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ICD-10-CM
Expert for Home Health Services and Hospices
The Complete Official Code Set
2017
ITHA.book Page 1 Thursday, July 16, 2015 12:28 PM
Sample
ICD-10-CM 2017 i
Contents
Preface ................................................................................ iii
Introduction ........................................................................ vHistory of ICD-10-CM .................................................................................. v
How to Use ICD-10-CM Expert for Home Health Services and Hospices 2016 .............................................................. vi
Steps to Correct Coding ............................................................................ vi
Organization ................................................................................................. vi
Overview of ICD-10-CM Official Conventions .................. viiiFormat ......................................................................................................... viii
Punctuation ................................................................................................viii
Abbreviations .............................................................................................viii
General Notes ............................................................................................viii
Additional Conventions ...................................................... xAdditional Characters Required ............................................................... x
Italics ............................................................................................................... x
Color Coding ................................................................................................. x
Medicare Code Edits..................................................................................... x
Other Notations in the Tabular ................................................................. x
Other Notations in the Alphabetic Indexes .......................................... xi
ICD-10-CM Official Guidelines for Coding and Reporting ...................................... Coding Guidelines–1
ICD-10-CM Index to Diseases and Injuries .......................... 1
ICD-10-CM Neoplasm Table ............................................. 321
ICD-10-CM Table of Drugs and Chemicals ....................... 339
ICD-10-CM Index to External Causes................................ 387
ICD-10-CM Tabular List of Diseases and Injuries ............ 423Chapter 1 Certain Infectious and Parasitic Diseases
(A00-B99) ........................................................................... 423
Chapter 2 Neoplasms (C00-D49) .................................................... 444
Chapter 3 Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) .................................. 478
Chapter 4 Endocrine, Nutritional and Metabolic Diseases(E00-E89) ........................................................................... 486
Chapter 5 Mental, Behavioral, and Neurodevelopmental Disorders (F01-F99) ......................................................... 504
Chapter 6 Diseases of the Nervous System (G00-G99) .............. 522
Chapter 7 Diseases of the Eye and Adnexa (H00-H59) .............. 540
Chapter 8 Diseases of the Ear and Mastoid Process(H60-H95) .......................................................................... 572
Chapter 9 Diseases of the Circulatory System (I00-I99) .............583
Chapter 10 Diseases of the Respiratory System (J00-J99) ...........617
Chapter 11 Diseases of the Digestive System (K00-K95) .............630
Chapter 12 Diseases of the Skin and Subcutaneous Tissue(L00-L99) ............................................................................648
Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) ......................................665
Chapter 14 Diseases of the Genitourinary System (N00-N99) ...746
Chapter 15 Pregnancy, Childbirth and the Puerperium(O00-O9A) ..........................................................................760
Chapter 16 Certain Conditions Originating in the Perinatal Period (P00-P96) ..............................................................795
Chapter 17 Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) ...................806
Chapter 18 Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99) .....................................821
Chapter 19 Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) .........................................838
