American Medical Association Coding Resources Guide, September 2015 - page 13

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AMERICANMEDICALASSOCIATION CodingResourcesGuide, September 2015
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ICD-10-CMSnapshot2016
Allergy/Immunology
Call (800)621-8335
©2014AmericanMedicalAssociation
Abnormal spirometry
R94.2
Agammaglobulinemia
D80.1
Autosomal recessive (ARA)
D80.0
Bruton’s X-linked
D80.0
Common variable
D80.1
X-linked (XLA)
D80.0
Allergicbronchopulmonary
Aspergillosis (ABPA)
B44.81
Allergicdrug reactionAngiotensin converting enzyme (ACE) inhibitor
T44.5X5-
Antibiotics
T36.95X-
Anticonvulsants
T42.75X-
Aspirin
T39.015-
Chemotherapy
T45.1X5-
Nonsteroidal anti-inflammatory
T39.395-
Allergy/allergic
T78.40X-
Air-borne substance
J30.89
Alveolitis
J67.9
Due toAspergillus clavatus
J67.4
Cryptostroma corticale
J67.6
Organisms growing in ventilation systems
J67.7
Angioneurotic edema
T78.3XX-
Animal
J30.81
Ant bite
T63.421-
Bee sting
T63.441-
Cockroach
J30.89
Colitis
K52.2
Dander
J30.81
Dandruff
J30.81
Dental restorativematerial
K08.55
Dermatitis—seeDermatitis, contact, allergic
Drug,medicament& biological
T78.40X-
Correct substance properly administered—see
ICD-10 Table ofDrugs and ChemicalsWrong substance given or taken—see ICD-10
Table ofDrugs and Chemicals
Due to pollen
J30.1
Dust
J30.89
With asthma—see Asthma, allergic extrinsic
Dustmites
J30.89
Eczema—seeDermatitis
Epidermal
J30.81
Feathers
J30.89
Food
T78.1XX-
Allergy/ImmunologyCoding Tip
Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposeswhen a related definitive diagnosis has not been
established (confirmed) by the provider.
The inclusion of the – [dash] symbol indicates that an additional digit is needed.
Coding Tip
Assign A (initial encounter),D (subsequentencounter), or S (sequelae).
Dermatitis—seeDermatitis
Dietary counseling and surveillance
Z71.3
In contactwith skin
L23.6
Rhinitis
J30.5
Status (without reaction)
Z91.018
Eggs
Z91.012
Milk products
Z91.011
Peanuts
Z91.010
Seafood
Z91.013
Gastrointestinal
K52.2
Grain
J30.1
Grass
J30.1
Asthma—see Asthma, allergic extrinsic
Hair
J30.81
Hornet sting
T63.451-
Inhalant
J30.89
Pollen
J30.1
Kapok
J30.89
Milk protein
K52.2
Mold
J30.89
Nasal, seasonal due to pollen
J30.1
Pneumonia
J82
Pollen
J30.1
Asthma—see Asthma, allergic extrinsic
Primrose
J30.1
Ragweed
J30.1
Asthma—see Asthma, allergic extrinsic
Rose
J30.1
Seasonal
J30.2
Senecio jacobae
J30.1
SerumAdministration of blood/blood productsT80.61X-
Other serum
T80.69X-
Vaccination
T80.62X-
Spider
T63.301X
Blackwidow
T63.311X
Brown recluse
T63.331X
Tarantula
T63.321X
Tree
J30.1
Asthma—see Asthma, allergic extrinsic
Upper respiratory
J30.9
Urticaria
L50.0
Vaccine
T80.62X-
Wasp sting
T63.461-
Wheat
J30.5
Anaphylaxis/Anaphylactic
T78.2XX-
Reaction/shock
T78.2XX-
Due to
Adverse food reaction
T78.00X-
Dairy products/milk
T78.07X-
Eggs
T78.08X-
Fish
T78.03X
Shellfish
T78.02X-
Food additives
T78.06X-
Fruits/vegetables
T78.04X-
Seeds
T78.05X-
Nuts
T78.05X-
Peanuts
T78.01X-
Correctmedicinal substance properly admin-
istered
T88.6XX-
Overdose/wrong substance given or taken—
see ICD-10 Table ofDrugs and Chemicals
Serum
Administration of blood/blood products
T80.51X-
Other serum
T80.59X-
Vaccination
T80.52X-
Following sting/bite—
see ICD-10 Table of
Drugs and Chemicals
Angioedema
T78.3XX-
Asthma
J45.909
Allergic (extrinsic)
J45.909
WithExacerbation (acute)
J45.901
Status asthmaticus
J45.902
Childhood/late onset/mixed
J45.909
WithExacerbation (acute)
J45.901
Status asthmaticus
J45.902
Chronic obstructive
J44.9
With
Acute lower respiratory infection
J44.0
Exacerbation (acute)
J44.1
11
11
11
11
Coding Tip
Use additional code to identify:
- exposure to environmental tobacco smoke
(Z77.22)
- history of tobacco use (Z87.891)
- occupational exposure to environmental
tobacco smoke (Z57.31)
- tobacco dependence (See ICD-10 categoryF17)- tobacco use (Z72.0)
1 2
12 1 1
The ICD-10-CM codes listed in this cardaredraft codes.
