CRHF ECONOMICS & HEALTH POLICY · 785.3 Other abnormal heart sounds R00.8 Other abnormalities of...
Transcript of CRHF ECONOMICS & HEALTH POLICY · 785.3 Other abnormal heart sounds R00.8 Other abnormalities of...
ICD-9-CM to ICD-10-CM Diagnosis Code Crosswalk for CRHF services
CRHF ECONOMICS & HEALTH POLICY
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This information does not replace seeking coding advice from the payer and/or your coding staff. The ultimate responsibility for correct coding lies with the provider of services. Please contact your local payer for their interpretation of the appropriate codes to use for specific procedures. Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare or other third party payers as to the correct form of billing or the amount that will be paid to providers of service.
Sources for coding in this document are:ICD-10-CM 2016: The Complete Official Codebook, American Medical Association.International Classification of Diseases, 10th Revision, Clinical Modification, General Equivalence Mappings https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html.
This is the last update of this material.
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ARRHYTHMIA & CONDUCTION DISORDERS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
ARRHYTHMIAS426.7 Anomalous atrioventricular
axcitation (Wolff-Parkinson-White Syndrome)
I45.6 Pre-excitation syndrome (WPW) (LGL)
427.0 Paroxysmal supraventricular tachycardia
I47.1 Supraventricular tachycardia (includes AVNRT)
I49.2 Junctional premature depolarization
427.1 Paroxysmal ventricular tachycardia
I47.0 Re-entry ventricular arrhythmia
I47.2 Ventricular tachycardia
427.2 Paroxysmal tachycardia, unspecified
I47.9 Paroxysmal tachycardia, unspecified
427.31 Atrial fibrillation I48.0 Paroxysmal atrial fibrillation
I48.1 Persistent atrial fibrillation
I48.2 Chronic atrial fibrillation
I48.91 Unspecified atrial fibrillation
427.32 Atrial flutter I48.3 Typical atrial flutter (Type I)
I48.4 Atypical atrial flutter (Type II)
I48.92 Unspecified atrial flutter
427.41 Ventricular fibrillation I49.01 Ventricular fibrillation
427.42 Ventricular flutter I49.02 Ventricular flutter
427.5 Cardiac arrest I46.2 Cardiac arrest due to underlying cardiac condition
I46.8 Cardiac arrest due to other underlying condition
I46.9 Cardiac arrest , cause unspecified
427.60 Premature beats, unspecified I49.40 Unspecified premature depolarization
427.61 Supraventricular premature beats
I49.1 Atrial premature depolarization
427.69 Other premature beats (ventricular premature beats, contractions, or systoles)
I49.3 Ventricular premature depolarization
I49.49 Other premature depolarization
427.81 Sinoatrial node dysfunction (sinus bradycardia, sick sinus syndrome, tachycardia-bradycardia) (sinoatrial node dysfunction - SSS)
I49.5 Sick sinus syndrome (Tachy-brady syndrome)
R00.1 Bradycardia, unspecified
427.89 Other specified cardiac dysrhythmias (Rhythm disorder: coronary sinus, ectopic, nodal; wandering (atrial) pacemaker)
I49.8 Other specified cardiac dysrhythmias
R00.1 Bradycardia, unspecified
427.9 Cardiac dysrhythmia, unspecified
I49.9 Cardiac arrhythmia, unspecified
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
CONDUCTION DISORDERS426.0 Atrioventricular block,
complete I44.2 Atrioventricular block, complete
426.10 Atrioventricular block, unspecified
I44.30 Unspecified atrioventricular block
426.11 First degree atrioventricular block
I44.0 Atrioventricular block, first degree
426.2 Left bundle branch hemiblock (LAFB/LPFB)
I44.4 Left anterior fascicular block
I44.5 Left posterior fascicular block
I44.60 Unspecified fascicular block
I44.69 Other fascicular block
426.3 Other left bundle branch block (LBBB/Other)
I44.7 Left bundle-branch block, unspecified
426.4 Right bundle branch block (RBBB)
I45.0 Right fascicular block
I45.10 Unspecified right bundle-branch block
I45.19 Other right bundle-branch block
426.50 Bundle branch-block, unspecified (BBB)
I45.4 Nonspecific intraventricular block
I44.39 Other atrioventricular block
I44.30 Unspecified atrioventricular block
426.54 Trifascicular block I45.3 Trifascicular block
426.82 Long QT syndrome (Romano-Ward)