Chapter 20 External Causes of Morbidity (V00-Y99)................... 1036
Chapter 21 Factors Influencing Health Status and Contact With Health Services (Z00-Z99) ........................................... 1105
Appendixes .....................................................Appendixes–1Appendix A: 10 Steps to Correct Coding .......................Appendixes–1
Appendix B: Valid 3-character ICD-10-CM Codes.........Appendixes–3
Appendix C: Pharmacology Listings ................................Appendixes–5
Appendix D: Long-Term Drug Z Code List .................. Appendixes–12
Appendix E: Z Code Only as Principal Diagnosis ....... Appendixes–13
Appendix F: Qualifications for Medicare Coverage of Home Health Services.......................... Appendixes–14
Appendix G: Overview of the Home Health Prospective Payment System (HH PPS)...................... Appendixes–19
Appendix H: OASIS Diagnosis Guidance...................... Appendixes–25
Appendix I: Case-Mix Adjustment Variables and Scores............................................................ Appendixes–31
Appendix J: Clinical Dimension Case-Mix Groups .... Appendixes–33
Appendix K: NRS Case-Mix Adjustment Variables and Scores ................................................... Appendixes–50
Appendix L: Diagnosis Categories for NonroutineSupplies Case-Mix Adjustment .............. Appendixes–51
Appendix M: Valid Diagnosis/Etiology Pairings List ................................................................. Appendixes–62
Appendix N: Hospice Criteria for Medicare Coverage of Noncancer Hospice Care ..................... Appendixes–74
Appendix O: Hospice Diagnosis and Quality Reporting Guidance .................................. Appendixes–80
Illustrations ................................................... Illustrations–1Peripheral Nervous System................................................Illustrations–1
Brain......................................................................................... Illustrations–2
ITHA.book Page i Thursday, July 16, 2015 12:28 PM
Sample
Lymphangitis — continuedacute — continued
pectoral (region) L03.323perineal, perineum L03.325scalp (any part) L03.891shoulder — see Lymphangitis, acute, upper limbspecified site NEC L03.898thigh — see Lymphangitis, acute, lower limbthumb (intrathecal) (periosteal) (subcutaneous)
(subcuticular) — see Lymphangitis, acute,finger
toe (intrathecal) (periosteal) (subcutaneous) (sub-cuticular) L03.04- S
trunk L03.329abdominal wall L03.321back (any part) L03.322buttock L03.327chest wall L03.323groin L03.324perineal, perineum L03.325umbilicus L03.326
umbilicus L03.326upper limb L03.12- S
axilla — see Lymphangitis, acute, axillafinger — see Lymphangitis, acute, fingerthumb — see Lymphangitis, acute, finger
wrist — see Lymphangitis, acute, upper limbbreast
gestational — see Mastitis, obstetricchancroidal A57chronic (any site) I89.1due to
Brugia (malayi) B74.1timori B74.2
Wuchereria bancrofti B74.0following ectopic or molar pregnancy O08.89penis
acute N48.29gonococcal (acute) (chronic) A54.09
puerperal, postpartum, childbirth O86.89strumous, tuberculous A18.2subacute (any site) I89.1tuberculous — see Tuberculosis, lymph gland
Lymphatic (vessel) — see conditionLymphatism E32.8Lymphectasia I89.0Lymphedema (acquired) (see also Elephantiasis)
congenital Q82.0hereditary (chronic) (idiopathic) Q82.0postmastectomy I97.2praecox I89.0secondary I89.0surgical NEC I97.89
postmastectomy (syndrome) I97.2Lymphoblastic — see conditionLymphoblastoma (diffuse) — see Lymphoma, lym-
phoblastic (diffuse)giant follicular — see Lymphoma, lymphoblastic (dif-
fuse)macrofollicular — see Lymphoma, lymphoblastic
(diffuse)Lymphocele I89.8Lymphocytic
chorioencephalitis (acute) (serous) A87.2choriomeningitis (acute) (serous) A87.2meningoencephalitis A87.2
Lymphocytoma, benign cutis L98.8Lymphocytopenia D72.810Lymphocytosis (symptomatic) D72.820
infectious (acute) B33.8Lymphoepithelioma — see Neoplasm, malignant, by
siteLymphogranuloma (malignant) (see also Lymphoma,
Hodgkin)chlamydial A55inguinale A55venereum (any site) (chlamydial) (with stricture of
rectum) A55Lymphogranulomatosis (malignant) (see also Lym-
phoma, Hodgkin)benign (Boeck's sarcoid) (Schaumann's) D86.1
Lymphohistiocytosis, hemophagocytic (familial) D76.1Lymphoid — see conditionLymphoma (of) (malignant) C85.90
adult T-cell (HTLV-1-associated) (acute variant)(chronic variant) (lymphomatoid variant)(smouldering variant) C91.5- S
