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ICD-10-CMENHANCED FEATURES
BENEFITS FOR
CODERS
P Definitions and
Illustrations PMedical definitions of diseases written by acoder for coders. Anatomical illustrationswith call outs of body parts.
PAnatomy and
Physiology
ReviewsP
Anatomy and physiology reviews that help coders understand the anatomicalstructures and physiology of the varioussystems.
P Color
Highlighting PColor highlighting of key terms (e.g., Excludes 1 & v) and concepts.Screened areas highlight selected areas(e.g., 7th digit subclassifications).
P DRG Principles PIdentifies codes that are recognized and affected by the DRG Grouper.
P Medicare Code
Editor Edits PIdentifies codes that are edit-reviewed forage and sex-related discrepancies andprincipal diagnosis criteria.
PAHA Coding
Clinic® Reference
NotationsP
Identifies AHA Coding Clinic® articles andQ&As (with descriptive title) that have relevant information for certain codes orcode categories.
P Highlighted Term
Differentiation PSelected terms within code categories andcode titles have been underscored to helpcoders easily and accurately identify thecorrect code in the Tabular List.
P Further use of
dashes (-) PAll code categories and codes requiringadditional digits in the Tabular List have adash (-) at the end of the last digit to helpcoders be aware that additional charactersare required for a complete code.
P Further use of
placeholder “x” PAll codes requiring one or more “x” placeholder characters to make a completecode have been placed in advance to helpcoders clearly identify when these “x”placeholders are required.
P Excludes v PAll Excludes-2 listings have a uniquegraphic “v” to more clearly identify thoseunique excludes notations where a codermay code both conditions, if present.
P Excludes 1 and Excludes v key P
The short descriptions of Excludes 1 and Excludes v are listed on the bottom ofeach page to help coders learn the difference between the two without referring back to the introduction.
PHighlighted 7th
digit subclassi-
ficationsP
Colored screen bars over the variable 7thdigit subclassifications in the Tabular Listhelp coders easily identify those code categories.
P Color Tab-Edge
printing PChapter-by-chapter, section-by-section,stair-stepped, colored tab-edge printinghelps coders locate the correct sectionquickly.
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O31- Complications specific to multiple gestationAHA 12:4Q:p107 – Fetus A and B same as fetus 1 and 2Excludes v: delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.9)placental transfusion syndromes (O43.0-)
One of the following 7th characters is to be assigned to each codeunder category O31. 7th character 0 is for single gestations andmultiple gestations where the fetus is unspecified. 7th characters1 through 9 are for cases of multiple gestations to identify thefetus for which the code applies. The appropriate code fromcategory O30, Multiple gestation, must also be assigned whenassigning a code from category O31 that has a 7th character of 1through 9.
0 Not applicable or unspecified1 Fetus 12 Fetus 23 Fetus 34 Fetus 45 Fetus 59 Other fetus
O31.0- Papyraceous fetusFetus compressus
O31.00x- Papyraceous fetus, unspecified trimester — [♀, Age/12-55]O31.01x- Papyraceous fetus, first trimester — [♀, Age/12-55]O31.02x- Papyraceous fetus, second trimester — [♀, Age/12-55]O31.03x- Papyraceous fetus, third trimester — [♀, Age/12-55]
O31.1- Continuing pregnancy after spontaneous abortion of one fetusor more
O31.10x- Continuing pregnancy after spontaneous abortion of onefetus or more, unspecified trimester — [♀, Age/12-55]
2016 Annual and 2016 SoftCover
The Educational Annotation of ICD-10-CMThis PDF brochure contains 2016 version sample pages, including:
• Educational Annotations:• Definitions of Code Categories/Titles• Anatomy and Physiology Reviews• Anatomical Illustrations
• Additional 2016 Educational Annotations Features:• AHA Coding Clinic® Reference Notations• DRG Principles• Medicare Code Edits• Color Highlighting, including:
• Excludes 1 & v• Screened Boxes over 7th Digit Subclassifications• Tab-Edge Printing• Continued Main Terms in Index
• All the above in addition to our Enhanced Generic features:• Highlighted Term Differentiation• Further Use of Dashes (-)• Further Use of Placeholder “x”• Excludes 1 & v Key• Tab-Edge Printing Key• Clear, Concise Printing
TABULAR LIST OF DISEASES – 2016 ICD-10-CM
Excludes 1: = NOT CODED HERE! (Do not code both) Excludesv: = Not Included Here
O34I
O41
[2016.CM]
O30.81- Other specified multiple gestation with two or more monochorionic fetuses
CC O30.811 Other specified multiple gestation with two or moremonochorionic fetuses, first trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.812 Other specified multiple gestation with two or moremonochorionic fetuses, second trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.813 Other specified multiple gestation with two or moremonochorionic fetuses, third trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.819 Other specified multiple gestation with two or moremonochorionic fetuses, unspecified trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.82- Other specified multiple gestation with two or more monoamniotic fetuses
CC O30.821 Other specified multiple gestation with two or moremonoamniotic fetuses, first trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.822 Other specified multiple gestation with two or moremonoamniotic fetuses, second trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.823 Other specified multiple gestation with two or moremonoamniotic fetuses, third trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.829 Other specified multiple gestation with two or moremonoamniotic fetuses, unspecified trimester —[♀, Age/12-55] [Unacceptable PDX]
Use of demonstrativetype fonts for the letters
“O” and “I”
Graphic and coloridentification of Excludes 1
and Excludes v
AHA Coding Clinic Reference Notations with
descriptive titles
Color shading of notations to guide coders in the use of 7th character
extensions
Highlighted TermIdentification of trimesters
Further use of dashes (-) to identify codes requiring
additional characters
Excludes 1 and Excludes v
explanations at the bottom of all Tabular List pages
Further use of placeholder “x”
Highlighted TermDifferentiation
of key word(s) in code titles
Medicare Code EditsUnacceptable PDX,
Sex, Age
10. Chapter 10: Diseases of the Respiratory System (J00-J99)
a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma
1) Acute exacerbation of chronic obstructive bronchitis and asthma
The codes in categories J44 and J45 distinguish between uncomplicated
cases and those in acute exacerbation. An acute exacerbation is a
worsening or a decompensation of a chronic condition. An acute
exacerbation is not equivalent to an infection superimposed on a
chronic condition, though an exacerbation may be triggered by an
infection.
b. Acute Respiratory Failure
1) Acute respiratory failure as principal diagnosis
A code from subcategory J96.0, Acute respiratory failure, or
subcategory J96.2, Acute and chronic respiratory failure, may be
assigned as a principal diagnosis when it is the condition established
after study to be chiefly responsible for occasioning the admission to
the hospital, and the selection is supported by the Alphabetic Index and
Tabular List. However, chapter-specific coding guidelines (such as
obstetrics, poisoning, HIV, newborn) that provide sequencing direction
take precedence.
2) Acute respiratory failure as secondary diagnosis
Respiratory failure may be listed as a secondary diagnosis if it occurs
after admission, or if it is present on admission, but does not meet the
definition of principal diagnosis.
3) Sequencing of acute respiratory failure and another acute
condition
When a patient is admitted with respiratory failure and another acute
condition, (e.g., myocardial infarction, cerebrovascular accident,
aspiration pneumonia), the principal diagnosis will not be the same in
every situation. This applies whether the other acute condition is a
respiratory or nonrespiratory condition. Selection of the principal
diagnosis will be dependent on the circumstances of admission. If
both the respiratory failure and the other acute condition are equally
responsible for occasioning the admission to the hospital, and there are
no chapter-specific sequencing rules, the guideline regarding two or
more diagnoses that equally meet the definition for principal diagnosis
(Section II, C.) may be applied in these situations.
If the documentation is not clear as to whether acute respiratory failure
and another condition are equally responsible for occasioning the
admission, query the provider for clarification.
c. Influenza due to certain identified influenza viruses
Code only confirmed cases of influenza due to certain identified
influenza viruses (category J09), and due to other identified influenza
virus (category J10). This is an exception to the hospital
inpatient guideline Section II, H. (Uncertain Diagnosis).
In this context, “confirmation” does not require documentation of positive
laboratory testing specific for avian or other novel influenza A or other
identified influenza virus. However, coding should be based on the
provider’s diagnostic statement that the patient has avian influenza, or
other novel influenza A, for category J09, or has another particular
identified strain of influenza, such as H1N1 or H3N2, but not
identified as novel or variant, for category J10.
If the provider records “suspected” or “possible” or “probable” avian
influenza, or novel influenza, or other identified influenza, then the
appropriate influenza code from category J11, Influenza due to
unidentified influenza virus, should be assigned. A code from category
J09, Influenza due to certain identified influenza viruses, should not be
assigned nor should a code from category J10, Influenza due to other
identified influenza virus.
d. Ventilator associated Pneumonia
1) Documentation of Ventilator associated Pneumonia
As with all procedural or postprocedural complications, code
assignment is based on the provider’s documentation of the
relationship between the condition and the procedure.
Code J95.851, Ventilator associated pneumonia, should be assigned
only when the provider has documented ventilator associated
pneumonia (VAP). An additional code to identify the organism (e.g.,
Pseudomonas aeruginosa, code B96.5) should also be assigned. Do not
assign an additional code from categories J12-J18 to identify the type
of pneumonia.
Code J95.851 should not be assigned for cases where the patient has
pneumonia and is on a mechanical ventilator and the provider has not
specifically stated that the pneumonia is ventilator-associated
pneumonia. If the documentation is unclear as to whether the patient
has a pneumonia that is a complication attributable to the mechanical
ventilator, query the provider.
2) Ventilator associated Pneumonia Develops after Admission
A patient may be admitted with one type of pneumonia (e.g., code J13,
Pneumonia due to Streptococcus pneumonia) and subsequently develop
VAP. In this instance, the principal diagnosis would be the appropriate
code from categories J12-J18 for the pneumonia diagnosed at the time
of admission. Code J95.851, Ventilator associated pneumonia, would
be assigned as an additional diagnosis when the provider has also
documented the presence of ventilator associated pneumonia.