I45.81 Long QT syndrome
429.3 Cardiomegaly I51.7 Cardiomegaly
426.12 Mobitz (type) II atrioventricular block
I44.1 Atrioventricular block, second degree
426.13 Other second degree atrioventricular block (Mobitz I/Wenckebach)
I44.1 Atrioventricular block, second degree
426.51 RBBB/LPFB (RBBB & Left Posterior Fascicular Block)
I45.2 Bifascicular block
426.52 RBBB/LAFB (RBBB & Left Anterior Fascicular Block)
426.53 Other bilateral bundle branch block
746.86 Congenital heart block Q24.6 Congenital heart block
ARRHYTHMIA & CONDUCTION DISORDERS, continued
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CONDITIONS, SYMPTOMS & STATUS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
337.01 Carotid sinus syndrome G90.01 Carotid sinus syndrome
785.1 Palpitations R00.2 Palpitations
780.2 Syncope and collapse R55 Syncope and collapse
780.4 Dizziness and giddiness R42 Dizziness and giddiness
780.57 Unspecified sleep apnea G47.30 Sleep apnea, unspecified
780.71 Chronic fatigue syndrome R53.82 Chronic fatigue, unspecified
785.0 Tachycardia, unspecified R00.0 Tachycardia, unspecified
785.3 Other abnormal heart sounds R00.8 Other abnormalities of heart beat
R00.9 Unspecified abnormalities of heart beat
R01.2 Other cardiac sounds
785.51 Cardiogenic shock R57.0 Cardiogenic shock
785.59 Other shock without mention of trauma
R57.1 Hypovolemic shock
R57.8 Other shock
780.71 Chronic fatigue syndrome R53.82 Chronic fatigue, unspecified
786.09 Other dyspnea and respiratory abnormalities
R06.00 Dyspnea, unspecified
R06.09 Other forms of dyspnea
R06.3 Periodic breathing
R06.83 Snoring
R06.89 Other abnormalities of breathing
786.50 Chest pain, unspecified R07.9 Chest pain, unspecified
786.05 Shortness of breath R06.02 Shortness of breath
786.50 Chest pain, unspecified R07.9 Chest pain, unspecified
786.51 Precordial pain R07.2 Precordial pain
786.52 Painful Respiration (pleuritic pain)
R07.1 Chest pain on breathing
R07.81 Pleurodynia
786.59 Other chest pain R07.89 Other chest pain
R07.82 Intercostal pain
794.31 Nonspecific abnormal electrocardiogram [ECG] [EKG]
R94.31 Abnormal electrocardiogram [ECG] [EKG]
796.2 Elevated blood pressure reading without diagnosis of hypertension
R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
799.29 Other signs and symptoms involving emotional state
R45.89 Other symptoms and signs involving emotional state
V12.53 Personal history of sudden cardic arrest (SCD) (successfully resuscitated)
Z86.74 Personal history of sudden cardic arrest (SCA) (successfully resuscitated)
V12.54 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
V17.41 Family history of sudden cardiac death (SCD)
Z82.41 Family history of sudden cardiac death (SCA)
V45.01 Cardiac pacemaker in situ Z95.0 Presence of cardiac pacemaker
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
V45.02 Automatic implantable cardiac defibrillator in situ
Z95.810 Presence of automatic (implantable) cardiac defibrillator
V45.09 Other specified cardiac device in situ
Z95.818 Presence of other cardiac implants and grafts
V45.81 Aortocoronary bypass status Z95.1 Presence of aortocoronary bypass graft
V53.31 Fitting and adjustment of cardiac pacemaker
Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
V53.32 Fitting and adjustment of automatic implantable cardiac defibrillator
Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator
V53.39 Fitting and adjustment of other cardiac device
Z45.09 Encounter for adjustment and management of other cardiac device
V58.61 Long term (current) use of anticoagulants
Z79.01 Long term (current) use of anticoagulants
V58.69 Long term (current) use of other medications
Z79.3 Long term use of hormonal contraceptives
Z79.891 Long term use of opiate analgesics
Z79.899 Other long term current drug therapy
CONDITIONS, SYMPTOMS & STATUS, continued
For hospital inpatients with an acute (cryptogenic) stroke admission, the principal diagnosis code should be the applicable acute stroke diagnosis. For outpatients with late effects or residual deficits from the stroke, a code from the I69 (sequela of cerebrovascular disease) series should be reviewed to determine the applicable diagnosis code.