Lymphoma — continuedanaplastic large cell
ALK-negative C84.7- SALK-positive C84.6- SCD30-positive C84.6- Sprimary cutaneous C86.6
angioimmunoblastic T-cell C86.5BALT C88.4B-cell C85.1- Sblastic NK-cell C86.4B-precursor C83.5- Sbronchial-associated lymphoid tissue [BALT-lym-
phoma] C88.4Burkitt (atypical) C83.7- SBurkitt-like C83.7- Scentrocytic C83.1- Scutaneous follicle center C82.6- Scutaneous T-cell C84.A- S (following C84.7)diffuse follicle center C82.5- Sdiffuse large cell C83.3- S
anaplastic C83.3- SB-cell C83.3- SCD30-positive C83.3- Scentroblastic C83.3- Simmunoblastic C83.3- Splasmablastic C83.3- Ssubtype not specified C83.3- ST-cell rich C83.3- S
enteropathy-type (associated) (intestinal) T-cell C86.2extranodal marginal zone B-cell lymphoma of mucosa-
associated lymphoid tissue [MALT-lymphoma]C88.4
extranodal NK/T-cell, nasal type C86.0follicular C82.9- S
gradeI C82.0- SII C82.1- SIII C82.2- SIIIa C82.3- SIIIb C82.4- S
specified NEC C82.8- Shepatosplenic T-cell (alpha-beta) (gamma-delta) C86.1histiocytic C85.9- S
true C96.A (following C96.6)Hodgkin C81.9 S
classical C81.7- Slymphocyte depleted C81.3- Slymphocyte-rich C81.4- Smixed cellularity C81.2- Snodular sclerosis C81.1- Sspecified NEC C81.7- S
lymphocyte depleted classical C81.3- Slymphocyte-rich classical C81.4- Smixed cellularity classical C81.2- Snodular
lymphocyte predominant C81.0- Ssclerosis classical C81.1- S
intravascular large B-cell C83.8- SLennert's C84.4- Slymphoblastic (diffuse) C83.5- Slymphoblastic B-cell C83.5- Slymphoblastic T-cell C83.5- Slymphoepithelioid C84.4- Slymphoplasmacytic C83.0- S
with IgM-production C88.0MALT C88.4mantle cell C83.1- Smature T-cell NEC C84.4- Smature T/NK-cell C84.9- S
specified NEC C84.Z- S (following C84.7)mediastinal (thymic) large B-cell C85.2- SMediterranean C88.3mucosa-associated lymphoid tissue [MALT-lymphoma]
C88.4NK/T cell C84.9- Snodal marginal zone C83.0- Snon-follicular (diffuse) C83.9- S
specified NEC C83.8- Snon-Hodgkin (see also Lymphoma, by type) C85.9- S
specified NEC C85.8- Snon-leukemic variant of B-CLL C83.0- Speripheral T-cell, not classified C84.4- Sprimary cutaneous
anaplastic large cell C86.6CD30-positive large T-cell C86.6
primary effusion B-cell C83.8- S
Lymphoma — continuedSALT C88.4skin-associated lymphoid tissue [SALT-lymphoma]
C88.4small cell B-cell C83.0- Ssplenic marginal zone C83.0- Ssubcutaneous panniculitis-like T-cell C86.3T-precursor C83.5- Strue histiocytic C96.A (following C96.6)
Lymphomatosis — see LymphomaLymphopathia venereum, veneris A55Lymphopenia D72.810Lymphoplasmacytic leukemia — see Leukemia,
chronic lymphocytic, B-cell typeLymphoproliferation, X-linked disease D82.3Lymphoreticulosis, benign (of inoculation) A28.1Lymphorrhea I89.8Lymphosarcoma (diffuse) (see also Lymphoma)
C85.9- SLymphostasis I89.8Lypemania — see MelancholiaLysine and hydroxylysine metabolism disorder E72.3Lyssa — see Rabies
MMacacus ear Q17.3Maceration, wet feet, tropical (syndrome) T69.02- SMacLeod's syndrome J43.0Macrocephalia, macrocephaly Q75.3Macrocheilia, macrochilia (congenital) Q18.6Macrocolon (see also Megacolon) Q43.1Macrocornea Q15.8
with glaucoma Q15.0Macrocytic — see conditionMacrocytosis D75.89Macrodactylia, macrodactylism (fingers) (thumbs)
Q74.0toes Q74.2
Macrodontia K00.2Macrogenia M26.05Macrogenitosomia (adrenal) (male) (praecox) E25.9
congenital E25.0Macroglobulinemia (idiopathic) (primary) C88.0
monoclonal (essential) D47.2Waldenström C88.0
Macroglossia (congenital) Q38.2acquired K14.8
Macrognathia, macrognathism (congenital)(mandibular) (maxillary) M26.09
Macrogyria (congenital) Q04.8Macrohydrocephalus — see HydrocephalusMacromastia — see Hypertrophy, breastMacrophthalmos Q11.3
in congenital glaucoma Q15.0Macropsia H53.15Macrosigmoid K59.3
congenital Q43.2Macrospondylitis , acromegalic E22.0Macrostomia (congenital) Q18.4Macrotia (external ear) (congenital) Q17.1Macula
cornea, corneal — see Opacity, corneadegeneration (atrophic) (exudative) (senile) (see also
Degeneration, macula)hereditary — see Dystrophy, retina
Maculae ceruleae B85.1Maculopathy, toxic — see Degeneration, macula, toxicMadarosis (eyelid) H02.729
left H02.726lower H02.725upper H02.724
right H02.723lower H02.722upper H02.721
Madelung'sdeformity (radius) Q74.0disease
radial deformity Q74.0symmetrical lipomas, neck E88.89
Madness — see PsychosisMadura
foot B47.9actinomycotic B47.1mycotic B47.0
Maduromycosis B47.0Maffucci's syndrome Q78.4
2 Subterms under main terms may continue to next column or pageS Additional Character Required — Refer to the Tabular List for Character Selection208