OFFICIAL CODING GUIDELINES – 2016 ICD-10-CM
CG-18
GUIDELINES
© 2
015 C
hannel P
ublis
hin
g, Ltd
.
[2016.CM]
CHAPTER 10 – RESPIRATORY SYSTEM
Section I. C. 10. CHAPTER 10 – RESPIRATORY SYSTEM
Section I. C. 10. d.
Exposure (to) (see also Contact, with) T75.89 —continued
venereal disease Z20.2viral disease NEC Z20.828war Z65.5water pollution Z77.111
Exsanguination — see HemorrhageExstrophy
abdominal contents Q45.8bladder Q64.10
cloacal Q64.12specified type NEC Q64.19supravesical fissure Q64.11
Extensive — see conditionExtra — see also Accessory
marker chromosomes (normal individual)Q92.61
in abnormal individual Q92.62rib Q76.6
cervical Q76.5Extrasystoles (supraventricular) I49.49
atrial I49.1auricular I49.1junctional I49.2ventricular I49.3
Extrauterine gestation or pregnancy —see Pregnancy, by site
Extravasationblood R58chyle into mesentery I89.8pelvicalyceal N13.8pyelosinus N13.8urine (from ureter) R39.0vesicant agent
antineoplastic chemotherapy T80.810other agent NEC T80.818
Extremity — see condition, limbExtrophy — see ExstrophyExtroversion
bladder Q64.19uterus N81.4
complicating delivery O71.2postpartal (old) N81.4
Extruded tooth (teeth) M26.34Extrusion
breast implant (prosthetic) T85.42eye implant (globe) (ball) T85.328intervertebral disc — see Displacement,
intervertebral discocular lens implant (prosthetic) — see
Complications, intraocular lensvitreous — see Prolapse, vitreous
Exudatepleural — see Effusion, pleuraretina H35.89
Exudative — see conditionEye, eyeball, eyelid — see conditionEyestrain — see Disturbance, vision, subjectiveEyeworm disease of Africa B74.3
FFaber’s syndrome (achlorhydric anemia)
D50.9Fabry(-Anderson) disease E75.21Faciocephalalgia, autonomic (see also
Neuropathy, peripheral, autonomic) G90.09Factor(s)
psychic, associated with diseases classifiedelsewhere F54
psychologicalaffecting physical conditions F54or behavioral
affecting general medical condition F54associated with disorders or diseases
classified elsewhere F54Fahr disease (of brain) G23.8Fahr Volhard disease (of kidney) I12-Failure, failed
abortion — see Abortion, attemptedaortic (valve) I35.8
rheumatic I06.8attempted abortion — see Abortion, attemptedbiventricular I50.9bone marrow — see Anemia, aplasticcardiac — see Failure, heartcardiorenal (chronic) I50.9
hypertensive I13.2cardiorespiratory (see also Failure, heart) R09.2cardiovascular (chronic) — see Failure, heartcerebrovascular I67.9cervical dilatation in labor O62.0circulation, circulatory (peripheral) R57.9
newborn P29.89compensation — see Disease, heartcompliance with medical treatment or regimen
— see Noncompliancecongestive — see Failure, heart, congestivedental implant (endosseous) M27.69
due tofailure of dental prosthesis M27.63lack of attached gingiva M27.62occlusal trauma (poor prosthetic design)
M27.62parafunctional habits M27.62periodontal infection (peri-implantitis)
M27.62poor oral hygiene M27.62
osseointegration M27.61due to
complications of systemic diseaseM27.61
poor bone quality M27.61iatrogenic M27.61
post-osseointegrationbiological M27.62due to complications of systemic disease
M27.62iatrogenic M27.62mechanical M27.63
pre-integration M27.61pre-osseointegration M27.61specified NEC M27.69
descent of head (at term) of pregnancy(mother) O32.4
endosseous dental implant — see Failure,dental implant
engagement of head (term of pregnancy)(mother) O32.4
erection (penile) (see also Dysfunction, sexual,male, erectile) N52.9
nonorgqanic F52.21examination(s), anxiety concerning Z55.2expansion terminal respiratory units (newborn)
(primary) P28.0forceps NOS (with subsequent cesarean
delivery) O66.5
Failure, failed — continuedgain weight (child over 28 days old) R62.51
adult R62.7newborn P92.6
genital response (male) F52.21female F52.22
heart (acute) (senile) (sudden) I50.9with
acute pulmonary edema — see Failure,ventricular, left
decompensation — see Failure, heart,congestive
dilatation — see Disease, heartarteriosclerotic I70.90biventricular I50.9combined left-right sided I50.9compensated I50.9complicating
anesthesia (general) (local) or othersedation
in labor and delivery O74.2in pregnancy O29.12-postpartum, puerperal O89.1
delivery (cesarean) (instrumental) O75.4congestive (compensated) (decompensated)
I50.9with rheumatic fever (conditions in I00)
active I01.8inactive or quiescent (with chorea)
I09.81newborn P29.0rheumatic (chronic) (inactive) (with chorea)
I09.81active or acute I01.8
with chorea I02.0decompensated I50.9degenerative — see Degeneration,
myocardialdiastolic (congestive) I50.30
acute (congestive) I50.31and (on) chronic (congestive) I50.33
chronic (congestive) I50.32and (on) acute (congestive) I50.33
combined with systolic (congestive) I50.40acute (congestive) I50.41
and (on) chronic (congestive) I50.43chronic (congestive) I50.42
and (on) acute (congestive) I50.43due to presence of cardiac prosthesis
I97.13-following cardiac surgery I97.13-high output NOS I50.9hypertensive — see Hypertension, heartleft (ventricular) — see Failure, ventricular,
leftlow output (syndrome) NOS I50.9newborn P29.0organic — see Disease, heartperipartum O90.3postprocedural I97.13-rheumatic (chronic) (inactive) I09.9right (ventricular) (secondary to left heart
failure) — see Failure, heart, congestivesystolic (congestive) I50.20
acute (congestive) I50.21and (on) chronic (congestive) I50.23
chronic (congestive) I50.22and (on) acute (congestive) I50.23
combined with diastolic (congestive)I50.40
acute (congestive) I50.41and (on) chronic (congestive) I50.43
chronic (congestive) I50.42and (on) acute (congestive) I50.43
thyrotoxic (see also Thyrotoxicosis) E05.90[I43]
with thyroid storm E05.91 [I43]valvular — see Endocarditis
Duplication of all terms and code
numbers at “— continued” column headers and printed in
color
Clear, concise, sharply-printed text
INDEX TO DISEASES – 2016 ICD-10-CM[2016.CM]
161
DISEASE
INDEX
Failure
Use of demonstrativetype fonts for the letters “O”
and “I”
Gout, chronic (see also Gout, gouty) M1A.9(follows M08) — continued
secondary NEC M1A.40 (follows M08)ankle M1A.47- (follows M08)elbow M1A.42- (follows M08)foot joint M1A.47- (follows M08)hand joint M1A.44- (follows M08)hip M1A.45- (follows M08)knee M1A.46- (follows M08)multiple site M1A.49 (follows M08)shoulder M1A.41- (follows M08)vertebrae M1A.48 (follows M08)wrist M1A.43- (follows M08)
syphilitic (see also subcategory M14.8-)A52.77
tophi M1A.9 (follows M08)Gout, gouty (acute) (attack) (flare) (see also
Gout, chronic) M10.9drug-induced M10.20
ankle M10.27-elbow M10.22-foot joint M10.27-hand joint M10.24-hip M10.25-knee M10.26-multiple site M10.29shoulder M10.21-vertebrae M10.28wrist M10.23-
idiopathic M10.00ankle M10.07-elbow M10.02-foot joint M10.07-hand joint M10.04-hip M10.05-knee M10.06-multiple site M10.09shoulder M10.01-vertebrae M10.08wrist M10.03-
in (due to) renal impairment M10.30ankle M10.37-elbow M10.32-foot joint M10.37-hand joint M10.34-hip M10.35-knee M10.36-multiple site M10.39shoulder M10.31-vertebrae M10.38wrist M10.33-
lead-induced M10.10ankle M10.17-elbow M10.12-foot joint M10.17-hand joint M10.14-hip M10.15-knee M10.16-multiple site M10.19shoulder M10.11-vertebrae M10.18wrist M10.13-
primary — see Gout, idiopathicsaturnine — see Gout, lead-inducedsecondary NEC M10.40
ankle M10.47-elbow M10.42-foot joint M10.47-hand joint M10.44-hip M10.45-knee M10.46-multiple site M10.49shoulder M10.41-vertebrae M10.48wrist M10.43-
syphilitic (see also subcategory M14.8-)A52.77
tophi — see Gout, chronic
Gower’smuscular dystrophy G71.0syndrome (vasovagal attack) R55
Gradenigo’s syndrome — see Otitis, media,suppurative, acute
Graefe’s disease — see Strabismus, paralytic,ophthalmoplegia, progressive
Graft-versus-host disease D89.813acute D89.810acute on chronic D89.812chronic D89.811
Grain mite (itch) B88.0Grainhandler’s disease or lung J67.8Grand mal — see Epilepsy, generalized,
specified NECGrand multipara status only (not pregnant)
Z64.1pregnant — see Pregnancy, complicated by,
grand multiparityGranite worker’s lung J62.8Granular — see also condition
inflammation, pharynx J31.2kidney (contracting) — see Sclerosis, renalliver K74.69
Granulation tissue (abnormal) (excessive)L92.9
postmastoidectomy cavity — seeComplications, postmastoidectomy,granulation
Granulocytopenia (primary) (malignant) —see Agranulocytosis
Granuloma L92.9abdomen K66.8
from residual foreign body L92.3pyogenicum L98.0
actinic L57.5annulare (perforating) L92.0apical K04.5aural — see Otitis, externa, specified NECberyllium (skin) L92.3bone
eosinophilic C96.6from residual foreign body — see
Osteomyelitis, specified type NEClung C96.6
brain (any site) G06.0schistosomiasis B65.9 [G07]
canaliculus lacrimalis — see Granuloma,lacrimal
candidal (cutaneous) B37.2cerebral (any site) G06.0coccidioidal (primary) (progressive) B38.7
lung B38.1meninges B38.4
colon K63.89conjunctiva H11.22-dental K04.5ear, middle — see Cholesteatomaeosinophilic C96.6
bone C96.6lung C96.6oral mucosa K13.4skin L92.2
eyelid H01.8facial(e) L92.2foreign body (in soft tissue) NEC M60.20
ankle M60.27-foot M60.27-forearm M60.23-hand M60.24-in operation wound — see Foreign body,