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HEART FAILURE & MYOCARDIAL INFARCTION ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
HEART FAILURE398.90 Rheumatic heart failure,
unspecifiedI09.9 Rheumatic heart disease, unspecified
398.91 Rheumatic heart failure (congestive)
I09.81 Rheumatic heart failure
428.0 Congestive heart failure, unspecified
I50.9 Heart failure, unspecified
428.1 Left heart failure I50.1 Left ventricular failure
428.20 Systolic heart failure, unspecified I50.20 Unspecified systolic (congestive) heart failure
428.21 Acute, systolic heart failure I50.21 Acute systolic (congestive) heart failure
428.22 Chronic, systolic heart failure I50.22 Chronic systolic (congestive) heart failure
428.23 Acute on chronic, systolic heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
428.30 Diastolic heart failure, unspecified
I50.30 Unspecified diastolic (congestive) heart failure
428.31 Acute diastolic heart failure I50.31 Acute diastolic (congestive) heart failure
428.32 Chronic diastolic heart failure I50.32 Chronic diastolic (congestive) heart failure
428.33 Acute on chronic diastolic heart failure
I50.33 Acute on chronic diastolic (congestive) heart failure
428.40 Combined systolic and diastolic heart failure
I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
428.41 Acute combined systolic and diastolic heart failure
I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
428.42 Chronic combined systolic and diastolic heart failure
I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure
428.43 Acute on chronic combined systolic and diastolic heart failure
I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
428.9 Heart failure, unspecified I50.9 Heart failure, unspecified
The hypertensive heart disease with and without heart failure diagnosis codes are included in the Hypertension & Valve Disorders section.
MYOCARDIAL INFARCTION410 .00 Acute myocardial infarction of
anterolateral wall, episode of care unspecified
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
410.01 Acute myocardial infarction of anterolateral wall, initial episode of care
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
410.02 Acute myocardial infarction of anterolateral wall, subsequent episode of care
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
410.10 Acute myocardial infarction of other anterior wall, episode of care unspecified
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
410.11 Acute myocardial infarction of other anterior wall, initial episode of care
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
410.12 Acute myocardial infarction of other anterior wall, subsequent episode of care
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
410.20 Acute myocardial infarction of inferolateral wall, episode of care unspecified
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
410.21 Acute myocardial infarction of inferolateral wall, initial episode of care
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
410.22 Acute myocardial infarction of inferolateral wall, subsequent episode of care
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
410.30 Acute myocardial infarction of inferoposterior wall, episode unspecified
I22.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
410.31 Acute myocardial infarction of inferoposterior wall, initial episode of care
I21.11 ST Elevation (STEMI) myocardial infarction involving right coronary artery
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
410.32 Acute myocardial infarction of inferoposterior wall, subsequent episode
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
410.40 Acute myocardial infarction of other inferior wall, episode of care unspecified
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
410.41 Acute myocardial infarction of other inferior wall, initial episode of care
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
410.42 Acute myocardial infarction of other inferior wall, subsequent episode of care
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
410.50 Acute myocardial infarction of other lateral wall, episode of care unspecified
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.51 Acute myocardial infarction of other lateral wall, initial episode of care
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
410.52 Acute myocardial infarction of other lateral wall, subsequent episode of care
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.60 True posterior wall infarction, episode of care unspecified
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.61 True posterior wall infarction, initial episode of care
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
410.62 True posterior wall infarction, subsequent episode of care
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.70 Subendocardial infarction, episode of care unspecified
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
410.71 Subendocardial infarction, initial episode of care
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
410.72 Subendocardial infarction, subsequent episode of care
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
HEART FAILURE & MYOCARDIAL INFARCTION, continued
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HEART FAILURE & MYOCARDIAL INFARCTION, continued
ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
410.80 Acute myocardial infarction of other specified sites, episode of care unspecified
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.81 Acute myocardial infarction of other specified sites, initial episode of care
I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
410.82 Acute myocardial infarction of other specified sites, subsequent episode of care
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
410.90 Acute myocardial infarction of unspecified site, episode of care unspecified
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
410.91 Acute myocardial infarction of unspecified site, initial episode of care
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I22.9 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
410.92 Acute myocardial infarction of unspecified site, subsequent episode of care
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
411.0 Post MI syndrome I24.1 Dressler's Syndrome
412.00 Old myocardial infarction I25.2 Old myocardial infarction
When coding acute myocardial infarction in ICD-10, note that AMI is differentiated between initial AMI (I21) and subsequent AMI (I22).
