Common ICD-10-CA Codes Used in Continuing Care,

Transcription

1 Common ICD-10-CA Codes Used in Continuing Care, Types of Care

2 Our Vision Better data. Better decisions. Healthier Canadians. Our Mandate To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care. Our Values Respect, Integrity, Collaboration, Excellence, Innovation

3 This ICD-10-CA pick-list for the Continuing Care Reporting System (CCRS) has been developed by the Canadian Institute for Health Information (CIHI). It provides a range of ICD-10-CA codes and three-character category codes that were extracted from the full ICD-10-CA classification to help clinicians code diseases and other health conditions that frequently occur in continuing care. This pick-list can be used to code data element I3 in the RAI-MDS 2.0 assessment instrument. There were two main reasons for developing this pick-list: 1. Diagnosis coding in the continuing care environment does not need the same level of detail as that in acute and other hospital-based settings; and 2. Continuing care facilities do not necessarily have the expertise, in the form of health records professionals, to code diagnoses to the level of detail required in other CIHI reporting systems (such as the Discharge Abstract Database or National Ambulatory Care Reporting System). The pick-list is made up of An alphabetical index (extracted from the alphabetical index in the full ICD-10-CA classification). The CCRS pick-list is designed to cover the majority of conditions and diseases that clinicians come across in continuing care, but it is not a completely exhaustive list of all diagnoses or health conditions that may occur. CIHI recommends that clinicians review the pick-list first and then, if they are unable to find a suitable code, refer to the full ICD-10-CA Folio product to find the appropriate code. CCRS will accept any valid ICD-10-CA code, including those not on the pick-list. This product is based on the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10), World Health Organization, All rights reserved. Modified by permission for Canadian government purposes by the Canadian Institute for Health Information. Canadian Institute for Health Information. All rights reserved. 1

4 Code Short Description Detailed Description A491 Streptococcal infection unspec site Streptococcal infection, unspecified site A492 Haemophilus influenzae infect unspec sit Haemophilus influenzae infection, unspecified site A498 Other bacterial infections of site NOS Other bacterial infections of unspecified site A499 Bacterial infection unspecified Bacterial infection, unspecified B956 Staph aureus causing dis in other chptr Staphylococcus aureus as the cause of diseases classified to other chapters B9681 Enterococcus cause dis class oth chap Enterococcus as the cause of diseases classified to other chapters B99 Other & unspecified infectious diseases Other and unspecified infectious diseases C159 Malignant lesion oesophagus unspecified Malignant lesion oesophagus unspecified C169 Malignant neoplasm stomach unspecified Malignant neoplasm stomach unspecified C179 Malignant lesion small intestine NOS Malignant lesion small intestine unspecified C189 Malgt neoplasm colon unspecified part Malignant neoplasm colon, unspecified C19 Malignant neoplasm of rectosigmoid junction Malignant neoplasm of rectosigmoid junction C20 Malignant neoplasm of rectum Malignant neoplasm of rectum C210 Malignant neoplasm of anus unspecified Malignant neoplasm of anus unspecified C229 Malignant neoplasm of liver unspecified Malignant neoplasm of liver unspecified C23 Malignant neoplasm of gallbladder Malignant neoplasm of gallbladder C249 Malignant lesion biliary tract NOS Malignant lesion biliary tract unspecified C269 Malgt neoplm ill-def site digest system Malignant neoplasms of other & Ill-defined sites within the digestive system C3499 Malgt neoplm br/lung unspec, uns side Malignant neoplasm bronchus or lung, unspecified, unspecified side C388 Overlap malgt lsn heart mediast & pleura Overlapping malignant lesion of heart, mediastinum and pleura C399 Malgt neoplm ill-def sites resp system Malignant neoplasm of other ill-defined sites within the respiratory system C409 Malgt neoplm bone & artlr cart limb NOS Malignant neoplasm bone and articular cartilage of limb, unspecified C419 Malgt neoplasm bone & artlr cart NOS Malignant neoplasm bone and articular cartilage, unspecified C439 Malignant melanoma of skin, unspecified Malignant melanoma of skin, unspecified C449 Malignant neoplasm of skin, unspecified Malignant neoplasm of skin, unspecified C5099 Malgt neoplm breast part/side unspec Malignant neoplasm of breast, part unspecified, unspecified side C519 Malignant neoplasm of vulva unspecified Malignant neoplasm of vulva unspecified C52 Malignant neoplasm of vagina Malignant neoplasm of vagina C539 Malignant neoplasm cervix uteri NOS Malignant neoplasm cervix uteri, unspecified C55 Malignant neoplasm uterus part unspec Malignant neoplasm of uterus, part unspecified C569 Malgt neoplm ovary u/bilateral not spec Malignant neoplasm of ovary, not specified whether unilateral or bilateral C579 Malgt neoplasm female genital organ NOS Malignant neoplasm of female genital organ, unspecified C61 Malignant neoplasm of prostate Malignant neoplasm of prostate 2

