Prescription Drug Monitoring and Toxicology ICD-10-CM resource guide Provided as a service of Quest Diagnostics 1 ICD-10-CM Resource Guide
Table of contents About ICD-10 3 Pain Management: Top Mappings 4 Addiction Medicine: Top Mappings 10 2 ICD-10-CM Resource Guide
About ICD-10 ICD-10-CM/PCS (International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System) consists of two parts: 1. ICD-10-CM for diagnosis coding 2. ICD-10-PCS for inpatient procedure coding ICD-10-CM is for use in all U.S. healthcare settings. Diagnosis coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar. ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10-PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedure coding. IMPORTANT NOTE Your facility must provide ICD-10 codes to Quest Diagnostics with each specimen. Due to the high specificity of ICD-10, Quest Diagnostics will be unable to translate ICD-9 codes to ICD-10 codes. ICD-10-CM Resource Guide 3
Pain management top mappings Other anxiety s F41.9 Anxiety Opioid related s F11.20 Opioid dependence F11.220 Opioid dependence w/ intoxication F11.221 Opioid dependence w/ intoxication delirium F11.222 Opioid dependence w/ intoxication w/ perceptual disturbance F11.229 Opioid dependence w/ intoxication F11.23 Opioid dependence w/ withdrawal F11.24 Opioid dependence w/ opioid-induced mood F11.250 Opioid dependence w/ induced psychotic w/ delusions F11.251 Opioid dependence w/ induced psychotic w/ hallucinations F11.259 Opioid dependence w/ opioid-induced psychotic F11.281 Opioid dependence w/ opioid-induced sexual dysfunction F11.282 Opioid dependence w/ opioid-induced sleep F11.288 Opioid dependence w/ other opioid-induced F11.29 Opioid dependence w/ opioid-induced Other psychoactive substance related s F19.20 Other psychoactive substance dependence Pain G89.28 Other chronic post procedural pain G89.4 Chronic pain syndrome Other joint s M25.511 Pain in right shoulder M25.512 Pain in left shoulder M25.519 Pain in shoulder M25.561 Pain in right knee M25.562 Pain in left knee M25.569 Pain in knee 4 ICD-10-CM Resource Guide
Spondylosis M47.21 Other spondylosis radiculopathy OA-AX M47.22 Other spondylosis w/ radiculopathy cervical region M47.23 Other spondylosis w/ radiculopathy cervicothoracic M47.26 Other spondylosis w/ radiculopathy lumbar region M47.27 Other spondylosis w/ radiculopathy lumbosacral region M47.28 Other spondylosis radiculopathy sacral & sacrococcygeal M47.811 Spondylosis w/o myelopathy/ radiculopathy OA-AX region M47.812 Spondylosis w/o myelopathy/ radiculopathy cervical region M47.813 Spondylosis w/o myelopathy/ radiculopathy cervicothoracic region M47.816 Spondylosis w/o myelopathy/ radiculopathy lumbar region M47.817 Spondylosis w/o myelopathy/ radiculopathy lumbosacral region M47.818 Spondylosis w/o myelopathy/ radiculopathy sacral & sacrococcygeal region M47.891 Other spondylosis OA-AX region M47.892 Other spondylosis cervical region M47.893 Other spondylosis cervicothoracic region M47.896 Other spondylosis lumbar region M47.897 Other spondylosis lumbosacral region M47.898 Other spondylosis sacral & sacrococcygeal region Thoracic, thoracolumbar, and lumbosacral intervertebral disc s M51.14 Intervertebral disc w/ radiculopathy thoracic M51.15 Iv disc w/ radiculopathy thoracolumbar region M51.16 Intervertebral disc w/ radiculopathy lumbar region M51.17 Iv disc w/ radiculopathy lumbosacral region ICD-10-CM Resource Guide 5
