034.0 Streptococcal sore throat J02.0 Streptococcal pharyngitis J03.00 Acute streptococcal tonsillitis, unspecified J03.01 Description Acute recurrent streptococcal tonsillitis Use additional code to identify: exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco use (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence(f17-), tobacco use (Z72.0) with categories J02 and J03. 078.89 Other specified diseases due to viruses A98.3 Marburg virus disease A98.4 Ebola virus disease B33.8 Other specified viral diseases A98.0 A98.1 A98.2 A98.5 A98.8 B33.0 B33.1 B33.20 B33.21 B33.22 B33.23 B33.24 B33.3 B33.4 Description Crimean-Congo hemorrhagic fever Omsk hemorrhagic fever Kyasanur Forest disease Hemorrhagic fever with renal syndrome Other specified viral hemorrhagic fevers Epidemic myalgia Ross River disease Viral carditis, unspecified Viral endocarditis Viral myocarditis Viral pericarditis Viral cardiomyopathy Retrovirus infections, not elsewhere classified Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS] Page: 1
Use additional code for any associated resistance and non-responsiveness of a condition to antimicrobial drugs (Z16-) if the infection code does not identify drug resistance when reporting codes A00.0 through B99.9 079.99 Unspecified viral infection GEMS ICD-10 B97.89 Approximate GEMS ICD-10 Description No Map Combination Other viral agents as the cause of diseases classified elsewhere Scenario Also see categories B33, B34, B97 Choice List Category B97 is for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere. Use additional code for any associated resistance and non-responsiveness of a condition to antimicrobial drugs (Z16-) if the infection code does not identify drug resistance when reporting codes A00.0 through B99.9 314.01 Attention deficit disorder with hyperactivity F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type F90.2 Attention-deficit hyperactivity disorder, combined type F90.9 Attention-deficit hyperactivity disorder, unspecified type F90.8 Description Attention-deficit hyperactivity disorder, other type 372.30 Conjunctivitis, unspecified H10.9 Unspecified conjunctivitis For additional I-10 code options refer to category H10 382.00 Acute suppurative otitis media without spontaneous rupture of eardrum Page: 2
H66.009 Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear H66.001 H66.002 H66.003 H66.004 H66.005 H66.006 H66.007 Description Acute suppurative otitis media without spontaneous rupture of ear drum, right ear Acute suppurative otitis media without spontaneous rupture of ear drum, left ear Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear Use additional code for any associated perforated tympanic membrane (H72.-) when reporting codes from category H66 Use additional code to identify: exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco use (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0) when reporting codes from category H66 382.9 Unspecified otitis media H66.90 Otitis media, unspecified, unspecified ear H66.91 H66.92 H66.93 Description Otitis media, unspecified, right ear Otitis media, unspecified, left ear Otitis media, unspecified, bilateral For additional I-10 code options refer to categories H65 through H67 Use additional code for any associated perforated tympanic membrane (H72.-) when reporting codes from categories H65 and H66 Use additional code to identify: exposure to environmental tobacco smoke (Z77.22), exposure to tobacco smoke in the perinatal period (P96.81), history of tobacco use (Z87.891), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), tobacco use (Z72.0) when reporting codes from categories H65 and H66 462 Acute pharyngitis GEMS ICD-10 GEMS ICD-10 Description Approximate No Map Combination Scenario Choice List Page: 3
J02.9 Acute pharyngitis, unspecified J00 J02.8 J06.0 Description Acute nasopharyngitis [common cold] Acute pharyngitis due to other specified organisms Acute laryngopharyngitis Use additional code (B95-B97) to identify infectious agent when reporting code J02.8 465.9 Acute upper respiratory infections of unspecified site J06.9 Acute upper respiratory infection, unspecified J06.0 Description Acute laryngopharyngitis 473.9 Unspecified sinusitis (chronic) J32.9 Chronic sinusitis, unspecified J32.0 J32.1 J32.2 J32.3 J32.4 J32.8 Description Chronic maxillary sinusitis Chronic frontal sinusitis Chronic ethmoidal sinusitis Chronic sphenoidal sinusitis Chronic pansinusitis Other chronic sinusitis Page: 4
477.9 Allergic rhinitis, cause unspecified J30.0 Vasomotor rhinitis J30.9 Allergic rhinitis, unspecified J30.1 J30.2 J30.5 J30.81 J30.89 Description Allergic rhinitis due to pollen Other seasonal allergic rhinitis Allergic rhinitis due to food Allergic rhinitis due to animal (cat) (dog) hair and dander Other allergic rhinitis 486 Pneumonia, organism unspecified J18.9 Pneumonia, unspecified organism J18.0 J18.1 J18.2 J18.8 Description Bronchopneumonia, unspecified organism Lobar pneumonia, unspecified organism Hypostatic pneumonia, unspecified organism Other pneumonia, unspecified organism Code first associated influenza, if applicable (J09.X1, J10.0-, -J11.0-) when reporting codes from category J18 For additional I-10 coding options refer to categories J12 through J18 Page: 5