5 Code Short Description Detailed Description C639 Malgt neoplasm male genital organ NOS Malignant neoplasm of male genital organ, unspecified C64 Malgt neoplasm kidney ex renal pelvis Malignant neoplasm of kidney, except renal pelvis C689 Malignant neoplasm urinary organ NOS Malignant neoplasm urinary organ unspecified C719 Malignant neoplasm of brain unspecified Malignant neoplasm of brain unspecified C729 Malignant neoplasm CNS unspecified Malignant neoplasm of central nervous system, unspecified C787 Sec malgt neoplm livr &intrahep bile dct Secondary malignant neoplasm of liver and intrahepatic bile duct C793 Sec malgt neoplm brain cerebral meninges Secondary malignant neoplasm of brain and cerebral meninges C794 Sec malgt neoplm oth/unspec nrvs system Secondary malignant neoplasm of other and unspecified parts of nervous system C795 Sec malgt neoplasm bone & bone marrow Secondary malignant neoplasm of bone and bone marrow C7988 Secondary malgt neoplm other spec sites Secondary malignant neoplasm of other specified sites D367 Benign neoplasm of other specified sites Benign neoplasm of other specified sites D519 Vitamin B12 deficiency anaemia unspec Vitamin B12 deficiency anaemia, unspecified D529 Folate deficiency anaemia unspecified Folate deficiency anaemia, unspecified D539 Nutritional anaemia unspecified Nutritional anaemia, unspecified D559 Anaemia due to enzyme disorder NOS Anaemia due to enzyme disorder, unspecified D569 Thalassaemia unspecified Thalassaemia, unspecified D578 Other sickle-cell disorders Other sickle-cell disorders D589 Hereditary haemolytic anaemia unspec Hereditary haemolytic anaemia, unspecified D599 Acquired haemolytic anaemia NOS Acquired haemolytic anaemia, unspecified D649 Anaemia unspecified Anaemia, unspecified E049 Nontoxic goitre unspecified Nontoxic goitre, unspecified E059 Thyrotoxicosis unspecified Thyrotoxicosis, unspecified E1452 Unspec DM w circultory compl Unspecified diabetes mellitus with certain circulatory complications E669 Obesity unspecified Obesity, unspecified E860 Dehydration Dehydration E868 Other volume depletion Other volume depletion E878 Oth disorder electrolyte & fluid bal NEC Other disorders of electrolyte and fluid balance, not elsewhere classified F019 Vascular dementia unspecified Vascular dementia, unspecified F069 Mental disrd dt brain dam dysf & dis NOS Unspecified mental disorder due to brain damage and dysfunction and to physical disease F079 Orgnc person/beh disrd dt brain dis NOS Unspecified organic personality and behavioural disorder due to brain disease, damage and dysfunction F09 Unspec orgnc or symptomatic mental disrd Unspecified organic or symptomatic mental disorder F102 Ment/beh disrd dt alcohol use dep syndr Mental and behavioural disorders due to use of alcohol, dependence syndrome 3