Pain Management Top Mappings M51.26 Other intervertebral disc displacement lumbar region M51.27 Other intervertebral disc displacement lumbosacral region M51.36 Other intervertebral disc degeneration lumbar region M51.37 Other intervertebral disc degeneration lumbosacral region Cervical disc s M50.10 Cervical disc w/ radiculopathy cervical region M50.11 Cervical disc w/ radiculopathy OA-AX region M50.120 Mid-cervical disc, M50.121 Cervical disc at C4-C5 level with radiculopathy M50.122 Cervical disc at C5-C6 level with radiculopathy M50.123 Cervical disc at C6-C7 level with radiculopathy M50.13 Cervical disc radiculopathy cervicothoracic region M50.30 Other cervical disc degeneration cervical region M50.31 Other cervical disc degeneration OA-AX region M50.320 Other cervical disc degeneration, mid-cervical region, level M50.321 Other cervical disc degeneration at C4-C5 level M50.322 Other cervical disc degeneration at C5-C6 level M50.323 Other cervical disc degeneration at C6-C7 level M50.33 Other cervical disc degeneration cervicothoracic region Intraoperative and postprocedural complications and s of musculoskeletal system M96.1 Postlaminectomy syndrome NEC Dorsalgia M54.11 Radiculopathy OA-AX region M54.12 Radiculopathy cervical region M54.13 Radiculopathy cervicothoracic region M54.14 Radiculopathy thoracic region 6 ICD-10-CM Resource Guide
M54.15 Radiculopathy thoracolumbar region M54.16 Radiculopathy lumbar region M54.17 Radiculopathy lumbosacral region M54.2 Cervicalgia M54.5 Low back pain M54.89 Other dorsalgia M54.9 Dorsalgia Myositis M60.80 Other myositis site M60.811 Other myositis right shoulder M60.812 Other myositis left shoulder M60.819 Other myositis shoulder M60.821 Other myositis right upper arm M60.822 Other myositis left upper arm M60.829 Other myositis upper arm M60.831 Other myositis right forearm M60.832 Other myositis left forearm M60.839 Other myositis forearm M60.841 Other myositis right hand M60.842 Other myositis left hand M60.849 Other myositis hand M60.851 Other myositis right thigh M60.852 Other myositis left thigh M60.859 Other myositis thigh M60.861 Other myositis right lower leg M60.862 Other myositis left lower leg M60.869 Other myositis lower leg M60.871 Other myositis right ankle and foot M60.872 Other myositis left ankle and foot M60.879 Other myositis ankle and foot M60.88 Other myositis other site M60.89 Other myositis multiple sites M60.9 Other myositis Other and soft tissue s M79.1 Myalgia ICD-10-CM Resource Guide 7
Pain Management Top Mappings M79.601 Pain in right arm M79.602 Pain in left arm M79.603 Pain in arm M79.604 Pain in right leg M79.605 Pain in left leg M79.606 Pain in leg M79.609 Pain in limb M79.621 Pain in right upper arm M79.622 Pain in left upper arm M79.629 Pain in upper arm M79.631 Pain in right forearm M79.632 Pain in left forearm M79.639 Pain in forearm M79.641 Pain in right hand M79.642 Pain in left hand M79.643 Pain in hand M79.644 Pain in right finger(s) M79.645 Pain in left finger(s) M79.646 Pain in finger(s) M79.651 Pain in right thigh M79.652 Pain in left thigh M79.659 Pain in thigh M79.661 Pain in right lower leg M79.662 Pain in left lower leg M79.669 Pain in lower leg M79.671 Pain in right foot M79.672 Pain in left foot M79.673 Pain in foot M79.674 Pain in right toe(s) M79.675 Pain in left toe(s) M79.676 Pain in toe(s) M79.7 Fibromyalgia Other headache syndromes G44.1 Vascular headache, not elsewhere classified Headache R51 Headache 8 ICD-10-CM Resource Guide
