ICD- to ICD- Crosswalk Adult Codes On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) transitioned to the new International Classification of Diseases, th Revision System (ICD-), which replaced the ICD- diagnosis coding system. The following document is provided as a resource for occupational therapy practitioners to translate ICD- codes to their related ICD- codes. The codes provided represent the most commonly used diagnosis codes for the adult population. This is not a comprehensive or fully inclusive list of occupational therapy ICD- codes, and you should refer to official billing and coding resources or your third-party payers for final coding determinations as some categories of codes may be more extensive, contain additional instructional notes, or require coding to a higher degree of specificity than indicated. For a full list of ICD- codes, descriptors, and instructions, please visit the official CMS ICD- publication at https://www.cms.gov/medicare/ Coding/ICD/2016-ICD--CM-and-GEMs.html or visit the CMS ICD- website at www.cms.gov/icd. To access AOTA s most up-to-date information on ICD coding, go to our ICD- Codes website at http://www.aota.org/advocacy-policy/federal- Reg-Affairs/ICD--Diagnosis-Coding.aspx. ALZHEIMER S DISEASE CVA (cont.) 77 438.42 331.0 438.31 438.32 438.30 438.41 R41.81 Senility NOS G30.0 Alzheimer s disease with early onset G30.1 Alzheimer s disease with late onset G30.8 Other Alzheimer s disease G30. Alzheimer s disease, unspecified CEREBROVASCULAR ACCIDENT (CVA) I6.31 Monoplegia of upper limb following nontraumatic intracerebral I6.32 Monoplegia of upper limb following nontraumatic intracerebral I6.33 Monoplegia of upper limb following nontraumatic intracerebral I6.34 Monoplegia of upper limb following nontraumatic intracerebral I6.3 Monoplegia of upper limb following intracerebral hemorrhage affecting non-specified side I6.41 Monoplegia of lower limb following nontraumatic intracerebral I6.42 Monoplegia of lower limb following nontraumatic intracerebral 438.40 438.21 438.22 438.84 438.6 368.46 I6.43 Monoplegia of lower limb following nontraumatic intracerebral I6.44 Monoplegia of lower limb following nontraumatic intracerebral I6.4 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side I6.51 Hemiplegia and hemiparesis following nontraumatic intracerebral I6.52 Hemiplegia and hemiparesis following nontraumatic intracerebral I6.53 Hemiplegia and hemiparesis following nontraumatic intracerebral I6.54 Hemiplegia and hemiparesis following nontraumatic intracerebral I6.3 Ataxia following nontraumatic intracerebral hemorrhage I6.8 Alteration of sensations following nontraumatic intracerebral hemorrhage H53.461 Homonymous bilateral field defects, right side H53.462 Homonymous bilateral field defects, left side H53.46 Homonymous bilateral field defects, unspecified side 438. I6.30 Unspecified sequelae of cerebral infarction
438.0 438.11 438.12 438.13 438.14 438.1 438.81 438.82 438.83 438.84 438.8 781.8 CVA (cont.) I6.31 Cognitive deficits following cerebral infarction I6.320 Aphasia following cerebral infarction I6.321 Dysphasia following cerebral infarction I6.322 Dysarthria following cerebral infarction I6.323 Fluency disorder following cerebral infarction Stuttering following nontraumatic subarachnoid hemorrhage I6.328 Other speech and language deficits following cerebral infarction I6.30 Apraxia following cerebral infarction I6.31 Dysphagia following cerebral infarction I6.32 Facial weakness following cerebral infarction Facial droop following cerebral infarction I6.33 Ataxia following cerebral infarction I6.38 Other sequelae of cerebral infarction 438.6 438.7 I6.8 Alteration of sensation following cerebral infarction I6.8 Disturbance of vision following cerebral infarction R41.4 Neurologic neglect syndrome CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) 41.20 / 43.20 / 46 J44. Chronic obstructive (unspecified) 41.22 / 43.21 J44.0 With acute bronchitis J44.0 With lower respiratory