§ For encounters that occur while the MI is equal to or less than 4 weeks old and where the patient requires continued care for the MI, report codes from the initial AMI (I21) category.
§ For encounters beyond the 4 week timeframe where the patient is still receiving treatment for the MI, assign the appropriate aftercare code rather than a code from the I21 category.
§ A subsequent AMI is one occurring within 4 weeks (28 days) of a previous AMI. For these instances, assign a code from the I22 category. Note that codes from I22 cannot be assigned alone. They must be assigned along with a code from the I21 category.
§ For old or healed MI not requiring aftercare I25.2, Old MI, may be used.
Source: Centers for Medicare and Medicaid Services MLN ConnectsTM Video Transcript, Coding for ICD-10-CM: More of the Basics. https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-01-ICD-10-Video-Transcript.pdf. ICD-10-CM 2016: The Complete Official Codebook, American Medical Association.
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COMPLICATIONS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
996.01 Mechanical complication due to cardiac pacemaker (electrode)
T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter
T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter
996.04 Mechanical complication of automatic implantable cardiac defibrillator
T82.120A Displacement of cardiac electrode, initial encounter
T82.121A Displacement of cardiac pulse generator (battery), initial encounter
T82.190A Other mechanical complication of cardiac electrode, initial encounter
T82.191A Other mechanical complication of cardiac pulse generator (battery), initial encounter
996.61 Infection and inflammatory reaction due to cardiac device, implant, and graft
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter (A)
T82.6XXA Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter (A)
996.72 Other complications due to other cardiac device, implant, and graft
T82.817A Embolism of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.827A Fibrosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.837A Hemorrhage of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.847A Pain from cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.857A Stenosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.867A Thrombosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.897A Other specified complication of cardiac prosthetic devices, implants grafts, initial encounter (A)
T82.9XXA Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter
997.1 Cardiac complication NEC I97.110 Postprocedural cardiac insufficiency following cardiac surgery
I97.111 Postprocedural cardiac insufficiency following other surgery
I97.120 Postprocedural cardiac arrest following cardiac surgery
I97.121 Postprocedural cardiac arrest following other surgery
I97.130 Postprocedural heart failure following cardiac surgery
I97.131 Postprocedural heart failure following other surgery
I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery
I97.191 Other postprocedural cardiac functional disturbances following other surgery
I97.710 Intraoperative cardiac arrest during cardiac surgery
I97.711 Intraoperative cardiac arrest during other surgery
I97.790 Other intraoperative cardiac functional disturbances during cardiac surgery
I97.791 Other intraoperative cardiac functional disturbances during other surgery
I97.88 Other intraoperative complications of the circulatory system, not elsewhere classified
I97.89 Other postprocedural complications and disorders of the circulatory system, not elsewhere classified
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
998.12 Hematoma complicating a procedure NEC
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization
I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass
I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure
I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure
I97.610 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following a cardiac catheterization
I97.611 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following cardiac bypass
I97.618 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedure
I97.62 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other procedure
L76.02 Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating other procedure
L76.22 Postprocedural hemorrhage and hematoma of skin and subcutaneous tissue following other procedure
998.83 Non-healing surgical wound T81.89xA Other complications of procedures, not elsewhere classified, initial encounter (A)
995.29 Unspecified adverse effect of other drug, medicinal and biological substance
T45.515A Adverse effect of anticoagulants, initial encounter (A)
415.11 Iatrogenic pulmonary embolism & infarction
I26.90 Septic pulmonary embolism without acute cor pulmonale
I26.99 Other pulmonary embolism without acute cor pulmonale
T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter (A)
T81.718A Complication of other artery following a procedure, not elsewhere classified, initial encounter (A)
T81.72XA Complication of vein following a procedure, not elsewhere classified, initial encounter (A)
T82.817A Embolism of cardiac prosthetic devices, implants and grafts, initial encounter (A)
T82.818A Embolism of vascular prosthetic devices, implants and grafts, initial encounter (A)
Coding for initial, subsequent, or sequela encounters: use seventh (7th) character; if a character is not required in 5-6 “x” is used as placeholder to allow for encounter indicator in place 7.