Dislocation and sprain of joints and ligaments of lumbar spine and pelvis S33.5Xxa Sprain ligaments lumbar spine initial encounter Long term (current) drug therapy Z79.3 Long-term current use of hormonal contraceptives Z79.891 Long-term current use of opiate analgesic Z79.899 Other long-term current drug therapy Encounter for other aftercare Z51.81 Encounter for therapeutic drug level monitoring Alcohol related s F10.10 Alcohol abuse ICD-10-CM Resource Guide 9
Addiction Medicine Top Mappings Addiction Medicine Top Mappings F10.120 Alcohol abuse w/ intoxication F10.19 Alcohol abuse w/ alcohol-induced F10.20 Alcohol dependence F10.21 Alcohol dependence in remission F10.220 Alcohol dependence w/ intoxication F10.229 Alcohol dependence w/ intoxication F10.29 Alcohol dependence w/ alcohol-induced Opioid related s F11.10 Opioid abuse F11.120 Opioid abuse w/ intoxication F11.129 Opioid abuse w/ intoxication F11.19 Opioid abuse w/ opioid-induced F11.20 Opioid dependence F11.21 Opioid dependence in remission F11.221 Opioid dependence w/ intoxication delirium F11.222 Opioid dependence w/ intoxication w/ perceptual disturbance F11.229 Opioid dependence w/ intoxication F11.23 Opioid dependence w/ withdrawal F11.24 Opioid dependence w/ opioid-induced mood F11.250 Opioid dependence w/ induced psychotic w/delusions F11.251 Opioid dependence w/ induced psychotic w/ hallucinations F11.259 Opioid dependence w/ opioid-induced psychotic F11.281 Opioid dependence w/ opioid-induced sexual dysfunction 10 ICD-10-CM Resource Guide
F11.282 Opioid dependence w/ opioid-induced sleep F11.288 Opioid dependence w/ other opioid-induced F11.29 Opioid dependence w/ opioid-induced F11.90 Opioid use F11.99 Opioid use w/ opioid-induced Cannabis related s F12.10 Cannabis abuse F12.19 Cannabis abuse w/ cannabis-induced F12.20 Cannabis dependence F12.220 Cannabis dependence w/ intoxication F12.221 Cannabis dependence w/ intoxication delirium F12.222 Cannabis dependence w/ intoxication w/ perceptual distance F12.229 Cannabis dependence w/ intoxication F12.250 Cannabis dependence w/ psychotic w/ delusions F12.251 Cannabis dependence w/ psychotic w/ hallucinations F12.259 Cannabis dependence w/ psychotic F12.280 Cannabis dependence w/ cannabis-induced anxiety F12.288 Cannabis dependence w/ other cannabis-induced F12.29 Cannabis dependence w/ cannabis-induced F12.99 Cannabis use w/ cannabis-induced Sedative, hypnotic, or anxiolytic related s F13.10 Sedative hypnotic or anxiolytic abuse F13.120 Sedative/hypnotic/anxiolytic abuse w/ intoxication F13.19 Sedative hypnotic/anxiolytic abuse w/ induced ICD-10-CM Resource Guide 11
Addiction Medicine Top Mappings F13.20 Sedative hypnotic/anxiolytic dependence F13.220 Sedative hypnotic/anxiolytic dependence w/ intoxication F13.221 Sedative hypnotic/anxiolytic dependence w/ intoxication delirium F13.229 Sedative hypnotic/anxiolytic dependence w/ intoxication F13.230 Sedative hypnotic/anxiolytic dependence w/ withdrawal F13.231 Sedative hypnotic/anxiolytic dependence w/ withdrawal delirium F13.232 Sedative hypnotic/anxiolytic dependence w/ withdrawal w/ perceptual disturbance F13.239 Sedative hypnotic/anxiolytic dependence w/ withdrawal F13.24 Sedative hypnotic/anxiolytic dependence w/ induced mood F13.250 Sedative hypnotic/anxiolytic dependence induced psychotic delusions F13.251 Sedative hypnotic/anxiolytic dependence induced psychotic hallucinations F13.259 Sedative hypnotic/anxiolytic dependence induced psychotic F13.26 Sedative hypnotic/anxiolytic dependence induced persisting amnestic F13.27 Sedative hypnotic/anxiolytic dependence induced persisting dementia F13.280 Sedative hypnotic/anxiolytic dependence induced anxiety F13.281 Sedative hypnotic/anxiolytic dependence w/ induced sexual dysfunction F13.282 Sedative hypnotic/anxiolytic dependence w/ induced sleep F13.288 Sedative hypnotic/anxiolytic dependence w/ other induced 12 ICD-10-CM Resource Guide
