Sample page. ICD-10-CM Expert for Hospitals. Expert

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1 Expert 2018 ICD-10-CM Expert for Hospitals The omplete offiial oe set Coes vali Otober 1, 2017 through September 30, 2018 POWER UP YOUR CODING with Optum360, your truste oing partner for 32 years. Visit optum360oing.om.

2 Contents Prefae... iii ICD-10-CM Offiial Prefae... iii Charateristis of ICD-10-CM... iii What s New for iv ICD-10-CM Neoplasm Table ICD-10-CM Table of Drugs an Chemials ICD-10-CM Inex to External Causes Introution... v History of ICD-10-CM... v How to Use ICD-10-CM Expert for Hospitals vi Use of Offiial Soures... v i Steps to Corret Coing... vi Organization... vi Introution... vi Offiial ICD-10-CM Conventions an Guielines... vi Alphabeti Inex to Diseases... vi Neoplasm Table... vi Table of Drugs an Chemials... vi Inex to External Causes... vi Tabular List of Diseases... vi Appenixes... vii Illustrations... vii Overview of ICD-10-CM Offiial Conventions... viii Format... viii Puntuation...viii Abbreviations...viii NEC...viii NOS...viii Typefae...viii General Notes...viii Inlues Notes...viii Inlusion Terms...viii Exlues Notes...viii Note... ix Default Coes... ix Synromes... ix An... ix With... ix Instrutional Notes Use in the Tabular List... ix Aitional Annotations... x Coe-Level Notations... x Italis... x Color Coing/Symbols... x Other Coe Level Notations... xi Footnotes...xiii Brakete Coes...xiii Chapter-Level Notations...xiii Chapter-Speifi Guielines with Coing Examples...xiii Musle Tenon Table...xiii Inex Notations...xiii Following Referenes...xiii ICD-10-CM Offiial Guielines for Coing an Reporting... Coing Guielines 1 ICD-10-CM Inex to Diseases an Injuries... 1 ICD-10-CM Tabular List of Diseases an Injuries Chapter 1. Certain Infetious an Parasiti Diseases (A00-B99) Chapter 2. Neoplasms (C00-D49) Chapter 3. Diseases of the Bloo an Bloo-forming Organs an Certain Disorers Involving the Immune Mehanism (D50-D89) Chapter 4. Enorine, Nutritional an Metaboli Diseases (E00-E89) Chapter 5. Mental, Behavioral, an Neuroevelopmental Disorers (F01-F99) Chapter 6. Diseases of the Nervous System (G00-G99) Chapter 7. Diseases of the Eye an Anexa (H00-H59) Chapter 8. Diseases of the Ear an Mastoi Proess (H60-H95) Chapter 9. Diseases of the Cirulatory System (I00-I99) Chapter 10. Diseases of the Respiratory System (J00-J99) Chapter 11. Diseases of the Digestive System (K00-K95) Chapter 12. Diseases of the Skin an Subutaneous Tissue (L00-L99) Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue (M00-M99) Chapter 14. Diseases of the Genitourinary System (N00-N99)..794 Chapter 15. Pregnany, Chilbirth an the Puerperium (O00-O9A) Chapter 16. Certain Conitions Originating in the Perinatal Perio (P00-P96) Chapter 17. Congenital Malformations, Deformations an Chromosomal Abnormalities (Q00-Q99) Chapter 18. Symptoms, Signs an Abnormal Clinial an Laboratory Finings Not Elsewhere Classifie (R00-R99) Chapter 19. Injury, Poisoning an Certain Other Consequenes of External Causes (S00-T88) Chapter 20. External Causes of Morbiity (V00-Y99) Chapter 21. Fators Influening Health Status an Contat With Health Servies (Z00-Z99) Appenixes...Appenixes 1 Appenix A: 10 Steps to Corret Coing...Appenixes 1 Appenix B: Vali 3-harater ICD-10-CM Coes...Appenixes 3 Appenix C: Pharmaology List Appenixes 5 Appenix D: Z Coes for Long-Term Drug Use with Assoiate Drugs... Appenixes 11 Appenix E: Major Compliation an Comorbiity (MCC) Coe List... Appenixes 13 Appenix F: Compliation an Comorbiity (CC) Coe List... Appenixes Optum360, LLC i

3 Appenix G: Lists of Prinipal Diagnoses That Are Their Own CC an Their Own MCC...Appenixes 39 Appenix H: Present on Amission (POA) Tutorial...Appenixes 40 Appenix I: Hospital Aquire Conitions...Appenixes 45 Illustrations... Illustrations 1 Chapter 3. Diseases of the Bloo an Bloo-forming Organs an Certain Disorers Involving the Immune Mehanism (D50 D89)... Illustrations 1 Re Bloo Cells... Illustrations 1 White Bloo Cell... Illustrations 1 Platelet... Illustrations 2 Coagulation... Illustrations 2 Spleen Anatomial Loation an External Strutures... Illustrations 3 Spleen Interior Strutures... Illustrations 3 Chapter 4. Enorine, Nutritional an Metaboli Diseases (E00 E89)... Illustrations 4 Enorine System... Illustrations 4 Thyroi... Illustrations 5 Thyroi an Parathyroi Glans... Illustrations 5 Panreas... Illustrations 6 Anatomy of the Arenal Glan... Illustrations 6 Struture of an Ovary... Illustrations 7 Testis an Assoiate Strutures... Illustrations 7 Thymus... Illustrations 8 Chapter 6. Diseases of the Nervous System (G00 G99)... Illustrations 9 Brain... Illustrations 9 Cranial Nerves... Illustrations 9 Peripheral Nervous System... Illustrations 10 Spinal Cor an Spinal Nerves... Illustrations 11 Nerve Cell... Illustrations 12 Chapter 7. Diseases of the Eye an Anexa (H00 H59)... Illustrations 13 Eye... Illustrations 13 Posterior Pole of Globe/Flow of Aqueous Humor... Illustrations 13 Larimal System... Illustrations 14 Eye Musulature... Illustrations 14 Eyeli Strutures... Illustrations 15 Chapter 8. Diseases of the Ear an Mastoi Proess (H60 H95)... Illustrations 16 Ear Anatomy... Illustrations 16 Chapter 9. Diseases of the Cirulatory System (I00 I99)... Illustrations 17 Anatomy of the Heart... Illustrations 17 Heart Cross Setion... Illustrations 17 Heart Valves... Illustrations 18 Heart Conution System... Illustrations 18 Coronary Arteries... Illustrations 19 Arteries... Illustrations 20 Veins... Illustrations 21 Internal Caroti an Vertebral Arteries an Branhes... Illustrations 22 Contents External Caroti Artery an Branhes...Illustrations 22 Branhes of Abominal Aorta...Illustrations 23 Portal Venous Cirulation...Illustrations 23 Lymphati System...Illustrations 24 Axillary Lymph Noes...Illustrations 25 Lymphati System of Hea an Nek...Illustrations 25 Lymphati Capillaries...Illustrations 26 Lymphati Drainage...Illustrations 26 Chapter 10. Diseases of the Respiratory System (J00 J99)...Illustrations 27 Respiratory System...Illustrations 27 Upper Respiratory System...Illustrations 28 Lower Respiratory System...Illustrations 28 Paranasal Sinuses...Illustrations 28 Lung Segments...Illustrations 29 Alveoli...Illustrations 29 Chapter 11. Diseases of the Digestive System (K00 K95)...Illustrations 30 Digestive System...Illustrations 30 Omentum an Mesentery...Illustrations 31 Peritoneum an Retroperitoneum..Illustrations 31 Chapter 12. Diseases of the Skin an Subutaneous Tissue (L00 L99)...Illustrations 32 Nail Anatomy...Illustrations 32 Skin an Subutaneous Tissue...Illustrations 32 Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue (M00 M99)...Illustrations 33 Bones an Joints...Illustrations 33 Shouler Anterior View...Illustrations 34 Shouler Posterior View...Illustrations 34 Elbow Anterior View...Illustrations 34 Elbow Posterior View...Illustrations 35 Han...Illustrations 35 Hip Anterior View...Illustrations 36 Hip Posterior View...Illustrations 36 Knee Anterior View...Illustrations 36 Knee Posterior View...Illustrations 37 Foot...Illustrations 37 Musles...Illustrations 38 Chapter 14. Diseases of the Genitourinary System (N00 N99)...Illustrations 39 Urinary System...Illustrations 39 Male Genitourinary System...Illustrations 40 Female Internal Genitalia...Illustrations 40 Female Genitourinary Trat Lateral View...Illustrations 41 Chapter 15. Pregnany, Chilbirth an the Puerperium (O00 O9A)...Illustrations 42 Term Pregnany Single Gestation Illustrations 42 Twin Gestation Dihorioni Diamnioti (DI-DI)...Illustrations 42 Twin Gestation Monohorioni Diamnioti (MO-DI)...Illustrations 43 Twin Gestation Monohorioni Monoamnioti (MO-MO)...Illustrations 43 ii 2018 Optum360, LLC