infection (acute) J44.0 With exacerbation (acute) 41.21 / 43.22 J44.1 With exacerbation (acute) J44.1 Decompensated 428.1 428.0 / 428.20 428.0 / 428.21 428.0 / 428.22 428.0 / 428.23 428.0 / 428.30 428.0 / 428.31 428.0 / 428.32 428.0 / 428.33 428.0 / 428.40 CONGESTIVE HEART FAILURE I50.1 Left ventricular failure I50.20 Unspecified systolic (congestive) heart failure I50.21 Acute systolic (congestive) heart failure I50.22 Chronic systolic (congestive) heart failure I50.23 Acute on chronic systolic (congestive) heart failure I50.30 Unspecified diastolic (congestive) heart failure I50.31 Acute diastolic (congestive) heart failure I50.32 Chronic diastolic (congestive) heart failure I50.33 Acute on chronic diastolic (congestive) heart failure I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure 428.0 / 428.41 I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure 428.0 / 428.42 I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure 428.0 / 428.43 428.0 / 428. 24.20 24.21 I50.43 Acute chronic combined systolic (congestive) and diastolic (congestive) heart failure I50. Heart failure, unspecified DEMENTIA F03.0 Unspecified dementia without behavioral disturbance F03.1 Unspecified dementia with behavioral disturbance V40.31 Z1.83 Use additional code, if applicable, to identify wandering in unspecified dementia
DIABETIC NEUROPATHY HIP REPLACEMENT 250.61 / 250.63 / 357.2 V43.64 E.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified 250.61 / 250.63 / 357.2 E.42 Type 1 diabetes mellitus with diabetic polyneuropathy 250.61 / 250.63 / 358.1 E.40 Type 1 diabetes mellitus with diabetic amyotrophy 250.61 / 250.63 / 34.8 E.4 Type 1 diabetes mellitus with other diabetic neurological complication 250.60 / 250.62 / 357.2 250.60 / 357.2 E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified V43.65 Z6.641 Presence of right artificial hip joint Z6.642 Presence of left artificial hip joint Z6.643 Presence of artificial hip joint, bilateral Z6.64 Presence of unspecified artificial hip joint KNEE REPLACEMENT Z6.651 Presence of right artificial knee joint Z6.652 Presence of left artificial knee joint Z6.653 Presence of artificial knee joint, bilateral Z6.65 Presence of unspecified artificial knee joint LOWER LEG AMPUTATION E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy 87.1 250.60 / 353.5 E11.44 Type 2 diabetes mellitus with diabetic amyotrophy 250.60 / 34.8 438.82 781. V15.88 E11.4 Type 2 diabetes mellitus with other diabetic neurological complication DYSPHAGIA I6.31 Dysphagia following Cerebral infarction I6. Dysphagia following Cerebrovascular disease I6.11 Dysphagia following Intracerebral hemorrhage I6.21 Dysphagia following Nontraumatic intracranial hemorrhage I6.0 Dysphagia following Subarachnoid hemorrhage R2.6 Repeated falls Z1.81 At risk for falling Z1.81 History of falling FALLS 87.5 87.0 87.4 S88.011 Complete traumatic amputation at knee level, right lower leg S88.012 Complete traumatic amputation at knee level, left lower leg S88.111 Complete traumatic amputation at level between knee and ankle, right lower leg S88.112 Complete traumatic amputation at level between knee and ankle, left lower leg S88.018 Complete traumatic amputation at knee level, unspecified lower leg S88.11 Complete traumatic amputation at level between knee and ankle, unspecified lower leg S88.021 Partial traumatic amputation at knee level, right lower leg S88.022 Partial traumatic amputation at knee level, left lower leg S88.121 Partial traumatic amputation at level between knee and ankle, right lower leg S88.122 Partial traumatic amputation at level between knee and ankle, left lower leg S88.02 Partial traumatic amputation at knee level, unspecified lower leg S88.12 Partial traumatic amputation at level between knee and ankle, unspecified lower leg HIP FRACTURE MYOCARDIAL INFARCTION 820.8 / 820. 4.11 S72.00 Fracture of unspecified part of neck of femur S72.001 Fracture of unspecified part of neck of right femur S72.002 Fracture of unspecified part of neck of left femur I21.01 ST Elevation (STEMI) involving left main coronary artery I21.02 ST elevation (STEMI) involving left anterior descending coronary artery I21.0 ST elevation (STEMI) involving other 4.31 I21.11 ST Elevation (STEMI) involving right coronary artery