ICD-10-CM 2017Lymphangitis
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Sample
Chapter 2. Neoplasm
sC13–C22.4
ICD-10-CM 2017 Chapter 2. Neoplasms C13–C22.4
S Additional Character Req g Placeholder Alert Clinical Dimension Dx Unspecified Dx Other Specified Dx Manifestation 1 Not coded here 2 Not included here
ICD-10-CM 2017 449
b C13 Malignant neoplasm of hypopharynxUse 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)
2 malignant neoplasm of pyriform sinus (C12)C13.0 Malignant neoplasm of postcricoid region C13.1 Malignant neoplasm of aryepiglottic fold, hypopharyngeal
aspect Malignant neoplasm of aryepiglottic fold, marginal zoneMalignant neoplasm of aryepiglottic fold NOSMalignant neoplasm of interarytenoid fold, marginal zoneMalignant neoplasm of interarytenoid fold NOS2 malignant neoplasm of aryepiglottic fold or
interarytenoid fold, laryngeal aspect (C32.1)C13.2 Malignant neoplasm of posterior wall of hypopharynxC13.8 Malignant neoplasm of overlapping sites of hypopharynxC13.9 Malignant neoplasm of hypopharynx, unspecified
Malignant neoplasm of hypopharyngeal wall NOS
b C14 Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
Use additional code to identify:alcohol abuse and dependence (F10.-)exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)history of tobacco use (Z87.891)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)
1 malignant neoplasm of oral cavity NOS (C06.9)C14.0 Malignant neoplasm of pharynx, unspecified C14.2 Malignant neoplasm of Waldeyer's ring C14.8 Malignant neoplasm of overlapping sites of lip, oral cavity
and pharynxPrimary malignant neoplasm of two or more contiguous sites of
lip, oral cavity and pharynx1 “book leaf” neoplasm [ventral surface of tongue and
floor of mouth] (C06.89)
Malignant neoplasms of digestive organs (C15-C26)1 Kaposi's sarcoma of gastrointestinal sites (C46.4)
b C15 Malignant neoplasm of esophagusUse additional code to identify:
alcohol abuse and dependence (F10.-)C15.3 Malignant neoplasm of upper third of esophagus C15.4 Malignant neoplasm of middle third of esophagus C15.5 Malignant neoplasm of lower third of esophagus
1 malignant neoplasm of cardio-esophageal junction (C16.0)
C15.8 Malignant neoplasm of overlapping sites of esophagus C15.9 Malignant neoplasm of esophagus, unspecified
b C16 Malignant neoplasm of stomachUse additional code to identify:
alcohol abuse and dependence (F10.-)2 malignant carcinoid tumor of the stomach (C7A.092)
C16.0 Malignant neoplasm of cardia Malignant neoplasm of cardiac orificeMalignant neoplasm of cardio-esophageal junctionMalignant neoplasm of esophagus and stomachMalignant neoplasm of gastro-esophageal junction
C16.1 Malignant neoplasm of fundus of stomach C16.2 Malignant neoplasm of body of stomach C16.3 Malignant neoplasm of pyloric antrum
Malignant neoplasm of gastric antrum C16.4 Malignant neoplasm of pylorus
Malignant neoplasm of prepylorusMalignant neoplasm of pyloric canal
C16.5 Malignant neoplasm of lesser curvature of stomach, unspecified
Malignant neoplasm of lesser curvature of stomach, not classifiable to C16.1-C16.4
C16.6 Malignant neoplasm of greater curvature of stomach, unspecified
Malignant neoplasm of greater curvature of stomach, not classifiable to C16.0-C16.4
C16.8 Malignant neoplasm of overlapping sites of stomach C16.9 Malignant neoplasm of stomach, unspecified
Gastric cancer NOS
b C17 Malignant neoplasm of small intestine1 malignant carcinoid tumors of the small intestine (C7A.01)
C17.0 Malignant neoplasm of duodenumC17.1 Malignant neoplasm of jejunum C17.2 Malignant neoplasm of ileum
1 malignant neoplasm of ileocecal valve (C18.0) C17.3 Meckel's diverticulum, malignant
1 Meckel’s diverticulum, congenital (Q43.0) C17.8 Malignant neoplasm of overlapping sites of small intestine C17.9 Malignant neoplasm of small intestine, unspecified
b C18 Malignant neoplasm of colon1 malignant carcinoid tumors of the colon (C7A.02-)
C18.0 Malignant neoplasm of cecum Malignant neoplasm of ileocecal valve
C18.1 Malignant neoplasm of appendix C18.2 Malignant neoplasm of ascending colon C18.3 Malignant neoplasm of hepatic flexure C18.4 Malignant neoplasm of transverse colon C18.5 Malignant neoplasm of splenic flexure C18.6 Malignant neoplasm of descending colon C18.7 Malignant neoplasm of sigmoid colon
Malignant neoplasm of sigmoid (flexure)1 malignant neoplasm of rectosigmoid junction (C19)
C18.8 Malignant neoplasm of overlapping sites of colon C18.9 Malignant neoplasm of colon, unspecified