4 Inex Glauoma Gluose-galatose malabsorption Glauoma Glauoma ontinue ortiosteroi-inue see Glauoma, seonary, rugs hyperseretion H S in (ue to) amyloiosis E85.4 [H42] aniriia Q13.1 [H42] onussion of globe see Glauoma, seonary, trauma isloation of lens see Glauoma, seonary isorer of lens NEC see Glauoma, seonary rugs see Glauoma, seonary, rugs enorine isease NOS E34.9 [H42] eye inflammation see Glauoma, seonary, inflammation trauma see Glauoma, seonary, trauma hypermature atarat see Glauoma, seonary irioylitis see Glauoma, seonary, inflammation lens isorer see Glauoma, seonary Lowe's synrome E72.03 [H42] metaboli isease NOS E88.9 [H42] oular isorers NEC see Glauoma, seonary onhoeriasis B73.02 pupillary blok see Glauoma, seonary retinal vein olusion see Glauoma, seonary Rieger's anomaly Q13.81 [H42] rubeosis of iris see Glauoma, seonary tumor of globe see Glauoma, seonary infantile Q15.0 low tension see Glauoma, open angle, primary, low-tension malignant H S narrow angle see Glauoma, angle-losure newborn Q15.0 nonongestive (hroni) see Glauoma, open angle nonobstrutive see Glauoma, open angle obstrutive (see also Glauoma, angle-losure) ue to lens hanges see Glauoma, seonary open angle H S primary H S apsular (with pseuoexfoliation of lens) H S low-tension H S pigmentary H S resiual stage H S phaolyti see Glauoma, seonary pigmentary see Glauoma, open angle, primary, pigmentary postinfetious see Glauoma, seonary, inflammation seonary (to) H40.5- S rugs H40.6- S inflammation H40.4- S trauma H40.3- S simple (hroni) H S simplex H S speifie type NEC H40.89 suspet H S syphiliti A52.71 traumati (see also Glauoma, seonary, trauma) newborn (birth injury) P15.3 tuberulous A18.59 Glauomatous fleks (subapsular) see Catarat, ompliate Glaze tongue K14.4 Gleet (gonooal) A54.01 Glénar's isease K63.4 Glioblastoma (multiforme) with saromatous omponent speifie site see Neoplasm, malignant, by site giant ell speifie site see Neoplasm, malignant, by site speifie site see Neoplasm, malignant, by site Glioma (malignant) astroyti speifie site see Neoplasm, malignant, by site mixe speifie site see Neoplasm, malignant, by site nose Q30.8 speifie site NEC see Neoplasm, malignant, by site Glioma ontinue subepenymal D43.2 speifie site see Neoplasm, unertain behavior, by site unspeifie site D43.2 Gliomatosis erebri C71.0 Glioneuroma see Neoplasm, unertain behavior, by site Gliosaroma speifie site see Neoplasm, malignant, by site Gliosis (erebral) G93.89 spinal G95.89 Glisson's isease see Rikets Globinuria R82.3 Globus (hysterius) F45.8 Glomangioma D18.00 intra-abominal D18.03 intraranial D18.02 skin D18.01 speifie site NEC D18.09 Glomangiomyoma D18.00 intra-abominal D18.03 intraranial D18.02 skin D18.01 speifie site NEC D18.09 Glomangiosaroma see Neoplasm, onnetive tissue, malignant Glomerular isease in syphilis A52.75 nephritis see Glomerulonephritis Glomerulitis see Glomerulonephritis Glomerulonephritis (see also Nephritis) N05.9 with eema see Nephrosis minimal hange N05.0 minor glomerular abnormality N05.0 aute N00.9 hroni N03.9 resenti (iffuse) NEC (see also N00-N07 with fourth harater.7) N05.7 ense eposit (see also N00-N07 with fourth harater.6) N05.6 iffuse resenti (see also N00-N07 with fourth harater.7) N05.7 enoapillary proliferative (see also N00-N07 with fourth harater.4) N05.4 membranous (see also N00-N07 with fourth harater.2) N05.2 mesangial proliferative (see also N00-N07 with fourth harater.3) N05.3 mesangioapillary (see also N00-N07 with fourth harater.5) N05.5 slerosing N05.8 enoapillary proliferative (iffuse) NEC (see also N00- N07 with fourth harater.4) N05.4 extraapillary NEC (see also N00-N07 with fourth harater.7) N05.7 foal (an segmental) (see also N00-N07 with fourth harater.1) N05.1 hypoomplementemi see Glomerulonephritis, membranoproliferative IgA see Nephropathy, IgA immune omplex (irulating) NEC N05.8 in (ue to) amyloiosis E85.4 [N08] bilharziasis B65.9 [N08] ryoglobulinemia D89.1 [N08] efibrination synrome D65 [N08] iabetes mellitus see Diabetes, glomeruloslerosis isseminate intravasular oagulation D65 [N08] Fabry (-Anerson) isease E75.21 [N08] Goopasture's synrome M31.0 hemolyti-uremi synrome D59.3 Henoh (-Shönlein) purpura D69.0 [N08] leithin holesterol ayltransferase efiieny E78.6 [N08] mirosopi polyangiitis M31.7 [N08] multiple myeloma C90.0- S [N08] Plasmoium malariae B52.0 shistosomiasis B65.9 [N08] sepsis A41.9 [N08] streptooal A40- S [N08] sikle-ell isorers D57.- S [N08] strongyloiiasis B78.9 [N08] Glomerulonephritis ontinue in ontinue subaute baterial enoaritis I33.0 [N08] syphilis (late) ongenital A50.59 [N08] systemi lupus erythematosus M32.14 thromboti thromboytopeni purpura M31.1 [N08] typhoi fever A01.09 Walenström maroglobulinemia C88.0 [N08] Wegener's granulomatosis M31.31 latent or quiesent N03.9 lobular, lobulonoular see Glomerulonephritis, membranoproliferative membranoproliferative (iffuse)(type 1 or 3) (see also N00-N07 with fourth harater.5) N05.5 ense eposit (type 2) NEC (see also N00-N07 with fourth harater.6) N05.6 membranous (iffuse) NEC (see also N00-N07 with fourth harater.2) N05.2 mesangial IgA/IgG see Nephropathy, IgA proliferative (iffuse) NEC (see also N00-N07 with fourth harater.3) N05.3 mesangioapillary (iffuse) NEC (see also N00-N07 with fourth harater.5) N05.5 neroti, nerotizing NEC (see also N00- N07 with fourth harater.8) N05.8 noular see Glomerulonephritis, membranoproliferative poststreptooal NEC N05.9 aute N00.9 hroni N03.9 rapily progressive N01.9 proliferative NEC (see also N00-N07 with fourth harater.8) N05.8 iffuse (lupus) M32.14 rapily progressive N01.9 slerosing, iffuse N05.8 speifie pathology NEC (see also N00- N07 with fourth harater.8) N05.8 subaute N01.9 Glomerulopathy see Glomerulonephritis Glomeruloslerosis (see also Slerosis, renal) interapillary (noular) (with iabetes) see Diabetes, glomeruloslerosis intraapillary see Diabetes, glomeruloslerosis Glossagra K14.6 Glossalgia K14.6 Glossitis (hroni superfiial) (gangrenous) (Moeller's) K14.0 areata exfoliativa K14.1 atrophi K14.4 benign migratory K14.1 ortial superfiial, sleroti K14.0 Hunter's D51.0 interstitial, slerous K14.0 meian rhomboi K14.2 pellagrous E52 superfiial, hroni K14.0 Glossoele K14.8 Glossoynia K14.6 exfoliativa K14.4 Glossonus K14.8 Glossopathy K14.9 Glossophytia K14.3 Glossoplegia K14.8 Glossoptosis K14.8 Glossopyrosis K14.6 Glossotrihia K14.3 Glossy skin L90.8 Glottis see onition Glottitis (see also Laryngitis) J04.0 Gluagonoma panreas benign D13.7 malignant C25.4 unertain behavior D37.8 speifie site NEC benign see Neoplasm, benign, by site malignant see Neoplasm, malignant, by site unertain behavior see Neoplasm, unertain behavior, by site unspeifie site benign D13.7 malignant C25.4 unertain behavior D37.8 Gluoglyinuria E72.51 Gluose-galatose malabsorption E S Aitional Charater Require Refer to the Tabular List for Charater Seletion 2 Subterms uner main terms may ontinue to next olumn or page

