SAMPLE. ICD-10-CM Fast Finder 2016

Transcription

1 ICD-10-CM Fast Finder 2016 SAMPLE ABNORMAL SYMPTOMS Absent Hyperactive Other/NOS Bowel sounds R19.11 R19.12 R19.15 Color Bulky stools Mucus Occult blood Fecal R19.5 R19.5 R19.5 R19.5 Abdomen Biliary tract Liver Other digestive Retroperitoneum Findings R93.5 R93.2 R93.2 R93.3 R93.5 ABSCESS Anal Anorectal Ischiorectal Intrasphincteric Perianal Perirectal Rectal K61.0 K61.2 K61.3 K61.4 K61.0 K61.1 K61.1 Esophagus Mesenteric Omentum Peritoneal Subhepatic Subphrenic K20.8 K65.1 K65.1 K65.1 K65.1 K65.1 ADHESIONS, POSTOPERATIVE/POSTINFECTION Abd wall Diaphragm Intestine Mesenteric Omentum Pelvic, fem, post infect Pelvic, fem, post op Peritoneum Stomach w/o Obstruction K66.0 K66.0 K66.0 K66.0 K66.0 N73.6 N99.4 K66.0 K66.0 Intestine Peritoneum w/ Obstruction K56.5 K56.5 ABSENCE OF Aliment tract Aliment tract upr Anus Appendix Biliary duct Duodenum Esophagus Gallbladder Ileum Jejunum Acquired Z90.49 Z90.49 Z90.49 Z90.49 Z90.49 Z90.49 Z90.49 Z90.49 Congenital Q45.8 Q40.8 Q42.3 Q42.8 Q44.5 Q41.0 Q39.8 Q44.0 Q41.2 Q41.1 w/ Fistula Q42.2 Liver Lg intest unsp Pancreas, com Pancreas, part Rectum Sm intest unsp Stomach Acquired Z90.49 Z90.49 Z Z Z90.49 Z90.49 Z90.3 Congenital Q44.7 Q42.9 Q45.0 Q45.0 Q42.1 Q41.9 Q40.2 w/ Fistula Q42.0 ANEMIA Oth constitut Drug induced d/t Infection d/t Radiation d/t Oth ext Idiopathic Other Unspecified Aplastic D61.09 D61.1 D61.2 D61.2 D61.2 D61.3 D61.89 D61.9 Diet folate Drug-ind folate Folate, NOS Iron, NOS Iron d/t bld loss Nutritional Protein Vit B-12, NOS Unspecified Deficiency D52.0 D52.1 D52.9 D50.9 D50.0 D53.9 D53.0 D51.9 D53.9 Chemo Chr blood loss Act blood loss CKD/ESRD Neoplasm Due to D64.81 D50.0 D62 D63.1 D63.0 Acq, NOS Acute Chronic, unsp Idiopathic d/t Drugs Familial Nonautoim Secondary Symptomatic Unsp Hemolytic D59.9 D59.9 D58.9 D59.9 D59.2 D58.9 D59.4 D59.4 D59.4 D58.9 Autoimmune D59.1 D59.0 D59.1 D59.1 D59.1 Atypical Hypochromic Idiopathic Macrocytic Malnutrition Microcytic Normocytic Pernicous Toxic Unsp Other D64.9 D50.9 D64.9 D53.9 D53.9 D50.9 D64.9 D51.0 D61.2 D64.9 Note: For code D63.1, code first underlying CKD (Stage 3 N18.3, Stage 4 N18.4, Stage 5 N18.5, ESRD N18.6). Note: For code D63.0, code first associated malignancy (C00-D49) see NEOPLASM. ANGIODYSPLASIA Cecum Colon Stomach/duodenum w/ Bleeding K55.21 K55.21 K w/o Bleeding, NOS K55.20 K55.20 K

