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ICD
-10
Ba
sics
Au
gu
st 2
2,
20
13
ww
w.c
ms.
go
v/N
PC
Me
dic
are
Le
arn
ing
Ne
two
rk®
•T
his
MLN
Co
nn
ect
s™ N
ati
on
al P
rovid
er
Ca
ll (
MLN
Co
nn
ect
s
Ca
ll)
is p
art
of
the
Me
dic
are
Le
arn
ing
Ne
two
rk®
(M
LN),
a
reg
iste
red
tra
de
ma
rk o
f th
e C
en
ters
fo
r M
ed
ica
re &
Me
dic
aid
Se
rvic
es
(CM
S),
an
d i
s th
e b
ran
d n
am
e f
or
off
icia
l in
form
ati
on
he
alt
h c
are
pro
fess
ion
als
ca
n t
rust
.
2
ww
w.c
ms.
go
v/N
PC
Dis
cla
ime
rs
Th
is p
rese
nta
tio
n w
as
curr
en
t a
t th
e t
ime
it
wa
s p
ub
lish
ed
or
up
loa
de
d o
nto
th
e w
eb
. M
ed
ica
re
po
licy
ch
an
ge
s fr
eq
ue
ntl
y s
o l
inks
to
th
e s
ou
rce
do
cum
en
ts h
ave
be
en
pro
vid
ed
wit
hin
th
e
do
cum
en
t fo
r yo
ur
refe
ren
ce.
Th
is p
rese
nta
tio
n w
as
pre
pa
red
as
a s
erv
ice
to
th
e p
ub
lic
an
d i
s n
ot
inte
nd
ed
to
gra
nt
rig
hts
or
imp
ose
ob
lig
ati
on
s. T
his
pre
sen
tati
on
ma
y c
on
tain
re
fere
nce
s o
r li
nks
to
sta
tute
s, r
eg
ula
tio
ns,
or
oth
er
po
licy
ma
teri
als
. T
he
in
form
ati
on
pro
vid
ed
is
on
ly i
nte
nd
ed
to
be
a g
en
era
l su
mm
ary
. It
is
no
t in
ten
de
d t
o t
ake
th
e p
lace
of
eit
he
r th
e w
ritt
en
la
w o
r re
gu
lati
on
s. W
e e
nco
ura
ge
re
ad
ers
to
revie
w t
he
sp
eci
fic
sta
tute
s, r
eg
ula
tio
ns,
an
d o
the
r in
terp
reti
ve m
ate
ria
ls f
or
a f
ull
an
d a
ccu
rate
sta
tem
en
t o
f th
eir
co
nte
nts
.
CP
T D
iscl
aim
er
-- A
me
rica
n M
ed
ica
l A
sso
cia
tio
n (
AM
A)
No
tice
CP
T o
nly
co
pyri
gh
t 2
01
2 A
me
rica
n M
ed
ica
l Ass
oci
ati
on
. A
ll r
igh
ts r
ese
rve
d.
CP
T is
a r
eg
iste
red
tra
de
ma
rk o
f th
e A
me
rica
n M
ed
ica
l Ass
oci
ati
on
. A
pp
lica
ble
FA
RS
\DFA
RS
Re
stri
ctio
ns
Ap
ply
to
Go
vern
me
nt
Use
. Fe
e s
che
du
les,
re
lati
ve v
alu
e u
nit
s, c
on
vers
ion
fa
cto
rs a
nd
/or
rela
ted
com
po
ne
nts
are
no
t a
ssig
ne
d b
y t
he
AM
A,
are
no
t p
art
of
CP
T, a
nd
th
e A
MA
is
no
t
reco
mm
en
din
g t
he
ir u
se.
Th
e A
MA
do
es
no
t d
ire
ctly
or
ind
ire
ctly
pra
ctic
e m
ed
icin
e o
r d
isp
en
se
me
dic
al se
rvic
es.
Th
e A
MA
ass
um
es
no
lia
bil
ity f
or
da
ta c
on
tain
ed
or
no
t co
nta
ine
d h
ere
in.
3
ww
w.c
ms.
go
v/N
PC
Ag
en
da
•IC
D-1
0 U
pd
ate
— P
at
Bro
oks
, C
MS
•IC
D-1
0-C
M:
Th
e B
asi
cs —
Su
e B
ow
ma
n,
Am
eri
can
He
alt
h I
nfo
rma
tio
n M
an
ag
em
en
t
Ass
oci
ati
on
(A
HIM
A)
4
ww
w.c
ms.
go
v/N
PC
ICD
-10
Up
da
te
5
Pa
t B
roo
ks,
RH
IA.
Se
nio
r Te
chn
ica
l A
dv
iso
r
Ho
spit
al
an
d A
mb
ula
tory
Po
licy
Gro
up
Ce
nte
r fo
r M
ed
ica
re
CM
S
ww
w.c
ms.
go
v/N
PC
ICD
-10
Im
ple
me
nta
tio
n
•O
cto
be
r 1
, 2
01
4 –
Co
mp
lia
nce
da
te f
or
imp
lem
en
tati
on
of
ICD
-10
-CM
(d
iag
no
ses)
an
d I
CD
-10
-PC
S (
pro
ced
ure
s)
•N
o m
ore
de
lays
•
ICD
-10
-CM
(d
iag
no
ses)
wil
l b
e u
sed
by
all
pro
vid
ers
in
eve
ry
he
alt
h c
are
se
ttin
g
•IC
D-1
0-P
CS
(p
roce
du
res)
wil
l b
e u
sed
on
ly f
or
ho
spit
al cl
aim
s fo
r in
pa
tie
nt
ho
spit
al p
roce
du
res
•IC
D-1
0-P
CS
wil
l n
ot
be
use
d o
n p
hys
icia
n c
laim
s, e
ven
th
ose
fo
r in
pa
tie
nt
vis
its
6
ww
w.c
ms.
go
v/N
PC
ICD
-10
Im
ple
me
nta
tio
n
•S
ing
le im
ple
me
nta
tio
n d
ate
of
Oct
ob
er
1,
20
14
fo
r a
ll u
sers
•D
ate
of
serv
ice
fo
r a
mb
ula
tory
an
d p
hys
icia
n r
ep
ort
ing
•A
mb
ula
tory
an
d p
hys
icia
n s
erv
ice
s p
rovid
ed
on
or
aft
er
Oct
ob
er
1,
20
14
wil
l u
se I
CD
-10
-CM
dia
gn
osi
s co
de
s
•D
ate
of
dis
cha
rge
fo
r h
osp
ita
l cl
aim
s fo
r in
pa
tie
nt
sett
ing
s
•In
pa
tie
nt
dis
cha
rge
s o
ccu
rrin
g o
n o
r a
fte
r O
cto
be
r 1
, 2
01
4 w
ill u
se I
CD
-10
-CM
an
d I
CD
-10
-PC
S c
od
es
7
ww
w.c
ms.
go
v/N
PC
CP
T a
nd
HC
PC
S
•N
o i
mp
act
on
Cu
rre
nt
Pro
ced
ura
l Te
rmin
olo
gy
(C
PT
) a
nd
He
alt
hca
re C
om
mo
n P
roce
du
re C
od
ing
Sys
tem
(H
CP
CS
) co
de
s
•C
PT
an
d H
CP
CS
wil
l co
nti
nu
e t
o b
e u
sed
fo
r p
hys
icia
n a
nd
am
bu
lato
ry s
erv
ice
s in
clu
din
g p
hys
icia
n v
isit
s to
in
pa
tie
nts
8
ww
w.c
ms.
go
v/N
PC
ICD
-10
we
bsi
te
ICD
-10
MS
-DR
Gs
•M
ed
ica
re S
eve
rity
Dia
gn
osi
s R
ela
ted
Gro
up
er
(MS
-DR
G)
V3
0.0
ICD
-10
De
fin
itio
ns
Ma
nu
al
•A
vail
ab
le i
n t
ext
an
d H
TM
L ve
rsio
ns
•P
ost
ed
on
th
e
•M
S-D
RG
V3
0.0
IC
D-1
0 “
Su
mm
ary
of
Ch
an
ge
s”
•IC
D-1
0 D
efi
nit
ion
s o
f M
ed
ica
re C
od
e E
dit
s
•F
ina
l F
Y 2
01
5 I
CD
-10
MS
-DR
Gs
V3
2.0
su
bje
ct t
o f
orm
al
rule
ma
kin
g
9
ww
w.c
ms.