accidentally left during a procedurelower leg M60.26-pelvic region M60.25-shoulder region M60.21-skin L92.3specified site NEC M60.28subcutaneous tissue L92.3
Granuloma L92.9 — continuedforeign body (in soft tissue) NEC M60.20 —
continuedthigh M60.25-upper arm M60.22-
gangraenescens M31.2genito-inguinale A58giant cell (central) (reparative) (jaw) M27.1
gingiva (peripheral) K06.8gland (lymph) I88.8hepatic NEC K75.3
in (due to)berylliosis J63.2 [K77]sarcoidosis D86.89
Hodgkin C81.9ileum K63.89infectious B99.9
specified NEC B99.8inguinale (Donovan) (venereal) A58intestine NEC K63.89intracranial (any site) G06.0intraspinal (any part) G06.1iridocyclitis — see Iridocyclitis, chronicjaw (bone) (central) M27.1
reparative giant cell M27.1kidney (see also Infection, kidney) N15.8lacrimal H04.81-larynx J38.7lethal midline (faciale(e)) M31.2liver NEC — see Granuloma, hepaticlung (infectious) — see also Fibrosis, lung
coccidioidal B38.1eosinophilic C96.6
Majocchi’s B35.8malignant (facial(e)) M31.2mandible (central) M27.1midline (lethal) M31.2monilial (cutaneous) B37.2nasal sinus — see Sinusitisoperation wound T81.89
foreign body — see Foreign body,accidentally left during a procedure
stitch T81.89talc — see Foreign body, accidentally left
during a procedureoral mucosa K13.4orbit, orbital H05.11-paracoccidioidal B41.8penis, venereal A58periapical K04.5peritoneum K66.8
due to ova of helminths NOS (see alsoHelminthiasis) B83.9 [K67]
postmastoidectomy cavity — seeComplications, postmastoidectomy,recurrent cholesteatoma
prostate N42.89pudendi (ulcerating) A58pulp, internal (tooth) K03.3pyogenic, pyogenicum (of) (skin) L98.0
gingiva K06.8maxillary alveolar ridge K04.5oral mucosa K13.4
rectum K62.89reticulohistiocytic D76.3rubrum nasi L74.8Schistosoma — see Schistosomiasisseptic (skin) L98.0silica (skin) L92.3sinus (accessory) (infective) (nasal) — see
Sinusitisskin L92.9
from residual foreign body L92.3pyogenicum L98.0
spinesyphilitic (epidural) A52.19tuberculous A18.01
stitch (postoperative) T81.89
INDEX TO DISEASES – 2016 ICD-10-CM [2016.CM]
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DISEASE
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Gout
(follows ...)helps coders easily find the
mid-code alpha character code in the Tabular List
Easy to follow sub-term indention
outline and line wraps
Neoplasm, neoplastic ........ C80.1 C79.9 D09.9 D36.9 D48.9 D49.9 abdomen, abdominal.................. C76.2 C79.8- D09.8 D36.7 D48.7 D49.89
cavity ...................................... C76.2 C79.8- D09.8 D36.7 D48.7 D49.89 organ ...................................... C76.2 C79.8- D09.8 D36.7 D48.7 D49.89 viscera .................................... C76.2 C79.8- D09.8 D36.7 D48.7 D49.89 wall — see also Neoplasm,
abdomen, wall, skin ...... C44.509 C79.2- D04.5 D23.5 D48.5 D49.2 connective tissue ................ C49.4 C79.8- — D21.4 D48.1 D49.2 skin .................................... C44.509 — — — — —
basal cell carcinoma........ C44.519 — — — — —specified type NEC .......... C44.599 — — — — —squamous cell
carcinoma .............. C44.529 — — — — —abdominopelvic .......................... C76.8 C79.8 - — D36.7 D48.7 D49.89 accessory sinus — see
Neoplasm, sinus acoustic nerve .............................. C72.4- C79.49 — D33.3 D43.3 D49.7 adenoid (pharynx) (tissue).......... C11.1 C79.89 D00.08 D10.6 D37.05 D49.0 adipose tissue — see also
Neoplasm, connective tissue .................................. C49.4 C79.89 — D21.9 D48.1 D49.2
adnexa (uterine) ........................ C57.4 C79.89 D07.39 D28.7 D39.8 D49.5 adrenal........................................ C74.9- C79.7- D09.3 D35.0- D44.1- D49.7
capsule .................................... C74.9- C79.7- D09.3 D35.0 - D44.1- D49.7 cortex ...................................... C74.0- C79.7- D09.3 D35.0 - D44.1- D49.7 gland ...................................... C74.9- C79.7- D09.3 D35.0- D44.1- D49.7 medulla .................................. C74.1- C79.7- D09.3 D35.0 - D44.1- D49.7
ala nasi (external) — see alsoNeoplasm, skin, nose .......... C44.301 C79.2 D04.39 D23.39 D48.5 D49.2
alimentary canal or tract NEC .... C26.9 C78.80 D01.9 D13.9 D37.9 D49.0 alveolar ...................................... C03.9 C79.89 D00.03 D10.39 D37.09 D49.0
mucosa .................................... C03.9 C79.89 D00.03 D10.39 D37.09 D49.0 lower .................................. C03.1 C79.89 D00.03 D10.39 D37.09 D49.0 upper .................................. C03.0 C79.89 D00.03 D10.39 D37.09 D49.0
Neoplasm, neoplastic - continuedalveolar - continued ................ C03.9 C79.89 D00.03 D10.39 D37.09 D49.0
ridge or process ...................... C41.1 C79.51 — D16.5 - D48.0 D49.2 carcinoma............................ C03.9 C79.8- — — — —
lower .............................. C03.1 C79.8- — — — — upper .............................. C03.0 C79.8- — — — —
lower .................................. C41.1 C79.51 — D16.5- D48.0 D49.2 mucosa ................................ C03.9 C79.89 D00.03 D10.39 D37.09 D49.0
lower .............................. C03.1 C79.89 D00.03 D10.39 D37.09 D49.0 upper .............................. C03.0 C79.89 D00.03 D10.39 D37.09 D49.0
upper .................................. C41.0 C79.51 — D16.4 - D48.0 D49.2 sulcus ...................................... C06.1 C79.89 D00.02 D10.39 D37.09 D49.0
alveolus ...................................... C03.9 C79.89 D00.03 D10.39 D37.09 D49.0 lower ...................................... C03.1 C79.89 D00.03 D10.39 D37.09 D49.0 upper ...................................... C03.0 C79.89 D00.03 D10.39 D37.09 D49.0
ampulla of Vater ........................ C24.1 C78.89 D01.5 D13.5 D37.6 D49.0 ankle NEC.................................... C76.5 - C79.89 D04.7- D36.7 D48.7 D49.89 anorectum, anorectal
(junction) ............................ C21.8 C78.5 D01.3 D12.9 D37.8 D49.0 antecubital fossa or space .......... C76.4- C79.89 D04.6- D36.7 D48.7 D49.89 antrum (Highmore)
(maxillary) .......................... C31.0 C78.39 D02.3 D14.0 D38.5 D49.1 pyloric...................................... C16.3 C78.89 D00.2 D13.1 D37.1 D49.0 tympanicum ............................ C30.1 C78.39 D02.3 D14.0 D38.5 D49.1
anus, anal .................................. C21.0 C78.5 D01.3 D12.9 D37.8 D49.0 canal........................................ C21.1 C78.5 D01.3 D12.9 D37.8 D49.0 cloacogenic zone .................... C21.2 C78.5 D01.3 D12.9 D37.8 D49.0 margin — see also
Neoplasm, anus, skin...... C44.500 C79.2 D04.5 D23.5 D48.5 D49.2 overlapping lesion with
rectosigmoid junction or rectum ........................ C21.8 — — — — —
skin.......................................... C44.500 C79.2 D04.5 D23.5 D48.5 D49.2 basal cell carcinoma............ C44.510 — — — — —specified type NEC .............. C44.590 — — — — —squamous cell
carcinoma .................. C44.520 — — — — —sphincter.................................. C21.1 C78.5 D01.3 D12.9 D37.8 D49.0
aorta (thoracic) .......................... C49.3 C79.89 — D21.3 D48.1 D49.2 abdominal .............................. C49.4 C79.89 — D21.4 D48.1 D49.2
aortic body .................................. C75.5 C79.89 — D35.6 D44.7 D49.7 aponeurosis ................................ C49.9 C79.89 — D21.9 D48.1 D49.2
palmar .................................... C49.1- C79.89 — D21.1- D48.1 D49.2 plantar .................................... C49.2 - C79.89 — D21.2- D48.1 D49.2
appendix .................................... C18.1 C78.5 D01.0 D12.1 D37.3 D49.0 arachnoid .................................... C70.9 C79.49 — D32.9 D42.9 D49.7
cerebral .................................. C70.0 C79.32 — D32.0 D42.0 D49.7 spinal ...................................... C70.1 C79.49 — D32.1 D42.1 D49.7
areola.......................................... C50.0- C79.81 D05. - D24.- D48.6- D49.3 arm NEC ...................................... C76.4- C79.89 D04.6- D36.7 D48.7 D49.89 artery — see Neoplasm,
connective tissue aryepiglottic fold ........................ C13.1 C79.89 D00.08 D10.7 D37.05 D49.0
hypopharyngeal aspect .......... C13.1 C79.89 D00.08 D10.7 D37.05 D49.0 laryngeal aspect ...................... C32.1 C78.39 D02.0 D14.1 D38.0 D49.1 marginal zone ........................ C13.1 C79.89 D00.08 D10.7 D37.05 D49.0
arytenoid (cartilage) .................. C32.3 C78.39 D02.0 D14.1 D38.0 D49.1 fold — see Neoplasm,
aryepiglottic associated with transplanted
organ .................................. C80.2 — — — — — atlas ............................................ C41.2 C79.51 — D16.6 D48.0 D49.2 atrium, cardiac ............................ C38.0 C79.89 — D15.1 D48.7 D49.89
INDEX TO DISEASES – 2016 ICD-10-CM[2016.CM]
NEOPLASM
TABLE
Neoplasm
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ICD-10-CM Table of Neoplasms
The list below gives the code numbers for neoplasms byanatomical site. For each site there are six possible code numbersaccording to whether the neoplasm in question is malignant,benign, in situ, of uncertain behavior, or of unspecified nature.The description of the neoplasm will often indicate which of the sixcolumns is appropriate; e.g., malignant melanoma of skin, benignfibroadenoma of breast, carcinoma in situ of cervix uteri.