5 Glue ear see Otitis, meia, nonsuppurative, hroni, muoi sniffing (airplane) see Abuse, rug, inhalant epenene see Depenene, rug, inhalant Glutari aiuria E72.3 Glyinemia E72.51 Glyinuria (renal) (with ketosis) E72.09 Glyogen infiltration see Disease, glyogen storage storage isease see Disease, glyogen storage Glyogenosis (iffuse) (generalize) (see also Disease, glyogen storage) aria E74.02 [I43] iabeti, seonary see Diabetes, glyogenosis, seonary pulmonary interstitial J Glyopenia E16.2 Glyosuria R81 renal E74.8 Gnathostoma spinigerum (infetion) (infestation), gnathostomiasis (wanering swelling) B83.1 Goiter (plunging) (substernal) E04.9 with hyperthyroiism (reurrent) see Hyperthyroiism, with, goiter thyrotoxiosis see Hyperthyroiism, with, goiter aenomatous see Goiter, noular anerous C73 ongenital (nontoxi) E03.0 iffuse E03.0 parenhymatous E03.0 transitory, with normal funtioning P72.0 ysti E04.2 ue to ioine-efiieny E01.1 ue to enzyme efet in synthesis of thyroi hormone E07.1 ioine-efiieny (enemi) E01.2 yshormonogeneti (familial) E07.1 enemi (ioine-efiieny) E01.2 iffuse E01.0 multinoular E01.1 exophthalmi see Hyperthyroiism, with, goiter ioine-efiieny (enemi) E01.2 iffuse E01.0 multinoular E01.1 noular E01.1 lingual Q89.2 lymphaenoi E06.3 malignant C73 multinoular (ysti) (nontoxi) E04.2 toxi or with hyperthyroiism E05.20 with thyroi storm E05.21 neonatal NEC P72.0 noular (nontoxi) (ue to) E04.9 with hyperthyroiism E05.20 with thyroi storm E05.21 thyrotoxiosis E05.20 with thyroi storm E05.21 enemi E01.1 ioine-efiieny E01.1 sporai E04.9 toxi E05.20 with thyroi storm E05.21 nontoxi E04.9 iffuse (olloi) E04.0 multinoular E04.2 simple E04.0 speifie NEC E04.8 uninoular E04.1 simple E04.0 toxi see Hyperthyroiism, with, goiter uninoular (nontoxi) E04.1 toxi or with hyperthyroiism E05.10 with thyroi storm E05.11 Goiter-eafness synrome E07.1 Golberg synrome Q89.8 Golberg-Maxwell synrome E34.51 Golblatt's hypertension or kiney I70.1 Golenhar (-Gorlin) synrome Q87.0 Golflam-Erb isease or synrome G70.00 with exaerbation (aute) G70.01 in risis G70.01 Golsheier's isease Q81.8 Golstein's isease (familial hemorrhagi telangietasia) I78.0 Golfer's elbow see Epionylitis, meial Gonaoblastoma speifie site see Neoplasm, unertain behavior, by site unspeifie site female D39.10 male D40.10 Goneystitis see Vesiulitis Gongylonemiasis B83.8 Goniosynehiae see Ahesions, iris, goniosynehiae Gonooemia A54.86 Gonoous, gonooal (isease) (infetion) (see also onition) A54.9 anus A54.6 bursa, bursitis A54.49 onjuntiva, onjuntivitis (neonatorum) A54.31 enoarium A54.83 eye A54.30 onjuntivitis A54.31 irioylitis A54.32 keratitis A54.33 newborn A54.31 other speifie A54.39 fallopian tubes (aute) (hroni) A54.24 genitourinary (organ) (system) (trat) (aute) lower A54.00 with absess (aessory glan) (periurethral) A54.1 upper (see also onition) A54.29 heart A54.83 irioylitis A54.32 joint A54.42 lymphati (glan) (noe) A54.89 meninges, meningitis A54.81 musuloskeletal A54.40 arthritis A54.42 osteomyelitis A54.43 other speifie A54.49 sponylopathy A54.41 pelviperitonitis A54.24 pelvis (aute) (hroni) A54.24 pharynx A54.5 protitis A54.6 pyosalpinx (aute) (hroni) A54.24 retum A54.6 skin A54.89 speifie site NEC A54.89 tenon sheath A54.49 throat A54.5 urethra (aute) (hroni) A54.01 with absess (aessory glan) (periurethral) A54.1 vulva (aute) (hroni) A54.02 Gonoytoma speifie site see Neoplasm, unertain behavior, by site unspeifie site female D39.10 male D40.10 Gonorrhea (aute) (hroni) A54.9 Bartholin's glan (aute) (hroni) (purulent) A54.02 with absess (aessory glan) (periurethral) A54.1 blaer A54.01 ervix A54.03 onjuntiva, onjuntivitis (neonatorum) A54.31 ontat Z20.2 Cowper's glan (with absess) A54.1 exposure to Z20.2 fallopian tube (aute) (hroni) A54.24 kiney (aute) (hroni) A54.21 lower genitourinary trat A54.00 with absess (aessory glan) (periurethral) A54.1 ovary (aute) (hroni) A54.24 pelvis (aute) (hroni) A54.24 female pelvi inflammatory isease A54.24 penis A54.09 prostate (aute) (hroni) A54.22 seminal vesile (aute) (hroni) A54.23 speifie site not liste (see also Gonoous) A54.89 spermati or (aute) (hroni) A54.23 urethra A54.01 with absess (aessory glan) (periurethral) A54.1 vagina A54.02 vas eferens (aute) (hroni) A54.23 vulva A54.02 Gooall's isease A08.19 Goopasture's synrome M31.0 Gopalan's synrome (burning feet) E53.0 Gorlin-Chaury-Moss synrome Q87.0 Gottron's papules L94.4 Gougerot-Blum synrome (pigmente purpuri lihenoi ermatitis) L81.7 Gougerot-Carteau isease or synrome (onfluent retiulate papillomatosis) L83 Gougerot's synrome (trisymptomati) L81.7 Gouley's synrome (onstritive periaritis) I31.1 Gounou A66.6 Gout, hroni (see also Gout, gouty) M1A.9 S (following M08) rug-inue M1A.20 S (following M08) ankle M1A.27- S (following M08) elbow M1A.22- S (following M08) foot joint M1A.27- S (following M08) han joint M1A.24- S (following M08) hip M1A.25- S (following M08) knee M1A.26- S (following M08) multiple site M1A.29- S (following M08) shouler M1A.21- S (following M08) vertebrae M1A.28 S (following M08) wrist M1A.23- S (following M08) iiopathi M1A.00 S (following M08) ankle M1A.07- S (following M08) elbow M1A.02- S (following M08) foot joint M1A.07- S (following M08) han joint M1A.04- S (following M08) hip M1A.05- S (following M08) knee M1A.06- S (following M08) multiple site M1A.09 S (following M08) shouler M1A.01- S (following M08) vertebrae M1A.08 S (following M08) wrist M1A.03- S (following M08) in (ue to) renal impairment M1A.30 S (following M08) ankle M1A.37- S (following M08) elbow M1A.32- S (following M08) foot joint M1A.37- S (following M08) han joint M1A.34- S (following M08) hip M1A.35- S (following M08) knee M1A.36- S (following M08) multiple site M1A.39 S (following M08) shouler M1A.31- S (following M08) vertebrae M1A.38 S (following M08) wrist M1A.33- S (following M08) lea-inue M1A.10 S (following M08) ankle M1A.17- S (following M08) elbow M1A.12- S (following M08) foot joint M1A.17- S (following M08) han joint M1A.14- S (following M08) hip M1A.15- S (following M08) knee M1A.16- S (following M08) multiple site M1A.19 S (following M08) shouler M1A.11- S (following M08) vertebrae M1A.18 S (following M08) wrist M1A.13- S (following M08) primary see Gout, hroni, iiopathi saturnine see Gout, hroni, lea-inue seonary NEC M1A.40 S (following M08) ankle M1A.47- S (following M08) elbow M1A.42- S (following M08) foot joint M1A.47- S (following M08) han joint M1A.44- S (following M08) hip M1A.45- S (following M08) knee M1A.46- S (following M08) multiple site M1A.49 S (following M08) shouler M1A.41- S (following M08) vertebrae M1A.48 S (following M08) wrist M1A.43- S (following M08) syphiliti (see also subategory M14.8-) A52.77 tophi M1A.9 S (following M08) Gout, gouty (aute) (attak) (flare) (see also Gout, hroni) M10.9 rug-inue M10.20 ankle M S elbow M S foot joint M S han joint M S hip M S knee M S multiple site M10.29 shouler M S vertebrae M10.28 wrist M S iiopathi M10.00 ankle M S elbow M S Gout, gouty Inex Glue Gout, gouty 2 Subterms uner main terms may ontinue to next olumn or page S Aitional Charater Require Refer to the Tabular List for Charater Seletion 159