Malignant neoplasm of large intestine NOS
C19 Malignant neoplasm of rectosigmoid junctionMalignant neoplasm of colon with rectumMalignant neoplasm of rectosigmoid (colon)1 malignant carcinoid tumors of the colon (C7A.02-)
C20 Malignant neoplasm of rectum Malignant neoplasm of rectal ampulla1 malignant carcinoid tumor of the rectum (C7A.026)
b C21 Malignant neoplasm of anus and anal canal2 malignant carcinoid tumors of the colon (C7A.02-)
malignant melanoma of anal margin (C43.51)malignant melanoma of anal skin (C43.51)malignant melanoma of perianal skin (C43.51)other and unspecified malignant neoplasm of anal margin
(C44.500, C44.510, C44.520, C44.590)other and unspecified malignant neoplasm of anal skin
(C44.500, C44.510, C44.520, C44.590)other and unspecified malignant neoplasm of perianal skin
(C44.500, C44.510, C44.520, C44.590)C21.0 Malignant neoplasm of anus, unspecifiedC21.1 Malignant neoplasm of anal canal
Malignant neoplasm of anal sphincterC21.2 Malignant neoplasm of cloacogenic zone C21.8 Malignant neoplasm of overlapping sites of rectum, anus and
anal canalMalignant neoplasm of anorectal junctionMalignant neoplasm of anorectumPrimary malignant neoplasm of two or more contiguous sites of
rectum, anus and anal canal
b C22 Malignant neoplasm of liver and intrahepatic bile ductsUse additional code to identify:
alcohol abuse and dependence (F10.-)hepatitis B (B16.-, B18.0-B18.1)hepatitis C (B17.1-, B18.2)
1 malignant neoplasm of biliary tract NOS (C24.9)secondary malignant neoplasm of liver and intrahepatic bile
duct (C78.7)C22.0 Liver cell carcinoma
Hepatocellular carcinomaHepatoma
C22.1 Intrahepatic bile duct carcinomaCholangiocarcinoma1 malignant neoplasm of hepatic duct (C24.0)
C22.2 Hepatoblastoma C22.3 Angiosarcoma of liver
Kupffer cell sarcomaC22.4 Other sarcomas of liver
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Chapter 9. Diseases of the Circulatory System
I50–I60.12ICD-10-CM 2017 Chapter 9. Diseases of the Circulatory System I50–I60.12
S Additional Character Req g Placeholder Alert Clinical Dimension Dx Unspecified Dx Other Specified Dx Manifestation 1 Not coded here 2 Not included here
ICD-10-CM 2017 593
b I50 Heart failureCode first:
heart failure complicating abortion or ectopic or molar pregnancy (O00-O07, O08.8)
heart failure following surgery (I97.13-)heart failure due to hypertension (I11.0)heart failure due to hypertension with chronic kidney disease (I13.-)obstetric surgery and procedures (O75.4)rheumatic heart failure (I09.81)
1 cardiac arrest (I46.-)neonatal cardiac failure (P29.0)
AHA: 2014, 1Q, 25; 2013, 2Q, 33I50.1 Left ventricular failure 7
Cardiac asthmaEdema of lung with heart disease NOSEdema of lung with heart failureLeft heart failurePulmonary edema with heart disease NOSPulmonary edema with heart failure1 edema of lung without heart disease or heart failure
(J81.-)pulmonary edema without heart disease or failure
(J81.-)
c I50.2 Systolic (congestive) heart failure1 combined systolic (congestive) and diastolic
(congestive) heart failure (I50.4-)6 I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure 7
I50.22 Chronic systolic (congestive) heart failure 7
I50.23 Acute on chronic systolic (congestive) heart 7
failurec I50.3 Diastolic (congestive) heart failure
1 combined systolic (congestive) and diastolic (congestive) heart failure (I50.4-)
6 I50.30 Unspecified diastolic (congestive) heart failureI50.31 Acute diastolic (congestive) heart failure 7
I50.32 Chronic diastolic (congestive) heart failure 7
I50.33 Acute on chronic diastolic (congestive) heart 7failure
c I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure
6 I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41 Acute combined systolic (congestive) and 7
diastolic (congestive) heart failureI50.42 Chronic combined systolic (congestive) and 7
diastolic (congestive) heart failureI50.43 Acute on chronic combined systolic 7
(congestive) and diastolic (congestive) heart failure
6 I50.9 Heart failure, unspecifiedBiventricular (heart) failure NOSCardiac, heart or myocardial failure NOSCongestive heart diseaseCongestive heart failure NOSRight ventricular failure (secondary to left heart failure)1 fluid overload (E87.70)AHA: 2014, 4Q, 21; 2012, 4Q, 92
b I51 Complications and ill-defined descriptions of heart disease 1 any condition in I51.4-I51.9 due to hypertension (I11.-)
any condition in I51.4-I51.9 due to hypertension and chronic kidney disease (I13.-)
heart disease specified as rheumatic (I00-I09)I51.0 Cardiac septal defect, acquired y
