Superbills– Favorites

• Future Orders in eCW– Remove ICD-9 code add ICD-10 code

Client Responsibilities

• Knowledge• Documents & Videos• ICD-10 Information• ICD-10 Videos

– View videos • ICD-10-01 Overview and Setup• ICD-10 -02 Assessment Search• ICD-10-03 Order Sets and

Templates• ICD-10-04 ICD and CPT

Associations and ICD Groups• ICD-10-05 Lab Req Forms and

Superbills• ICD-10-06 Future Labs and

Standing Orders

https://my.eclinicalworks.com/eCRM/jsp/index.jsp

https://my.eclinicalworks.com/eCRM/jsp/index.jsp

All Conditions treated or assessed must be documented in the medical record. In addition to the documentation tips reviewed, below are more areas to document that will ensure proper ICD-10-CM code selection.

• Site specificity• Document notation of qualifiers

– Exacerbation– Manifestations– Relapse– Status– Stages

• Indicate acute or chronic• Indicate underlying or external cause factors

– Medication– Smoke– Accidents– Mechanical failure

• Laterality– Bilateral– Right – Left

Documentation – Start Now

• Episode of Care for injuries, poisoning, external causes and other conditions– Initial Encounter

• Use while the patient is receiving active treatment of the condition– Active treatment includes surgical treatment, an emergency encounter, and

evaluation and treatment by a new physician

– Subsequent Encounter• Used on encounter after the patient has received active treatment of

the condition and is receiving routine care for the condition during the healing or recovery phase.

– Medication adjustments, aftercare, device adjustments, cast change

– Sequela• Used for complications or conditions that arise as a direct result of a

condition, late effect


• Combination codes that capture– Etiology and manifestation– Related conditions– Disease, injury or other medical condition and

complications– Disease or other medical conditions and common signs or

symptoms


UnderdosingUnderdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer’s instruction. For underdosing, assign the code from categories T36-T50 (fifth or sixth character “6”).

Codes for underdosing should never be assigned as principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.

Noncompliance (Z91.12-, Z91.13-) or complication of care (Y63.6-Y63.9) codes are to be used with an underdosing code to indicate intent, if known.

OGCR Section 1.C.19.e.5.c

Official Guidelines for Coding and Reporting

V00- Z99 Codes External Causes of Morbidity

• V-codes– Transport Accidents

• W00-X58 codes– Other External Causes of Accidental Injury

• X71-X99.9 codes– Intentional Self-Harm

• Y00-Y99.9 Other External Causes of Morbidity• Z00-Z99 Factors influencing health status and

contact with health services

V00-V99 CodesOther External Causes of Accidental Injury

Code Range Description

V00-V09 Pedestrian injured

V10-V19 Pedal cycle injured in transport accident

V20-V29 Motorcycle rider injured in

V30-V39 Occupant of three-wheeled motor vehicle injured in transport accident

V40-V49 Car occupant injured in transport accident

V50-V59 Occupant of pick-up truck or van injured in transport accident

V60-V69 Occupant of heavy transport vehicle injured in transport accident

V70-V79 Bus occupant injured in transport accident

V80-V89 Other land transport accidents

V90-V94 Water transport accidents

V95-V97 Air and space transport accidents

V98 Other and unspecified transport accidents

V99 Unspecified transport accidents

W00-W99 CodesOther External Causes of Accidental Injury


W00-W19 Slipping, Tripping, Stumbling, and Falls

W20-W49 Exposure to Inanimate Mechanical Forces• Struck by object due to collapse of building

W50-W64 Exposure to Animate Mechanical Forces• Struck by another person

W65-W74 Accidental non-transport drowning and submersion

W85-W99 Exposure to Electric Current, Radiation and Extreme Ambient Air Temperature and Pressure

X00-X99 CodesOther External Causes of Accidental Injury


X00-X08 Exposure to Smoke, Fire and Flames

X10-X19 Contact with Heat and Hot Substances

X30-X39 Exposure to Forces of Nature

X52, X59 Accidental Exposure to Other Specified Factors

X71-X83 Intentional Self-Harm

X92-Y09 Assault

Y00-Y99.9 CodesOther External Causes of Morbidity


Y00-Y09 Assault• Maltreatment and neglect

Y21-Y33 Event of undetermined intent

Y35-Y38 Legal Intervention, Operations of War, Military Operations, and Terrorism

Y62-Y69 Misadventures to Patients During Surgical and Medical Care

Y70-Y82 Medical Devices Associated with Adverse Incidents in Diagnostic and Therapeutic Use

Y83-Y84 Surgical and other Medical Procedures as the Cause of Abnormal Reaction

Y92 Place of occurrence of the external cause

Y93 Activity codes

Y95 Nosocomial condition

Y99 External cause status

Z00-Z99 Factors influencing health status and contact with health services


Z00-Z13 Persons encountering health services for examination and investigation

Z14-Z15 Genetic carrier and genetic susceptibility to disease

Z16 Infection with drug-resistant microorganisms

Z17 Estrogen receptor status

Z18 Retained foreign body fragments

Z20-Z28 Persons with potential health hazards related to communicable disease

Z30-Z39 Persons encountering health services in circumstances related to reproduction

Z40-Z53 Persons encountering health services for specific procedures and health care

Z00-Z99 (Continue)Code Range Description

Z40-Z53 Persons encountering health services for specific procedures and health care

Z55-Z65 Persons with potential health hazards related to socioeconomic and psychosocial circumstance

Z66 Do Not Resuscitate (DNR) status

Z67 Blood type

Z68 Body mass index (BMI)

Z69-Z76 Persons encountering health services in other circumstances

Z79-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status

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Centers for Disease Control and Prevention (ICD-10-CM)http://www.cdc.gov/nchs/icd/icd10cm.htm

Questions

mailto:[email protected]

http://www.cdc.gov/nchs/icd/icd10cm.htm

http://www.cdc.gov/nchs/icd/icd10cm.htm