6 I25.4 I Chapter 9. Diseases of the Cirulatory System I25.4 I Chapter 9. Diseases of the Cirulatory System I25.4 Coronary artery aneurysm an issetion I25.41 Coronary artery aneurysm Coronary arteriovenous fistula, aquire 1 ongenital oronary (artery) aneurysm (Q24.5) I25.42 Coronary artery issetion a DEF: A tear in the intimal arterial wall of a oronary artery resulting in the suen intrusion of bloo within the layers of the wall. CC Exl: PDX olletion 660 I25.5 Ishemi ariomyopathy 2 oronary atheroslerosis (I25.1-, I25.7-) I25.6 Silent myoarial ishemia I25.7 Atheroslerosis of oronary artery bypass graft(s) an oronary artery of transplante heart with angina petoris Use aitional oe, if appliable, to ientify: oronary atheroslerosis ue to alifie oronary lesion (I25.84) oronary atheroslerosis ue to lipi rih plaque (I25.83) 1 atheroslerosis of bypass graft(s) of transplante heart without angina petoris (I25.812) atheroslerosis of oronary artery bypass graft(s) without angina petoris (I25.810) atheroslerosis of native oronary artery of transplante heart without angina petoris (I25.811) embolism or thrombus of oronary artery bypass graft(s) (T82.8-) I25.70 Atheroslerosis of oronary artery bypass graft(s), unspeifie, with angina petoris I Atheroslerosis of oronary may artery bypass graft(s), unspeifie, with unstable angina petoris 1 unstable angina petoris without atheroslerosis of oronary artery bypass graft (I20.0) CC Exl: PDX olletion 651 I Atheroslerosis of oronary artery y bypass graft(s), unspeifie, with angina petoris with oumente spasm 1 angina petoris with oumente spasm without atheroslerosis of oronary artery bypass graft (I20.1) I Atheroslerosis of oronary artery y bypass graft(s), unspeifie, with other forms of angina petoris 1 other forms of angina petoris without atheroslerosis of oronary artery bypass graft (I20.8) I Atheroslerosis of oronary artery y bypass graft(s), unspeifie, with unspeifie angina petoris 1 unspeifie angina petoris without atheroslerosis of oronary artery bypass graft (I20.9) I25.71 Atheroslerosis of autologous vein oronary artery bypass graft(s) with angina petoris CC Exl: For CC oes in subategory I25.71, unless otherwise note: PDX olletion 662 I Atheroslerosis of autologous may vein oronary artery bypass graft(s) with unstable angina petoris 1 unstable angina without atheroslerosis of autologous vein oronary artery bypass graft(s) (I20.0) CC Exl: PDX olletion 661 I Atheroslerosis of autologous vein Ay oronary artery bypass graft(s) with angina petoris with oumente spasm 1 angina petoris with oumente spasm without atheroslerosis of autologous vein oronary artery bypass graft(s) (I20.1) I Atheroslerosis of autologous vein Ay oronary artery bypass graft(s) with other forms of angina petoris 1 other forms of angina petoris without atheroslerosis of autologous vein oronary artery bypass graft(s) (I20.8) I Atheroslerosis of autologous vein Ay oronary artery bypass graft(s) with unspeifie angina petoris 1 unspeifie angina petoris without atheroslerosis of autologous vein oronary artery bypass graft(s) (I20.9) I25.72 Atheroslerosis of autologous artery oronary artery bypass graft(s) with angina petoris Atheroslerosis of internal mammary artery graft with angina petoris CC Exl: For CC oes in subategories I25.72, unless otherwise note: PDX olletion 662 I Atheroslerosis of autologous may artery oronary artery bypass graft(s) with unstable angina petoris 1 unstable angina without atheroslerosis of autologous artery oronary artery bypass graft(s) (I20.0) CC Exl: PDX olletion 661 I Atheroslerosis of autologous artery Ay oronary artery bypass graft(s) with angina petoris with oumente spasm 1 angina petoris with oumente spasm without atheroslerosis of autologous artery oronary artery bypass graft(s) (I20.1) I Atheroslerosis of autologous artery Ay oronary artery bypass graft(s) with other forms of angina petoris 1 other forms of angina petoris without atheroslerosis of autologous artery oronary artery bypass graft(s) (I20.8) I Atheroslerosis of autologous artery Ay oronary artery bypass graft(s) with unspeifie angina petoris 1 unspeifie angina petoris without atheroslerosis of autologous artery oronary artery bypass graft(s) (I20.9) I25.73 Atheroslerosis of nonautologous biologial oronary artery bypass graft(s) with angina petoris CC Exl: For CC oes in subategories I25.73, unless otherwise note: PDX olletion 662 I Atheroslerosis of may nonautologous biologial oronary artery bypass graft(s) with unstable angina petoris 1 unstable angina without atheroslerosis of nonautologous biologial oronary artery bypass graft(s) (I20.0) CC Exl: PDX olletion 661 I Atheroslerosis of nonautologous Ay biologial oronary artery bypass graft(s) with angina petoris with oumente spasm 1 angina petoris with oumente spasm without atheroslerosis of nonautologous biologial oronary artery bypass graft(s) (I20.1) I Atheroslerosis of nonautologous Ay biologial oronary artery bypass graft(s) with other forms of angina petoris 1 other forms of angina petoris without atheroslerosis of nonautologous biologial oronary artery bypass graft(s) (I20.8) 8 Newborn: 0 9 Peiatri: 0-17 x Maternity: y Ault: a Major CC Conition l PDx ats as own MCC A CC Conition 618 m PDx ats as own CC