Where such descriptors are not present, the remainder of theIndex should be consulted where guidance is given to theappropriate column for each morphological (histological) varietylisted; e.g., Mesonephroma — see Neoplasm, malignant;Embryoma — see also Neoplasm, uncertain behavior; Disease,Bowen’s — see Neoplasm, skin, in situ. However, the guidance inthe Index can be overridden if one of the descriptors mentionedabove is present; e.g., malignant adenoma of colon is coded toC18.9 and not to D12.6 as the adjective “malignant” overridesthe Index entry “Adenoma — see also Neoplasm, benign.”
Codes listed with a dash -, following the code have a requiredadditional character for laterality. The tabular list must bereviewed for the complete code.
Highlighted Malignant and Benign
Neoplasm columns to provide an easy-to-follow visual separation
INDEX TO DISEASES – 2016 ICD-10-CM[2016.CM]
DRUGS
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CHEMICALS
Drugs & Chemicals
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Table of
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Table of
Drugs &
Chemicals
P O I S O N I N G P O I S O N I N G
Accidental
(Unintentional)
Accidental
(Unintentional)
Self-Harm(Inten-tional)
Self-Harm(Inten-tional)Assault Assault
Undeter-mined
Undeter-minedA
dvers
eE
ffect
Un
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Ad
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Un
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osin
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14-hydroxydihydro-morphinone ................ T40.2x1- T40.2x2- T40.2x3- T40.2x4- T40.2x5- T40.2x6-
1-propanol .......................... T51.3x1- T51.3x2- T51.3x3- T51.3x4- — — 2,4,5-T (trichloro-
phenoxyacetic acid) .... T60.1x1- T60.1x2- T60.1x3- T60.1x4- — — 2,4-D (dichlorophen-
oxyacetic acid) ............ T60.3x1- T60.3x2- T60.3x3- T60.3x4- — — 2,4-toluene diisocyanate .... T65.0x1- T65.0x2- T65.0x3- T65.0x4- — — 2-propanol .......................... T51.2x1- T51.2x2- T51.2x3- T51.2x4- — — ABOB .................................. T37.5x1- T37.5x2- T37.5x3- T37.5x4- T37.5x5- T37.5x6-Abrine ................................ T62.2x1- T62.2x2- T62.2x3- T62.2x4- — — Abrus (seed)........................ T62.2x1- T62.2x2- T62.2x3- T62.2x4- — — Absinthe .............................. T51.0x1- T51.0x2- T51.0x3- T51.0x4- — —
beverage ........................ T51.0x1- T51.0x2- T51.0x3- T51.0x4- — — Acaricide.............................. T60.8x1- T60.8x2- T60.8x3- T60.8x4- — — Acebutolol .......................... T44.7x1- T44.7x2- T44.7x3- T44.7x4- T44.7x5- T44.7x6-Acecarbromal ...................... T42.6x1- T42.6x2- T42.6x3- T42.6x4- T42.6x5- T42.6x6-Aceclidine ............................ T44.1x1- T44.1x2- T44.1x3- T44.1x4- T44.1x5- T44.1x6-Acedapsone ........................ T37.0x1- T37.0x2- T37.0x3- T37.0x4- T37.0x5- T37.0x6-Acefylline piperazine .......... T48.6x1- T48.6x2- T48.6x3- T48.6x4- T48.6x5- T48.6x6-Acemorphan........................ T40.2x1- T40.2x2- T40.2x3- T40.2x4- T40.2x5- T40.2x6-Acenocoumarin.................... T45.511- T45.512- T45.513- T45.514- T45.515- T45.516-Acenocoumarol.................... T45.511- T45.512- T45.513- T45.514- T45.515- T45.516-Acepifylline.......................... T48.6x1- T48.6x2- T48.6x3- T48.6x4- T48.6x5- T48.6x6-Acepromazine .................... T43.3x1- T43.3x2- T43.3x3- T43.3x4- T43.3x5- T43.3x6-Acesulfamethoxypyridazine T37.0x1- T37.0x2- T37.0x3- T37.0x4- T37.0x5- T37.0x6-Acetal .................................. T52.8x1- T52.8x2- T52.8x3- T52.8x4- — — Acetaldehyde (vapor).......... T52.8x1- T52.8x2- T52.8x3- T52.8x4- — —
liquid .............................. T65.891- T65.892- T65.893- T65.894- — — P-Acetamidophenol ............ T39.1x1- T39.1x2- T39.1x3- T39.1x4- T39.1x5- T39.1x6-Acetaminophen .................. T39.1x1- T39.1x2- T39.1x3- T39.1x4- T39.1x5- T39.1x6-Acetaminosalol.................... T39.1x1- T39.1x2- T39.1x3- T39.1x4- T39.1x5- T39.1x6-Acetanilide .......................... T39.1x1- T39.1x2- T39.1x3- T39.1x4- T39.1x5- T39.1x6-Acetarsol.............................. T37.3x1- T37.3x2- T37.3x3- T37.3x4- T37.3x5- T37.3x6-Acetazolamide .................... T50.2x1- T50.2x2- T50.2x3- T50.2x4- T50.2x5- T50.2x6-Acetiamine .......................... T45.2x1- T45.2x2- T45.2x3- T45.2x4- T45.2x5- T45.2x6-Acetic
acid.................................. T54.2x1- T54.2x2- T54.2x3- T54.2x4- — — with sodium acetate
(ointment) .......... T49.3x1- T49.3x2- T49.3x3- T49.3x4- T49.3x5- T49.3x6-ester (solvent) (vapor) T52.8x1- T52.8x2- T52.8x3- T52.8x4- — — irrigating solution ...... T50.3x1- T50.3x2- T50.3x3- T50.3x4- T50.3x5- T50.3x6-medicinal (lotion) ...... T49.2x1- T49.2x2- T49.2x3- T49.2x4- T49.2x5- T49.2x6-
anhydride........................ T65.891- T65.892- T65.893- T65.894- — — ether (vapor) .................. T52.8x1- T52.8x2- T52.8x3- T52.8x4- — —
Acetohexamide.................... T38.3x1- T38.3x2- T38.3x3- T38.3x4- T38.3x5- T38.3x6-Acetohydroxamic acid.......... T50.991- T50.992- T50.993- T50.994- T50.995- T50.996-Acetomenaphthone ............ T45.7x1- T45.7x2- T45.7x3- T45.7x4- T45.7x5- T45.7x6-Acetomorphine.................... T40.1x1- T40.1x2- T40.1x3- T40.1x4- — —Acetone (oils) ...................... T52.4x1- T52.4x2- T52.4x3- T52.4x4- — —
chlorinated ...................... T52.4x1- T52.4x2- T52.4x3- T52.4x4- — — vapor .............................. T52.4x1- T52.4x2- T52.4x3- T52.4x4- — —
Acetonitrile .......................... T52.8x1- T52.8x2- T52.8x3- T52.8x4- — — Acetophenazine .................. T43.3x1- T43.3x2- T43.3x3- T43.3x4- T43.3x5- T43.3x6-Acetophenetedin ................ T39.1x1- T39.1x2- T39.1x3- T39.1x4- T39.1x5- T39.1x6-Acetophenone...................... T52.4x1- T52.4x2- T52.4x3- T52.4x4- — — Acetorphine ........................ T40.2x1- T40.2x2- T40.2x3- T40.2x4- — —Acetosulfone (sodium) ........ T37.1x1- T37.1x2- T37.1x3- T37.1x4- T37.1x5- T37.1x6-Acetrizoate (sodium) .......... T50.8x1- T50.8x2- T50.8x3- T50.8x4- T50.8x5- T50.8x6-Acetrizoic acid...................... T50.8x1- T50.8x2- T50.8x3- T50.8x4- T50.8x5- T50.8x6-Acetyl
bromide .......................... T53.6x1- T53.6x2- T53.6x3- T53.6x4- — — chloride .......................... T53.6x1- T53.6x2- T53.6x3- T53.6x4- — —
Acetylcarbromal .................. T42.6x1- T42.6x2- T42.6x3- T42.6x4- T42.6x5- T42.6x6-Acetylcholine
chloride .......................... T44.1x1- T44.1x2- T44.1x3- T44.1x4- T44.1x5- T44.1x6-derivative ...................... T44.1x1- T44.1x2- T44.1x3- T44.1x4- T44.1x5- T44.1x6-
Acetylcysteine ...................... T48.4x1- T48.4x2- T48.4x3- T48.4x4- T48.4x5- T48.4x6-Acetyldigitoxin .................... T46.0x1- T46.0x2- T46.0x3- T46.0x4- T46.0x5- T46.0x6-Acetyldigoxin ...................... T46.0x1- T46.0x2- T46.0x3- T46.0x4- T46.0x5- T46.0x6-Acetyldihydrocodeine .......... T40.2x1- T40.2x2- T40.2x3- T40.2x4- — —Acetyldihydrocodeinone ...... T40.2x1- T40.2x2- T40.2x3- T40.2x4- — —Acetylene (gas).................... T59.891- T59.892- T59.893- T59.894- — —
dichloride ........................ T53.6x1- T53.6x2- T53.6x3- T53.6x4- — — incomplete combustion of T58.11x- T58.12x- T58.13x- T58.14x- — — industrial ........................ T59.891- T59.892- T59.893- T59.894- — — tetrachloride.................... T53.6x1- T53.6x2- T53.6x3- T53.6x4- — —
vapor .......................... T53.6x1- T53.6x2- T53.6x3- T53.6x4- — — Acetylpheneturide .............. T42.6x1- T42.6x2- T42.6x3- T42.6x4- T42.6x5- T42.6x6-Acetylphenylhydrazine ........ T39.8x1- T39.8x2- T39.8x3- T39.8x4- T39.8x5- T39.8x6-Acetylsalicylic acid (salts) .... T39.011- T39.012- T39.013- T39.014- T39.015- T39.016-
enteric coated.................. T39.011- T39.012- T39.013- T39.014- T39.015- T39.016-Acetylsulfamethoxypyrida-
zine ............................ T37.0x1- T37.0x2- T37.0x3- T37.0x4- T37.0x5- T37.0x6-Achromycin.......................... T36.4x1- T36.4x2- T36.4x3- T36.4x4- T36.4x5- T36.4x6-