Thefinalversionof ICD-10-CMmaydiffer.
C t2 6
r
Call (800)621-8335
©2014AmericanMedicalAssociation
Cardiology Tip
Codes that describe symptoms and signs as opposed to diagnoses are acceptable for reporting purposeswhen a diagnosis has not been established
(confirmed) by the provider.
The inclusion of the – [dash] symbol indicates that an additional digit is neded.
Abnormal Findings
Arterial blood gases (ABG) R79.81
Blood chemistry R79.9
Cardiovascular function study R94.30 Chest sounds R09.89
Chest x-ray R93.8
Coagulation profile R79.1
Echocardiogram R93.1
Electrocardiogram (ECG/EKG) R94.31
Heartmurmur R01.0
Heart sounds R01.2
Sedimentation rate elevated R70.0
Serum enzymes R74.9
Transaminase/LDH R74.0
Aneurysm (artery) I72.9
Abdominal I71.4
Ruptured I71.3
Aorta I71.9
Abdominal (descending) I71.4
Ruptured I71.3
Arch I71.2
Ruptured I71.1
Arterioslerotic I71.9
Ruptured I71.8
Ascending I71.2
Ruptured I71.1
Descending I71.9
Ruptured I718
Ruptured I71.8
Thoracic (arch) I71.2
Ruptured I71.1
Thoracoabdominal I71.6
Ruptured I71.5
Transverse I71.2
Ruptured I71.1
ArteryCoronary (arteriosclerotic) I25.41
Ruptured I21.3
Iliac I72.3
Lower limb I72.4
Neck I72.0
Renal I72.2 Splenic I72.8
Subclavian I72.8
Upper limb I72.1
Heart (wall) I25.3
Mediastinal I72.8
ValveAortic I35.8
Mitral I34.8
Tricuspid I07.8
Vein
Coronary I25.89
Angina (pectoris) I20.9
Accelerated I20.0
Angiospastic I20.1
Crescendo I20.0
De novo effort I20.0
Equivalent I20.8
Microvascular I20.9
Post-infarction I23.7
Pre-infaction I20.0
Prinzmental I20.1
Progressive I20.0
Spasm induced I20.1 Stable I20.9
Unstable I20.0
Variant I20.1
Worsening effort I20.0
Arrhythmia (sius) I49.
Adams-stoke syndrome I45.9 Atrial fibrillation I48.91
Chronic I48.2
Paroxysmal I48.0
Persistent I48.1
Atrial flutter I48.92
Atypical/type II I48.4
Typical/type I I48.3
Bradyarrhythmia I49.8
Bradycardia R00.1
Extrasystolic I49.49
Heart Block I45.9
1st degree I44.0
2nd dgree (type I/type II) I44.1
3rd dgree/complete I44.2
Atrioventricular I44.30
Bundle branch I45.4
Bilaterl I45.2
Left (LBBB) I44.7
Hemiblock I44.60
Anterior I44.4
Posterior I44.5
Right (RBBB) I45.10
Fascicular (left) I44.69
Anterior I44.4
Posterior I44.5
Right I45.0
Mobitz (type I/typeII) I44.1
Trifascicular I45.3
LongQT syndrome (LQTS) I45.81 Premature beats/contractions I49.49
Atrial (PACs) I49.1
Supraventricular I49.1
Ventricular (PVCs) I49.3
Sick sinus syndrome I49.5
Sinoatrial (SA) node dysfunction I49.5
Tachycardia R00.0
Atrial I47.1
Atrioventricular (AV) I47.1
AV (nodal) re-entry(AVRT/AVNRT) I47.1
Multifocal atrial (MAT) I47.1
Paroxysmal I47.9
Paroxysmal atrial (PAT) I47.1
Paroxysmal sinus I47.1
Paroxysmal supraventricular (PSVT) I47.1
Paroxysmal ventricular I47.2
Sinus R00.0
Supraventricular I47.1 Ventricular (V-tach) I47.2
Ventricular fibrillation (V-fib) I49.01
Ventricular flutter I49.02
Ventricular re-entry I47.0
Wolff-Parkinson-White
Syndrome (WPW) I45.6
Atherosclerosis I70.90
Aorta I70.0
Coronary (artery)Bypass graft(s) I25.810
With angina pectoris I25.709
Unstable I25.700
With documented spasm I25.701
With ischemic chest pain I25.709
Without angina pectoris I25.810 Autologous artery I25.810
With angina pectoris I25.729
Unstable I25.720
With documented spasm I25.721
With ischemic chest pain I25.729
Autologous vein I25.810
Coding Tip
ICD-10-CM has combination codes for atherosclerotic heart diseasewith angina pectoris.When us-
ing one of the combination codes it is not necessary to use an additional codefor angina pectoris. A
causal relationship can be assumed in a patientwith both atherosclerosis andangina pectoris, unless
the documentation indicates the angina is due to something other than the atherosclerosis.