2 COLITIS Acute (NOS/NEC) Chronic (NOS/NEC) Allergy /diet C. difficile d/t Drugs d/t Radiation Eosinophilic K52.9 K52.9 K52.2 A04.7 K52.1 K52.0 K52.82 Hemorrhage Infectious NOS Noninfectious Staph Toxic Other specified Unspecified K52.9 A09 K52.9 A04.8 K52.1 K52.89 K52.9 Abscess Fistula Intestinal obstruct Rectal bleeding w/o Complication Other Unspecified comp Ulcerative Pancolitis K K K K K51.00 K K Proctitis K K K K K51.20 K K Rectosigmoiditis K K K K K51.30 K K Other K K K K K51.80 K K Unspecified K K K K K51.90 K K Note: Enterocolitis, ulcerative see Pancolitis above. For code K52.2, use add l code to identify type of food allergy. For code K52.1, code first T51 T65 to represent the toxic agent, followed by K52.1, then an add l code from category T36 T50 to represent the adverse effect, if appropriate. COMPLICATIONS OF Hemorrhage Infection Malfunction Other Unspecified Bariatric procedure K95.81 K95.89 Colostomy K94.01 K94.02 K94.03 K94.09 K94.00 Enterostomy K94.11 K94.12 K94.13 K94.19 K94.10 Esophagostomy K94.31 K94.32 K94.33 K94.39 K94.30 Gastric band K95.01 K95.09 Gastrostomy K94.21 K94.22 K94.23 K94.29 K94.20 Pouchitis K K Note: Use additional code to identify infection see PARASITE/INFECTION. Use additional codes to further specify other complications. CONSTIPATION Outlet dysfunction Psychogenic Slow transit Other Unspecified K59.02 F45.8 K59.01 K59.09 K59.00 DIABETES MELLITUS Diabetic nephropathy w/ CKD Other Kidney complication Type I E10.21 E10.22 E10.29 Type II E11.21 E11.22 E11.29 Amytrophy Autonomic Mono Poly Other Unspecified Neuropathy Type I E10.44 E10.43 E10.41 E10.42 E10.49 E10.40 Type II E11.44 E11.43 E11.41 E11.42 E11.49 E11.40 Without complications Type I E10.9 Type II E11.9 Note: Code also any insulin use (Z79.4) for category E11. DISRUPTION, OPERATIVE WOUND External Internal Traumatic injury Unspecified T81.31X[A,D,S] T81.32X[A,D,S] T81.33X[A,D,S] T81.30X[A,D,S] 7th character meanings as indicated: A initial encounter D subsequent encounter S sequela DIARRHEA Bacteria NOS C. difficle E. coli NOS Staphylococcal Protozoal Viral NOS d/t Organism A04.9 A04.7 A04.4 A04.8 A07.9 A08.4 Cachectic NEC Chronic (non-infect) Dysenteric Functional Infectious Neonatal Nervous Postgastrectomy Other K52.89 K52.9 A09 K59.1 A09 P78.3 F45.8 K91.1 Post other GI surg Psychogenic Unspecified K91.89 F45.8 R19.7

3 GASTRITIS Acute Alcoholic Allergy/diet d/t Diet def Eosinophilic Giant Granulomatous Hypertrophic Nervous w/o Bleed, NOS K29.00 K29.20 K29.60 E63.9 K52.81 K29.60 K29.60 K29.60 F54 w/ Bleed K29.01 K29.21 K29.61 K29.61 K29.61 K29.61 Simple Spastic Viral Other Unspecified w/o Bleed, NOS K29.70 K29.60 A08.4 K29.60 K29.70 w/ Bleed K29.71 K29.61 K29.61 K29.71 Atrophic Chronic Bile induced Superficial Unspecified Chronic w/o Bleed K29.40 K29.50 K29.30 K29.30 K29.50 w/ Bleed K29.41 K29.51 K29.31 K29.31 K29.51 GASTROPARESIS HEMATURIA K31.84 Benign Gross Of childhood Idiopathic Other micro Persistent Recur Unspecified Note: Code first underlying disease. R31.1 R31.0 N02.9 N02.9 R31.2 N02.9 N02.9 R31.9 HEMOCHROMATOSIS d/t Repeated transfusions w/ Refractory anemia Hereditary Primary Other Unspecified E D46.1 E E E E HEMORRHAGE Anus/rectum Esophageal Intestine