ophthalmic preparation .. T49.5x1- T49.5x2- T49.5x3- T49.5x4- T49.5x5- T49.5x6-topical NEC...................... T49.0x1- T49.0x2- T49.0x3- T49.0x4- T49.0x5- T49.0x6-
Aciclovir .............................. T37.5x1- T37.5x2- T37.5x3- T37.5x4- T37.5x5- T37.5x6Acid (corrosive) NEC............ T54.2x1- T54.2x2- T54.2x3- T54.2x4- — — Acidifying agent NEC .......... T50.901- T50.902- T50.903- T50.904- T50.905- T50.906-Acipimox.............................. T46.6x1- T46.6x2- T46.6x3- T46.6x4- T46.6x5- T46.6x6-Acitretin .............................. T50.991- T50.992- T50.993- T50.994- T50.995- T50.996-Aclarubicin .......................... T45.1x1- T45.1x2- T45.1x3- T45.1x4- T45.1x5- T45.1x6-Aclatonium napadisilate .... T48.1x1- T48.1x2- T48.1x3- T48.1x4- T48.1x5- T48.1x6-Aconite (wild) ...................... T46.991- T46.992- T46.993- T46.994- T46.995- T46.996-Aconitine ............................ T46.991- T46.992- T46.993- T46.994- T46.995- T46.996-Aconitum ferox .................... T46.991- T46.992- T46.993- T46.994- T46.995- T46.996-Acridine .............................. T65.6x1- T65.6x2- T65.6x3- T65.6x4- — —
vapor .............................. T59.891- T59.892- T59.893- T59.894- — — Acriflavine .......................... T37.91x- T37.92x- T37.93x- T37.94x- T37.95x- T37.96x-Acriflavinium chloride ........ T49.0x1- T49.0x2- T49.0x3- T49.0x4- T49.0x5- T49.0x6-Acrinol ................................ T49.0x1- T49.0x2- T49.0x3- T49.0x4- T49.0x5- T49.0x6-Acrisorcin ............................ T49.0x1- T49.0x2- T49.0x3- T49.0x4- T49.0x5- T49.0x6-Acrivastine .......................... T45.0x1- T45.0x2- T45.0x3- T45.0x4- T45.0x5- T45.0x6-Acrolein (gas)...................... T59.891- T59.892- T59.893- T59.894- — —
liquid .............................. T54.1x1- T54.1x2- T54.1x3- T54.1x4- — — Acrylamide .......................... T65.891- T65.892- T65.893- T65.894- — — Acrylic resin ........................ T49.3x1- T49.3x2- T49.3x3- T49.3x4- T49.3x5- T49.3x6-Acrylonitrile ........................ T65.891- T65.892- T65.893- T65.894- — — Actaea spicata .................... T62.2x1- T62.2x2- T62.2x3- T62.2x4- — —
berry................................ T62.1x1- T62.1x2- T62.1x3- T62.1x4- — — Acterol ................................ T37.3x1- T37.3x2- T37.3x3- T37.3x4- T37.3x5- T37.3x6-ACTH .................................. T38.811- T38.812- T38.813- T38.814- T38.815- T38.816-Actinomycin C ...................... T45.1x1- T45.1x2- T45.1x3- T45.1x4- T45.1x5- T45.1x6-Actinomycin D .................... T45.1x1- T45.1x2- T45.1x3- T45.1x4- T45.1x5- T45.1x6-Activated charcoal –
see also Charcoal, medicinal .................... T47.6x1- T47.6x2- T47.6x3- T47.6x4- T47.6x5- T47.6x6-
Acyclovir .............................. T37.5x1- T37.5x2- T37.5x3- T37.5x4- T37.5x5- T37.5x6-Adenine .............................. T45.2x1- T45.2x2- T45.2x3- T45.2x4- T45.2x5- T45.2x6-
arabinoside .................... T37.5x1- T37.5x2- T37.5x3- T37.5x4- T37.5x5- T37.5x6-Adenosine (phosphate) ...... T46.2x1- T46.2x2- T46.2x3- T46.2x4- T46.2x5- T46.2x6-ADH .................................... T38.891- T38.892- T38.893- T38.894- T38.895- T38.896-Adhesive NEC ...................... T65.891- T65.892- T65.893- T65.894- — — Adicillin .............................. T36.0x1- T36.0x2- T36.0x3- T36.0x4- T36.0x5- T36.0x6-
Clearly identified Poisoning columns
Clearly identified Adverse Effect columns
Clearly identified Accidental (Unintentional)
columns
Chapter 1 – Certain infectious and parasitic diseases(A00-B99)
Includes: Diseases generally recognized as communicable or transmissible
Use additional code to identify resistance to antimicrobial drugs (Z16.-)
Excludes 1: certain localized infections — see body system, relatedchapters
Excludes v: carrier or suspected carrier of infectious disease (Z22-)infectious and parasitic diseases complicating pregnancy,
childbirth and the puerperium (O98.-)infectious and parasitic diseases specific to the perinatal
period (P35-P39)influenza and other acute respiratory infections (J00-J22)
This chapter contains the following blocks:A00-A09 Intestinal infectious diseasesA15-A19 TuberculosisA20-A28 Certain zoonotic bacterial diseasesA30-A49 Other bacterial diseasesA50-A64 Infections with a predominantly sexual mode of
transmissionA65-A69 Other spirochetal diseasesA70-A74 Other diseases caused by chlamydiaeA75-A79 RickettsiosesA80-A89 Viral and prion infections of the central nervous systemA90-A99 Arthropod-borne viral fevers and viral hemorrhagic feversB00-B09 Viral infections characterized by skin and mucous
membrane lesionsB10 Other human herpesvirusesB15-B19 Viral hepatitisB20 Human immunodeficiency virus [HIV] diseaseB25-B34 Other viral diseasesB35-B49 MycosesB50-B64 Protozoal diseasesB65-B83 HelminthiasesB85-B89 Pediculosis, acariasis and other infestationsB90-B94 Sequelae of infectious and parasitic diseasesB95-B97 Bacterial and viral infectious agentsB99 Other infectious diseases
C. Chapter-Specific Coding Guidelines
In addition to general coding guidelines, there are guidelines for specific
diagnoses and/or conditions in the classification. Unless otherwise
indicated, these guidelines apply to all health care settings. Please refer
to Section II for guidelines on the selection of principal diagnosis.
The complete 2016 ICD-10-CM Official Guidelines for Coding and Reporting are located in the front of the book between the Introduction
and the Alphabetic Index. The guidelines are organized into the
following sections and appendix:
Section I. Conventions, General Coding Guidelines, and
Chapter Specific Guidelines
Section II. Selection of Principal Diagnosis
Section III. Reporting Additional Diagnoses
Section IV. Diagnostic Coding and Reporting Guidelines for
Outpatient Services
Appendix I. Present on Admission Reporting Guidelines
1. Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
a. Human Immunodeficiency Virus (HIV) Infections
1) Code only confirmed cases
Code only confirmed cases of HIV infection/illness. This is an
exception to the hospital inpatient guideline Section II, H.
In this context, “confirmation” does not require documentation of
positive serology or culture for HIV; the provider’s diagnostic
statement that the patient is HIV positive, or has an HIV-related
illness is sufficient.
2) Selection and sequencing of HIV codes
(a) Patient admitted for HIV-related condition
If a patient is admitted for an HIV-related condition, the
principal diagnosis should be B20, Human immunodeficiency
virus [HIV] disease followed by additional diagnosis codes for
all reported HIV-related conditions.
(b) Patient with HIV disease admitted for unrelated condition
If a patient with HIV disease is admitted for an unrelated
condition (such as a traumatic injury), the code for the unrelated
condition (e.g., the nature of injury code) should be the principal
diagnosis. Other diagnoses would be B20 followed by additional
diagnosis codes for all reported HIV-related conditions.
(c) Whether the patient is newly diagnosed
Whether the patient is newly diagnosed or has had previous
admissions/encounters for HIV conditions is irrelevant to the
sequencing decision.
(d) Asymptomatic human immunodeficiency virus
Z21, Asymptomatic human immunodeficiency virus [HIV]
infection status, is to be applied when the patient without any
documentation of symptoms is listed as being “HIV positive,”
“known HIV,” “HIV test positive,” or similar terminology. Do
not use this code if the term “AIDS” is used or if the patient is
treated for any HIV-related illness or is described as having any
condition(s) resulting from his/her HIV positive status; use B20
in these cases.
(e) Patients with inconclusive HIV serology
Patients with inconclusive HIV serology, but no definitive
diagnosis or manifestations of the illness, may be assigned
code R75, Inconclusive laboratory evidence of human
immunodeficiency virus [HIV].