go
v/N
PC
ICD
-10
MS
-DR
Gs
•IC
D-1
0 M
S-D
RG
s
•M
S-D
RG
v3
0 I
CD
-10
ma
infr
am
e s
oft
wa
re
•M
CE
v3
0 I
CD
-10
ma
infr
am
e s
oft
wa
re
•M
SG
/MC
E v
30
IC
D-1
0 P
C s
oft
wa
re
•A
vail
ab
le t
hro
ug
h t
he
Na
tio
na
l Te
chn
ica
l In
form
ati
on
Se
rvic
e
(NT
IS)
•Li
nk
on
CM
S w
eb
site
un
de
r “R
ela
ted
Lin
ks”
10
ww
w.c
ms.
go
v/N
PC
MLN
Re
sou
rce
s
•M
LN M
att
ers
® A
rtic
les:
•
MLN
Ma
tte
rs®
Sp
eci
al
Ed
itio
n A
rtic
le S
E1
23
9,
“Up
da
ted
IC
D-1
0
Imp
lem
en
tati
on
In
form
ati
on
”
•M
LN M
att
ers
® S
pe
cia
l E
dit
ion
Art
icle
SE
12
40
, “P
art
ial
Co
de
Fre
eze
P
rio
r to
IC
D-1
0 I
mp
lem
en
tati
on
”
•M
LN M
att
ers
® S
pe
cia
l E
dit
ion
Art
icle
SE
13
25
, "I
nst
itu
tio
na
l S
erv
ice
s S
pli
t C
laim
s B
illi
ng
In
stru
ctio
ns
for
Me
dic
are
FFS
Cla
ims
tha
t S
pa
n t
he
IC
D-1
0 I
mp
lem
en
tati
on
Da
te"
•M
LN M
att
ers
® A
rtic
le M
M7
49
2,
"Me
dic
are
FFS
Cla
ims
Pro
cess
ing
G
uid
an
ce f
or
Imp
lem
en
tin
g I
CD
-10
“
•M
LN P
rod
uct
s:
•“I
CD
-10
-CM
/PC
S M
yth
s a
nd
Fa
cts"
Fa
ct S
he
et
•"I
CD
-10
-CM
/PC
S T
he
Ne
xt G
en
era
tio
n o
f C
od
ing
" Fa
ct S
he
et
•" I
CD
-10
-CM
Cla
ssif
ica
tio
n E
nh
an
cem
en
ts"
Fact
Sh
ee
t
•" G
en
era
l E
qu
iva
len
ce M
ap
pin
gs
Fre
qu
en
tly
Ask
ed
Qu
est
ion
s" B
oo
kle
t
11
ww
w.c
ms.
go
v/N
PC
CM
S I
CD
-10
We
bsi
te
•T
he
CM
S I
CD
-10
we
bsi
te p
rovid
es
the
la
test
IC
D-1
0
info
rma
tio
n a
nd
lin
ks t
o r
eso
urc
es
for
pro
vid
ers
to
pre
pa
re f
or
ICD
-10
im
ple
me
nta
tio
n
•S
ign
up
fo
r C
MS
IC
D-1
0 I
nd
ust
ry E
ma
il U
pd
ate
s
•T
he
CM
S S
po
nso
red
IC
D-1
0 T
ele
con
fere
nce
s w
eb
pa
ge
pro
vid
es
info
rma
tio
n o
n u
pco
min
g a
nd
pre
vio
us
CM
S I
CD
-10
Na
tio
na
l P
rovid
er
Ca
lls,
incl
ud
ing
re
gis
tra
tio
n,
pre
sen
tati
on
ma
teri
als
, vid
eo
sli
de
sho
w p
rese
nta
tio
ns,
wri
tte
n t
ran
scri
pts
an
d a
ud
io r
eco
rdin
gs
12
ww
w.c
ms.
go
v/N
PC
CM
S I
CD
-10
We
bsi
te
•M
ed
ica
re F
ee
-fo
r-S
erv
ice
Pro
vid
er
Re
sou
rce
s w
eb
pa
ge
an
d
•P
rovid
er
Re
sou
rce
s (f
or
all
pro
vid
ers
) w
eb
pa
ge
pro
vid
e l
inks
to
a v
ari
ety
of
rela
ted
ed
uca
tio
na
l re
sou
rce
s a
nd
in
form
ati
on
•IC
D-9
-CM
Co
ord
ina
tio
n a
nd
Ma
inte
na
nce
Co
mm
itte
e
Me
eti
ng
s
13
ww
w.c
ms.
go
v/N
PC
Ad
dit
ion
al
Re
sou
rce
s
•T
he
fo
llo
win
g o
rga
niz
ati
on
s o
ffe
r o
the
r IC
D-1
0 r
eso
urc
es:
•W
ED
I (W
ork
gro
up
fo
r E
lect
ron
ic D
ata
In
terc
ha
ng
e)
we
bsi
te
•H
IMS
S (
He
alt
h I
nfo
rma
tio
n a
nd
Ma
na
ge
me
nt
Sys
tem
s
So
cie
ty)
we
bsi
te
14
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
: T
he
Ba
sics
Su
e B
ow
ma
n,
MJ,
RH
IA,
CC
S,
FAH
IMA
Se
nio
r D
ire
cto
r, C
od
ing
Po
licy
an
d
Co
mp
lia
nce
AH
IMA
15
ww
w.c
ms.
go
v/N
PC
Be
ne
fits
of
ICD
-10
-CM
•B
ett
er
da
ta w
ill b
e a
vail
ab
le f
or:
•M
ea
suri
ng
th
e q
ua
lity
, sa
fety
, a
nd
eff
ica
cy o
f ca
re
•D
esi
gn
ing
pa
ym
en
t sy
ste
ms
an
d p
roce
ssin
g c
laim
s fo
r
reim
bu
rse
me
nt
•C
on
du
ctin
g r
ese
arc
h,
ep
ide
mio
log
ica
l st
ud
ies,
an
d c
lin
ica
l
tria
ls
•S
ett
ing
he
alt
h p
oli
cy
•O
pe
rati
on
al
an
d s
tra
teg
ic p
lan
nin
g a
nd
de
sig
nin
g
he
alt
hca
re d
eli
very
sys
tem
s
•M
on
ito
rin
g r
eso
urc
e u
tili
zati
on
•Im
pro
vin
g c
lin
ica
l, f
ina
nci
al,
an
d a
dm
inis
tra
tive
pe
rfo
rma
nce
•P
reve
nti
ng
an
d d
ete
ctin
g h
ea
lth
care
fra
ud
an
d a
bu
se
•Tr
ack
ing
pu
bli
c h
ea
lth
an
d r
isks
16
ww
w.c
ms.
go
v/N
PC
Be
ne
fits
of
ICD
-10
-CM
•R
eco
gn
itio
n o
f a
dva
nce
s in
me
dic
ine
an
d t
ech
no
log
y
•Im
pro
ved
eff
icie
nci
es
an
d l
ow
er
cost
s
•R
ed
uce
d c
od
ing
err
ors
•G
rea
ter
ach
ieve
me
nt
of
the
be
ne
fits
of
an
ele
ctro
nic
he
alt
h
reco
rd
•In
cre
ase
d v
alu
e i
n t
he
US
in
vest
me
nt
in S
NO
ME
D-C
T
17
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Str
uct
ure
ICD
-9-C
M
•3
-5 c
ha
ract
ers
•F
irst
ch
ara
cte
r is
nu
me
ric
or
alp
ha
(E
or
V)
•C
ha
ract
ers
2-5
are
nu
me
ric
•A
lwa
ys a
t le
ast
3
cha
ract
ers
•U
se o
f d
eci
ma
l a
fte
r 3
cha
ract
ers
ICD
-10
-CM
•3
-7 c
ha
ract
ers
•1
st c
ha
ract
er
is a
lph
a (
all
le
tte
rs
exc
ep
t U
are
use
d)
•2
nd
cha
ract
er
is n
um
eri
c
•C
ha
ract
ers
3-7
are
alp
ha
or
nu
me
ric
•U
se o
f d
eci
ma
l a
fte
r 3
ch
ara
cte
rs
•A
lph
a c
ha
ract
ers
are
no
t ca
se-
sen
siti
ve
(e
.g.,
Rig
ht
an
kle
sp
rain
, in
itia
l e
nco
un
ter:
S
93
.40
1A
, S
93
.40
1a
, s9
3.4
01
A,
s93
.40
1a
)
18
ww
w.c
ms.