Liver Pancreas Stomach Unspecified Gastric K62.5 K22.8 K92.2 K76.89 K86.8 K92.2 K92.2 Newborn P54.2 P54.3 HEMORRHOIDS 1st degree 2nd degree 3rd degree 4th degree Bleeding Other Unspecified Internal K64.0 K64.1 K64.2 K64.3 K64.9 K64.8 K64.9 w/ Thrombosis NOS External K64.5 K64.4 HEPATITIS Acute w/ Hepatic coma Viral NOS A B15.9 B15.0 B15.9 B15.9 w/ Ascites w/o Ascites Alcoholic K70.11 K70.10 Acute Acute w/ hepatic coma Chronic Viral Unspecified B w/o Delta agent B16.9 B16.2 B18.1 B16.9 B16.9 w/ Delta agent B16.1 B16.0 B18.0 B18.0 Unspecified B16.9 B19.11 B18.1 B19.10 Acute Acute w/ hepatic coma Chronic Unspecified C B17.10 B17.11 B18.2 B17.10 w/ Hepatic coma Viral Unspecified Unspecified B19.21 B19.20 B19.20 Active Lobular Persistent Other Unspecified Chronic, NEC K73.2 K73.1 K73.0 K73.8 K73.9 Acute Acute delta super Hep B Autoimmune Cholangiolitic Chronic Cytomegaloviral Other specified B17.8 B17.0 K75.4 K75.89 B18.8 B25.1 Hepatitis B Hepatitis C Other viral Unspecified Status, carrier Z22.51 Z22.52 Z22.59 Z22.50 Acute Chronic Viral w/ hepatic coma Viral Unspecified Unspecified B17.9 B18.9 B19.0 B19.9 B19.9 HEPATOMEGALY Congenital w/ Splenomegaly NOS w/ Gamma mono w/ Infectious mono NOS Q44.7 R16.2 B27.09 B27.89 R16.0

4 NEOPLASM (Continued) Duodenum Ileum Jejunum Overlap les Unspecified Intestine, small Benign D13.2 D13.39 D13.39 D13.30 Malignant, primary C17.0 C17.2 C17.1 C17.8 C17.9 Primary, malig Second, malig Benign Liver C22.8 C78.7 D13.4 Body Duct Ectopic tissue Head Islet cells Neck Tail Unspecified Pancreas Benign D13.6 D13.6 D13.6 D13.6 D13.7 D13.6 D13.6 D13.6 Malignant, primary C25.1 C25.3 C25.7 C25.0 C25.4 C25.7 C25.2 C25.9 Stomach Benign D13.1 Antrum Body Cardia Cardia orifice Corpus Fundus Grt curvature Malignant, primary C16.3 C16.2 C16.0 C16.0 C16.2 C16.1 C16.6 Less curvature Prepylorus Pylorus Anterior wall Posterior wall Wall unsp Unspecified C16.5 C16.4 C16.4 C16.8 C16.8 C16.9 C16.9 Note: Code neoplasm of the cardioesophogeal junction to C16.0. Carcinoid tumor see TUMOR. OBSTRUCTION Bile Bile w/ calculus Pancreatic Duct K83.1 K80.51 K86.8 Neurogenic Postoperative w/ Adhesions Other Unspecified Intestine K56.0 K91.3 K56.5 K56.69 K56.60 Duodenum Ileum/jejunum Rectum K31.5 K56.60 K62.4 d/t Fecaliths d/t Inspissated milk d/t Meconium Other Unspecified Newborn P76.8 P76.2 P76.0 P76.8 P76.9 Esophagus Pylorus, adult Pylorus, infantile Other sites K22.2 K31.1 Q40.0 Acute d/t Pylorospasm Unspecified Stomach K31.0 K31.3 K31.89 Note: For congenital obstruction see ATRESIA, CONGENITAL. PAIN Acute abdomen R10.0 Gas R14.1 Generalized R10.84 Epigastric Lower, left Lower, right Upper, left Upper, right Abdominal Localized R10.13 R10.32 R10.31 R10.12 R10.11 Periumbilical Unspecified, lower Unspecified, upper R10.33 R10.30 R10.10 Epigastric Periumbilic