(f) Previously diagnosed HIV-related illness
Patients with any known prior diagnosis of an HIV-related
illness should be coded to B20. Once a patient has developed
an HIV-related illness, the patient should always be assigned
code B20 on every subsequent admission/encounter. Patients
previously diagnosed with any HIV illness (B20) should
never be assigned to R75 or Z21, Asymptomatic human
immunodeficiency virus [HIV] infection status.
(g) HIV Infection in Pregnancy, Childbirth and the Puerperium
During pregnancy, childbirth or the puerperium, a patient
admitted (or presenting for a health care encounter) because
of an HIV-related illness should receive a principal diagnosis
code of O98.7-, Human immunodeficiency [HIV] disease
complicating pregnancy, childbirth and the puerperium,
followed by B20 and the code(s) for the HIV-related illness(es).
Codes from Chapter 15 always take sequencing priority.
Patients with asymptomatic HIV infection status admitted
(or presenting for a health care encounter) during pregnancy,
childbirth, or the puerperium should receive codes of O98.7-
and Z21.
(h) Encounters for testing for HIV
If a patient is being seen to determine his/her HIV status, use
code Z11.4, Encounter for screening for human immunodefi-
ciency virus [HIV]. Use additional codes for any associated high
risk behavior.
CHAPTER 1 – CERTAIN INFECTIOUS AND PARASITIC DISEASES – 2016 ICD-10-CM[2016.CM]
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Chapter-Specific Coding Guidelines
A41- Other sepsisCode first: Postprocedural sepsis (T81.4)
Sepsis during labor (O75.3)Sepsis following abortion, ectopic or molar pregnancy
(O03-O07, O08.0)Sepsis following immunization (T88.0)Sepsis following infusion, transfusion or therapeutic injection
(T80.2-)Excludes 1: bacteremia NOS (R78.81)
neonatal (P36.-)puerperal sepsis (O85)sepsis NOS (A41.9)streptococcal sepsis (A40.-)
Excludes v: sepsis (due to) (in) actinomycotic (A42.7)sepsis (due to) (in) anthrax (A22.7)sepsis (due to) (in) candidal (B37.7)sepsis (due to) (in) Erysipelothrix (A26.7)sepsis (due to) (in) extraintestinal yersiniosis (A28.2)sepsis (due to) (in) gonococcal (A54.86)sepsis (due to) (in) herpesviral (B00.7)sepsis (due to) (in) listerial (A32.7)sepsis (due to) (in) melioidosis (A24.1)sepsis (due to) (in) meningococcal (A39.2-A39.4)sepsis (due to) (in) plague (A20.7)sepsis (due to) (in) tularemia (A21.7)toxic shock syndrome (A48.3)
A41.0- Sepsis due to Staphylococcus aureus — Staphylococcus aureus bacteriain the bloodstream marked by high fever, shaking, chills, prostration, and ifuntreated, hypotension, shock, and death.
MCC A41.01 Sepsis due to methicillin susceptible Staphylococcusaureus — A form caused by a form of the bacterium Staphylococcus aureusthat is susceptible to antibiotic treatment.
MSSA sepsisStaphylococcus aureus sepsis NOS
MCC A41.02 Sepsis due to methicillin resistant Staphylococcusaureus — A form caused by a form of the bacterium Staphylococcus aureusthat is resistant to treatment from beta-lactam class antibiotics.
MCC A41.1 Sepsis due to other specified staphylococcusCoagulase negative staphylococcus sepsis
MCC A41.2 Sepsis due to unspecified staphylococcusMCC A41.3 Sepsis due to Hemophilus influenzaeMCC A41.4 Sepsis due to anaerobes
Excludes 1: gas gangrene (A48.0)A41.5- Sepsis due to other Gram-negative organismsMCC A41.50 Gram-negative sepsis, unspecified
Gram-negative sepsis NOSMCC A41.51 Sepsis due to Escherichia coli [E. coli]MCC A41.52 Sepsis due to Pseudomonas
Pseudomonas aeroginosaMCC A41.53 Sepsis due to SerratiaMCC A41.59 Other Gram-negative sepsisA41.8- Other specified sepsisMCC A41.81 Sepsis due to EnterococcusMCC A41.89 Other specified sepsis
MCC A41.9 Sepsis, unspecified organismSepticemia NOS
A42- Actinomycosis — A group of gram-positive infectious diseases classified to the bacterialfamilies Actinomycetaceae and Propionibacteriaceae, often by Actinomyces israelii.Excludes 1: actinomycetoma (B47.1)
CC A42.0 Pulmonary actinomycosisCC A42.1 Abdominal actinomycosisCC A42.2 Cervicofacial actinomycosis
MCC A42.7 Actinomycotic sepsisA42.8- Other forms of actinomycosis
CC A42.81 Actinomycotic meningitisCC A42.82 Actinomycotic encephalitisCC A42.89 Other forms of actinomycosis
CC A42.9 Actinomycosis, unspecifiedA43- Nocardiosis — Infection by bacterium of the genus Nocardia, most commonly Nocardia
asteroides or Nocardia brasiliensis.CC A43.0 Pulmonary nocardiosis
CC A43.1 Cutaneous nocardiosisCC A43.8 Other forms of nocardiosisCC A43.9 Nocardiosis, unspecified
A44- Bartonellosis — An infectious bacterial disease caused by Bartonella bacilliformis, andcharacterized by acute febrile hemolytic anemia, and hemangioma-like nodules on the skin.
CC A44.0 Systemic bartonellosisOroya fever
CC A44.1 Cutaneous and mucocutaneous bartonellosisVerruga peruana
CC A44.8 Other forms of bartonellosisCC A44.9 Bartonellosis, unspecified
A46 Erysipelas — An infectious contagious disease of the skin and subcutaneous tissue causedby Group A Beta-hemolytic Streptococcus, and characterized by obstructed lymphatics,redness and swelling of the affected areas, and sometimes large tension bullae.Excludes 1: postpartum or puerperal erysipelas (O86.89)
A48- Other bacterial diseases, not elsewhere classifiedExcludes 1: actinomycetoma (B47.1)
MCC A48.0 Gas gangrene — An acute infectious disease caused by the genus Clostridium,and characterized by severe, painful histotoxic infection of muscles and subcutaneoustissues which fill with gas and a serosanguineous exudate.
Clostridial cellulitisClostridial myonecrosis
MCC A48.1 Legionnaires’ disease — An infectious disease caused by the genusLegionella, usually by Legionella pneumophila and characterized by infection of therespiratory sytem, fever, chills, and cough.
A48.2 Nonpneumonic Legionnaires’ disease [Pontiac fever] — A milderform resembling the flu.
MCC A48.3 Toxic shock syndrome — An acute infectious bacterial disease caused byStaphylococcus aureus or Group A Streptococcus bacteria, characterized by abruptonset of high fever, vomiting, diarrhea, sunburn-like rash, and myalgia, followed byhypotension and in severe cases, shock and multi-organ failure.Use additional code to identify the organism (B95, B96)Excludes 1: endotoxic shock NOS (R57.8)
sepsis NOS (A41.9)A48.4 Brazilian purpuric fever
Systemic Hemophilus aegyptius infectionA48.5- Other specified botulism
Non-foodborne intoxication due to toxins of Clostridium botulinum[C. botulinum]
Excludes 1: food poisoning due to toxins of Clostridium botulinum(A05.1)
CC A48.51 Infant botulism — [Age/0-17]CC A48.52 Wound botulism
Non-foodborne botulism NOSUse additional code for associated wound
A48.8 Other specified bacterial diseasesA49- Bacterial infection of unspecified site
Excludes 1: bacterial agents as the cause of diseases classified elsewhere(B95-B96)
chlamydial infection NOS (A74.9)meningococcal infection NOS (A39.9)rickettsial infection NOS (A79.9)spirochetal infection NOS (A69.9)
A49.0- Staphylococcal infection, unspecified siteA49.01 Methicillin susceptible Staphylococcus aureus infection,
unspecified site — An infection caused by a form of the bacteriumStaphylococcus aureus that is susceptible to antibiotic treatment.
Methicillin susceptible Staphylococcus aureus (MSSA) infectionStaphylococcus aureus infection NOS
A49.02 Methicillin resistant Staphylococcus aureus infection,unspecified site — An infection caused by a form of the bacteriumStaphylococcus aureus that is resistant to treatment from beta-lactam classantibiotics.
Methicillin resistant Staphylococcus aureus (MRSA) infectionA49.1 Streptococcal infection, unspecified siteA49.2 Hemophilus influenzae infection, unspecified siteA49.3 Mycoplasma infection, unspecified siteA49.8 Other bacterial infections of unspecified siteA49.9 Bacterial infection, unspecified
Excludes 1: bacteremia NOS (R78.81)
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B48.1 Rhinosporidiosis — An infectious fungal disease caused by Rhinosporidiumseeberi that is characterized by small tumor-like masses usually in the nose andnasopharynx.
CC B48.2 Allescheriasis — An infectious fungal disease caused by Allescheria[Petriellidium] boydii that is characterized by suppurative, granulomatous skin andsubcutaneous lesions.
Infection due to Pseudallescheria boydiiExcludes 1: eumycetoma (B47.0)
CC B48.3 Geotrichosis — A fungal infection caused by Geotrichum candidum that affectsthe oral cavity and sometimes the lungs.
Geotrichum stomatitisCC B48.4 Penicillosis — A fungal infection caused by Penicillium marneffei that affects
immunocompromised patients that is characterized by fever, skin lesions, andlymphandenopathy.