go
v/N
PC
Sim
ila
riti
es
to I
CD
-9-C
M
•Ta
bu
lar
List
•C
hro
no
log
ica
l lis
t o
f co
de
s d
ivid
ed
in
to c
ha
pte
rs b
ase
d o
n
bo
dy
sys
tem
or
con
dit
ion
•S
am
e h
iera
rch
ica
l str
uct
ure
•C
ha
pte
rs in
Ta
bu
lar
stru
ctu
red
sim
ila
rly
to
IC
D-9
-CM
, w
ith
min
or
exc
ep
tio
ns
•A
fe
w c
ha
pte
rs h
ave
be
en
re
stru
ctu
red
•S
en
se o
rga
ns
(eye
an
d e
ar)
se
pa
rate
d f
rom
Ne
rvo
us
Sys
tem
ch
ap
ter
an
d m
ove
d t
o t
he
ir o
wn
ch
ap
ters
19
ww
w.c
ms.
go
v/N
PC
Sim
ila
riti
es
to I
CD
-9-C
M
•In
de
x
•A
lph
ab
eti
cal li
st o
f te
rms
an
d t
he
ir c
orr
esp
on
din
g c
od
es
•In
de
nte
d s
ub
term
s a
pp
ea
r u
nd
er
ma
in t
erm
s
•S
am
e s
tru
ctu
re a
s IC
D-9
-CM
•A
lph
ab
eti
c In
de
x o
f D
ise
ase
s a
nd
In
juri
es
•A
lph
ab
eti
c In
de
x o
f E
xte
rna
l Ca
use
s
•Ta
ble
of
Ne
op
lasm
s
•Ta
ble
of
Dru
gs
an
d C
he
mic
als
20
ww
w.c
ms.
go
v/N
PC
Sim
ila
riti
es
to I
CD
-9-C
M
•M
an
y c
on
ven
tio
ns
ha
ve s
am
e m
ea
nin
g
•A
bb
revia
tio
ns,
pu
nct
ua
tio
n,
sym
bo
ls,
no
tes
such
as
“co
de
firs
t” a
nd
“u
se a
dd
itio
na
l co
de
”
•N
on
spe
cifi
c co
de
s (“
un
spe
cifi
ed
” o
r “n
ot
oth
erw
ise
spe
cifi
ed
”) a
re a
vail
ab
le t
o u
se w
he
n d
eta
ile
d d
ocu
me
nta
tio
n
to s
up
po
rt m
ore
sp
eci
fic
cod
e i
s n
ot
ava
ila
ble
•C
od
es
are
lo
oke
d u
p t
he
sa
me
wa
y
•Lo
ok
up
dia
gn
ost
ic t
erm
s in
Alp
ha
be
tic
Ind
ex,
th
en
•V
eri
fy c
od
e n
um
be
r in
Ta
bu
lar
List
21
ww
w.c
ms.
go
v/N
PC
Sim
ila
riti
es
to I
CD
-9-C
M
•C
od
es
are
in
vali
d i
f th
ey
are
mis
sin
g a
n a
pp
lica
ble
ch
ara
cte
r
•IC
D-1
0-C
M O
ffic
ial
Gu
ide
lin
es
for
Co
din
g a
nd
Re
po
rtin
g
acc
om
pa
ny
an
d c
om
ple
me
nt
ICD
-10
-CM
co
nve
nti
on
s a
nd
inst
ruct
ion
s
•A
dh
ere
nce
to
th
e o
ffic
ial
cod
ing
gu
ide
lin
es
in a
ll h
ea
lth
care
sett
ing
s is
re
qu
ire
d u
nd
er
the
He
alt
h I
nsu
ran
ce P
ort
ab
ilit
y a
nd
Acc
ou
nta
bil
ity
Act
(H
IPA
A)
22
ww
w.c
ms.
go
v/N
PC
Dif
fere
nce
s fr
om
IC
D-9
-CM
•E
xpa
nd
ed
de
tail
an
d s
pe
cifi
city
•La
tera
lity
(si
de
of
the
bo
dy
aff
ect
ed
) h
as
be
en
ad
de
d t
o
rele
van
t co
de
s
•E
xpa
nd
ed
use
of
com
bin
ati
on
co
de
s
•C
ert
ain
co
nd
itio
ns
an
d a
sso
cia
ted
co
mm
on
sy
mp
tom
s o
r
ma
nif
est
ati
on
s
•P
ois
on
ing
s a
nd
ass
oci
ate
d e
xte
rna
l ca
use
23
ww
w.c
ms.
go
v/N
PC
Dif
fere
nce
s fr
om
IC
D-9
-CM
•In
juri
es
gro
up
ed
by
an
ato
mic
al s
ite
ra
the
r th
an
ty
pe
of
inju
ry
•C
od
es
refl
ect
mo
de
rn m
ed
icin
e a
nd
up
da
ted
me
dic
al
term
ino
log
y
24
ww
w.c
ms.
go
v/N
PC
Co
mb
ina
tio
n C
od
es
– E
xa
mp
les
•I2
5.1
10
A
the
rosc
lero
tic
he
art
dis
ea
se o
f n
ati
ve c
oro
na
ry
art
ery
wit
h u
nst
ab
le a
ng
ina
pe
cto
ris
•E
11
.31
1 Ty
pe
2 d
iab
ete
s m
ell
itu
s w
ith
un
spe
cifi
ed
dia
be
tic
reti
no
pa
thy
wit
h m
acu
lar
ed
em
a
•K
71
.51
To
xic
live
r d
ise
ase
wit
h c
hro
nic
act
ive
he
pa
titi
s w
ith
asc
ite
s
•K
50
.01
2 C
roh
n’s
dis
ea
se o
f sm
all
inte
stin
e w
ith
in
test
ina
l
ob
stru
ctio
n
25
ww
w.c
ms.
go
v/N
PC
Ad
dit
ion
of
7th
Ch
ara
cte
r
•7
th c
ha
ract
er
use
d i
n c
ert
ain
ch
ap
ters
(e
.g.,
Ob
ste
tric
s,
Inju
ry,
Mu
scu
losk
ele
tal,
an
d E
xte
rna
l Ca
use
ch
ap
ters
)
•D
iffe
ren
t m
ea
nin
g d
ep
en
din
g o
n s
ect
ion
wh
ere
it
is b
ein
g
use
d
•M
ust
alw
ays
be
use
d i
n t
he
7th
ch
ara
cte
r p
osi
tio
n
•W
he
n 7
thch
ara
cte
r a
pp
lie
s, c
od
es
mis
sin
g 7
thch
ara
cte
r a
re
inva
lid
26
ww
w.c
ms.
go
v/N
PC
7th
Ch
ara
cte
r D
esc
rib
ing
En
cou
nte
r
Init
ial
en
cou
nte
r: A
s lo
ng
as
pa
tie
nt
is r
ece
ivin
g a
ctiv
e t
rea
tme
nt
for
the
co
nd
itio
n.
Exa
mp
les
of
act
ive
tre
atm
en
t a
re:
surg
ica
l tr
ea
tme
nt,
em
erg
en
cy d
ep
art
me
nt
en
cou
nte
r, a
nd
eva
lua
tio
n a
nd
tre
atm
en
t b
y a
ne
w p
hys
icia
n.
Su
bse
qu
en
t e
nco
un
ter:
Aft
er
pa
tie
nt
ha
s re
ceiv
ed
act
ive
tre
atm
en
t o
f th
e c
on
dit
ion
an
d i
s
rece
ivin
g r
ou
tin
e c
are
fo
r th
e c
on
dit
ion
du
rin
g t
he
he
ali
ng
or
reco
very
ph
ase
.