The 7th character for an initial encounter (“A”) is used while the patient is receiving active treatment for the condition. Example: surgical treatment, Emergency room encounter, and evaluating and continuing treatment by the same or a different physician.
The 7th character for “subsequent encounter” (“D”) is to be used for all encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Examples: cast change or removal, x-ray to check healing status of a fracture, removal of external or internal fixation device, medication adjustments, and other aftercare and follow-up visits following active treatment of the injury or condition.
The 7th character for sequela (or late effect) (“S”) is used for complications or conditions that arise as a direct result of a condition. A sequela is the residual effect, or condition produced, after the acute phase of an illness or injury has terminated. An example of sequela is scar formation after a burn.
Note that when using 7th character “S” for sequela, it is necessary to use both the injury code that precipitated the sequela (i.e. the burn) as well as the code for the sequela itself (i.e. the scarring). The 7th character “S” is only added to the injury code, not the sequela code. “S” identifies the injury responsible for the sequela.
Sources: Centers for Medicare and Medicaid Services MLN Connects™ Video Transcript, Coding for ICD-10-CM: More of the Basics. https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-01-ICD-10-Video-Transcript.pdf.
ICD-10-CM Official Codebook 2016, American Medical Association.
COMPLICATIONS, continued
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CARDIAC DISEASE ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
411.0 Postmyocardial infarction syndrome
I24.1 Dressler's syndrome
411.1 Intermediate coronary syndrome
I20.0 Unstable angina
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
411.81 Acute coronary occlusion without myocardial infarction
I24.0 Acute coronary thrombosis not resulting in myocardial infarction
413.1 Prinzmetal angina I20.1 Angina pectoris with documented spasm
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
413.9 Other and unspecified angina pectoris
I20.8 Other forms of angina pectoris
I20.9 Angina pectoris, unspecified
I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris
I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris
I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris
I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris
I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris
I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
CARDIAC DISEASE, continued
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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
414.01 Coronary atherosclerosis of native coronary artery
I25.10 Atherosclerotic heart disease of native coronary artery without anginapectoris
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris
414.04 Coronary atherosclerosis of artery bypass graft
I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris
I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris
I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
414.8 Other specified forms of chronic ischemic heart disease
I25.5 Ischemic cardiomyopathy
I25.6 Silent myocardial ischemia
I25.89 Other forms of chronic ischemic heart disease
I25.9 Chronic ischemic heart disease, unspecified
414.9 Chronic ischemic heart disease, unspecified
I25.9 Chronic ischemic heart disease, unspecified
423.1 Adhesive pericarditis I31.0 Chronic adhesive pericarditis
423.2 Constrictive pericarditis I31.1 Chronic constrictive pericarditis
423.3 Cardiac tamponade I31.4 Cardiac tamponade
425.5 Alcoholic cardiomyopathy I42.6 Alcoholic cardiomyopathy
425.11 Hypertrophic obstructive cardiomyopathy
I42.1 Obstructive hypertrophic cardiomyopathy
425.18 Other hypertrophic cardiomyopathy (Non-obstructive)
I42.2 Other hypertrophic cardiomyopathy
425.4 Other primary cardiomyopathies
I42.0 Dilated cardiomyopathy
I42.5 Other restrictive cardiomyopathy
I42.8 Other cardiomyopathies
I42.9 Cardiomyopathy, unspecified
CARDIAC DISEASE, continued
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CARDIAC DISEASE, continued
ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
429.3 Cardiomegaly (left ventricular hypertrophy)
I51.7 Cardiomegaly
453.50 Chronic venous embolism and thrombosis of unspecified deep vessels of lower extremity
I82.501 Chronic embolism and thrombosis of unspecified deep veins of right lower extremity
I82.502 Chronic embolism and thrombosis of unspecified deep veins of left lower extremity
I82.503 Chronic embolism and thrombosis of unspecified deep veins of lower extremity, bilateral