6 Code Short Description Detailed Description F109 Ment/beh disrd dt alco ment/beh dis NOS Mental and behavioural disorders due to use of alcohol, unspecified mental and behavioural disorder F229 Persistent delusional disorder NOS Persistent delusional disorder, unspecified F29 Unspecified nonorganic psychosis Unspecified nonorganic psychosis F309 Manic episode unspecified Manic episode, unspecified F339 Recurrent depressive disorder NOS Recurrent depressive disorder, unspecified F349 Persistent mood [affective] disorder NOS Persistent mood [affective] disorder, unspecified F388 Oth specified mood [affective] disorders Other specified mood [affective] disorders F39 Unspecified mood [affective] disorder Unspecified mood [affective] disorder F429 Obsessive-compulsive disorder NOS Obsessive-compulsive disorder, unspecified F439 Reaction to severe stress unspecified Reaction to severe stress, unspecified F489 Neurotic disorder unspecified Neurotic disorder, unspecified F69 Disrd adult personality & behaviour NOS Unspecified disorder of adult personality and behaviour F701 Mild mental retard signif impair beh Mild mental retardation, significant impairment of behaviour requiring attention or treatment F711 Mod mental retard signif impair beh Moderate mental retardation, significant impairment of behaviour requiring attention or treatment F721 Severe mental retard signif impair beh Severe mental retardation, significant impairment of behaviour requiring attention or treatment F731 Profound mental retard signif impair beh Profound mental retardation, significant impairment of behaviour requiring attention or treatment F781 Other mental retard w signif impair beh Other mental retardation, significant impairment of behaviour requiring attention or treatment F791 Unspec mental retard w signif impair beh Unspecified mental retardation, significant impairment of behaviour requiring attention or treatment F99 Mental disorder not otherwise specified Mental disorder, not otherwise specified G009 Bacterial meningitis unspecified Bacterial meningitis, unspecified G049 Encephalit myelitis encephalomyelit NOS Encephalitis, myelitis and encephalomyelitis, unspecified G119 Hereditary ataxia unspecified Hereditary ataxia, unspecified G1229 Motor neuron disease unspec Motor neuron disease, unspecified G128 Other spinal musc atrophies & rel syndr Other spinal muscular atrophies and related syndromes G129 Spinal musc atrophy unspec Spinal muscular atrophy, unspecified G239 Degenerative disease basal ganglia NOS Degenerative disease of basal ganglia, unspecified G249 Dystonia unspecified Dystonia, unspecified G259 Extrapyramidal & movement disorder NOS Extrapyramidal and movement disorder, unspecified G3100 Pick's disease Pick's disease G3101 Progressive isolated aphasia Progressive isolated aphasia [Mesulam] G3102 Frontal lobe dementia Frontal lobe dementia G319 Degenerative disease nervous system NOS Degenerative disease of nervous system, unspecified 4

7 Code Short Description Detailed Description G379 Demyelinating disease of CNS unspecified Demyelinating disease of central nervous system, unspecified G4090 Epilepsy unspecified n intr Epilepsy, unspecified, not stated as intractable G710 Muscular dystrophy Muscular dystrophy G834 Cauda equina syndrome Cauda equina syndrome G9388 Other specified disorders of brain Other specified disorders of brain G959 Disease of spinal cord unspecified Disease of spinal cord, unspecified H259 Senile cataract unspecified Senile cataract, unspecified H353 Degeneration macula & posterior pole Degeneration of macula and posterior pole H540 Blindness binocular Blindness, binocular H919 Hearing loss unspecified Hearing loss, unspecified I209 Angina pectoris unspecified Angina pectoris, unspecified I219 Acute myocardial infarction unspecified Acute myocardial infarction, unspecified I252 Old myocardial infarction Old myocardial infarction I259 Chronic IHD unspecified Chronic ischaemic heart disease, unspecified I269 Pulm embolism wo acute cor pulmonale Pulmonary embolism without mention of acute cor pulmonale I279 Pulmonary heart disease unspecified Pulmonary heart disease, unspecified I429 Cardiomyopathy unspecified Cardiomyopathy, unspecified I469 Cardiac arrest unspecified Cardiac arrest, unspecified I4801 Persistent atrial fibrillation Persistent atrial fibrillation I4802 Chronic atrial fibrillation Chronic atrial fibrillation I483 Typical atrial flutter Typical atrial flutter I484 Atypical atrial flutter Atypical atrial flutter I4890 Atrial fib unspec Atrial fibrillation, unspecified I4891 Atrial flutter unspec Atrial flutter, unspecified I499 Cardiac arrhythmia unspecified Cardiac arrhythmia, unspecified I509 Heart failure unspecified Heart failure, unspecified I639 Cerebral infarction unspecified Cerebral infarction, unspecified I669 Occlusion & stenosis cerebral artery NOS Occlusion and stenosis of unspecified cerebral artery I672 Cerebral atherosclerosis Cerebral atherosclerosis I679 Cerebrovascular disease unspecified Cerebrovascular disease, unspecified I709 Genl & unspecified atherosclerosis Generalized and unspecified atherosclerosis I730 Raynaud s syndrome Raynaud s syndrome I772 Rupture of artery Rupture of artery I778 Other spec disrd arteries & arterioles Other specified disorders of arteries and arterioles I809 Phlebitis & thrombophlebitis of site NOS Phlebitis and thrombophlebitis of unspecified site I839 Varicse veins lgs w/o ulcer/inflam/compl Varicose veins of lower extremities without ulcer, inflammation or other complication J09 Influenza dt cert ident influenza virus Influenza due to certain identified influenza virus J129 Viral pneumonia unspecified Viral pneumonia, unspecified J159 Bacterial pneumonia unspecified Bacterial pneumonia, unspecified 5

