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ICD-10-CM Expert for Home Health Services and Hospices The Complete Official Code Set 2016

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ICD-10-CM

Expert for Home Health Services and Hospices

The Complete Official Code Set

2016

External CausesRun over–Striking against

ICD-10-CM 2016 2 Subterms under main terms may continue to next column or page 445

— continuedtransport vehicle NEC (see also Accident, transport)

V09.9 intentional homicide (attempt) Y03.0 motor NEC V09.20

intentional homicide (attempt) Y03.0 Running

before moving object X81.8 motor vehicle X81.0

Running off, away animal (being ridden) (see also Accident, transport)

V80.918 not being ridden W55.89

animal-drawn vehicle NEC (see also Accident, transport) V80.928

highway, road(way), street transport vehicle NEC (see also Accident,

transport) V89.9 — see Explosion, by type

of device

S — see Table of Drugs and Chemicals, lead

(accidental) (by) (from) (in) X19 air (hot) X14.1 gases (hot) X14.1 homicide (attempt) — see Assault, burning, hot

object inflicted by other person

stated as intentional, homicide (attempt) — see Assault, burning, hot object

liquid (boiling) (hot) NEC X12 stated as undetermined whether accidental or

intentional Y27.2 suicide (attempt) X77.2

local application of externally applied substance in medical or surgical care Y63.5

metal (molten) (liquid) (hot) NEC X18 self-inflicted X77.9 stated as undetermined whether accidental or

intentional Y27.8 steam X13.1

assault X98.0 stated as undetermined whether accidental or

intentional Y27.0 suicide (attempt) X77.0

suicide (attempt) X77.9 vapor (hot) X13.1

assault X98.0 stated as undetermined whether accidental or

intentional Y27.0 suicide (attempt) X77.0

Scratched by cat W55.03 person(s) (accidentally) W50.4

with intent to injure or kill Y04.0 as, or caused by, a crowd or human stampede

(with fall) W52 assault Y04.0 homicide (attempt) Y04.0 in

fight Y04.0 legal intervention

injuring bystander Y35.892 law enforcement personnel Y35.891 suspect Y35.893

T75.3 (see also External cause by type,

undetermined whether accidental or intentional) intentional — see Suicide poisoning NEC — see Table of drugs and biologicals,

accident (injury) (see also External cause by

type, undetermined whether accidental or intentional)

intentional — see Suicide poisoning NEC — see Table of drugs and biologicals,

accident

(of ) accident NEC — see categories W00-X58 with 7th

character S assault (homicidal) (any means) — see categories

X92-Y08 with 7th character Shomicide, attempt (any means) — see categories

X92-Y08 with 7th character S injury undetermined whether accidentally or

purposely inflicted —see categories Y21-Y33 with 7th character S

intentional self-harm (classifiable to X71-X83) — see categories X71-X83 with 7th character S

legal intervention — see category Y35 with 7th character S

motor vehicle accident — see categories V00-V99 with 7th character S

suicide, attempt (any means) — see categories X71-X83 with 7th character S

transport accident — see categories V00-V99 with 7th character S

war operations — see War operations Shock

electric — see Exposure, electric current from electric appliance (any) (faulty) W86.8

domestic W86.0 suicide (attempt) X83.1

(accidental(ly)) (see also Discharge, firearm, by type)

herself or himself — see Discharge, firearm by type, self-inflicted

homicide (attempt) — see Discharge, firearm by type, homicide

in war operations — see War operations inflicted by other person — see Discharge, firearm by

type, homicide accidental — see Discharge, firearm, by type of

firearm legal

execution — see Legal, intervention, firearm intervention — see Legal, intervention, firearm

self-inflicted — see Discharge, firearm by type, suicide

accidental — see Discharge, firearm, by type of firearm

suicide (attempt) — see Discharge, firearm by type, suicide (accidentally) — see Pushing,

by other person Sickness

alpine W94.11 motion — see Motion mountain W94.11

(accidental) watercraft (causing drowning, submersion) (see also

Drowning, due to, accident to, watercraft, sinking)

causing injury except drowning or submersion — see Accident, watercraft, causing, injury NEC