CC B48.8 Other specified mycosesAHA 14:2Q:p13 – Sepsis due to non-Candida AlbicansAHA 14:4Q:p46 – Sepsis due to non-Candida Albicans, clarification
AdiaspiromycosisInfection of tissue and organs by AlternariaInfection of tissue and organs by DrechsleraInfection of tissue and organs by FusariumInfection of tissue and organs by saprophytic fungi NEC
B49 Unspecified mycosisCC Fungemia NOS
Protozoal diseases (B50-B64)Excludes 1: amebiasis (A06.-)
other protozoal intestinal diseases (A07.-)B50- Plasmodium falciparum malaria — A mosquito-borne parasitic disease caused
by Plasmodium falciparum that is characterized by respiratory distress, severe anemia,pulmonary edema, circulatory shock, and organ failure.Includes: Mixed infections of Plasmodium falciparum with any other
Plasmodium speciesCC B50.0 Plasmodium falciparum malaria with cerebral complications
Cerebral malaria NOSCC B50.8 Other severe and complicated Plasmodium falciparum
malariaSevere or complicated Plasmodium falciparum malaria NOS
MCC B50.9 Plasmodium falciparum malaria, unspecifiedB51- Plasmodium vivax malaria — A mosquito-borne parasitic disease caused by
Plasmodium vivax that is characterized by fever, headache, chills and vomiting, respiratorydistress, anemia, and weakness. Clinical relapses may occur weeks to months after the firstinfection.Includes: Mixed infections of Plasmodium vivax with other Plasmodium
species, except Plasmodium falciparumExcludes 1: Plasmodium vivav with Plasmodium falciparum (B50.-)
CC B51.0 Plasmodium vivax malaria with rupture of spleenCC B51.8 Plasmodium vivax malaria with other complicationsCC B51.9 Plasmodium vivax malaria without complication
Plasmodium vivax malaria NOSB52- Plasmodium malariae malaria — A mosquito-borne parasitic disease caused by
Plasmodium malariae that is characterized by fever, headache, chills and vomiting,respiratory distress, anemia, and weakness.Includes: Mixed infections of Plasmodium malariae with other Plasmodium
species, except Plasmodium falciparum and Plasmodiumvivax
Excludes 1: Plasmodium falciparum (B50.-)Plasmodium vivax (B51.-)
CC B52.0 Plasmodium malariae malaria with nephropathyCC B52.8 Plasmodium malariae malaria with other complicationsCC B52.9 Plasmodium malariae malaria without complication
Plasmodium malariae malaria NOSB53- Other specified malaria
CC B53.0 Plasmodium ovale malaria — A mosquito-borne parasitic disease causedby Plasmodium ovale that is characterized by fever, headache, chills and vomiting,respiratory distress, anemia, and weakness. Clinical relapses may occur weeks tomonths after the first infection.Excludes 1: Plasmodium ovale with Plasmodium falciparum (B50.-)
Plasmodium ovale with Plasmodium malariae (B52.-)Plasmodium ovale with Plasmodium vivax (B51.-)
CC B53.1 Malaria due to simian plasmodia — A mosquito-borne parasiticdisease caused by Plasmodium knowlesi that is characterized by fever, headache,chills and vomiting, respiratory distress, anemia, and weakness.Excludes 1: malaria due to simian plasmodia with Plasmodium
falciparum (B50.-)malaria due to simian plasmodia with Plasmodium
malariae (B52.-)malaria due to simian plasmodia with Plasmodium
ovale (B53.0)malaria due to simian plasmodia with Plasmodium vivax
(B51.-)CC B53.8 Other malaria, not elsewhere classified
B54 Unspecified malariaCC
B55- Leishmaniasis — Parasitic diseases caused by the protozoan genus Leishmaniasisthrough the bite of sandflies.
CC B55.0 Visceral leishmaniasis — Leishmaniasis that is characterized by fever, chills,weight loss, splenomegaly, leukopenia, anemia, and potentially fatal if untreated.
Kala-azarPost-kala-azar dermal leishmaniasis
CC B55.1 Cutaneous leishmaniasis — Leishmaniasis that is characterized byulcerated sores with small papules on the edge of the sore.
CC B55.2 Mucocutaneous leishmaniasis — Leishmaniasis that is characterized byulceration of the skin and mucous membranes of the throat and nose.
CC B55.9 Leishmaniasis, unspecifiedB56- African trypanosomiasis
CC B56.0 Gambiense trypanosomiasis — A parasitic disease caused byTrypanosoma brucei gambiense, and characterized by a primary lesion at the tsetsefly bite, fever, lymphadenopathy (especially of posterior neck), and invasion of thecentral nervous system with somnolence and coma which develops slower than theRhodesian form.
Infection due to Trypanosoma brucei gambienseWest African sleeping sickness
CC B56.1 Rhodesiense trypanosomiasis — A parasitic disease caused byTrypanosoma brucei rhodesiense that is characterized by a primary lesion at thetsetse fly bite, fever, lymphadenopathy (especially of posterior neck), and invasion ofthe central nervous system with somnolence and coma which develops more rapidlythan the Gambian form.
East African sleeping sicknessInfection due to Trypanosoma brucei rhodesiense
CC B56.9 African trypanosomiasis, unspecifiedSleeping sickness NOS
B57- Chagas’ disease — A parasitic disease caused by Trypanosoma cruzi that ischaracterized by primary lesion at the site of entry (skin, conjunctiva), fever, headache,swollen lymph glands, facial and generalized edema, and can progress to involve variousorgans.Includes: American trypanosomiasis
Infection due to Trypanosoma cruziCC B57.0 Acute Chagas’ disease with heart involvement
Acute Chagas’ disease with myocarditisCC B57.1 Acute Chagas’ disease without heart involvement
Acute Chagas’ disease NOSCC B57.2 Chagas’ disease (chronic) with heart involvement
American trypanosomiasis NOSChagas’ disease (chronic) NOSChagas’ disease (chronic) with myocarditisTrypanosomiasis NOS
B57.3- Chagas’ disease (chronic) with digestive system involvementCC B57.30 Chagas’ disease with digestive system involvement,
unspecifiedCC B57.31 Megaesophagus in Chagas’ diseaseCC B57.32 Megacolon in Chagas’ diseaseCC B57.39 Other digestive system involvement in Chagas’ disease
B57.4- Chagas’ disease (chronic) with nervous system involvementCC B57.40 Chagas’ disease with nervous system involvement,
unspecifiedCC B57.41 Meningitis in Chagas’ diseaseCC B57.42 Meningoencephalitis in Chagas’ diseaseCC B57.49 Other nervous system involvement in Chagas’ disease
CC B57.5 Chagas’ disease (chronic) with other organ involvement
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B58- Toxoplasmosis — A parasitic disease caused by Toxoplasma gondii, and characterizedby involvement of various organs.Includes: Infection due to Toxoplasma gondiiExcludes 1: congenital toxoplasmosis (P37.1)
B58.0- Toxoplasma oculopathyCC B58.00 Toxoplasma oculopathy, unspecifiedCC B58.01 Toxoplasma chorioretinitisCC B58.09 Other toxoplasma oculopathy
Toxoplasma uveitisCC B58.1 Toxoplasma hepatitis
MCC B58.2 Toxoplasma meningoencephalitisMCC B58.3 Pulmonary toxoplasmosis
B58.8- Toxoplasmosis with other organ involvementMCC B58.81 Toxoplasma myocarditis
CC B58.82 Toxoplasma myositisCC B58.83 Toxoplasma tubulo-interstitial nephropathy
Toxoplasma pyelonephritisCC B58.89 Toxoplasmosis with other organ involvement
CC B58.9 Toxoplasmosis, unspecifiedB59 Pneumocystosis — A highly contagious interstitial plasma cell pneumonia caused byMCC Pneumocystis carinii and Pneumocystis jiroveci that is usually seen in
immunocompromised patients.Pneumonia due to Pneumocystis cariniiPneumonia due to Pneumocystis jiroveci
B60- Other protozoal diseases, not elsewhere classifiedExcludes 1: cryptosporidiosis (A07.2)
intestinal microsporidiosis (A07.8)isosporiasis (A07.3)
CC B60.0 Babesiosis — An infectious parasitic (tick-borne) disease caused by the genusBabesia, and characterized by a malaria-like fever, myalgia, hemolytic anemia, andsplenomegaly.
PiroplasmosisB60.1- Acanthamebiasis — An infectious parasitic disease caused by the free-living
soil and water ameoba Acanthameoba that is characterized by skin ulcers andgranulomas, and can progress to infect the meninges.
CC B60.10 Acanthamebiasis, unspecifiedB60.11 Meningoencephalitis due to Acanthamoeba (culbertsoni)B60.12 Conjunctivitis due to AcanthamoebaB60.13 Keratoconjunctivitis due to Acanthamoeba —
[Unacceptable PDX]CC B60.19 Other acanthamebic disease
CC B60.2 Naegleriasis — An infectious parasitic disease caused by the free-living soiland warm water ameoba Naegleria fowleri that is characterized by infection of thenervous system and brain.
Primary amebic meningoencephalitisB60.8 Other specified protozoal diseases
MicrosporidiosisB64 Unspecified protozoal disease
Helminthiases (B65-B83)
B65- Schistosomiasis [bilharziasis] — A parasitic disease caused by the genusSchistosoma (caused by schistosomes worms) that is characterized by abdominal pain andinfection of the gastrointestinal and urinary tracts.Includes: Snail fever
CC B65.0 Schistosomiasis due to Schistosoma haematobium [urinaryschistosomiasis]
CC B65.1 Schistosomiasis due to Schistosoma mansoni [intestinalschistosomiasis]
CC B65.2 Schistosomiasis due to Schistosoma japonicumAsiatic schistosomiasis
CC B65.3 Cercarial dermatitisSwimmer’s itch
CC B65.8 Other schistosomiasisInfection due to Schistosoma intercalatumInfection due to Schistosoma mattheeiInfection due to Schistosoma mekongi
CC B65.9 Schistosomiasis, unspecified
B66- Other fluke infectionsCC B66.0 Opisthorchiasis — A parasitic disease caused by Opisthorchis felineus and
viverrini that is characterized by liver infestation which, in its severe form, presentshepatomegaly, jaundice, liver abscess, and pancreatitis.
Infection due to cat liver flukeInfection due to Opisthorchis (felineus) (viverrini)
CC B66.1 Clonorchiasis — A parasitic disease caused by Clonorchis (Oristhorchis) sinensisthat is characterized by infestation and inflammation of the gallbladder, bile ducts,and liver.