7 Chapter 10. Diseases of the Respiratory System Guielines an Examples Chapter 10. Diseases of the Respiratory System (J00 J99) Chapter Speifi Guielines with Coing Examples The hapter speifi guielines from the ICD-10-CM Offiial Guielines for Coing an Reporting have been provie below. Along with these guielines are oing examples, ontaine in the shae boxes, that have been evelope to help illustrate the oing an/or sequening guiane foun in these guielines. a. Chroni obstrutive pulmonary isease [COPD] an asthma 1) Aute exaerbation of hroni obstrutive bronhitis an asthma The oes in ategories J44 an J45 istinguish between unompliate ases an those in aute exaerbation. An aute exaerbation is a worsening or a eompensation of a hroni onition. An aute exaerbation is not equivalent to an infetion superimpose on a hroni onition, though an exaerbation may be triggere by an infetion. Aute streptooal bronhitis with aute exaerbation of COPD J20.2 Aute bronhitis ue to streptoous J44.0 Chroni obstrutive pulmonary isease with aute lower respiratory infetion J44.1 Chroni obstrutive pulmonary isease with (aute) exaerbation Explanation: ICD-10-CM uses ombination oes to reate organismspeifi lassifiations for aute bronhitis. Category J44 oes inlue ombination oes with severity omponents, whih ifferentiate between COPD with aute lower respiratory infetion (aute bronhitis), COPD with aute exaerbation, an COPD without mention of a ompliation (unspeifie). An aute exaerbation is a worsening or a eompensation of a hroni onition. An aute exaerbation is not equivalent to an infetion superimpose on a hroni onition, though an exaerbation may be triggere by an infetion, as in this example. Exaerbation of moerate persistent asthma with status asthmatius J45.42 Moerate persistent asthma with status asthmatius Explanation: Category J45 Asthma inlues severity-speifi subategories an fifth-harater oes to istinguish between unompliate ases, those in aute exaerbation, an those with status asthmatius. b. Aute respiratory failure 1) Aute respiratory failure as prinipal iagnosis A oe from subategory J96.0, Aute respiratory failure, or subategory J96.2, Aute an hroni respiratory failure, may be assigne as a prinipal iagnosis when it is the onition establishe after stuy to be hiefly responsible for oasioning the amission to the hospital, an the seletion is supporte by the Alphabeti Inex an Tabular List. However, hapter-speifi oing guielines (suh as obstetris, poisoning, HIV, newborn) that provie sequening iretion take preeene. Aute hypoxi respiratory failure ue to COPD exaerbation J96.01 Aute respiratory failure with hypoxia J44.1 Chroni obstrutive pulmonary isease with (aute) exaerbation Explanation: Category J96 lassifies respiratory failure with ombination oes that esignate the severity an the presene of hypoxia an hyperapnia. Coe J96.01 is sequene as the first-liste iagnosis, as the reason for the amission. Respiratory failure may be assigne as a prinipal iagnosis when it is the onition establishe after stuy to be hiefly responsible for oasioning the amission to the hospital an the seletion is supporte by the Alphabeti Inex an Tabular List. 2) Aute respiratory failure as seonary iagnosis Respiratory failure may be liste as a seonary iagnosis if it ours after amission, or if it is present on amission, but oes not meet the efinition of prinipal iagnosis. Aute respiratory failure ue to aiental oxyoone overose T40.2X1A Poisoning by other opiois, aiental (unintentional), initial enounter J96.00 Aute respiratory failure, unspeifie whether with hypoxia or hyperapnia Explanation: Respiratory failure may be assigne as a prinipal iagnosis when it is the onition establishe after stuy to be hiefly responsible for oasioning the amission to the hospital, an the seletion is supporte by the Alphabeti Inex an Tabular List. However, hapterspeifi oing guielines, suh as poisoning, that provie sequening iretion take preeene. When oing a poisoning or reation to the improper use of a meiation (e.g. overose, wrong substane given or taken in error, wrong route of aministration), first assign the appropriate oe from ategories T36 T50. Use aitional oe(s) for all manifestations of the poisoning. In this instane, the respiratory failure is a manifestation of the poisoning an is sequene as a seonary iagnosis. Aute pneumooal pneumonia with subsequent evelopment of aute respiratory failure J13 Pneumonia ue to Streptoous pneumoniae J96.00 Aute respiratory failure, unspeifie whether with hypoxia or hyperapnia Explanation: Aute respiratory failure may be liste as a seonary iagnosis if it ours after amission, or if it is present on amission but oes not meet the efinition of prinipal iagnosis. 3) Sequening of aute respiratory failure an another aute onition When a patient is amitte with respiratory failure an another aute onition, (e.g., myoarial infartion, erebrovasular aient, aspiration pneumonia), the prinipal iagnosis will not be the same in every situation. This applies whether the other aute onition is a respiratory or nonrespiratory onition. Seletion of the prinipal iagnosis will be epenent on the irumstanes of amission. If both the respiratory failure an the other aute onition are equally responsible for oasioning the amission to the hospital, an there are no hapter-speifi sequening rules, the guieline regaring two or more iagnoses that equally meet the efinition for prinipal iagnosis (Setion II, C.) may be applie in these situations. If the oumentation is not lear as to whether aute respiratory failure an another onition are equally responsible for oasioning the amission, query the provier for larifiation. Aute pneumooal pneumonia an aute respiratory failure, both present on amission J96.00 Aute respiratory failure, unspeifie whether with hypoxia or hyperapnia J13 Pneumonia ue to Streptoous pneumoniae Explanation: When a patient is amitte with respiratory failure an another aute onition, suh as a baterial pneumonia, the prinipal iagnosis is not the same in every situation. This applies whether the other aute onition is a respiratory or nonrespiratory onition. The prinipal iagnosis epens on the irumstanes of amission.. Influenza ue to ertain ientifie influenza viruses Coe only onfirme ases of influenza ue to ertain ientifie influenza viruses (ategory J09), an ue to other ientifie influenza virus (ategory J10). This is an exeption to the hospital inpatient guieline Setion II, H. (Unertain Diagnosis). In this ontext, onfirmation oes not require oumentation of positive laboratory testing speifi for avian or other novel influenza A or other ientifie influenza virus. However, oing shoul be base on the provier s iagnosti statement that the patient has avian influenza, or other novel influenza A, for ategory J09, or has another partiular ientifie strain of influenza, suh as H1N1 or H3N2, but not ientifie as novel or variant, for ategory J10. Chapter 10. Diseases of the Respiratory System 651