Acquired septal atrial defect (old)Acquired septal auricular defect (old)Acquired septal ventricular defect (old)1 cardiac septal defect as current complication following
acute myocardial infarction (I23.1, I23.2)I51.1 Rupture of chordae tendineae, not elsewhere classified 7
1 rupture of chordae tendineae as current complication following acute myocardial infarction (I23.4)
I51.2 Rupture of papillary muscle, not elsewhere classified 7
1 rupture of papillary muscle as current complication following acute myocardial infarction (I23.5)
I51.3 Intracardiac thrombosis, not elsewhere classified 7yApical thrombosis (old)Atrial thrombosis (old)Auricular thrombosis (old)Mural thrombosis (old)Ventricular thrombosis (old)1 intracardiac thrombosis as current complication
following acute myocardial infarction (I23.6)AHA: 2013, 1Q, 24
I51.4 Myocarditis, unspecified 7
Chronic (interstitial) myocarditisMyocardial fibrosisMyocarditis NOS1 acute or subacute myocarditis (I40.-)
I51.5 Myocardial degeneration 7Fatty degeneration of heart or myocardiumMyocardial diseaseSenile degeneration of heart or myocardium
I51.7 Cardiomegaly Cardiac dilatationCardiac hypertrophyVentricular dilatation
c I51.8 Other ill-defined heart diseasesI51.81 Takotsubo syndrome
Reversible left ventricular dysfunction following sudden emotional stress
Stress induced cardiomyopathyTakotsubo cardiomyopathyTransient left ventricular apical ballooning syndrome
I51.89 Other ill-defined heart diseasesCarditis (acute)(chronic)Pancarditis (acute)(chronic)
I51.9 Heart disease, unspecified
I52 Other heart disorders in diseases classified elsewhereCode first underlying disease, such as:
congenital syphilis (A50.5)mucopolysaccharidosis (E76.3)schistosomiasis (B65.0-B65.9)
1 heart disease (in):gonococcal infection (A54.83)meningococcal infection (A39.50)rheumatoid arthritis (M05.31)syphilis (A52.06)
Cerebrovascular diseases (I60-I69)Use additional code to identify presence of:
alcohol abuse and dependence (F10.-)exposure to environmental tobacco smoke (Z77.22)history of tobacco use (Z87.891)hypertension (I10-I15)occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.-)tobacco use (Z72.0)
1 transient cerebral ischemic attacks and related syndromes (G45.-)traumatic intracranial hemorrhage (S06.-)
AHA: 2014, 3Q, 5; 2012, 4Q, 91-92
b I60 Nontraumatic subarachnoid hemorrhage1 ruptured cerebral aneurysm1 sequelae of subarachnoid hemorrhage (I69.0-)
syphilitic ruptured cerebral aneurysm (A52.05)
c I60.0 Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcationI60.00 Nontraumatic subarachnoid hemorrhage 7
from unspecified carotid siphon and bifurcationI60.01 Nontraumatic subarachnoid hemorrhage from 7
right carotid siphon and bifurcationI60.02 Nontraumatic subarachnoid hemorrhage from 7
left carotid siphon and bifurcationc I60.1 Nontraumatic subarachnoid hemorrhage from middle
cerebral arteryI60.10 Nontraumatic subarachnoid hemorrhage from 7
unspecified middle cerebral arteryI60.11 Nontraumatic subarachnoid hemorrhage from 7
right middle cerebral arteryI60.12 Nontraumatic subarachnoid hemorrhage from 7
left middle cerebral artery
6 Hospice Questionable Admission Diagnosis.
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Chapter 19. Injury, Poisoning, and Certain Other Consequences of External Causes
S79.01–S80.229ICD-10-CM 2017 Chapter 19. Injury, Poisoning, and Certain Other Consequences of External Causes S79.01–S80.229
S Additional Character Req g Placeholder Alert Clinical Dimension Dx Unspecified Dx Other Specified Dx Manifestation 1 Not coded here 2 Not included here
ICD-10-CM 2017 941
d S79.01 Salter-Harris Type I physeal fracture of upper end of femur
Acute on chronic slipped capital femoral epiphysis (traumatic)
Acute slipped capital femoral epiphysis (traumatic)Capital femoral epiphyseal fracture1 chronic slipped upper femoral epiphysis
(nontraumatic) (M93.02-)1 e S79.011 Salter-Harris Type I physeal fracture of
upper end of right femur1 e S79.012 Salter-Harris Type I physeal fracture of
upper end of left femure S79.019 Salter-Harris Type I physeal fracture of
upper end of unspecified femurd S79.09 Other physeal fracture of upper end of femur
1 e S79.091 Other physeal fracture of upper end of right femur
1 e S79.092 Other physeal fracture of upper end of left femur
e S79.099 Other physeal fracture of upper end of unspecified femur
c S79.1 Physeal fracture of lower end of femur0 A fracture not indicated as open or closed should be
coded to closed.