Exa
mp
les
of
sub
seq
ue
nt
care
are
: ca
st c
ha
ng
e o
r re
mo
val,
re
mo
val
of
ext
ern
al
or
inte
rna
l fi
xati
on
de
vic
e,
me
dic
ati
on
ad
just
me
nt,
oth
er
aft
erc
are
an
d f
oll
ow
up
vis
its
foll
ow
ing
tre
atm
en
t o
f th
e i
nju
ry o
r co
nd
itio
n.
Se
qu
ela
: C
om
pli
cati
on
s o
r co
nd
itio
ns
tha
t a
rise
as
a d
ire
ct r
esu
lt o
f a
co
nd
itio
n (
e.g
., s
car
form
ati
on
aft
er
a b
urn
).
No
te:
For
aft
erc
are
of
inju
ry,
ass
ign
acu
te i
nju
ry c
od
e w
ith
7th
ch
ara
cte
r fo
r su
bse
qu
en
t
en
cou
nte
r.
27
ww
w.c
ms.
go
v/N
PC
7th
Ch
ara
cte
r –
Fra
ctu
res
A I
nit
ial e
nco
un
ter
for
clo
sed
fra
ctu
re
B I
nit
ial e
nco
un
ter
for
op
en
fra
ctu
re
D S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h r
ou
tin
e h
ea
lin
g
G S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h d
ela
yed
he
ali
ng
K S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h n
on
un
ion
P S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h m
alu
nio
n
S S
eq
ue
la
28
ww
w.c
ms.
go
v/N
PC
Pla
ceh
old
er
“X
”
•A
dd
itio
n o
f d
um
my
pla
ceh
old
er
“X”
(or
“x”)
is u
sed
in
ce
rta
in
cod
es
to:
•A
llo
w f
or
futu
re e
xpa
nsi
on
•F
ill o
ut
em
pty
ch
ara
cte
rs w
he
n a
co
de
co
nta
ins
few
er
tha
n
6 c
ha
ract
ers
an
d a
7th
ch
ara
cte
r a
pp
lie
s
•W
he
n p
lace
ho
lde
r ch
ara
cte
r a
pp
lie
s, i
t m
ust
be
use
d i
n o
rde
r
for
the
co
de
to
be
va
lid
29
ww
w.c
ms.
go
v/N
PC
Pla
ceh
old
er
“X
”
•“X
” is
no
t ca
se-s
en
siti
ve
•T
46
.1x
5A
or
T4
6.1
X5
A–
Ad
vers
e e
ffe
ct o
f ca
lciu
m-c
ha
nn
el
blo
cke
rs,
init
ial e
nco
un
ter
•T
15
.02
xD
or
T1
5.0
2X
D–
Fo
reig
n b
od
y i
n c
orn
ea
, le
ft e
ye,
sub
seq
ue
nt
en
cou
nte
r
30
ww
w.c
ms.
go
v/N
PC
Excl
ud
es
No
tes
•E
xclu
de
s1 n
ote
•
Ind
ica
tes
tha
t co
de
id
en
tifi
ed
in
th
e n
ote
an
d c
od
e w
he
re t
he
no
te a
pp
ea
rs
can
no
t b
e r
ep
ort
ed
to
ge
the
r b
eca
use
th
e 2
co
nd
itio
ns
can
no
t o
ccu
r to
ge
the
r
Exa
mp
le:
E1
0
Typ
e 1
Dia
be
tes
me
llit
us
Exc
lud
es1
: d
iab
ete
s m
ell
itu
s d
ue
to
un
de
rly
ing
co
nd
itio
n (
E0
8.-
)
dru
g o
r ch
em
ica
l in
du
ced
dia
be
tes
me
llit
us
(E0
9.-
)
ge
sta
tio
na
l dia
be
tes
(O2
4.4
-)
hyp
erg
lyce
mia
NO
S (
R7
3.9
)
ne
on
ata
l d
iab
ete
s m
ell
itu
s (P
70
.2)
po
stp
an
cre
ate
cto
my d
iab
ete
s m
ell
itu
s (E
13
.-)
po
stp
roce
du
ral d
iab
ete
s m
ell
itu
s (E
13
.-)
seco
nd
ary
dia
be
tes
me
llit
us
NE
C (
E1
3.-
)
typ
e 2
dia
be
tes
me
llit
us
(E1
1.-
)
31
ww
w.c
ms.
go
v/N
PC
Excl
ud
es
No
tes
•E
xclu
de
s2 n
ote
•In
dic
ate
s th
at
con
dit
ion
ide
nti
fie
d i
n t
he
no
te i
s n
ot
pa
rt o
f th
e c
on
dit
ion
rep
rese
nte
d b
y t
he
co
de
wh
ere
th
e n
ote
ap
pe
ars
, so
bo
th c
od
es
ma
y b
e
rep
ort
ed
to
ge
the
r if
th
e p
ati
en
t h
as
bo
th c
on
dit
ion
s
Exa
mp
le:
L89
P
ress
ure
ulc
er
Exc
lud
es2
: d
ecu
bit
us
(tro
ph
ic)
ulc
er
of
cerv
ix (
ute
ri)
(N8
6)
dia
be
tic
ulc
ers
(E
08
.62
1,
E0
8.6
22
, E
09
.62
1,
E0
9.6
22
,
E1
0.6
21
, E
10
.62
2,
E1
1.6
21
, E
11
.62
2,
E1
3.6
21
, E
13
.62
2)
no
n-p
ress
ure
ch
ron
ic u
lce
r o
f sk
in (
L97
.-)
skin
in
fect
ion
s (L
00
-L0
8)
vari
cose
ulc
er
(I8
3.0
, I8
3.2
)
32
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Sp
eci
fici
ty E
xa
mp
les
•In
cre
ase
d s
pe
cifi
city
•S
72
.04
4G
No
nd
isp
lace
d f
ract
ure
of
ba
se o
f n
eck
of
rig
ht
fem
ur,
su
bse
qu
en
t e
nco
un
ter
for
clo
sed
fra
ctu
re w
ith
de
laye
d h
ea
lin
g
•I6
9.3
51
S
eq
ue
lae
of
cere
bra
l in
farc
tio
n,
He
mip
leg
ia a
nd
he
mip
are
sis
foll
ow
ing
ce
reb
ral in
farc
tio
n a
ffe
ctin
g r
igh
t
do
min
an
t si
de
•Z
47
.81
En
cou
nte
r fo
r o
rth
op
ed
ic a
fte
rca
re f
oll
ow
ing
surg
ica
l a
mp
uta
tio
n
•Z
48
.21
En
cou
nte
r fo
r a
fte
rca
re f
oll
ow
ing
he
art
tra
nsp
lan
t
33
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
La
tera
lity
Exa
mp
les
•La
tera
lity
•C
50
.51
1 M
ali
gn
an
t n
eo
pla
sm o
f lo
we
r-o
ute
r q
ua
dra
nt
of
rig
ht
fem
ale
bre
ast
•H
01
.11
1 A
lle
rgic
de
rma
titi
s o
f ri
gh
t u
pp
er
eye
lid
•L8
9.2
23
Pre
ssu
re u
lce
r o
f le
ft h
ip,
sta
ge
3
34
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Ty
pe
I d
iab
ete
s m
ell
itu
s w
ith
dia
be
tic
ne
ph
rop
ath
y
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Dia
be
tes,
dia
be
tic
(me
llit
us)
(su
ga
r) E
11
.9
t
yp
e 1
E1
0.9
w
ith
n
ep
hro
pa
thy
E1
0.2
1
35
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Ty
pe
I d
iab
ete
s m
ell
itu
s w
ith
dia
be
tic
ne
ph
rop
ath
y (
con
tin
ue
d)
Ste
p 2
V
eri
fy c
od
e i
n T
ab
ula
r:
E1
0 T
yp
e 1
dia
be
tes
me
llit
us
E
10
.2 T
yp
e 1
dia
be
tes
me
llit
us
wit
h k
idn
ey
co
mp
lica
tio
ns
E1
0.2
1 T
yp
e 1
dia
be
tes
me
llit
us
wit
h d
iab
eti
c n
ep
hro
pa
thy
Typ
e 1
dia
be
tes
me
llit
us
wit
h i
nte
rca
pil
lary
glo
me
rulo
scle
rosi
s
Typ
e 1
dia
be
tes
me
llit
us
wit
h i
ntr
aca
pil
lary
glo
me
rulo
ne
ph
rosi
s
Typ
e 1
dia
be
tes
me
llit
us
wit
h K
imm
els
tie
l-W
ilso
n d
ise
ase
Co
de
Ass
ign
me
nt:
E1
0.2
1
36
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Acu
te c
yst
itis
wit
h h
em
atu
ria
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Cys