Chinese liver fluke diseaseInfection due to Clonorchis sinensisOriental liver fluke disease
CC B66.2 Dicroceliasis — A parasitic disease caused by Dicrocoelium dendriticum that ischaracterized by infection of the bile ducts.
Infection due to Dicrocoelium dendriticumLancet fluke infection
CC B66.3 Fascioliasis — A parasitic disease caused by the genus Fasciola with symptomscharacterized by fever, malaise, urticaria, and nonproductive cough, with largeflukes obstructing the biliary tract where they live.
Infection due to Fasciola giganticaInfection due to Fasciola hepaticaInfection due to Fasciola indicaSheep liver fluke disease
CC B66.4 Paragonimiasis — A parasitic disease caused by the genus Paragonimus thatis characterized by lung infestation with resulting hemoptysis, fever, and occasionallyby pleural conditions, and right heart failure.
Infection due to Paragonimus speciesLung fluke diseasePulmonary distomiasis
CC B66.5 Fasciolopsiasis — A parasitic disease caused by Fasciolopsis buski that ischaracterized by abdominal pain, intermittent diarrhea, flatus, and excessiveappetite or anorexia.
Infection due to Fasciolopsis buskiIntestinal distomiasis
CC B66.8 Other specified fluke infectionsEchinostomiasisHeterophyiasisMetagonimiasisNanophyetiasisWatsoniasis
B66.9 Fluke infection, unspecifiedB67- Echinococcosis — A parasitic disease caused by Echinococcus granulosus that is
characterized by chronic space-occupying lesions of various organs.Includes: Hydatidosis
CC B67.0 Echinococcus granulosus infection of liverCC B67.1 Echinococcus granulosus infection of lungCC B67.2 Echinococcus granulosus infection of bone
B67.3- Echinococcus granulosus infection, other and multiple sitesCC B67.31 Echinococcus granulosus infection, thyroid glandCC B67.32 Echinococcus granulosus infection, multiple sitesCC B67.39 Echinococcus granulosus infection, other sites
CC B67.4 Echinococcus granulosus infection, unspecifiedDog tapeworm (infection)
CC B67.5 Echinococcus multilocularis infection of liverB67.6- Echinococcus multilocularis infection, other and multiple sites
CC B67.61 Echinococcus multilocularis infection, multiple sitesCC B67.69 Echinococcus multilocularis infection, other sites
CC B67.7 Echinococcus multilocularis infection, unspecifiedCC B67.8 Echinococcosis, unspecified, of liver
B67.9- Echinococcosis, other and unspecifiedCC B67.90 Echinococcosis, unspecified
Echinococcosis NOSCC B67.99 Other echinococcosis
B68- Taeniasis — A parasitic disease caused by adult intestinal tapeworms growing to 3 to 25feet (1 to 7.5 m) in length.Excludes 1: cysticercosis (B69.-)
CC B68.0 Taenia solium taeniasisPork tapeworm (infection)
CC B68.1 Taenia saginata taeniasisBeef tapeworm (infection)Infection due to adult tapeworm Taenia saginata
TABULAR LIST OF DISEASES – 2016 ICD-10-CM [2016.CM]
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CC B68.9 Taeniasis, unspecifiedB69- Cysticercosis — A parasitic disease caused by the larvae of Taenia solium and
characterized by mechanical injury at the larval site which may infest the muscle and oftenthe brain and meninges.Includes: Cysticerciasis infection due to larval form of Taenia solium
CC B69.0 Cysticercosis of central nervous systemCC B69.1 Cysticercosis of eye
B69.8- Cysticercosis of other sitesCC B69.81 Myositis in cysticercosisCC B69.89 Cysticercosis of other sites
CC B69.9 Cysticercosis, unspecifiedB70- Diphyllobothriasis and sparganosis
CC B70.0 Diphyllobothriasis — A parasitic disease caused by Diphyllobothrium latum,characterized by a small intestinal tapeworm of up to 30 feet (9 m) in length, andacquired from eating infected raw or undercooked freshwater fish.
Diphyllobothrium (adult) (latum) (pacificum) infectionFish tapeworm (infection)
Excludes v: larval diphyllobothriasis (B70.1)CC B70.1 Sparganosis — A parasitic disease caused by the larvae identified below and
characterized by invasion of subcutaneous tissue, causing inflammation and fibrosis.Infection due to Sparganum (mansoni) (proliferum)Infection due to Spirometra larvaLarval diphyllobothriasisSpirometrosis
B71- Other cestode infectionsCC B71.0 Hymenolepiasis — A parasitic disease caused by Hymenolepis nana and
characterized by a 1.6 inch (4 cm) ileal tapeworm which has a lifespan of a fewweeks.
Dwarf tapeworm infectionRat tapeworm (infection)
CC B71.1 DipylidiasisCC B71.8 Other specified cestode infections
CoenurosisB71.9 Cestode infection, unspecified
Tapeworm (infection) NOSB72 Dracunculiasis — A parasitic disease caused by the guinea worm that is characterizedCC by development of a worm under the skin causing burning pain at the site.
Includes: Guinea worm infectionInfection due to Dracunculus medinensis
B73- Onchocerciasis — A parasitic disease caused by Onchocerca volvulus that ischaracterized by skin nodules, eye lesions, and dermatitis with lymphatic symptoms. Includes: Onchocerca volvulus infection
OnchocercosisRiver blindness
B73.0- Onchocerciasis with eye diseaseCC B73.00 Onchocerciasis with eye involvement, unspecifiedCC B73.01 Onchocerciasis with endophthalmitisCC B73.02 Onchocerciasis with glaucomaCC B73.09 Onchocerciasis with other eye involvement
Infestation of eyelid due to onchocerciasisCC B73.1 Onchocerciasis without eye disease
B74- FilariasisExcludes v: onchocerciasis (B73)
tropical (pulmonary) eosinophilia NOS (J82)CC B74.0 Filariasis due to Wuchereria bancrofti — A parasitic disease caused by
Wuchereria bancrofti that is characterized by frequent attacks of fever, lymphangitis,lymphadenitis, and in the most severe cases elephantiasis.
Bancroftian elephantiasisBancroftian filariasis
CC B74.1 Filariasis due to Brugia malayi — A parasitic disease caused by Brugiamalayi and characterized usually by more acute symptoms than bancroftianfilariasis, and in which elephantiasis is more common, but spares the bladder andgenitalia.
CC B74.2 Filariasis due to Brugia timori — A parasitic disease caused by Brugiamalayi.
CC B74.3 Loiasis — A parasitic disease caused by Loa loa, and characterized by worms 1 to2 inches (2.5 to 5 cm) in length which move freely in connective tissue giving rise toedematous swelling (Calabar swellings), and frequently infest the conjunctiva withoccasional serious complications such as encephalitis.
Calabar swellingEyeworm disease of AfricaLoa loa infection
CC B74.4 Mansonelliasis — A parasitic disease caused by Mansonella ozzardi that ischaracterized by adult worms inhabiting the visceral adipose tissue, and are usuallyasymptomatic.
Infection due to Mansonella ozzardiInfection due to Mansonella perstansInfection due to Mansonella streptocerca
CC B74.8 Other filariasesDirofilariasis
CC B74.9 Filariasis, unspecifiedB75 Trichinellosis — A parasitic disease caused by Trichinella spiralis, and characterized inCC the early stages by diarrhea, nausea, colic, and fever, and in the later stages characterized by
stiffness, pain, swelling of the muscles, splinter hemorrhages, sweating, and insomnia.Includes: Infection due to Trichinella species
TrichiniasisB76- Hookworm diseases
Includes: UncinariasisCC B76.0 Ancylostomiasis — A parasitic disease caused by genus Ancylostoma that is
characterized by adult worms in the small intestine, causing abdominal pain,diarrhea, malnutrition, and in severe cases anemia.
Infection due to Ancylostoma speciesCC B76.1 Necatoriasis — A parasitic disease caused by Necator americanus that is
characterized by adult worms in the small intestine causing abdominal pain,diarrhea, and malnutrition.
Infection due to Necator americanusCC B76.8 Other hookworm diseasesCC B76.9 Hookworm disease, unspecified
Cutaneous larva migrans NOSB77- Ascariasis — A parasitic disease caused by Ascaris lumbricoides that is characterized by
giant intestinal worms and in severe cases by pneumonitis and intestinal blockage.Includes: Ascaridiasis
Roundworm infectionCC B77.0 Ascariasis with intestinal complications
B77.8- Ascariasis with other complicationsMCC B77.81 Ascariasis pneumonia
CC B77.89 Ascariasis with other complicationsCC B77.9 Ascariasis, unspecified
B78- Strongyloidiasis — A parasitic disease caused by Strongyloides stercoralis andcharacterized by roundworm infestation of the small intestine with watery, mucus diarrhea,and migratory larvae infestation of the lungs, rupturing the alveoli.Excludes 1: trichostrongyliasis (B81.2)
B78.0 Intestinal strongyloidiasisB78.1 Cutaneous strongyloidiasisB78.7 Disseminated strongyloidiasisB78.9 Strongyloidiasis, unspecified
B79 Trichuriasis — A parasitic disease caused by Trichuris trichiura, and characterized byCC whipworm infestation of the large intestine and rectum causing chronic diarrhea, mucus
stools, and rectal prolapse.Includes: Trichocephaliasis
Whipworm (disease) (infection)B80 Enterobiasis — A parasitic disease caused by Enterobius vermicularis that isCC characterized by pinworm infestation of the large intestine causing intense perineal itching in
symptomatic patients.Includes: Oxyuriasis
Pinworm infectionThreadworm infection
B81- Other intestinal helminthiases, not elsewhere classifiedExcludes 1: angiostrongyliasis due to Parastrongylus cantonensis (B83.2)
CC B81.0 Anisakiasis — A parasitic disease caused by Ascaris lumbricoides andcharacterized by giant intestinal worms and in severe cases by pneumonitis andintestinal blockage.
Infection due to Anisakis larva
CHAPTER 1 – CERTAIN INFECTIOUS AND PARASITIC DISEASES – 2016 ICD-10-CM[2016.CM]
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