8 Code Short Description Detailed Description J189 Pneumonia unspecified Pneumonia, unspecified J40 Bronchitis not spec as acute or chronic Bronchitis, not specified as acute or chronic J439 Emphysema unspecified Emphysema, unspecified J449 COPD unspecified Chronic obstructive pulmonary disease, unspecified J4590 Asthma, unspec w/o st status asthmaticus Asthma, unspecified, without stated status asthmaticus J9699 Resp failure unspec type unspecified Respiratory failure, unspecified, type unspecified K20 Oesophagitis Oesophagitis K219 Gastro-oesoph reflux dis wo oesophagitis Gastro-oesophageal reflux disease without oesophagitis K259 Gastric ulcer NOS without haem or perf Gastric ulcer, unspecified as acute or chronic, without haemorrhage or perforation K449 Diaph hernia without obs or gangrene Diaphragmatic hernia without obstruction or gangrene K469 Unspec abdo hernia without obs or gangr Unspecified abdominal hernia without obstruction or gangrene K529 Noninfect gastroenteritis & colitis NOS Noninfective gastroenteritis and colitis, unspecified K579 Diverticlr dis intest NOS wo perf or abs Diverticular disease of intestine, part unspecified, without perforation or abscess K590 Constipation Constipation K639 Disease of intestine unspecified Disease of intestine, unspecified K769 Liver disease unspecified Liver disease, unspecified K929 Disease of digestive system unspecified Disease of digestive system, unspecified L890 Stage 1 decub ulc & press area Stage I decubitus ulcer and pressure area L891 Stage 2 decub ulc Stage II decubitus [pressure] ulcer L892 Stage 3 decub ulcer Stage III decubitus [pressure] ulcer L893 Stage 4 decub ulc Stage IV decubitus [pressure] ulcer L898 Decub ulc unstageable Decubitus [pressure] ulcer, unstageable L899 Decub ulcer & press area unspec Decubitus ulcer and pressure area, unspecified L97 Ulcer low limb not elsewhere classified Ulcer of lower limb, not elsewhere classified M069 Rheumatoid arthritis unspecified Rheumatoid arthritis, unspecified M1099 Gout unspecified site unspecified Gout, unspecified, unspecified site M159 Polyarthrosis unspecified Polyarthrosis, unspecified M199 Arthrosis, unspecified Arthrosis, unspecified M219 Acquired deformity of limb unspecified Acquired deformity of limb, unspecified M4029 Oth/unspec kyphosis unspecified site Other and unspecified kyphosis, unspecified site M4059 Unspecified lordosis unspecified site Lordosis, unspecified, unspecified site M4199 Unspecified scoliosis unspecified site Scoliosis unspecified, unspecified site M4809 Spinal stenosis, unspecified site Spinal stenosis, unspecified site M8099 Osteoporosis NOS w path fx site unspec Unspecified osteoporosis with pathological fracture, unspecified site M819 Osteoporosis, unspecified Osteoporosis, unspecified M8699 Unspecified osteomyelitis site NOS Osteomyelitis, unspecified, unspecified site 6

9 Code Short Description Detailed Description N19 Unspecified kidney failure Unspecified Kidney Failure N390 Urinary tract infection site not spec Urinary tract infection, site not specified N40 Hyperplasia of prostate Hyperplasia of prostate R138 Other and unspecified dysphagia Other and unspecified dysphagia R18 Ascites Ascites R32 Unspecified urinary incontinence Unspecified urinary incontinence R33 Retention of urine Retention of urine R53 Malaise and fatigue Malaise and fatigue R54 Senility Senility R688 Other specified general symptoms & signs Other specified general symptoms and signs U821 Resistance methicillin Resistance to methicillin U830 Resistance vancomycin Resistance to vancomycin 7

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11 Production of this report is made possible by financial contributions from Health Canada and provincial and territorial governments. The views expressed herein do not necessarily represent the views of Health Canada or any provincial or territorial government. All rights reserved. The contents of this publication may not be reproduced, in whole or in part, without the prior express written permission of the Canadian Institute for Health Information. For permission or information, please contact CIHI: Canadian Institute for Health Information 495 Richmond Road, Suite 600 Ottawa, Ontario K2A 4H6 Phone: Fax: Canadian Institute for Health Information Based upon the Resident Assessment Instrument (RAI), which includes the MDS 2.0 and Resident Assessment Protocols (RAPs). The RAI-MDS 2.0 is interrai Corporation, Washington D.C., 1997, Modified with permission for Canadian use under licence to the Canadian Institute for Health Information. Canadianized items and their descriptions are protected by copyright: 2002 Canadian Institute for Health Information.

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