titi
s (e
xud
ati
ve)
(he
mo
rrh
ag
ic)
(se
pti
c) (
sup
pu
rati
ve)
N3
0.9
0
acu
te N
30
.00
w
ith
he
ma
turi
a N
30
.01
37
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Acu
te c
yst
itis
wit
h h
em
atu
ria
(co
nti
nu
ed
)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
N3
0 C
ysti
tis
U
se a
dd
itio
na
l co
de
to
id
en
tify
in
fect
iou
s a
ge
nt
(B9
5-B
97
)
N
30
.0 A
cute
cys
titi
s
Exc
lud
es1
: ir
rad
iati
on
cys
titi
s (N
30
.4-)
tri
go
nit
is (
N3
0.3
-)
N3
0.0
0 A
cute
cys
titi
s w
ith
ou
t h
em
atu
ria
N3
0.0
1 A
cute
cys
titi
s w
ith
he
ma
turi
a
Co
de
Ass
ign
me
nt:
N3
0.0
1
38
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Ch
ron
ic o
bst
ruct
ive
pu
lmo
na
ry d
ise
ase
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Dis
ea
se,
dis
ea
sed
(se
e a
lso
Sy
nd
rom
e)
p
ulm
on
ary
– s
ee
als
o D
ise
ase
, lu
ng
chro
nic
ob
stru
ctiv
e J
44
.9
w
ith
acu
te b
ron
chit
is J
44
.0
exa
cerb
ati
on
(a
cute
) J4
4.1
low
er
resp
ira
tory
in
fect
ion
(a
cute
) J4
4.0
39
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Ch
ron
ic o
bst
ruct
ive
pu
lmo
na
ry d
ise
ase
(co
nti
nu
ed
)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
J44
Oth
er
chro
nic
ob
stru
ctiv
e p
ulm
on
ary
dis
ea
se
Incl
ud
es:
Ast
hm
a w
ith
ch
ron
ic o
bst
ruct
ive
pu
lmo
na
ry d
ise
ase
Ch
ron
ic a
sth
ma
tic
(ob
stru
ctiv
e)
bro
nch
itis
Ch
ron
ic b
ron
chit
is w
ith
air
wa
ys o
bst
ruct
ion
Ch
ron
ic b
ron
chit
is w
ith
em
ph
yse
ma
Ch
ron
ic e
mp
hys
em
ato
us
bro
nch
itis
Ch
ron
ic o
bst
ruct
ive
ast
hm
a
Ch
ron
ic o
bst
ruct
ive
bro
nch
itis
Ch
ron
ic o
bst
ruct
ive
tra
che
ob
ron
chit
is
4
0
w
ww
.cm
s.g
ov
/NP
C
ICD
-10
-CM
Co
din
g E
xa
mp
les
Ch
ron
ic o
bst
ruct
ive
pu
lmo
na
ry d
ise
ase
(co
nti
nu
ed
)
Ste
p 2
(co
nti
nu
ed
)
J4
4.9
Ch
ron
ic o
bst
ruct
ive
pu
lmo
na
ry d
ise
ase
, u
nsp
eci
fie
d
Ch
ron
ic o
bst
ruct
ive
air
wa
y d
ise
ase
NO
S
Ch
ron
ic o
bst
ruct
ive
lu
ng
dis
ea
se N
OS
Co
de
Ass
ign
me
nt:
J4
4.9
41
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Fra
ctu
re o
f p
rox
ima
l th
ird
of
sca
ph
oid
bo
ne
, le
ft w
rist
, in
itia
l
en
cou
nte
r
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Fra
ctu
re,
tra
um
ati
c
sc
ap
ho
id (
ha
nd
) –
se
e a
lso
Fra
ctu
re,
carp
al,
na
vic
ula
r
ca
rpa
l b
on
e(s
) S
62
.10
-
na
vic
ula
r S
62
.00
–
p
roxi
ma
l th
ird
(d
isp
lace
d)
S6
2.0
3-
n
on
dis
pla
ced
S6
2.0
3-
42
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Fra
ctu
re o
f p
rox
ima
l th
ird
of
sca
ph
oid
bo
ne
, le
ft w
rist
, in
itia
l
en
cou
nte
r (c
on
tin
ue
d)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
S6
2 F
ract
ure
at
wri
st a
nd
ha
nd
le
vel
No
te:
A f
ract
ure
no
t in
dic
ate
d a
s d
isp
lace
d o
r n
on
dis
pla
ced
sh
ou
ld b
e c
od
ed
to
dis
pla
ced
No
te:
A f
ract
ure
no
t in
dic
ate
d a
s o
pe
n o
r cl
ose
d s
ho
uld
be
co
de
d t
o c
lose
d
43
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Fra
ctu
re o
f p
rox
ima
l th
ird
of
sca
ph
oid
bo
ne
, le
ft w
rist
, in
itia
l
en
cou
nte
r (c
on
tin
ue
d)
Ste
p 2
(c
on
tin
ue
d)
Th
e a
pp
rop
ria
te 7
th c
ha
ract
er
is t
o b
e a
dd
ed
to
ea
ch c
od
e f
rom
ca
teg
ory
S6
2:
A I
nit
ial
en
cou
nte
r fo
r cl
ose
d f
ract
ure
B I
nit
ial
en
cou
nte
r fo
r o
pe
n f
ract
ure
D S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h r
ou
tin
e h
ea
lin
g
G S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h d
ela
yed
he
ali
ng
K S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h n
on
un
ion
P S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h m
alu
nio
n
S S
eq
ue
la
44
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Fra
ctu
re o
f p
rox
ima
l th
ird
of
sca
ph
oid
bo
ne
, le
ft w
rist
, in
itia
l
en
cou
nte
r (c
on
tin
ue
d)
Ste
p 2
(co
nti
nu
ed
)
Ve
rify
co
de
in
Ta
bu
lar:
S6
2.0
3 F
ract
ure
of
pro
xim
al
thir
d o
f n
av
icu
lar
[sca
ph
oid
] b
on
e o
f w
rist
S6
2.0
31
Dis
pla
ced
fra
ctu
re o
f p
roxi
ma
l th
ird
of
na
vic
ula
r [s
cap
ho
id]
bo
ne
of
rig
ht
wri
st
S6
2.0
32
Dis
pla
ced
fra
ctu
re o
f p
roxi
ma
l th
ird
of
na
vic
ula
r [s
cap
ho
id]
bo
ne
of
left
wri
st
S6
2.0
33
Dis
pla
ced
fra
ctu
re o
f p
roxi
ma
l th
ird
of
na
vic
ula
r [s
cap
ho
id]
bo
ne
of
un
spe
cifi
ed
wri
st
45
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
Fra
ctu
re o
f p
rox
ima
l th
ird
of
sca
ph
oid
bo
ne
, le
ft w
rist
, in
itia
l
en
cou
nte
r (c
on
tin
ue
d)
Ste
p 2
(co
nti
nu
ed
)
Ve
rify
co
de
in
Ta
bu
lar:
S6
2.0
34
N
on
dis
pla
ced
fra
ctu
re o
f p
roxi
ma
l th
ird
of
na
vic
ula
r [s
cap
ho
id]
bo
ne
of
rig
ht
wri
st
S6
2.0
35
No
nd
isp
lace
d f
ract
ure
of
pro
xim
al
thir
d o
f n
av
icu
lar
[sca
ph
oid
’ b
on
e o
f le
ft
wri
st
S6
2.0
36
No
nd
isp
lace
d f
ract
ure
of
pro
xim
al
thir
d o
f n
av
icu
lar
[sca
ph
oid
] b
on
e o
f
un
spe
cifi
ed
wri
st
Co
de
Ass
ign
me
nt:
S6
2.0
32
A
46
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Co
din
g E
xa
mp
les
An
xie
ty r
ea
ctio
n
Ste
p 1
Lo
ok
up
te
rm i
n A
lph
ab
eti
c In
de
x:
An
xie
ty F
41
.9
de
pre
ssio
n F
41
.8
ep
iso
dic
pa
roxy
sma
l F
41
.0
ge
ne
rali
zed
F4
1.1
hys
teri
a F
41
.8