X32 — see Cut, self-inflicted

(accidental) (on same level) (with fall) W01.0 on

ice W00.0 with skates — see Accident, transport,

pedestrian, conveyance mud W01.0 oil W01.0 snow W00.0

with skis — see Accident, transport, pedestrian, conveyance

surface (slippery) (wet) NEC W01.0 without fall W18.40

due tospecified NEC W18.49stepping from one level to another W18.43stepping into hole or opening W18.42stepping on object W18.41

W45.8 (due to fire) — see Exposure, fire

(attempted) T74.2-(causing injury) W42.9

supersonic W42.0 W45.8

— see Cut X58

Y99.9 child assisting in compenstated work for family Y99.8civilian activity done for financial or other

compensation Y99.0 civilian activity done for income or pay Y99.0 family member assisting in compensated work for

other family member Y99.8hobby not done for income Y99.8 leisure activity Y99.8 military activity Y99.1 off-duty activity of military personnel Y99.8 recreation or sport not for income or while a student

Y99.8 specified NEC Y99.8 student activity Y99.8 volunteer activity Y99.2

Stepped on by

animal (not being ridden) NEC W55.89 crowd or human stampede W52 person W50.0

Stepping on object W22.8

with fall W18.31 sports equipment W21.9 stationary W22.09

sports equipment W21.89 person W51

by crowd or human stampede W52 sports equipment W21.9

Sting arthropod, nonvenomous W57 insect, nonvenomous W57

(cataclysmic) — see Forces of nature, cataclysmic storm

— see category Y93 — see Strangulation

(accidental) — see category T71 — see category Y93

Striking against airbag (automobile) W22.10

driver side W22.11 front passenger side W22.12 specified NEC W22.19

bottom when diving or jumping into water (in) W16.822

causing drowning W16.821 from boat W16.722

causing drowning W16.721 natural body W16.622

causing drowning W16.821 swimming pool W16.522

causing drowning W16.521 falling into water (in) W16.322

causing drowning W16.321 fountain — see Striking against, bottom when,

falling into water, specified NEC natural body W16.122

causing drowning W16.121 reservoir — see Striking against, bottom when,

falling into water, specified NEC specified NEC W16.322

causing drowning W16.321 swimming pool W16.022

causing drowning W16.021 diving board (swimming-pool) W21.4 object W22.8

with drowning or submersion — see Drowning fall — see Fall, due to, bumping against, object

caused by crowd or human stampede (with fall) W52

furniture W22.03 lamppost W22.02 sports equipment W21.9 stationary W22.09

sports equipment W21.89 wall W22.01

ITEN Index.book Page 445 Friday, August 10, 2012 2:13 PM

L97.

813–

L99

Dis

ease

s of t

he S

kin

and

Subc

utan

eous

Tis

sue

8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx NCdx Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title644 ICD-10-CM 2016

*

*

*

d

*

*

*

*

*

c

d

*

*

*

*

*

d

*

*

*

*

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d

*

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*

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b L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified

*

2 pyogenic granuloma of gingiva (K06.8)pyogenic granuloma of maxillary alveolar ridge (K04.5)pyogenic granuloma of oral mucosa (K13.4)

Neurotic excoriation

*

cChronic ulcer of skin NOSTropical ulcer NOSUlcer of skin NOS2 pressure ulcer (pressure area) (L89.-)

gangrene (I96)skin infections (L00-L08)specific infections classified to A00-B99ulcer of lower limb NEC (L97.-)varicose ulcer (I83.0-I82.2)

d*

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d*

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dNon-pressure chronic ulcer of skin NOS

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Focal mucinosisLichen myxedematosusReticular erythematous mucinosis1 focal oral mucinosis (K13.79)

myxedema (E03.9)

1 hyalinosis cutis et mucosae (E78.89)

2013, 2Q, 32

L99 Other disorders of skin and subcutaneous tissue in diseases classified elsewhere

Code first underlying disease, such as:amyloidosis (E85.-)

1 skin disorders in diabetes (E08-E13 with .62)skin disorders in gonorrhea (A54.89)skin disorders in syphilis (A51.31, A52.79)