F13.29 Sedative hypnotic/anxiolytic dependence w/ induced F13.90 Sedative hypnotic or anxiolytic abuse F13.90 Sedative hypnotic/anxiolytic use F13.99 Sedative hypnotic/anxiolytic use w/ induced Cocaine related s F14.10 Cocaine abuse F14.120 Cocaine abuse w/ intoxication F14.19 Cocaine abuse w/ cocaine-induced F14.20 Cocaine dependence F14.220 Cocaine dependence w/ intoxication F14.221 Cocaine dependence w/ intoxication delirium F14.222 Cocaine dependence w/ intoxication w/ perceptual disturbance F14.229 Cocaine dependence w/ intoxication F14.23 Cocaine dependence w/ withdrawal F14.24 Cocaine dependence w/ cocaine-induced mood F14.250 Cocaine dependence w/ induced psychotic w/ delusions F14.251 Cocaine dependence w/ induced psychotic w/ hallucinations F14.259 Cocaine dependence w/ cocaine-induced psychotic F14.280 Cocaine dependence w/ cocaine-induced anxiety F14.281 Cocaine dependence w/ cocaine-induced sexual dysfunction F14.282 Cocaine dependence w/ cocaine-induced sleep F14.288 Cocaine dependence w/ other cocaineinduced F14.29 Cocaine dependence w/ cocaine-induced ICD-10-CM Resource Guide 13
Addiction Medicine Top Mappings F14.90 Cocaine use F14.99 Cocaine use w/ cocaine-induced Other stimulant related s F15.10 Other stimulant abuse F15.120 Other stimulant abuse w/ intoxication F15.19 Other stimulant abuse w/ induced F15.20 Other stimulant dependence F15.220 Other stimulant dependence w/ intoxication F15.221 Other stimulant dependence w/ intoxication delirium F15.222 Other stimulant dependence intoxication w/ perceptual disturbance F15.229 Other stimulant dependence w/ intoxication F15.23 Other stimulant dependence w/ withdrawal F15.24 Other stimulant dependence w/ induced mood F15.250 Other stimulant dependence w/ induced psychotic w/ delusions F15.251 Other stimulant dependence induced psychotic w/ hallucinations F15.259 Other stimulant dependence w/ induced psychotic F15.280 Other stimulant dependence w/ induced anxiety F15.281 Other stimulant dependence w/ induced sexual dysfunction F15.282 Other stimulant dependence w/ induced sleep F15.288 Other stimulant dependence w/ other induced F15.29 Other stimulant dependence w/ induced F15.90 Other stimulant use F15.99 Other stimulant use w/ induced 14 ICD-10-CM Resource Guide
Hallucinogen related s F16.19 Hallucinogen abuse w/ induced F16.20 Hallucinogen dependence F16.220 Hallucinogen dependence w/ intoxication F16.221 Hallucinogen dependence w/ intoxication w/ delirium F16.229 Hallucinogen dependence w/ intoxication F16.24 Hallucinogen dependence w/ hallucinogen-induced mood F16.250 Hallucinogen dependence w/ psychotic w/ delusions F16.251 Hallucinogen dependence w/ psychotic w/ hallucinations F16.259 Hallucinogen dependence w/ psychotic F16.280 Hallucinogen dependence w/ anxiety F16.283 Hallucinogen dependence w/ hallucinogen persisting perception F16.288 Hallucinogen dependence w/ other hallucinogen-induced F16.29 Hallucinogen dependence w/ hallucinogen-induced F16.90 Hallucinogen use F16.99 Hallucinogen use w/ induced Nicotine dependence F17.200 Nicotine dependence F17.201 Nicotine dependence in remission F17.209 Nicotine dependence w/ nicotine-induced F17.210 Nicotine dependence cigarettes F17.211 Nicotine dependence cigarettes in remission F17.219 Nicotine dependence cigarettes w/ nicotine-induced ICD-10-CM Resource Guide 15
