ICD-10-CM (GEM) ICD10Data.com CMS.gov/icd10 ICD10CODEsearch.com
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1 ICD-10-CM (GEM) General Equivalency Mapping (GEM): Bidirectional conversions between ICD-9 vs. ICD-10 Not intended to be crosswalks. A tool to help map/code accurately Clinical judgement & decision making is still critical Read the coding instructions ICD10Data.com CMS.gov/icd10 ICD10CODEsearch.com
2 ICD-9 to ICD-10 Crosswalk Diagnosis ICD-9 ICD-10 Cervicalgia M54.2 Thoracic Myofascial Pain M54.6 Lumbago M54.5 Cervical Sprain of ligaments, initial encounter S13.4XXA Cervical Sprain of joints and ligaments of other parts, initial encounter S13.8XXA Cervical Strain (A = Initial Encounter) S16.1XXA Cervical Strain (D = Subsequent Encounter) S16.1XXD Cervical Strain (S = Sequela) S16.1XXS Thoracic Sprain of ligaments, initial encounter S23.3XXA Thoracic Sprain of other specified parts, initial encounter S23.8XXA Lumbar Sprain of ligaments, initial encounter S33.5XXA Lumbar Strain (A = Initial Encounter) S39.012A Lumbar Strain (D = Subsequent Encounter) S39.012D Lumbar Strain (S = Sequela) S39.012S
3 ICD-9 to ICD-10 Crosswalk Diagnosis ICD-9 ICD-10 Cervicalgia M54.2 Thoracic Myofascial Pain M54.6 Lumbago M54.5 Cervical Sprain of ligaments, initial encounter S13.4XXA Cervical Sprain of joints and ligaments of other parts, initial encounter S13.8XXA Thoracic Sprain of ligaments, initial encounter S23.3XXA Thoracic Sprain of other specified parts, initial encounter S23.8XXA Lumbar Sprain of ligaments, initial encounter S33.5XXA Carpal Tunnel Syndrome G56.00 Ankle Sprain of unspecified ligament, initial encounter (unspecified ankle) S93.409A Ankle strain of unspecified muscle and tendon and foot, initial encounter (unspecified ankle) S96.919A Ankle Sprain of unspecified ligament (Right Ankle), initial encounter S93.401A Ankle Sprain of unspecified ligament (Left Ankle), initial encounter S93.402A Spasmodic Torticollis M43.6 Cervicogenic Headache R51 Headache Vascular, not elsewhere classified G44.1 Concussion without LOC S06.0X0A De Quervain - Radial Styloid tenosynovitis M65.4 Thoracic, Thoracolumbar, Lumbosacral intervertebral disc disorder unspecified M51.9 Wrist pain unspecified M Elbow - Lateral Epicondylitis, unspecified elbow M77.10 Elbow - Medial Epicondylitis, unspecified elbow M77.00 Headache - Post-Traumatic, unspecified G MVA - Driver E812.0 V49.88XA MVA - Passenger E812.1 V49.59XA
4 ICD-9 to ICD-10 Crosswalk Radiculopathy Cervical Radiculopathy M54.12 Thoracic Radiculopathy M54.14 Lumbar Radiculolapthy M54.16 Lumbosacral Radiculopathy M54.17
5 ICD-10-CM Transition from ICD-9 E Codes to ICD-10 MVA - Driver (A = Initial Encounter) E812.0 V49.88XA MVA - Passenger (A = Initial Encounter) E812.1 V49.59XA MVA - Injuring Motorcyclist (A = Initial Encounter) E812.2 V29.49XA MVA - Injuring Pedal Cyclist (A = Initial Encounter) E812.6 V13.9XXA MVA - Injuring Pedestrian (A = Initial Encounter) E812.7 V03.10XA
6 ICD-9 to ICD-10 Elbow Diagnoses Elbow Pain - unspecified M Elbow Pain (Right) M Elbow Pain (Left) M Elbow - Lateral Epicondylitis, unspecified elbow M77.10 Elbow - Medial Epicondylitis, unspecified elbow M77.00
7 ICD-9 to ICD-10 Knee Diagnoses Knee - Pain (Unspecified) M Knee - Pain (Right) M Knee - Pain (Left) M Knee - ACL Sprain (Unspecified) S83.519A Knee - ACL Sprain (Right) Initial Encounter S83.511A Knee - ACL Sprain (Left) Initial Encounter S83.512A Knee - ACL Sprain (Right) Sequela S83.511S Knee - ACL Sprain (Left) Sequela S83.512S Knee - MCL Sprain (Unspecified) S83.419A Knee - MCL Sprain (Right) Initial Encounter S83.411A Knee - MCL Sprain (Left) Initial Encounter S83.412A Knee - MCL Sprain (Right) Sequela S83.411S Knee - MCL Sprain (Left) Sequela S83.412S Knee - Meniscus Tear (Unspecified) S83.209A Knee - Meniscus Tear (Right) Initial Encounter S83.206A Knee - Meniscus Tear (Left) Initial Encounter S83.207A Knee - Meniscus Tear (Right) Sequela S83.206S Knee - Meniscus Tear (Left) Sequela S83.207S
8 ICD-9 to ICD-10 Crosswalk Head Segmental Dysfunction M99.00 Cervical Segmental Dysfunction M99.01 Thoracic Segmental Dysfunction M99.02 Lumbar Segmental Dysfunction M99.03 Sacral Segmental Dysfunction M99.04 Pelvic Segmental Dysfunction M99.05 Lower Extremity Segmental Dysfunction M99.06 Upper Extremity Segmental Dysfunction M99.07 Rib Cage Segmental Dysfunction M99.08
9 ICD-10-CM Example: Cervical Disc Disorders - Radiculopathy ICD-9: ICD-10: M50.0 Cervical Disc Disorder with Radiculopathy (Not Billable Must specify 5 th digit) ICD-10: M50.10 Unspecified Cervical Region ICD-10: M50.11 High Cervical Region ICD-10: M50.12 Mid-Cervical Region ICD-10: M50.13 Cervicothoracic Region
10 Other dorsopathies (M50-M54)
11 Other dorsopathies (M50-M54)
12 Other dorsopathies (M50-M54)
13 Soft tissue disorders (M60-M79) Disorders of muscles (M60-M63)
14 Other soft tissue disorders (M70-M79) M70 Soft tissue disorders related to use, overuse and pressure
15 Other soft tissue disorders (M70-M79) M70 Soft tissue disorders related to use, overuse and pressure
16 M75 Shoulder lesions Excludes2: shoulder-hand syndrome (M89.0-)
17 M75 Shoulder lesions NOTE: Code the correct laterality (right vs. left) Note Excludes1 code Do not use S46.01 (strain) with M75 (non-traumatic)
18 M77 Other enthesopathies NOTE: Code the correct laterality (right vs. left)
19 M79 Other and unspecified soft tissue disorders, not elsewhere classified
JAW. R68.84 Jaw pain M26.60 Temporomandibular joint disorder, unspecified
HEAD, JAW AND NECK HEADACHE M53.0 Cervicocranial Syndrome R51 Headache (excludes migraine and other headache syndromes) G44.209 Tension-type headache, unspecified, not intractable G44.309 Post-traumatic
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