M48

.5–M

50.1

1D

isea

ses o

f the

Mus

culo

skel

etal

Sys

tem

and

Con

nect

ive

Tiss

ue

8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx NCdx Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title682 ICD-10-CM 2016

cCollapsed vertebra NOSWedging of vertebra NOS1 current injury—see Injury of spine, by body region

fatigue fracture of vertebra (M48.4)pathological fracture of vertebra due to neoplasm

(M84.58)pathological fracture of vertebra due to other diagnosis

(M84.68)pathological fracture of vertebra due to osteoporosis

(M80.-)pathological fracture NOS (M84.4-)stress fracture of vertebra (M48.4-)traumatic fracture of vertebra (S12-, S22-, S32-)

g

g

g

g

g

g

g

g

g

cOssification of posterior longitudinal ligament

d

b M49 Spondylopathies in diseases classified elsewhere1 curvature of spine in diseases classified elsewhere

deformity of spine in diseases classified elsewherekyphosis in diseases classified elsewherescoliosis in diseases classified elsewherespondylopathy in diseases classified elsewhere

Code first underlying disease, such as:brucellosis (A23.-)Charcôt-Marie-Tooth disease (G60.0)enterobacterial infections (A01-A04)osteitis fibrosa cystica (E21.0)

1 curvature of spine in tuberculosis [Pott's] (A18.01)enteropathic arthropathies (M07.-)gonococcal spondylitis (A54.41)neuropathic [tabes dorsalis] spondylitis (A52.11)neuropathic spondylopathy in syringomyelia (G95.0)neuropathic spondylopathy in tabes dorsalis (A52.11)nonsyphilitic neuropathic spondylopathy NEC (G98.0)spondylitis in syphilis (acquired) (A52.77)tuberculous spondylitis (A18.01)typhoid fever spondylitis (A01.05)

cM49.80 Spondylopathy in diseases classified elsewhere,

site unspecifiedM49.81 Spondylopathy in diseases classified elsewhere,

occipito-atlanto-axial regionM49.82 Spondylopathy in diseases classified elsewhere,

cervical regionM49.83 Spondylopathy in diseases classified elsewhere,

cervicothoracic regionM49.84 Spondylopathy in diseases classified elsewhere,

thoracic regionM49.85 Spondylopathy in diseases classified elsewhere

thoracolumbar regionM49.86 Spondylopathy in diseases classified elsewhere,

lumbar regionM49.87 Spondylopathy in diseases classified elsewhere,

lumbosacral regionM49.88 Spondylopathy in diseases classified elsewhere,

sacral and sacrococcygeal regionM49.89 Spondylopathy in diseases classified elsewhere,

multiple sites in spine

Other dorsopathies (M50-M54) 1 current injury—see injury of spine by body region

discitis NOS (M46.4-)

b M50 Cervical disc disorders NOTE Code to the most superior level of disorder.1 cervicothoracic disc disorders with cervicalgia

cervicothoracic disc disorders

c

C2-C3 disc disorder with myelopathyC3-C4 disc disorder with myelopathy

C4-C5 disc disorder with myelopathyC5-C6 disc disorder with myelopathyC6-C7 disc disorder with myelopathy

C7-T1 disc disorder with myelopathy

c2 brachial radiculitis NOS (M54.13)

C2-C3 disc disorder with radiculopathyC3 radiculopathy due to disc disorderC3-C4 disc disorder with radiculopathyC4 radiculopathy due to disc disorder

The appropriate 7th character is to be added to each code from subcategory M48.5.A initial encounter for fractureD subsequent encounter for fracture with routine healingG subsequent encounter for fracture with delayed healingS sequela of fracture

1 Clinical Dimension diagnosis only when code is reported using an appropriate 7th character indicating a subsequent encounter.