8 J95.8 J98.19 Chapter 10. Diseases of the Respiratory System J95.8 J98.19 Chapter 10. Diseases of the Respiratory System J95.8 Other intraoperative an postproeural ompliations an isorers of respiratory system, not elsewhere lassifie J95.81 Postproeural pneumothorax an air leak J Postproeural pneumothorax AR CC Exl: PDX olletion 754 J Postproeural air leak A CC Exl: PDX olletion 754 J95.82 Postproeural respiratory failure 1 respiratory failure in other onitions (J96.-) J Aute postproeural respiratory a failure Postproeural respiratory failure NOS CC Exl: PDX olletion 756 J Aute an hroni postproeural a respiratory failure CC Exl: PDX olletion 756 J95.83 Postproeural hemorrhage of a respiratory system organ or struture following a proeure J Postproeural hemorrhage of a A respiratory system organ or struture following a respiratory system proeure CC Exl: PDX olletion 758 J Postproeural hemorrhage of a A respiratory system organ or struture following other proeure CC Exl: PDX olletion 758 J95.84 Transfusion-relate aute lung injury (TRALI) A DEF: A relatively rare, but serious, pulmonary ompliation of bloo transfusion, with aute respiratory istress, nonariogeni pulmonary eema, yanosis, hypoxemia, hypotension, fever, an hills. CC Exl: PDX olletion 757 J95.85 Compliation of respirator [ventilator] CC Exl: For CC oes in subategory J95.85, unless otherwise note: PDX olletion 757 J Mehanial ompliation of respirator 1 enounter for respirator A [ventilator] epenene uring power failure (Z99.12) CC Exl: PDX olletion 759 J Ventilator assoiate pneumonia A Ventilator assoiate pneumonitis Use aitional oe to ientify the organism, if known (B95.-, B96.-, B97.-) 1 ventilator lung in newborn (P27.8) J Other ompliation of respirator A [ventilator] J95.86 Postproeural hematoma an seroma of a respiratory system organ or struture following a proeure J Postproeural hematoma of a A respiratory system organ or struture following a respiratory system proeure J Postproeural hematoma of a A respiratory system organ or struture following other proeure J Postproeural seroma of a respiratory system organ or struture following a respiratory system proeure J Postproeural seroma of a respiratory system organ or struture following other proeure J95.88 Other intraoperative ompliations of A respiratory system, not elsewhere lassifie CC Exl: PDX olletion 757 J95.89 Other postproeural ompliations an A isorers of respiratory system, not elsewhere lassifie Use aitional oe to ientify isorer, suh as: aspiration pneumonia (J69.-) baterial or viral pneumonia (J12-J18) 2 aute pulmonary insuffiieny following thorai surgery (J95.1) postproeural subglotti stenosis (J95.5) CC Exl: PDX olletion 757 b J96 Other iseases of the respiratory system (J96-J99) Respiratory failure, not elsewhere lassifie 1 aute respiratory istress synrome (J80) ariorespiratory failure (R09.2) newborn respiratory istress synrome (P22.0) postproeural respiratory failure (J95.82-) respiratory arrest (R09.2) respiratory arrest of newborn (P28.81) respiratory failure of newborn (P28.5) CC Exl: For CC/MCC oes in ategory J96, unless otherwise note: PDX olletion 744 J96.0 Aute respiratory failure J96.00 Aute respiratory failure, unspeifie whether a with hypoxia or hyperapnia AHA: 2013, 4Q, 121 J96.01 Aute respiratory failure with hypoxia a J96.02 Aute respiratory failure with hyperapnia a J96.1 Chroni respiratory failure J96.10 Chroni respiratory failure, unspeifie whether A with hypoxia or hyperapnia AHA: 2016, 1Q, 38; 2015, 1Q, 21 J96.11 Chroni respiratory failure with hypoxia A AHA: 2013, 4Q, 129 J96.12 Chroni respiratory failure with hyperapnia A J96.2 Aute an hroni respiratory failure Aute on hroni respiratory failure J96.20 Aute an hroni respiratory failure, a unspeifie whether with hypoxia or hyperapnia J96.21 Aute an hroni respiratory failure with a hypoxia J96.22 Aute an hroni respiratory failure with a hyperapnia J96.9 Respiratory failure, unspeifie J96.90 Respiratory failure, unspeifie, unspeifie a whether with hypoxia or hyperapnia J96.91 Respiratory failure, unspeifie with hypoxia a J96.92 Respiratory failure, unspeifie with a hyperapnia b J98 Other respiratory isorers Use aitional oe to ientify: exposure to environmental tobao smoke (Z77.22) exposure to tobao smoke in the perinatal perio (P96.81) whistory of tobao epenene (Z87.891)x oupational exposure to environmental tobao smoke (Z57.31) tobao epenene (F17.-) tobao use (Z72.0) 1 newborn apnea (P28.4) newborn sleep apnea (P28.3) 2 apnea NOS (R06.81) sleep apnea (G47.3-) J98.0 Diseases of bronhus, not elsewhere lassifie J98.01 Aute bronhospasm 1 aute bronhiolitis with bronhospasm (J21.-) aute bronhitis with bronhospasm (J20.-) asthma (J45.-) exerise inue bronhospasm (J45.990) J98.09 Other iseases of bronhus, not elsewhere lassifie Bronholithiasis Califiation of bronhus Stenosis of bronhus Traheobronhial ollapse Traheobronhial yskinesia Uler of bronhus J98.1 Pulmonary ollapse 1 therapeuti ollapse of lung status (Z98.3) J98.11 Ateletasis A 1 newborn ateletasis tuberulous ateletasis (urrent isease) (A15) CC Exl: PDX olletion 760 J98.19 Other pulmonary ollapse A CC Exl: PDX olletion Newborn: 0 9 Peiatri: 0-17 x Maternity: y Ault: a Major CC Conition l PDx ats as own MCC A CC Conition 664 m PDx ats as own CC

9 Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue Musle/Tenon Table Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue Musle/Tenon Table ICD-10-CM ategorizes ertain musles an tenons in the upper an lower extremities by their ation (e.g., extension, flexion), their anatomial loation (e.g., posterior, anterior), an/or whether they are intrinsi or extrinsi to a ertain anatomial area. The Musle/Tenon Table is provie at the beginning of hapters 13 an 19 as a resoure to help users when oe seletion epens on one or more of these harateristis. Please note that this table is not all-inlusive, an proper oe assignment shoul be base on the provier s oumentation. Shouler Upper arm Forearm Boy Region Musle Extensor Tenon Flexor Tenon Other Tenon Deltoi Posterior eltoi Anterior eltoi Rotator uff Infraspinatus Subsapularis Supraspinatus Teres minor Teres major Anterior musles Bieps brahii long hea Bieps brahii short hea Brahialis Coraobrahialis Posterior musles Trieps brahii Teres major Trieps brahii Anterior musles Flexors Deep Flexor igitorum profunus Flexor polliis longus Intermeiate Flexor igitorum superfiialis Superfiial Flexor arpi raialis Flexor arpi ulnaris Palmaris longus Pronators Pronator quaratus Pronator teres Posterior musles Extensors Deep Abutor polliis longus Extensor iniis Extensor iniis Extensor polliis brevis Extensor polliis brevis Extensor polliis longus Extensor polliis longus Superfiial Brahioraialis Extensor arpi raialis brevis Extensor arpi raialis brevis Extensor arpi raialis longus Extensor arpi raialis longus Extensor arpi ulnaris Extensor arpi ulnaris Extensor igiti minimi Extensor igiti minimi Extensor igitorum Extensor igitorum Anoneus Anoneus Supinator Bieps brahii long hea Bieps brahii short hea Brahialis Coraobrahialis Flexor igitorum profunus Flexor polliis longus Flexor igitorum superfiialis Flexor arpi raialis Flexor arpi ulnaris Palmaris longus Infraspinatus Subsapularis Supraspinatus Teres minor Pronator quaratus Pronator teres Abutor polliis longus Brahioraialis Supinator 708