ICD-10-CM Snaps ot2016 Cardiology
The ICD-10-CM codes listed in this cardaredraft codes.
Thefinalversionof ICD-10-CMmaydiffer.
11
11
ICD-10-CM sh t2 16
ICD-10-CM Snapshot2016
Dermatology
Call (800)621-8335
©2014AmericanMedicalAssociation
Abnormalityofhair
L67.9 Acanthosis (nigricans)
L83
Benign
Q82.8
Seborrheic
L82.1
Inflamed
L82.0 Acne
L70.9
Conglobata
L70.1
Cystic
L70.0
Infantile
L70.4
Keloid
L73.0
Pustular
L70.0
Tropica
L70.3
Varioliformis
L70.2
Vulgais
L70.0
Acrodermatitis enteropathica
E83.2 Alopecia
L65.9
Areata
L63.9
Cicatrici l
L66.9
Congenital
Q84.0
Due to cytotoxic drugs
L65.8
Mucinosa
L65.2
Postinfective
L65.8
Premature
L64.8
Totalis
L63.0
Universalis
L63.1
Angioedema
T78.3XX- Hereditary
D84.1
Anhidrosis
L74.4 Antibody response exam
Z01.84 Atrophic skin
L90.9
Basal cell carcinoma
C44.91
Anal
C44.510
Breast
C44.511
Ear
C44.21-
Eyelid
C44.11-
Face
C44.310
Lip
C44.01
Lower limb/hip
C44.71-
Neck
C44.41 Nose
C44.311
Other parts of
Face
C44.319
Trunk
C44.519
DermatologyCoding Tip
Dignosis codes are to be used and reported at their highest number of c
haracters available. A code is invalid if
the full number of characters required for
that code, including the seventh character, if applicable, have not been as
signed.
The inclusion of the – [dash] symbol indicates that an additional digit is n
eeded.
Coding Tip Assign A (initial encounter),D (subsequent
encounter), or S (sequelae).
Coding Tip Assign 1 (u nspecified), 2 (right), or 9 (left).
Scalp
C4.41
Upper limb/shoulder
C4.61- Beau’s lines
L604
Bedbugbites—see Insectbite Behçet’s syndrome
M35.2 Besnier’sprurigo
L20.0
Birthmark
Q82.5 Café au lait spots
L81.3
Calcinosis cutis
L94.2 Candidiasis
B37.9
Nails
B37.2
Skin
B37.2 Carbuncle
L02.93
Arm
L02.439 Left
L02.434 Axilla
L02.432 Right
L02.433 Axilla
L02.431
Back
L02.232
Breast
N61
Buttock
L02.33
Face except ear and nose
L02.03
Foot
L02.63-
Hand
L02.53-
Head, any part except face
L02.831
Leg, except foot
L02.439
Left
L02.436
Right
L02.435
Neck
L02.13
Trunk
L02.239 Abdminalwall
L02.231
Chestwall
L02.233
Groin
L02.234 Perineum
L02.235 Umbilicus
L02.236 Cellulitis
L03.90
Arm
L03.119
Left
L03.114 Axilla
L03.112 Right
L03.113 Axilla
L03.111
Anus
K61.0
Back
L03.312
Breast
N61
Buttock
L03.317 Face
L03.211
Finger
L03.019 Left
L03.012
Right
L03.011
Foot, except toe
L03.119 Left
L03.116 Right
L03.115 Hand, except finger and thumb
L03.119 Left
L03.114 Right
L03.113 Head, any part except face
L03.811
Leg
L03.119 Left
L03.116
Right
L03.115
Neck
L03.221
Nose
J34.0
Toe
L03.039 Left
L03.032 Right
L03.031 Trunk
L03.319 Abdominalwall L03.311
Chestwall
L03.313
Groin
L03.314
Perineum
L03.315
Umbilicus
L03.316
Changes in skin
R23.9
Acute, due to ultravi
olet radiation L56.9
Chronic, due to nonio
nizing radiation L57.9
Texture
R23.4 Cheilitis (angular)
K13.0
Actinic (due to sun)
L56.8 Other than from sun
L59.8
Chiggers
B88.0 Chloasma
L81.1
Condyloma acuminatum
A63.0 Corn/callus
L84
Cosmetic surgery visit
Z41.1
Cryptococcosis, skin
B45.2 Cutaneous strongyloidias
is B78.1
Cyanosis
R23.0
1 1
11
12
12
1 2
The ICD-10-CM codes listed in this cardaredraft codes.
Thefinalversionof ICD-10-CMmaydiffer.
ICD-10-CMSnapshot2016
Der t l