MYOCARDIAL INFARCTION (cont.) OSTEOARTHRITIS 4.21 4.81 I21.1 ST Elevation (STEMI) involving other I22.1 Subsequent ST elevation (STEMI) of inferior wall I21.21 ST elevation (STEMI) involving left circumflex coronary artery 4.51 / 4.61 / 4.81 4.1 4.71 4.01 I21.2 ST elevation (STEMI) involving other sites I21.3 ST elevation (STEMI) of unspecified site I22. Subsequent ST elevation (STEMI) of unspecified site I21.4 Non-ST elevation (NSTEMI) I22.2 Subsequent non-st elevation (NSTEMI) I22.0 Subsequent ST elevation (STEMI) of anterior wall 4.51 / 4.61 42.7 42.71 I22.8 Subsequent ST elevation (STEMI) of other sites I23.0 Hemopericardium as current complication following acute myocardial Infarction I23.3 Rupture of cardiac wall without hemopericardium as current complication following acute I23.1 Atrial septal defect as current complication following acute I23.2 Ventricular septal defect as current complication following acute 715.0 715.15 715.25 715.16 715.26 M15.0 Primary generalized (osteo) arthritis M16.0 Bilateral primary osteoarthritis of hip M16.11 Unilateral primary osteoarthritis, right hip M16.12 Unilateral primary osteoarthritis, left hip M16.2 Bilateral osteoarthritis resulting from hip dysplasia M16.31 Unilateral osteoarthritis resulting from hip dysplasia, right hip M16.32 Unilateral osteoarthritis resulting from hip dysplasia, left hip M16.4 Bilateral post-traumatic osteoarthritis of hip M16.51 Unilateral post-traumatic osteoarthritis, right hip M16.52 Unilateral post-traumatic osteoarthritis, left hip M17.0 Bilateral primary osteoarthritis of knee M17.11 Unilateral primary osteoarthritis, right knee M17.12 Unilateral primary osteoarthritis, left knee M17.2 Bilateral post-traumatic osteoarthritis of knee M17.31 Unilateral post-traumatic osteoarthritis, right knee M17.32 Unilateral post-traumatic osteoarthritis, left knee M17.4 Other bilateral secondary osteoarthritis of knee M17.5 Other unilateral secondary osteoarthritis of knee 715.36 / 715.6 M17. Osteoarthritis of knee, unspecified 733.00 / 733.01 733.0 OSTEOPOROSIS M81.0 Age-related osteoporosis without current pathological fracture M81.6 Localized osteoporosis (Lequesne) 42.6 733.02 / 733.03 / 733.0 I23.5 Rupture of papillary muscle as current complication following acute M81.6 Other osteoporosis without current pathological fracture 42.7 I23.6 Thrombosis of atrium, auricular appendage, and ventricle as current complications following acute I23.7 Postinfarction angina 412 I25.2 Old
PARKINSON S DISEASE SPINAL STENOSIS 332.0 724.00 333.2 332.1 357.4 G20 Parkinson s disease G21.4 Vascular Parkinsonism (no further details) G21.0 Malignant neuroleptic syndrome G21.11 Neuroleptic-induced Parkinsonism G21.1 Other drug-induced secondary Parkinsonism G21.2 Secondary Parkinsonism due to other external agents G21.3 Postencephalitic Parkinsonism (no further details) G21.8 Other secondary Parkinsonism (no further details) G21. Secondary Parkinsonism, unspecified (no further details) PERIPHERAL NEUROPATHY G63 Polyneuropathy in diseases classified elsewhere 723.0 724.01 724.02 724.0 M48.00 Spinal stenosis, site unspecified M48.01 Spinal stenosis, occipito-atlanta-axial region M48.02 Spinal stenosis, cervical region M48.03 Spinal stenosis, cervicothoracic region M48.04 Spinal stenosis, thoracic region M48.05 Spinal stenosis, thoracolumbar region M48.06 Spinal stenosis, lumbar region M48.07 Spinal stenosis, lumbosacral region M48.08 Spinal stenosis, sacral and sacrococcygeal region 485 481 514 486 PNEUMONIA J18.0 Bronchopneumonia, unspecified organism J18.1 Lobar pneumonia, unspecified organism J18.2 Hypostatic pneumonia, unspecified organism J18.8 Other pneumonia, unspecified organism J18. Pneumonia, unspecified organism