10 Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue M67.9 b M70 Soft tissue isorers relate to use, overuse an pressure e l p m a S Manifestation 1 soft tissue isorers of oupational origin Use aitional external ause oe to ientify ativity ausing isorer (Y93.-) 1 bursitis NOS (M71.9-) 2 bursitis of shouler (M75.5) enthesopathies (M76-M77) pressure uler (pressure area) (L89.-) M70.0 Crepitant synovitis (aute) (hroni) of han an wrist M70.03 Crepitant synovitis (aute) (hroni), wrist M Crepitant synovitis (aute) (hroni), right wrist M Crepitant synovitis (aute) (hroni), left wrist M Crepitant synovitis (aute) (hroni), unspeifie wrist M70.04 Crepitant synovitis (aute) (hroni), han M Crepitant synovitis (aute) (hroni), right han M Crepitant synovitis (aute) (hroni), left han M Crepitant synovitis (aute) (hroni), unspeifie han M70.1 Bursitis of han M70.10 Bursitis, unspeifie han M70.11 Bursitis, right han M70.12 Bursitis, left han M70.2 Oleranon bursitis M70.20 Oleranon bursitis, unspeifie elbow M70.21 Oleranon bursitis, right elbow M70.22 Oleranon bursitis, left elbow M70.3 Other bursitis of elbow M70.30 Other bursitis of elbow, unspeifie elbow M70.31 Other bursitis of elbow, right elbow M70.32 Other bursitis of elbow, left elbow M70.4 Prepatellar bursitis M70.40 Prepatellar bursitis, unspeifie knee M70.41 Prepatellar bursitis, right knee M70.42 Prepatellar bursitis, left knee M70.5 Other bursitis of knee M70.50 Other bursitis of knee, unspeifie knee M70.51 Other bursitis of knee, right knee M70.52 Other bursitis of knee, left knee M70.6 Trohanteri bursitis Trohanteri teninitis M70.60 Trohanteri bursitis, unspeifie hip M70.61 Trohanteri bursitis, right hip M70.62 Trohanteri bursitis, left hip e g a p M67.87 M70.62 SAitional Charater Req g Plaeholer Alert Unaeptable PDx Other soft tissue isorers (M70-M79) ankle an foot M Other speifie isorers of synovium, right ankle an foot M Other speifie isorers of synovium, left ankle an foot M Other speifie isorers of tenon, right ankle an foot M Other speifie isorers of tenon, left ankle an foot M Other speifie isorers of synovium an tenon, unspeifie ankle an foot M67.88 Other speifie isorers of synovium an tenon, other site M67.89 Other speifie isorers of synovium an tenon, multiple sites Unspeifie isorer of synovium an tenon M67.90 Unspeifie isorer of synovium an tenon, unspeifie site M67.91 Unspeifie isorer of synovium an tenon, shouler M Unspeifie isorer of synovium an tenon, right shouler M Unspeifie isorer of synovium an tenon, left shouler M Unspeifie isorer of synovium an tenon, unspeifie shouler M67.92 Unspeifie isorer of synovium an tenon, upper arm M Unspeifie isorer of synovium an tenon, right upper arm M Unspeifie isorer of synovium an tenon, left upper arm M Unspeifie isorer of synovium an tenon, unspeifie upper arm M67.93 Unspeifie isorer of synovium an tenon, forearm M Unspeifie isorer of synovium an tenon, right forearm M Unspeifie isorer of synovium an tenon, left forearm M Unspeifie isorer of synovium an tenon, unspeifie forearm M67.94 Unspeifie isorer of synovium an tenon, han M Unspeifie isorer of synovium an tenon, right han M Unspeifie isorer of synovium an tenon, left han M Unspeifie isorer of synovium an tenon, unspeifie han M67.95 Unspeifie isorer of synovium an tenon, thigh M Unspeifie isorer of synovium an tenon, right thigh M Unspeifie isorer of synovium an tenon, left thigh M Unspeifie isorer of synovium an tenon, unspeifie thigh M67.96 Unspeifie isorer of synovium an tenon, lower leg M Unspeifie isorer of synovium an tenon, right lower leg M Unspeifie isorer of synovium an tenon, left lower leg M Unspeifie isorer of synovium an tenon, unspeifie lower leg M67.97 Unspeifie isorer of synovium an tenon, ankle an foot M Unspeifie isorer of synovium an tenon, right ankle an foot M Unspeifie isorer of synovium an tenon, left ankle an foot M Unspeifie isorer of synovium an tenon, unspeifie ankle an foot M67.98 Unspeifie isorer of synovium an tenon, other site M67.99 Unspeifie isorer of synovium an tenon, multiple sites Chapter 13. Diseases of the Musuloskeletal System an Connetive Tissue M67.87 Other speifie isorers of synovium an tenon, M67.87 M70.62 E-R Hospital Aquire Conition 1Not Coe Here 2Not Inlue Here 765

11 S06.4X1 S06.82 Chapter 19. Injury, Poisoning an Certain Other Consequenes of External Causes S06.4X1 S06.82 Chapter 19. Injury, Poisoning an Certain Other Consequenes of External Causes e S06.4X1 Epiural hemorrhage with loss of ai onsiousness of 30 minutes or less e S06.4X2 Epiural hemorrhage with loss of ai onsiousness of 31 minutes to 59 minutes e S06.4X3 Epiural hemorrhage with loss of ai onsiousness of 1 hour to 5 hours 59 minutes e S06.4X4 Epiural hemorrhage with loss of ai onsiousness of 6 hours to 24 hours e S06.4X5 Epiural hemorrhage with loss of ai onsiousness greater than 24 hours with return to pre-existing onsious level e S06.4X6 Epiural hemorrhage with loss of ai onsiousness greater than 24 hours without return to pre-existing onsious level with patient surviving e S06.4X7 Epiural hemorrhage with loss of ai onsiousness of any uration with eath ue to brain injury prior to regaining onsiousness e S06.4X8 Epiural hemorrhage with loss of ai onsiousness of any uration with eath ue to other auses prior to regaining onsiousness e S06.4X9 Epiural hemorrhage with loss of ai onsiousness of unspeifie uration Epiural hemorrhage NOS S06.5 Traumati subural hemorrhage S06.5X Traumati subural hemorrhage e S06.5X0 Traumati subural hemorrhage ai without loss of onsiousness e S06.5X1 Traumati subural hemorrhage ai with loss of onsiousness of 30 minutes or less e S06.5X2 Traumati subural hemorrhage ai with loss of onsiousness of 31 minutes to 59 minutes e S06.5X3 Traumati subural hemorrhage ai with loss of onsiousness of 1 hour to 5 hours 59 minutes e S06.5X4 Traumati subural hemorrhage ai with loss of onsiousness of 6 hours to 24 hours e S06.5X5 Traumati subural hemorrhage ai with loss of onsiousness greater than 24 hours with return to pre-existing onsious level e S06.5X6 Traumati subural hemorrhage ai with loss of onsiousness greater than 24 hours without return to preexisting onsious level with patient surviving e S06.5X7 Traumati subural hemorrhage ai with loss of onsiousness of any uration with eath ue to brain injury before regaining onsiousness e S06.5X8 Traumati subural hemorrhage ai with loss of onsiousness of any uration with eath ue to other ause before regaining onsiousness e S06.5X9 Traumati subural hemorrhage ai with loss of onsiousness of unspeifie uration Traumati subural hemorrhage NOS S06.6 Traumati subarahnoi hemorrhage S06.6X Traumati subarahnoi hemorrhage e S06.6X0 Traumati subarahnoi ai hemorrhage without loss of onsiousness e S06.6X1 Traumati subarahnoi ai hemorrhage with loss of onsiousness of 30 minutes or less e S06.6X2 Traumati subarahnoi ai hemorrhagewith loss of onsiousness of 31 minutes to 59 minutes e S06.6X3 Traumati subarahnoi ai hemorrhage with loss of onsiousness of 1 hour to 5 hours 59 minutes e S06.6X4 Traumati subarahnoi ai hemorrhage with loss of onsiousness of 6 hours to 24 hours e S06.6X5 Traumati subarahnoi ai hemorrhage with loss of onsiousness greater than 24 hours with return to pre-existing onsious level e S06.6X6 