Addiction Medicine Top Mappings F17.220 Nicotine dependence chewing tobacco F17.221 Nicotine dependence chewing tobacco in remission F17.229 Nicotine dependence chew tobacco w/ nicotene-induced F17.290 Nicotine dependence other tobacco product F17.291 Nicotine dependence other tobacco product in remission F17.299 Nicotine dependence other tobacco product w/ induced Inhalant related s F18.10 Inhalant abuse F18.19 Inhalant abuse w/ inhalant-induced F18.21 Inhalant dependence in remission F18.29 Inhalant dependence w/ inhalant-induced F18.99 Inhalant use w/ inhalant-induced Other psychoactive substance related s F19.19 Other psychoactive substance abuse w/ induced F19.20 Other psychoactive substance dependence F19.21 Other psychoactive substance dependence in remission F19.29 Other psychoactive substance dependence w/ induced F19.90 Other psychoactive substance use F19.99 Other psychoactive substance use w/ induced Schizophrenia F20.0 Paranoid schizophrenia Schizoaffective s F25.0 Schizoaffective bipolar type F25.1 Schizoaffective depressive type F25.8 Other schizoaffective s F25.9 Schizoaffective 16 ICD-10-CM Resource Guide
Major depressive, recurrent F33.1 Major depressive recurrent moderate F33.2 Major depressive recurrent severe w/o pyschotic Bipolar F31.9 Bipolar Unspecified mood [affective] F39 Unspecified mood affective Other anxiety s F41.1 Generalized anxiety Abuse of non-psychoactive substances F55.0 Abuse of antacids F55.1 Abuse of herbal or folk remedies F55.2 Abuse of laxatives F55.3 Abuse of steroids or hormones F55.4 Abuse of vitamins F55.8 Abuse of other non-psychoactive substances Reaction to severe stress, and adjustment s F43.10 Post-traumatic stress F43.11 Post-traumatic stress acute F43.12 Post-traumatic stress chronic Major depressive F32.9 Major depressive single episode Attention-deficit hyperactivity s F90.0 Attention-deficit hyperactivity predominantly inattentive type F90.1 Attention-deficit hyperactivity predominantly hyperactive type F90.2 Attention-deficit hyperactivity combined type F90.8 Attention-deficit hyperactivity other type F90.9 Attention-deficit hyperactivity type Encounter for medical observation for suspected diseases and conditions ruled out Encounter for examination and observation for other reasons Z03.89 Encounter for observation other suspected diseases & conditions ruled out Z04.9 Encounter for examination and observation for reason ICD-10-CM Resource Guide 17
Disclaimer This list is intended to assist ordering physicians in providing ICD-10 diagnosis codes as required by Medicare and other Insurers. It includes the diagnosis narratives and the codes that are most commonly submitted for toxicology and pain management tests orders, but is not a complete list. The list was compiled from the ICD-10-CM 2015 book. The responsibility for correct coding belongs to the ordering physician. The ICD-10-CM book should be used as a complete reference. 18 ICD-10-CM Resource Guide
Notes ICD-10-CM Resource Guide 19
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