N14

.1–N

25.1

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s of t

he G

enit

ouri

nary

Sys

tem

8 Newborn Age: 0 9 Pediatric Age: 0-17 x Maternity Age: 12-55 y Adult Age: 15-124 * Non Routine Supply Dx Non-cancer Dx wx Revised Text l New Code s Revised Code Title724 ICD-10-CM 2016

b N15 Other renal tubulo-interstitial diseases

Balkan endemic nephropathy

Infection of kidney NOS1 urinary tract infection NOS (N39.0)

N16 Renal tubulo-interstitial disorders in diseases classified elsewherePyelonephritisTubulo-interstitial nephritisCode first underlying disease, such as:

brucellosis (A23.0-A23.9)cryoglobulinemia (D89.1)glycogen storage disease (E74.0)leukemia (C91-C95)lymphoma (C81.0-C85.9, C96.0-C96.9)multiple myeloma (C90.0-)sepsis (A40.0-A41.9)Wilson's disease (E83.0)

1 diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84)

pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49)

pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04)

pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25)

pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84)

pyelonephritis and tubulo-interstitial nephritis in sicca syndrome [Sjogren's] (M35.04)

pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15)

pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83)

renal tubular degeneration in diabetes (E08-E13 with .29)syphilitic pyelonephritis and tubulo-interstitial nephritis

(A52.75)

Acute kidney failure and chronic kidney disease (N17-N19)2 congenital renal failure (P96.0)

drug- and heavy-metal-induced tubulo-interstitial and tubular conditions (N14.-)

extrarenal uremia (R39.2)hemolytic-uremic syndrome (D59.3)hepatorenal syndrome (K76.7)postpartum hepatorenal syndrome (O90.4)posttraumatic renal failure (T79.5)prerenal uremia (R39.2)renal failure complicating abortion or ectopic or molar pregnancy

(O00-O07, O08.4)renal failure following labor and delivery (O90.4)renal failure postprocedural (N99.0)

b N17 Acute kidney failureCode also associated underlying condition1 posttraumatic renal failure (T79.5)

Acute tubular necrosisRenal tubular necrosisTubular necrosis NOS

Acute cortical necrosisCortical necrosis NOSRenal cortical necrosis

Medullary [papillary] necrosis NOSAcute medullary [papillary] necrosisRenal medullary [papillary] necrosis

Acute kidney injury (nontraumatic)2 traumatic kidney injury (S37.0-)

b N18 Chronic kidney disease (CKD)Code first any associated:

diabetic chronic kidney disease (E08.22, E09.22, E10.22, E11.22, E13.22)

hypertensive chronic kidney disease (I12-, I13-)Use additional code to identify kidney transplant status, if applicable,

(Z94.0)

1 chronic kidney disease, stage 5 requiring chronic

dialysis (N18.6)

Chronic kidney disease requiring chronic dialysisUse additional code to identify dialysis status (Z99.2)

Chronic renal diseaseChronic renal failure NOSChronic renal insufficiencyChronic uremia

N19 Unspecified kidney failureUremia NOS1 acute kidney failure (N17.-)

chronic kidney disease (N18.-)chronic uremia (N18.9)extrarenal uremia (R39.2)prerenal uremia (R39.2)renal insufficiency (acute) (N28.9)uremia of newborn (P96.0)

Urolithiasis (N20-N23)

b N20 Calculus of kidney and ureterCalculous pyelonephritis1 nephrocalcinosis (E83.5)

that with hydronephrosis (N13.2)

Nephrolithiasis NOSRenal calculusRenal stoneStaghorn calculusStone in kidney

Ureteric stone

b N21 Calculus of lower urinary tractCalculus of lower urinary tract with cystitis and urethritis

Calculus in diverticulum of bladder Urinary bladder stone2 staghorn calculus (N20.0)

2 calculus of prostate (N42.0)

1 calculus of urinary tract NOS (N20.9)

N22 Calculus of urinary tract in diseases classified elsewhereCode first underlying disease, such as:

gout (M1A.-, M10.-)schistosomiasis (B65.0-B65.9)

N23 Unspecified renal colic

Other disorders of kidney and ureter (N25-N29) 2 disorders of kidney and ureter with urolithiasis (N20-N23)

b N25 Disorders resulting from impaired renal tubular function1 metabolic disorders classifiable to E70-E88

Azotemic osteodystrophyPhosphate-losing tubular disordersRenal ricketsRenal short stature

1 diabetes insipidus NOS (E23.2)