Traumati subarahnoi ai hemorrhage with loss of onsiousness greater than 24 hours without return to pre-existing onsious level with patient surviving e S06.6X7 Traumati subarahnoi ai hemorrhage with loss of onsiousness of any uration with eath ue to brain injury prior to regaining onsiousness e S06.6X8 Traumati subarahnoi ai hemorrhage with loss of onsiousness of any uration with eath ue to other ause prior to regaining onsiousness e S06.6X9 Traumati subarahnoi ai hemorrhage with loss of onsiousness of unspeifie uration Traumati subarahnoi hemorrhage NOS S06.8 Other speifie intraranial injuries S06.81 Injury of right internal aroti artery, intraranial portion, not elsewhere lassifie e S Injury of right internal aroti artery, intraranial portion, not elsewhere lassifie without loss of onsiousness e S Injury of right internal aroti AI 30 minutes or less e S Injury of right internal aroti AI 31 minutes to 59 minutes e S Injury of right internal aroti AI 1 hour to 5 hours 59 minutes e S Injury of right internal aroti AI 6 hours to 24 hours e S Injury of right internal aroti AI lassifie with loss of onsiousness greater than 24 hours with return to pre-existing onsious level e S Injury of right internal aroti ai lassifie with loss of onsiousness greater than 24 hours without return to pre-existing onsious level with patient surviving e S Injury of right internal aroti ai any uration with eath ue to brain injury prior to regaining onsiousness e S Injury of right internal aroti ai any uration with eath ue to other ause prior to regaining onsiousness e S Injury of right internal aroti AI unspeifie uration Injury of right internal aroti artery, intraranial portion, not elsewhere lassifie NOS S06.82 Injury of left internal aroti artery, intraranial portion, not elsewhere lassifie 8 Newborn: 0 9 Peiatri: 0-17 x Maternity: y Ault: a Major CC Conition l PDx ats as own MCC A CC Conition 912 m PDx ats as own CC

12 ICD-10-CM 2017 Appenix C: Pharmaology List 2018 Appenix C: Pharmaology List 2018 This setion enables the oer to quikly review rugs, rug ations, an iniations that are often assoiate with overlooke or unoumente iagnoses. The oer shoul review the patient s meiation reor an know what onition the physiian is treating with the presribe meiation base on oumentation in the meial reor. When oumentation is laking, the oer an referene this setion to loate the rug, etermine the rug ation, onfirm rug iniations, an when neessary query the physiian. Drug Drug Ation Iniations Aupril [quinapril] ACE inhibitor; antihypertensive Congestive heart failure; essential hypertension Aetaminophen an oeine Analgesi Pain, moerate to severe [aetominophen/oeine phosphate] Atemra [toilizumab] Antirheumati Rheumatoi arthritis Atonel [riseronate] Eletrolyti an renal agent; bone resorption inhibitor Derease bone loss in multiple myeloma patients; Paget s isease; hyperparathyroiism; osteoporosis Aalat CC [nifeipine] Calium hannel bloker Vasospasti angina; hroni stable angina; essential hypertension Alatone [spironolatone] Cariovasular agent; antihypertensive Treatment of severe heart failure; asites assoiate with irrhosis; hypokalemia agent; iureti; eletrolyti an renal agent Allegra [fexofenaine/ hyrohlorie Antihistamine Seasonal allergi rhinitis pseuoepherine] Allopurinol [allopurinol] Antigout Gouty arthritis, renal alulus, hyperuriemia, hyperuriemia seonary to leukemia, hyperuriemia seonary to lymphoma Alphagan P [brimoniine] Antiglauoma agent (ophthalmi) antihypertensive, oular Open angle glauoma or another onition in whih pressure in the eye is too high (oular hypertension) Alprazolam [alprazolam] Antianxiety; seative/hypnoti Altae [ramipril] ACE inhibitor; antihypertensive Congestive heart failure, essential hypertension Amaryl [glimepirie] Bloo gluose regulator Diabetes mellitus Ambien [zolpiem] Seative/hypnoti Insomnia Abilify [aripiprazole] Antipsyhoti Depression, bipolar isorer, shizophrenia, autism symptoms Amikain [amikain sulfate] Aminoglyosie antibioti Ative in treatment of gram-negative baterial infetions suh as Pseuomonas, Esherihia oli (E. oli), Proteus, Klebsiella-Enterobater-Serratia Aminophylline [aminophylline] Bronhoilator, pulmonary vasoilator, smooth musle relaxant Relief an/or prevention of symptoms from asthma an reversible bronhospasms in bronhitis an emphysema Amitriptyline hyrohlorie Anorexiant/CNS stimulant; antiepressant Depression [amitriptyline hyrohlorie] Amoxiillin, Amoxil [amoxiillin] Peniillin Effetive for infetions with a broa spetrum of bateriial ativity against many gram-positive an gram-negative miro-organisms; otitis meia, gonorrhea, skin, respiratory, gastrointestinal, an genitourinary infetions Amrix [ylobenzaprine hyrohlorie] Musle relaxant Ajunt to rest an physial therapy for musle spasms Anef [efazoline soium] Semisyntheti ephalosporin antibioti Respiratory trat infetions ue to Streptoous pneumoniae, Klebsiella speies, Haemophilus influenzae (H. influenzae), Staphyloous aureus, an group A betahemolyti streptooi; urinary trat infetions ue to E. oli, Proteus mirabilis, Klebsiella speies an some strains of Enterobater an enterooi; skin an skin struture infetions, biliary trat infetions, bone an joint infetions, genital infetions, septiemia, an enoaritis Antabuse [isulfiram] Alohol treatment Aloholism Anzemet [olasetron mesylate] Antiemeti/ antinauseant Management of nausea/vomiting following surgery or from effets of hemotherapy or aner Aranesp [arbepoetin alfa] Erythropoiesis-stimulating agent (ESA) Treat lower than normal bloo ells (anemia) from isorers suh as CKD an neoplasms Ariept [onepezil hyrohlorie] Aetylholine sterase inhibitor Symptoms of mil to moerate Alzheimer s isease; an improve thinking ability in some patients Arthrote [ilofena/misoprostol] Analgesi Treatment of patients with arthritis who may evelop stomah ulers from taking nonsteroial anti-inflammatory rugs (NSAIDs) alone; use to help relieve some symptoms of arthritis, suh as inflammation, swelling, stiffness, an joint pain Atenolol [atenolol] Antianginal; antihypertensive; beta bloker Chroni stable angina petoris; essential hypertension; reues ariovasular mortality in those with efinite or suspete aute myoarial infartion Ativan [lorazepam] Antianxiety; seative/hypnoti Anxiety isorer assoiate with epressive symptoms; ontrols tension, agitation, irritability, an insomnia Atrovent [ipratropium bromie] Antiasthmati/bronhoilator Chroni bronhitis, emphysema; bronhial asthma Augmentin [amoxiillin/lavulanate] Antibaterial Mile ear, lower respiratory, sinus, skin an skin strutures, an urinary trat infetions Avapro [irbesartan] Antihypertensive Hypertension Axi [nizatiine] Histamine H2-reeptor antagonist Ai/pepti isorer; gastroesophageal reflux; uoenal, gastri, an pepti ulers Appenix C: Pharmaology List 2017 Appenixes 5

13 Illustrations Chapter 10. Diseases of the Respiratory System (J00 J99) Respiratory System e l p e g a p m a S Illustrations 27