I82.509 Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82.591 Chronic embolism and thrombosis of other specified deep vein of right lower extremity
I82.592 Chronic embolism and thrombosis of other specified deep vein of left lower extremity
I82.593 Chronic embolism and thrombosis of other specified deep vein of lower extremity, bilateral
I82.599 Chronic embolism and thrombosis of other specified deep vein of unspecified lower extremity
453.83 Acute venous embolism and thrombosis of upper extremity, unspecified
I82.601 Acute embolism and thrombosis of unspecified veins of right upper extremity
I82.602 Acute embolism and thrombosis of unspecified veins of left upper extremity
I82.603 Acute embolism and thrombosis of unspecified veins of upper extremity, bilateral
I82.609 Acute embolism and thrombosis of unspecified veins of unspecified upper extremity
429.2 Cardiovascular disease, unspecified
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
429.3 Cardiomegaly I51.7 Cardiomegaly
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HYPERTENSION & VALVE DISORDERS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
401.0 HTN w/o HF (Malignant) I10 Essential (primary) hypertension
401.1 Benign HTN
401.9 Unspecified HTN
402.00 Malignant hypertensive heart disease without heart failure
I11.9 Hypertensive heart disease without heart failure
402.10 Benign hypertensive heart disease without heart failure
402.90 Unspecified hypertensive heart disease without heart failure
402.01 Malignant hypertensive heart disease with heart failure
I11.0 Hypertensive heart disease with heart failure
402.11 Benign hypertensive heart disease with heart failure
402.91 Unspecified hypertensive heart disease with heart failure
404.01 Chronic kidney dx Stage V or end stage; malignant w/ hypertensive heart disease chronic kidney dx
I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
404.11 Stage V or end stage; benign w/hypertensive heart disease
404.91 Chronic kidney dx unspecified or Stage I-IV; unspecified w/hypertensive HD
404.03 HTN & CKD (Malignant), w/HF, CKD Stage V or ESRD I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease404.13 HTN & CKD (Benign), w/HF, CKD Stage V or ESRD
404.93 HTN & CKD (Unspecified), w/HF, CKD Stage V or ESRD
424.0 Mitral valve disorders I34.0 Nonrheumatic mitral (valve) insufficiency
I34.1 Nonrheumatic mitral (valve) prolapse
I34.2 Nonrheumatic mitral (valve) stenosis
I34.8 Other nonrheumatic mitral valve disorders
I34.9 Nonrheumatic mitral valve disorder, unspecified
424.1 Aortic valve disorders I35.0 Nonrheumatic aortic (valve) stenosis
I35.1 Nonrheumatic aortic (valve) insufficiency
I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency
I35.8 Other nonrheumatic aortic valve disorders
I35.9 Nonrheumatic aortic valve disorder, unspecified
396.0 Mitral valve stenosis & aortic valve stenosis I08.0 Rheumatic disorders of both mitral and aortic valves
396.1 MV stenosis & aortic valve insufficiency
396.2 MV insufficiency & aortic valve stenosis
396.3 MV insufficiency & aortic valve insufficiency
394.0 Mitral stenosis I05.1 Rheumatic mitral stenosis
394.2 Mitral stenosis with insufficiency I05.2 Rheumatic mitral stenosis with insufficiency
394.9 Other and unspecified mitral valve diseases I05.8 Other rheumatic mitral valve diseases
I05.9 Rheumatic mitral valve disease, unspecified
746.89 Other specified congenital anomalies of heart Q23.8 Other congenital malformations of aortic and mitral valves
Q23.9 Congenital malformation of aortic and mitral valves, unspecified
Q24.8 Other specified congenital malformations of heart
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OTHER MEDICAL CONDITIONSICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description
242.90 Thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm
E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
244.9 Unspecified acquired hypothyroidism E03.9 Hypothyroidism, unspecified
250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled
E11.9 Type II diabetes mellitus without complications
E13.9 Other specified diabetes mellitus without complications
496 COPD J44.1 COPD, acute, decompensated
J44.9 COPD NOS
518.81 Acute respiratory failure J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
J96.01 Acute respiratory failure with hypoxia
J96.02 Acute respiratory failure with hypercapnia
J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
J96.91 Respiratory failure, unspecified with hypoxia
J96.92 Respiratory failure, unspecified with hypercapnia
584.9 Acute kidney failure, unspecified N17.9 Acute kidney failure, unspecified
585.9 Chronic kidney disease, unspecified N18.9 Chronic kidney disease, unspecified
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