Generalized Lower, left Lower, right Tenderness R R R R R Upper, left Upper, right Unspecified R R R Lower, left Lower, right Epigastric Generalized Periumbilic Rebound R R R R R Upper, left Upper, right Unspecified R R R PANCREATITIS Alcohol induced Biliary Drug induced Gallstone Idiopathic Other Unspecified Acute K85.2 K85.1 K85.3 K85.1 K85.0 K85.8 K85.9 Alcohol induced Infectious Interstitial Recurrent Relapsing Other Chronic K86.0 K86.1 K86.1 K86.1 K86.1 K86.1

5 SYNDROME Gastro-esoph lacer hemorr Hepatorenal Mallory-Weiss Meckel's diverticulum Postgastrectomy Postvagotomy K22.6 K76.7 K22.6 Q43.0 K91.1 K91.1 Low grade dysplasia High grade dysplasia w/o Dysplasia Unspecified Barrett's esophagus K K K22.70 K w/ Diarrhea w/o Diarrhea NOS Irritable bowel synd K58.0 K58.9 K58.9 Chronic d/t Mesenteric art def Unspecified Ischemic bowel K55.1 K55.1 K55.9 TUMOR Appendix Cecum Ascending Descending Transverse Sigmoid Rectum Unspecified Carcinoid Large intesine C7A.020 C7A.021 C7A.022 C7A.024 C7A.023 C7A.025 C7A.026 C7A.029 Duodenum Jejunum Ileum Unspecified Small intestine C7A.010 C7A.011 C7A.012 C7A.019 Foregut Hindgut Midgut Stomach Other sites C7A.094 C7A.096 C7A.095 C7A.092 Bone Liver Lymph nodes Peritoneum Other Unspecified Carcinoid, secondary C7B.03 C7B.02 C7B.01 C7B.04 C7B.09 C7B.00 ULCER Anus/rectum K62.6 Intestine, primary K63.3 w/ Hemorrhage w/ Perforation w/ Hemorrhage/perf w/o Hemorrhage /perf Duodenal Acute K26.0 K26.1 K26.2 K26.3 Chronic K26.4 K26.5 K26.6 K26.7 Unspecified K26.4 K26.5 K26.6 K26.9 d/t Aspirin d/t GERD d/t Chemo/med Fungal infection Infection NOS Unspecified Esophagus w/o Bleeding K22.10 K21.0 K22.10 K22.10 K22.10 K22.10 w/ Bleeding K22.11 K22.11 K22.11 K22.11 K22.11 w/ Hemorrhage w/ Perforation w/ Hemorrhage/perf Unspecified Gastrojejunal K28.4 K28.5 K28.6 K28.9 Acute K28.0 K28.1 K28.2 K28.3 Chronic K28.4 K28.5 K28.6 K28.7 Peptic K27.4 K27.5 K27.6 K27.9 Acute K27.0 K27.1 K27.2 K27.3 Chronic K27.4 K27.5 K27.6 K27.7 Stomach K25.4 K25.5 K25.6 K25.9 Acute K25.0 K25.1 K25.2 K25.3 Chronic K25.4 K25.5 K25.6 K25.7 VARICIES Prim w/ bleed Prim w/o bleed Second w/ bleed Second w/o bleed NOS Esophagus I85.01 I85.00 I85.11 I85.10 I85.00 Alcoholic liver dz Cirrhosis of liver Portal HTN Schistosomiasis Toxic liver disease Secondary Unspecified w/ Bleeding I85.11 I85.11 I85.11 I85.11 I85.11 I85.11 I85.01 w/o Bleeding I85.10 I85.10 I85.10 I85.10 I85.10 I85.10 I85.00 Gastric I86.4 Note: On secondary esophageal varices, code first the underlying disease such as cirrhosis of the liver (K74.60). WOUND DEHISCENCE Deep External open wound Internal open wound Traumatic injury Unspecified T81.32X[A,D,S] T81.31X[A,D,S] T81.32X[A,D,S] T81.33X[A,D,S] T81.30X[A,D,S] 7th character meanings as indicated: A initial encounter D subsequent encounter S sequela