d S79.10 Unspecified physeal fracture of lower end of femur1 e S79.101 Unspecified physeal fracture of lower end
of right femur1 e S79.102 Unspecified physeal fracture of lower end
of left femure S79.109 Unspecified physeal fracture of lower end
of unspecified femurd S79.11 Salter-Harris Type I physeal fracture of lower end of
femur1 e S79.111 Salter-Harris Type I physeal fracture of
lower end of right femur1 e S79.112 Salter-Harris Type I physeal fracture of
lower end of left femure S79.119 Salter-Harris Type I physeal fracture of
lower end of unspecified femurd S79.12 Salter-Harris Type II physeal fracture of lower end of
femur1 e S79.121 Salter-Harris Type II physeal fracture of
lower end of right femur1 e S79.122 Salter-Harris Type II physeal fracture of
lower end of left femure S79.129 Salter-Harris Type II physeal fracture of
lower end of unspecified femurd S79.13 Salter-Harris Type III physeal fracture of lower end of
femur1 e S79.131 Salter-Harris Type III physeal fracture of
lower end of right femur1 e S79.132 Salter-Harris Type III physeal fracture of
lower end of left femure S79.139 Salter-Harris Type III physeal fracture of
lower end of unspecified femurd S79.14 Salter-Harris Type IV physeal fracture of lower end of
femur1 e S79.141 Salter-Harris Type IV physeal fracture of
lower end of right femur1 e S79.142 Salter-Harris Type IV physeal fracture of
lower end of left femure S79.149 Salter-Harris Type IV physeal fracture of
lower end of unspecified femur
d S79.19 Other physeal fracture of lower end of femur1 e S79.191 Other physeal fracture of lower end of
right femur1 e S79.192 Other physeal fracture of lower end of left
femure S79.199 Other physeal fracture of lower end of
unspecified femurc S79.8 Other specified injuries of hip and thigh
d S79.81 Other specified injuries of hipe S79.811 Other specified injuries of right hipe S79.812 Other specified injuries of left hipe S79.819 Other specified injuries of unspecified hip
d S79.82 Other specified injuries of thighe S79.821 Other specified injuries of right thighe S79.822 Other specified injuries of left thighe S79.829 Other specified injuries of unspecified
thighc S79.9 Unspecified injury of hip and thigh
d S79.91 Unspecified injury of hipe S79.911 Unspecified injury of right hipe S79.912 Unspecified injury of left hipe S79.919 Unspecified injury of unspecified hip
d S79.92 Unspecified injury of thighe S79.921 Unspecified injury of right thighe S79.922 Unspecified injury of left thighe S79.929 Unspecified injury of unspecified thigh
Injuries to the knee and lower leg (S80-S89)2 burns and corrosions (T20-T32)
frostbite (T33-T34)injuries of ankle and foot, except fracture of ankle and malleolus
(S90-S99)insect bite or sting, venomous (T63.4)
b S80 Superficial injury of knee and lower leg2 superficial injury of ankle and foot (S90.-)
c S80.0 Contusion of kneeg S80.00 Contusion of unspecified kneeg S80.01 Contusion of right kneeg S80.02 Contusion of left knee
c S80.1 Contusion of lower legg S80.10 Contusion of unspecified lower legg S80.11 Contusion of right lower legg S80.12 Contusion of left lower leg
c S80.2 Other superficial injuries of kneed S80.21 Abrasion of knee
e S80.211 Abrasion, right kneee S80.212 Abrasion, left kneee S80.219 Abrasion, unspecified knee
d S80.22 Blister (nonthermal) of kneee S80.221 Blister (nonthermal), right kneee S80.222 Blister (nonthermal), left kneee S80.229 Blister (nonthermal), unspecified knee
The appropriate 7th character is to be added to each code from subcategory S79.1.A initial encounter for closed fractureD subsequent encounter for fracture with routine healingG subsequent encounter for fracture with delayed healingK subsequent encounter for fracture with nonunionP subsequent encounter for fracture with malunionS sequela
1 Clinical Dimension diagnosis only when code is reported using an appropriate 7th character indicating a subsequent encounter.