ne
uro
sis
F4
1.1
pa
nic
ty
pe
F4
1.0
rea
ctio
n F
41
.1
sep
ara
tio
n,
ab
no
rma
l (o
f ch
ild
ho
od
) F
93
.0
spe
cifi
ed
NE
C F
41
.8
sta
te F
41
.1
4
7
w
ww
.cm
s.g
ov
/NP
C
ICD
-10
-CM
Co
din
g E
xa
mp
les
An
xie
ty r
ea
ctio
n (
con
tin
ue
d)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
F4
1 O
the
r a
nxi
ety
dis
ord
ers
F4
1.1
Ge
ne
rali
zed
an
xie
ty d
iso
rde
r
An
xie
ty n
eu
rosi
s
An
xie
ty r
ea
ctio
n
An
xie
ty s
tate
Ove
ran
xio
us
dis
ord
er
Co
de
Ass
ign
me
nt:
F4
1.1
48
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
s
•E
ach
he
alt
hca
re e
nco
un
ter
sho
uld
be
co
de
d t
o t
he
le
vel
of
cert
ain
ty k
no
wn
fo
r th
at
en
cou
nte
r
•U
nsp
eci
fie
d c
od
es
sho
uld
ne
ed
to
be
se
lect
ed
le
ss o
fte
n d
ue
to
gre
ate
r n
um
be
r o
f co
de
ch
oic
es
in I
CD
-10
-CM
•U
nsp
eci
fie
d c
od
es
sho
uld
be
re
po
rte
d w
he
n t
he
y m
ost
acc
ura
tely
re
fle
ct w
ha
t is
kn
ow
n a
bo
ut
the
pa
tie
nt’
s co
nd
itio
n
at
the
tim
e o
f th
at
pa
rtic
ula
r e
nco
un
ter
49
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
s
•W
he
n s
uff
icie
nt
clin
ica
l in
form
ati
on
isn
’t k
no
wn
or
ava
ila
ble
ab
ou
t a
pa
rtic
ula
r h
ea
lth
co
nd
itio
n t
o a
ssig
n a
mo
re s
pe
cifi
c
cod
e,
it is
acc
ep
tab
le t
o r
ep
ort
th
e a
pp
rop
ria
te “
un
spe
cifi
ed
”
cod
e
•It
wo
uld
be
in
ap
pro
pri
ate
to
se
lect
a s
pe
cifi
c co
de
th
at
is n
ot
sup
po
rte
d b
y t
he
me
dic
al r
eco
rd d
ocu
me
nta
tio
n o
r co
nd
uct
me
dic
all
y u
nn
ece
ssa
ry d
iag
no
stic
te
stin
g in
ord
er
to d
ete
rmin
e
a m
ore
sp
eci
fic
cod
e
50
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Fra
ctu
re o
f le
ft w
rist
, in
itia
l e
nco
un
ter
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Fra
ctu
re,
tra
um
ati
c
w
rist
S6
2.1
0-
carp
al
– s
ee
Fra
ctu
re,
carp
al
bo
ne
51
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Fra
ctu
re o
f le
ft w
rist
, in
itia
l e
nco
un
ter
(co
nti
nu
ed
)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
S6
2 F
ract
ure
at
wri
st a
nd
ha
nd
le
vel
No
te:
A f
ract
ure
no
t in
dic
ate
d a
s d
isp
lace
d o
r n
on
dis
pla
ced
sh
ou
ld b
e c
od
ed
to
dis
pla
ced
No
te:
A f
ract
ure
no
t in
dic
ate
d a
s o
pe
n o
r cl
ose
d s
ho
uld
be
co
de
d t
o c
lose
d
52
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Fra
ctu
re o
f le
ft w
rist
, in
itia
l e
nco
un
ter
(co
nti
nu
ed
)
Ste
p 2
(co
nti
nu
ed
)
Th
e a
pp
rop
ria
te 7
th c
ha
ract
er
is t
o b
e a
dd
ed
to
ea
ch c
od
e f
rom
ca
teg
ory
S6
2:
A In
itia
l e
nco
un
ter
for
clo
sed
fra
ctu
re
B In
itia
l e
nco
un
ter
for
op
en
fra
ctu
re
D S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h r
ou
tin
e h
ea
lin
g
G S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h d
ela
yed
he
ali
ng
K S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h n
on
un
ion
P S
ub
seq
ue
nt
en
cou
nte
r fo
r fr
act
ure
wit
h m
alu
nio
n
S S
eq
ue
la
53
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Fra
ctu
re o
f le
ft w
rist
, in
itia
l e
nco
un
ter
(co
nti
nu
ed
)
Ste
p 2
(co
nti
nu
ed
)
Ve
rify
co
de
in
Ta
bu
lar:
S6
2.1
0 F
ract
ure
of
un
spe
cifi
ed
ca
rpa
l b
on
e
F
ract
ure
of
wri
st N
OS
S
62
.10
1 F
ract
ure
of
un
spe
cifi
ed
ca
rpa
l b
on
e,
rig
ht
wri
st
S
62
.10
2 F
ract
ure
of
un
spe
cifi
ed
ca
rpa
l b
on
e,
left
wri
st
S
62
.10
9 F
ract
ure
of
un
spe
cifi
ed
ca
rpa
l b
on
e,
un
spe
cifi
ed
wri
st
Co
de
Ass
ign
me
nt:
S6
2.1
02
A
54
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Pn
eu
mo
nia
Ste
p 1
Loo
k u
p t
erm
in
Alp
ha
be
tic
Ind
ex
:
Pn
eu
mo
nia
(a
cute
) (d
ou
ble
) (m
igra
tory
) (p
uru
len
t) (
sep
tic)
(u
nre
solv
ed
)
J18
.9
55
ww
w.c
ms.
go
v/N
PC
Un
spe
cifi
ed
Co
de
Exa
mp
les
Pn
eu
mo
nia
(co
nti
nu
ed
)
Ste
p 2
V
eri
fy c
od
e i
n T
ab
ula
r:
J18
Pn
eu
mo
nia
, u
nsp
eci
fie
d o
rga
nis
m
Co
de
fir
st a
sso
cia
ted
in
flu
en
za,
if a
pp
lica
ble
(J0
9.X
1,
J10
.0-,
J1
1.0
-)
J1
8.9
Pn
eu
mo
nia
, u
nsp
eci
fie
d o
rga
nis
m
Co
de
Ass
ign
me
nt:
J1
8.9
56
ww
w.c
ms.
go
v/N
PC
Ex
tern
al
Ca
use
s o
f M
orb
idit
y
•N
o n
ati
on
al
req
uir
em
en
t fo
r m
an
da
tory
IC
D-1
0-C
M e
xte
rna
l
cau
se c
od
e r
ep
ort
ing
•R
ep
ort
ing
of
ICD
-10
-CM
co
de
s in
Ch
ap
ter
20
, E
xte
rna
l Ca
use
s
of
Mo
rbid
ity,
is
on
ly r
eq
uir
ed
fo
r p
rovid
ers
su
bje
ct t
o a
sta
te-
ba
sed
ext
ern
al c
au
se c
od
e r
ep
ort
ing
ma
nd
ate
or
pa
yer
req
uir
em
en
t
•In
th
e a
bse
nce
of
a m
an
da
tory
re
po
rtin
g r
eq
uir
em
en
t,
pro
vid
ers
are
en
cou
rag
ed
to
vo
lun
tari
ly r
ep
ort
ext
ern
al c
au
se
cod
es
57
ww
w.c
ms.
go
v/N
PC
•P
rovid
e v
alu
ab
le d
ata
fo
r in
jury
re
sea
rch
an
d e
valu
ati
on
of
inju
ry p
reve
nti
on
str
ate
gie
s
•E
xte
rna
l ca
use
of
inju
ry d
ata
are
use
d a
t th
e n
ati
on
al,
sta
te,
an
d l
oca
l le
vels
to
id
en
tify
hig
h-r
isk
po
pu
lati
on
s, s
et
pri
ori
tie
s,
an
d p
lan
an
d e
valu
ate
in
jury
pre
ven
tio
n p
rog
ram
s a
nd
po
lici
es,
an
d a
re p
ote
nti
all
y u
sefu
l fo
r e
valu
ati
ng
em
erg
en
cy
me
dic
al se
rvic
es
(EM
S)
an
d t
rau
ma
ca
re s
yste
ms
Wh
at
is T
he
Va
lue
of
Re
po
rtin
g E
xte
rna
l C
au
se o
f In
jury
Co
de
s?