487.1 Influenza with other respiratory manifestations J10.1 Influenza due to other identified influenza virus with other respiratory manifestations J11.1 Influenza due to unidentified influenza virus with other respiratory manifestations 490 Bronchitis, not specified as acute or chronic J40 Bronchitis, not specified as acute or chronic J20.0 J20.1 J20.2 J20.3 J20.4 J20.5 J20.6 J20.7 J20.8 J20.9 J41.0 J41.1 J41.8 J42 Description Acute bronchitis due to Mycoplasma pneumoniae Acute bronchitis due to Hemophilus influenzae Acute bronchitis due to streptococcus Acute bronchitis due to coxsackievirus Acute bronchitis due to parainfluenza virus Acute bronchitis due to respiratory syncytial virus Acute bronchitis due to rhinovirus Acute bronchitis due to echovirus Acute bronchitis due to other specified organisms Acute bronchitis, unspecified Simple chronic bronchitis Mucopurulent chronic bronchitis Mixed simple and mucopurulent chronic bronchitis Unspecified chronic bronchitis New combination codes for acute bronchitis eliminate need to code cause of bronchitis separately 493.90 Asthma,unspecified type, unspecified J45.909 Unspecified asthma, uncomplicated Page: 6
J45.998 Other asthma J45.20 J45.21 J45.22 J45.30 J45.31 J45.32 J45.40 J45.41 J45.42 J45.50 J45.51 J45.52 J45.901 J45.902 J45.990 J45.991 Description Mild intermittent asthma, uncomplicated Mild intermittent asthma with (acute) exacerbation Mild intermittent asthma with status asthmaticus Mild persistent asthma, uncomplicated Mild persistent asthma with (acute) exacerbation Mild persistent asthma with status asthmaticus Moderate persistent asthma, uncomplicated Moderate persistent asthma with (acute) exacerbation Moderate persistent asthma with status asthmaticus Severe persistent asthma, uncomplicated Severe persistent asthma with (acute) exacerbation Severe persistent asthma with status asthmaticus Unspecified asthma with (acute) exacerbation Unspecified asthma with status asthmaticus Exercise induced bronchospasm Cough variant asthma ICD-10 Category J45 includes both intrinsic and extrinsic asthma 530.81 Esophageal reflux K21.9 Gastro-esophageal reflux disease without esophagitis K21.0 Description Gastro-esophageal reflux disease with esophagitis 558.9 Other and unspecified noninfectious gastroenteritis and colitis K52.89 Other specified noninfective gastroenteritis and colitis K52.9 Noninfective gastroenteritis and colitis, unspecified Page: 7
K52.0 K52.1 K52.2 K52.81 K52.82 Description Gastroenteritis and colitis due to radiation Toxic gastroenteritis and colitis Allergic and dietetic gastroenteritis and colitis Eosinophilic gastritis or gastroenteritis Eosinophilic colitis 564.00 Constipation, unspecified K59.00 Constipation, unspecified K59.01 K59.02 K59.09 Description Slow transit constipation Outlet dysfunction constipation Other constipation 692.9 Contact dermatitis and other eczema, unspecified cause L25.9 Unspecified contact dermatitis, unspecified cause L25.0 L25.1 L25.3 L25.4 L25.5 Description Unspecified contact dermatitis due to cosmetics Unspecified contact dermatitis due to drugs in contact with skin Unspecified contact dermatitis due to other chemical products Unspecified contact dermatitis due to food in contact with skin Unspecified contact dermatitis due to plants, except food 780.60 Fever, unspecified R50.2 Drug induced fever R50.9 Fever, unspecified O75.2 Description Pyrexia during labor, not elsewhere classified Page: 8
O86.4 R50.81 R50.82 R50.83 R50.84 R56.00 R56.01 Pyrexia of unknown origin following delivery Fever presenting with conditions classified elsewhere Postprocedural fever Postvaccination fever Febrile nonhemolytic transfusion reaction Simple febrile convulsions Complex febrile convulsions Code first underlying condition when associated fever is present, such as with: leukemia (C91-C95), neutropenia (D70.-) or sickle-cell disease (D57.-) when reporting code R50.8 Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) when reporting code R50.2 786.2 Cough R05 Cough R04.2 Description Hemoptysis Cough due to smoking is reported with code J41.0 789.00 Abdominal pain, unspecified site R10.9 Unspecified abdominal pain R10.0 R10.10 R10.11 R10.12 R10.13 R10.2 R10.30 R10.31 R10.32 R10.33 Description Acute abdomen Upper abdominal pain, unspecified Right upper quadrant pain Left upper quadrant pain Epigastric pain Pelvic and perineal pain Lower abdominal pain, unspecified Right lower quadrant pain Left lower quadrant pain Periumbilical pain Page: 9
R10.811 R10.812 R10.813 R10.814 R10.815 R10.816 R10.817 R10.821 R10.822 R10.823 R10.824 R10.825 R10.826 R10.827 R10.83 R10.84 Right upper quadrant abdominal tenderness Left upper quadrant abdominal tenderness Right lower quadrant abdominal tenderness Left lower quadrant abdominal tenderness Periumbilic abdominal tenderness Epigastric abdominal tenderness Generalized abdominal tenderness Right upper quadrant rebound abdominal tenderness Left upper quadrant rebound abdominal tenderness Right lower quadrant rebound abdominal tenderness Left lower quadrant rebound abdominal tenderness Periumbilic rebound abdominal tenderness Epigastric rebound abdominal tenderness Generalized rebound abdominal tenderness Colic Generalized abdominal pain V04.81 Need for prophylactic vaccination and inoculation against influenza Z23 Encounter for immunization Code first any routine childhood examination when reporting code Z23 V20.2 Routine infant or child health check Z00.129 Encounter for routine child health examination without abnormal findings Z00.110 Z00.111 Z00.121 Description Health examination for newborn under 8 days old Health examination for newborn 8 to 28 days old Encounter for routine child health examination with abnormal findings Use additional code to identify any abnormal findings when reporting code Z00.11. V67.59 Other follow-up examination Page: 10
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Total ICD-9 Codes: 25 Page: 11