The appropriate 7th character is to be added to each code in subcategory S79.8.A initial encounterD subsequent encounter S sequela
The appropriate 7th character is to be added to each code in subcategory S79.9.A initial encounterD subsequent encounter S sequela
The appropriate 7th character is to be added to each code from category S80.A initial encounterD subsequent encounterS sequela
ITHA.book Page 941 Tuesday, July 7, 2015 1:04 PM
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S80.24–S81.829 Chapter 19. Injury, Poisoning, and Certain Other Consequences of External Causes ICD-10-CM 2017S8
0.24
–S81
.829
Chap
ter 1
9. In
jury
, Poi
soni
ng, a
nd C
erta
in O
ther
Con
sequ
ence
s of E
xter
nal C
ause
s
8 Newborn: 0 9 Pediatric: 0-17 x Maternity: 12-55 y Adult: 15-124 * Nonroutine supply Dx 7 Noncancer Dx u Primary Dx wx Revised Text l New Code s Revised Title
942 ICD-10-CM 2017
d S80.24 External constriction of knee e S80.241 External constriction, right kneee S80.242 External constriction, left kneee S80.249 External constriction, unspecified knee
d S80.25 Superficial foreign body of kneeSplinter in the knee
e S80.251 Superficial foreign body, right kneee S80.252 Superficial foreign body, left kneee S80.259 Superficial foreign body, unspecified knee
d S80.26 Insect bite (nonvenomous) of kneee S80.261 Insect bite (nonvenomous), right kneee S80.262 Insect bite (nonvenomous), left kneee S80.269 Insect bite (nonvenomous), unspecified
kneed S80.27 Other superficial bite of knee
1 open bite of knee (S81.05-)e S80.271 Other superficial bite of right kneee S80.272 Other superficial bite of left kneee S80.279 Other superficial bite of unspecified knee
c S80.8 Other superficial injuries of lower legd S80.81 Abrasion of lower leg
e S80.811 Abrasion, right lower lege S80.812 Abrasion, left lower lege S80.819 Abrasion, unspecified lower leg
d S80.82 Blister (nonthermal) of lower lege S80.821 Blister (nonthermal), right lower lege S80.822 Blister (nonthermal), left lower lege S80.829 Blister (nonthermal), unspecified lower
legd S80.84 External constriction of lower leg
e S80.841 External constriction, right lower lege S80.842 External constriction, left lower lege S80.849 External constriction, unspecified lower
legd S80.85 Superficial foreign body of lower leg
Splinter in the lower lege S80.851 Superficial foreign body, right lower lege S80.852 Superficial foreign body, left lower lege S80.859 Superficial foreign body, unspecified
lower legd S80.86 Insect bite (nonvenomous) of lower leg
e S80.861 Insect bite (nonvenomous), right lower lege S80.862 Insect bite (nonvenomous), left lower lege S80.869 Insect bite (nonvenomous), unspecified
lower legd S80.87 Other superficial bite of lower leg
1 open bite of lower leg (S81.85-)e S80.871 Other superficial bite, right lower lege S80.872 Other superficial bite, left lower lege S80.879 Other superficial bite, unspecified lower
legc S80.9 Unspecified superficial injury of knee and lower leg
d S80.91 Unspecified superficial injury of kneee S80.911 Unspecified superficial injury of right kneee S80.912 Unspecified superficial injury of left kneee S80.919 Unspecified superficial injury of
unspecified kneed S80.92 Unspecified superficial injury of lower leg
e S80.921 Unspecified superficial injury of right lower leg
e S80.922 Unspecified superficial injury of left lower leg
e S80.929 Unspecified superficial injury of unspecified lower leg
b S81 Open wound of knee and lower legCode also any associated wound infection1 open fracture of knee and lower leg (S82.-)
traumatic amputation of lower leg (S88.-)2 open wound of ankle and foot (S91.-)
c S81.0 Open wound of kneed S81.00 Unspecified open wound of knee
e S81.001 Unspecified open wound, right knee *
e S81.002 Unspecified open wound, left knee *
e S81.009 Unspecified open wound, unspecified knee
d S81.01 Laceration without foreign body of knee1 e S81.011 Laceration without foreign body, right *
knee1 e S81.012 Laceration without foreign body, left *
kneee S81.019 Laceration without foreign body,
unspecified kneed S81.02 Laceration with foreign body of knee
1 e S81.021 Laceration with foreign body, right *knee
1 e S81.022 Laceration with foreign body, left *knee
e S81.029 Laceration with foreign body, unspecified knee
d S81.03 Puncture wound without foreign body of knee1 e S81.031 Puncture wound without foreign *
body, right knee1 e S81.032 Puncture wound without foreign *
body, left kneee S81.039 Puncture wound without foreign body,
unspecified kneed S81.04 Puncture wound with foreign body of knee
1 e S81.041 Puncture wound with foreign body, *right knee
1 e S81.042 Puncture wound with foreign body, *left knee
e S81.049 Puncture wound with foreign body, unspecified knee
d S81.05 Open bite of kneeBite of knee NOS1 superficial bite of knee (S80.27-)
1 e S81.051 Open bite, right knee *
1 e S81.052 Open bite, left knee *
e S81.059 Open bite, unspecified kneec S81.8 Open wound of lower leg
d S81.80 Unspecified open wound of lower lege S81.801 Unspecified open wound, right lower *
lege S81.802 Unspecified open wound, left lower *
lege S81.809 Unspecified open wound, unspecified
lower legd S81.81 Laceration without foreign body of lower leg
1 e S81.811 Laceration without foreign body, right *lower leg
1 e S81.812 Laceration without foreign body, left *lower leg
e S81.819 Laceration without foreign body, unspecified lower leg
d S81.82 Laceration with foreign body of lower leg1 e S81.821 Laceration with foreign body, right *
lower leg1 e S81.822 Laceration with foreign body, left *
lower lege S81.829 Laceration with foreign body, unspecified
lower leg
The appropriate 7th character is to be added to each code from category S81.A initial encounterD subsequent encounterS sequela
1 Clinical Dimension diagnosis only when code is reported using an appropriate 7th character indicating a subsequent encounter.
ITHA.book Page 942 Tuesday, July 7, 2015 1:04 PM
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