58
ww
w.c
ms.
go
v/N
PC
Ex
tern
al
Ca
use
Co
de
Exa
mp
le
Inju
ry s
ust
ain
ed
fro
m f
all
ing
do
wn
ice
-co
ve
red
ste
ps,
in
itia
l
en
cou
nte
r
Ste
p 1
Loo
k u
p t
erm
in
Ex
tern
al
Ca
use
of
Inju
ry I
nd
ex
:
Fall
, fa
llin
g (
acc
ide
nta
l) W
19
fr
om
, o
ff,
ou
t o
f
sta
irs,
ste
ps
W1
0.9
d
ue
to
ice
or
sno
w W
00
.1
59
ww
w.c
ms.
go
v/N
PC
Ex
tern
al
Ca
use
Co
de
Exa
mp
le
Inju
ry s
ust
ain
ed
fro
m f
all
ing
do
wn
ice
-co
ve
red
ste
ps,
in
itia
l
en
cou
nte
r (c
on
tin
ue
d)
Ste
p 2
Ve
rify
co
de
in
Ta
bu
lar:
W0
0 F
all
du
e t
o i
ce a
nd
sn
ow
In
clu
de
s: p
ed
est
ria
n o
n f
oo
t fa
llin
g (
slip
pin
g)
on
ice
an
d s
no
w
T
he
ap
pro
pri
ate
7th
ch
ara
cte
r is
to
be
ad
de
d t
o e
ach
co
de
fro
m c
ate
go
ry W
00
A -
in
itia
l e
nco
un
ter
D -
su
bse
qu
en
t e
nco
un
ter
S –
se
qu
ela
W0
0.1
Fa
ll f
rom
sta
irs
an
d s
tep
s d
ue
to
ice
an
d s
no
w
Co
de
Ass
ign
me
nt:
W0
0.1
xx
A
60
ww
w.c
ms.
go
v/N
PC
Incr
ea
sin
g D
em
an
d f
or
Hig
h-Q
ua
lity
Do
cum
en
tati
on
•B
ett
er
clin
ica
l do
cum
en
tati
on
pro
mo
tes
be
tte
r p
ati
en
t ca
re a
nd
mo
re a
ccu
rate
ca
ptu
re o
f a
cuit
y a
nd
se
veri
ty
•Q
ua
lity
me
asu
res
•R
eim
bu
rse
me
nt
•S
eve
rity
-le
vel
pro
file
s
•R
isk
ad
just
me
nt
pro
file
s
•P
rese
nt
on
ad
mis
sio
n r
ep
ort
ing
•H
osp
ita
l-a
cqu
ire
d c
on
dit
ion
s
61
ww
w.c
ms.
go
v/N
PC
Incr
ea
sin
g D
em
an
d f
or
Hig
h-Q
ua
lity
Do
cum
en
tati
on
•H
igh
-qu
ali
ty d
ocu
me
nta
tio
n c
an
he
lp t
o:
•A
void
mis
inte
rpre
tati
on
by
th
ird
pa
rtie
s (a
ud
ito
rs,
pa
yers
,
att
orn
eys
, e
tc.)
•Ju
stif
y m
ed
ica
l n
ece
ssit
y
62
ww
w.c
ms.
go
v/N
PC
Do
cum
en
tati
on
Ga
p A
na
lysi
s
•A
sse
ss q
ua
lity
of
me
dic
al re
cord
do
cum
en
tati
on
to
id
en
tify
imp
rove
me
nt
op
po
rtu
nit
ies
•D
ocu
me
nta
tio
n t
o s
up
po
rt I
CD
-10
-CM
de
tail
ma
y b
e b
ett
er
tha
n e
xpe
cte
d
63
ww
w.c
ms.
go
v/N
PC
Do
cum
en
tati
on
Ga
p A
na
lysi
s
•M
ed
ica
l re
cord
sa
mp
lin
g t
ech
niq
ue
s co
uld
in
clu
de
:
•R
an
do
m s
am
ple
s
•S
am
pli
ng
by
cli
nic
al s
pe
cia
lty
•To
p d
iag
no
ses
•To
p s
erv
ice
lin
es
•H
igh
vo
lum
e d
iag
no
ses
•D
iag
no
ses
kn
ow
n t
o r
ep
rese
nt
do
cum
en
tati
on
pro
ble
ms
tod
ay
64
ww
w.c
ms.
go
v/N
PC
Cli
nic
al
Do
cum
en
tati
on
Im
pro
ve
me
nt
Str
ate
gie
s
•Id
en
tify
do
cum
en
tati
on
imp
rove
me
nt
op
po
rtu
nit
ies
tha
t co
uld
imp
act
mu
ltip
le in
itia
tive
s –
do
n’t
fo
cus
sole
ly o
n I
CD
-10
-CM
•D
ete
rmin
e b
est
so
luti
on
fo
r a
dd
ress
ing
ea
ch d
ocu
me
nta
tio
n g
ap
– o
ne
siz
e d
oe
sn’t
fit
all
E
xam
ple
s: M
od
ific
ati
on
s to
fo
rm o
r te
mp
late
EH
R d
ocu
me
nta
tio
n t
em
pla
te
Syst
em
pro
mp
ts
Ed
uca
tio
n
Wo
rkfl
ow
or
op
era
tio
na
l p
roce
ss c
ha
ng
es
•P
rio
riti
ze –
sta
rt w
ith
“lo
w h
an
gin
g f
ruit
” o
r is
sue
s w
ith
gre
ate
st
imp
act
6
5
ww
w.c
ms.
go
v/N
PC
Exa
mp
les
of
ICD
-10
De
tail
s th
at
Co
uld
be
Ad
de
d t
o
Ele
ctro
nic
He
alt
h R
eco
rd (
EH
R)
Tem
pla
tes
•La
tera
lity
•E
nco
un
ter
typ
e (
init
ial,
su
bse
qu
en
t, s
eq
ue
la,
rou
tin
e h
ea
lin
g,
de
laye
d h
ea
lin
g)
•A
na
tom
ic d
eta
ils
•S
eve
rity
•D
ise
ase
re
lati
on
ship
s
66
ww
w.c
ms.
go
v/N
PC
• P
lan
ed
uca
tio
na
l st
rate
gy
•W
ho
wil
l n
ee
d e
du
cati
on
?
•W
ha
t t
yp
e a
nd
le
vel
of
ed
uca
tio
n w
ill b
e n
ee
de
d?
•O
nly
ho
spit
al in
pa
tie
nt
cod
ers
ne
ed
to
le
arn
IC
D-1
0-P
CS
•3
-4 d
ays
fo
r co
de
rs t
o l
ea
rn I
CD
-10
-CM
(d
ep
en
ds
on
le
vel
of
ICD
-9-C
M k
no
wle
dg
e)
•A
dd
itio
na
l tr
ain
ing
ma
y b
e n
ee
de
d t
o r
efr
esh
or
exp
an
d
kn
ow
led
ge
in
th
e b
iom
ed
ica
l sc
ien
ces
•U
se a
sse
ssm
en
t to
ols
to
id
en
tify
are
as
of
stre
ng
th/w
ea
kn
ess
•R
evie
w a
nd
re
fre
sh k
no
wle
dg
e o
f b
iom
ed
ica
l co
nce
pts
a
s n
ee
de
d b
ase
d o
n t
he
ass
ess
me
nt
resu
lts
•Tr
ain
ing
fo
r co
de
rs w
ork
ing
in
a m
ed
ica
l sp
eci
alt
y a
rea
ca
n
focu
s o
n c
od
e s
ect
ion
s m
ost
ap
pli
cab
le t
o t
ha
t sp
eci
alt
y
ICD
-10
-CM
Tra
inin
g
67
ww
w.c
ms.
go
v/N
PC
ICD
-10
-CM
Tra
inin
g
• P
lan
ed
uca
tio
na
l st
rate
gy
(co
nti
nu
ed
)
•H
ow
wil
l e
du
cati
on
be
de
live
red
?
•W
he
n s
ho
uld
ed
uca
tio
n b
e p
rovid
ed
?
•In
ten
sive
co
de
r tr
ain
ing
: 6
-9 m
on
ths
pri
or
to
imp
lem
en
tati
on
68
ww
w.c
ms.
go
v/N
PC
•C
od
er
tra
inin
g is
ava
ila
ble
fro
m m
an
y s
ou
rce
s:
•P
rofe
ssio
na
l a
sso
cia
tio
ns,
me
dic
al s
pe
cia
lty
so
cie
tie
s, s
tate
m
ed
ica
l so
cie
tie
s
•C
om
me
rcia
l ve
nd
ors
•In
de
pe
nd
en
t co
nsu
lta
nts
•A
nd
in
ma
ny
fo
rma
ts:
•O
n-l
ine
(se
lf-p
ace
d,
inst
ruct
or-
led
)
•Fa
ce-t
o-f
ace
(o
n-s
ite
, o
ff-s
ite
)
Co
de
r Tra
inin
g
69
ww
w.c
ms.
go
v/N
PC
•G
en
era
l E
qu
iva
len
ce M
ap
pin
gs
(GE
Ms)
are
de
sig
ne
d t
o a
id i
n
con
vert
ing
ap
pli
cati
on
s a
nd
sys
tem
s fr
om
IC
D-9
-CM
to
IC
D-1
0-
CM
/PC
S
•R
eim
bu
rse
me
nt
Ma
pp
ing
s a
re t
em
po
rary
me
cha
nis
m f
or
ma
pp
ing
cla
ims
con
tain
ing
IC
D-1
0-C
M/P
CS
co
de
s to
“re
imb
urs
em
en
t e
qu
iva
len
t” I
CD
-9-C
M c
od
es
Usi
ng
Ge
ne
ral
Eq
uiv
ale
nce
an
d R
eim
bu
rse
me
nt
Ma
pp
ing
s
70
ww
w.c
ms.
go
v/N
PC
•M
ap
s sh
ou
ld n
ot
be
use
d t
o a
ssig
n c
od
es
to r
ep
ort
on
cla
ims
•G
EM
s a
nd
Re
imb
urs
em
en
t M
ap
pin
gs
are
no
t a
su
bst
itu
te f
or
lea
rnin
g h
ow
to
use
IC
D-1
0-C
M/P
CS
• !""#$%&'&()*#$%
•M
ap
pin
g l
inks
co
nce
pts
in
2 c
od
e s
ets
wit
ho
ut
con
sid
era
tio
n
of
con
text
or
me
dic
al re
cord
do
cum
en
tati
on
•C
od
ing
in
volv
es
ass
ign
me
nt
of
mo
st a
pp
rop
ria
te c
od
es
ba
sed
on
me
dic
al re
cord
do
cum
en
tati
on
an
d a
pp
lica
ble
cod
ing
ru
les/
gu
ide
lin
es
Usi
ng
Ge
ne
ral
Eq
uiv
ale
nce
an
d R
eim
bu
rse
me
nt
Ma
pp
ing
s
71
ww
w.c
ms.
go
v/N
PC
FAQ
s
Q:
Sin
ce I
CD
-10
-CM
ha
s m
ore
co
de
s, is
it m
ore
dif
ficu
lt t
o u
se
tha
n I
CD
-9-C
M?
A
: J
ust
as
the
siz
e o
f a
dic
tio
na
ry o
r p
ho
ne
bo
ok
do
esn
’t m
ake
it
mo
re d
iffi
cult
to
use
, a
hig
he
r n
um
be
r o
f co
de
s d
oe
sn’t
n
ece
ssa
rily
incr
ea
se t
he
co
mp
lexi
ty o
f th
e c
od
ing
sys
tem
–
in f
act
, it
ma
kes
it e
asi
er
to f
ind
th
e r
igh
t co
de
. G
rea
ter
spe
cifi
city
an
d c
lin
ica
l a
ccu
racy
ma
ke I
CD
-10
-CM
ea
sie
r to
u
se t
ha
n I
CD
-9-C
M.
Be
cau
se I
CD
-10
-CM
is m
uch
mo
re
spe
cifi
c, is
mo
re c
lin
ica
lly
acc
ura
te,
an
d u
ses
a m
ore
lo
gic
al
stru
ctu
re,
it i
s m
uch
ea
sie
r to
use
th
an
IC
D-9
-CM
. T
he
A
lph
ab
eti
c In
de
x a
nd
ele
ctro
nic
co
din
g t
oo
ls w
ill
con
tin
ue
to
fa
cili
tate
pro
pe
r co
de
se
lect
ion
.
72
w
ww
.cm
s.g
ov
/NP
C
FAQ
s
Q:
Are
IC
D-1
0-C
M c
od
e b
oo
ks a
vail
ab
le?
A:
ICD
-10
-CM
co
de
bo
oks
are
alr
ea
dy
re
ad
ily
ava
ila
ble
fro
m
exi
stin
g I
CD
-9-C
M c
od
e b
oo
k p
ub
lish
ers
. IC
D-1
0-C
M is
als
o
ava
ila
ble
fre
e o
f ch
arg
e i
n P
DF
an
d X
ML
form
ats
fro
m t
he
Na
tio
na
l C
en
ter
for
He
alt
h S
tati
stic
s w
eb
site
:
Q:
Wh
ere
ca
n p
hys
icia
n p
ract
ice
s o
bta
in a
lis
t o
f IC
D-1
0-C
M c
od
es
ap
pli
cab
le t
o t
he
ir p
art
icu
lar
spe
cia
lty
?
A:
Co
nta
ct t
he
ap
pro
pri
ate
me
dic
al sp
eci
alt
y s
oci
ety
.
73
•A
me
rica
n H
osp
ita
l A
sso
cia
tio
n C
en
tra
l O
ffic
e s
erv
es
as
the
U.S
.
cle
ari
ng
ho
use
fo
r is
sue
s re
late
d t
o t
he
use
of
ICD
-9-C
M a
nd
IC
D-
10
-CM
/PC
S c
od
es
•O
n-l
ine
pro
cess
fo
r su
bm
itti
ng
co
din
g q
ue
stio
ns
htt
p:/
/ww
w.c
od
ing
clin
ica
dvis
or.
com
/
•S
ub
mit
co
py
of
rele
van
t, d
e-i
de
nti
fie
d m
ed
ica
l re
cord
wit
h
cod
ing
qu
est
ion
•Fo
r p
ay
me
nt
po
licy
qu
est
ion
s, c
on
tact
ap
pro
pri
ate
pa
yer
(e.g
.,
Me
dic
are
co
ntr
act
or,
pri
vate
in
sure
r)
ww
w.c
ms.
go
v/N
PC
Ge
ttin
g A
nsw
ers
to
IC
D-1
0-C
M C
od
ing
Qu
est
ion
s
74
w
ww
.cm
s.g
ov
/NP
C
AH
IMA
IC
D-1
0 R
eso
urc
es
•A
HIM
A w
eb
site
•IC
D-1
0-C
M/P
CS
Tra
nsi
tio
n:
Pla
nn
ing
an
d P
rep
ara
tio
n C
he
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