ICD-10-CM Official Guidelines for Coding and Reporting FY 2020 · ICD-10-CM Official Guidelines for...
Transcript of ICD-10-CM Official Guidelines for Coding and Reporting FY 2020 · ICD-10-CM Official Guidelines for...
ICD-10-CM Official Guidelines for Coding and Reporting FY 2020
Note: The Official Guidelines are included in the front of the book for quick reference and have a separate Table of Contents to locate specific coding guidelines.
Guideline Tips
Please visit the publisher's website for updated Guideline Tips for each Tabular List chapter.
Preface .......................................................................................... 1
List of Features ............................................................................. 2
Practical Steps for Using the ICD-10-CM Book .......................... 3
Symbols and Conventions .......................................................... 4
Using ICD-10-CM Toward Your Credentialing Exam ................. 6
Anatomical Illustrations .............................................................. 7
ICD-10-CM Volume 2 Alphabetic Index to Diseases and Injuries ................................................................................43
ICD-10-CM Table of Neoplasms ..............................................357
ICD-10-CM Table of Drugs and Chemicals .............................369
ICD-10-CM Index to External Causes of Injuries....................417
ICD-10-CM Volume 1 Tabular List of Diseases and Injuries
Chapter 1 Certain Infectious and Parasitic Diseases (A00-B99) .......... 449Chapter 1 Tabular List .................................................................... 449
Chapter 2 Neoplasms (C00-D49).................................................................... 471Chapter 2 Tabular List .................................................................... 471
Chapter 3 Diseases of Blood/Blood-Forming Organs & Disorders Involving Immune Mechanism (D50-D89) ............................ 507Chapter 3 Tabular List .................................................................... 507
Chapter 4 Endocrine, Nutritional and Metabolic Diseases (E00-E89) .... 517Anatomy of the Endocrine System ........................................... 517Chapter 4 Tabular List .................................................................... 519
Chapter 5 Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) ........................................................................ 541Chapter 5 Tabular List .................................................................... 541
Chapter 6 Diseases of the Nervous System (G00-G99) .......................... 571Anatomy of the Nervous System .............................................. 571Chapter 6 Tabular List .................................................................... 573
Chapter 7 Diseases of the Eye and Adnexa (H00-H59) .......................... 593Anatomy of the Eye ........................................................................ 593Chapter 7 Tabular List .................................................................... 595
Chapter 8 Diseases of the Ear and Mastoid Process (H60-H95) .......... 633Anatomy of the Ear ........................................................................ 633Chapter 8 Tabular List .................................................................... 634
Chapter 9 Diseases of the Circulatory System (I00-I99) ......................... 645Anatomy of the Cardiovascular System .................................. 645Anatomy of the Lymphatic System .......................................... 652Chapter 9 Tabular List .................................................................... 655
Chapter 10 Diseases of the Respiratory System (J00-J99) ....................... 697Anatomy of the Respiratory System ........................................ 697Chapter 10 Tabular List ................................................................. 700
Chapter 11 Diseases of the Digestive System (K00-K95) ......................... 715Anatomy of the Digestive System ............................................ 715Chapter 11 Tabular List ................................................................. 718
Chapter 12 Diseases of the Skin and Subcutaneous Tissue (L00-L99) .... 741Anatomy of the Integumentary System ................................. 741Chapter 12 Tabular List ................................................................. 743
Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) .................................................... 765Anatomy of the Musculoskeletal System ............................... 765Chapter 13 Tabular List ................................................................. 772
Chapter 14 Diseases of the Genitourinary System (N00-N99) ............... 861Anatomy of the Male Reproductive System ......................... 861Anatomy of the Urinary System ................................................ 862Chapter 14 Tabular List ................................................................. 864
Chapter 15 Pregnancy, Childbirth and the Puerperium (O00-O9A) .... 881Anatomy of the Female Reproductive System ..................... 881Chapter 15 Tabular List ................................................................. 883
Chapter 16 Certain Conditions Originating in the Perinatal Period (P00-P96) .............................................................................. 919Chapter 16 Tabular List ................................................................. 919
Chapter 17 Congenital Malformations, Deformations, and Chromosomal Abnormalities (Q00-Q99) ............................... 931Chapter 17 Tabular List ................................................................. 931
Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) ....................... 949Chapter 18 Tabular List ................................................................. 949
Chapter 19 Injury, Poisoning, and Certain Other Consequences of External Causes (S00-T88) ............................................................ 967Chapter 19 Tabular List ................................................................. 967
Chapter 20 External Causes of Morbidity (V00-Y99) ...............................1179Chapter 20 Tabular List ...............................................................1179
Chapter 21 Factors Influencing Health Status and Contact with Health Services (Z00-Z99) ................................................1251Chapter 21 Tabular List ...............................................................1251
Appendix A Z Codes for Long-term Use of Drugs ..............1285
Appendix B Symbols for 7th-Character Codes ...................1303
Table of Contents
An
Atom
icA
l illustr
Ation
s
72020 ICD-10-CM
Anatomical Illustrations
Title: Circulatory System Labels Biology Diagram, License: CC0 Creative Commons (Free for commercial use No attribution required), URL link: https://pixabay.com/en/circulatory-system-labels-biology-41523/
43 Additional character required
Aarskog's - A
bnormal
ICD-10-CM
InD
ex to
DIseA
ses An
D In
jurIes
ICD-10-CM Index to Diseases and Injuries
AAarskog's syndrome Q87.19Abandonment — see MaltreatmentAbasia (-astasia) (hysterical) F44.4Abderhalden-Kaufmann-Lignac syndrome (cystinosis)
E72.04Abdomen, abdominal (see also condition)
acute R10.0angina K55.1muscle deficiency syndrome Q79.4
Abdominalgia — see Pain, abdominalAbduction contracture, hip or other joint — see
Contraction, jointAberrant (congenital) (see also Malposition, congenital)
adrenal gland Q89.1artery (peripheral) Q27.8
basilar NEC Q28.1cerebral Q28.3coronary Q24.5digestive system Q27.8eye Q15.8lower limb Q27.8precerebral Q28.1pulmonary Q25.79renal Q27.2retina Q14.1specified site NEC Q27.8subclavian Q27.8upper limb Q27.8vertebral Q28.1
breast Q83.8endocrine gland NEC Q89.2hepatic duct Q44.5pancreas Q45.3parathyroid gland Q89.2pituitary gland Q89.2sebaceous glands, mucous membrane, mouth,
congenital Q38.6spleen Q89.09subclavian artery Q27.8thymus (gland) Q89.2thyroid gland Q89.2vein (peripheral) NEC Q27.8
cerebral Q28.3digestive system Q27.8lower limb Q27.8precerebral Q28.1specified site NEC Q27.8upper limb Q27.8
Aberrationdistantial — see Disturbance, visualmental F99
Abetalipoproteinemia E78.6Abiotrophy R68.89Ablatio, ablation
retinae — see Detachment, retinaAblepharia, ablepharon Q10.3Abnormal, abnormality, abnormalities (see also
Anomaly)acid-base balance (mixed) E87.4albumin R77.0alphafetoprotein R77.2alveolar ridge K08.9anatomical relationship Q89.9apertures, congenital, diaphragm Q79.1auditory perception H93.29 R
diplacusis — see Diplacusishyperacusis — see Hyperacusisrecruitment — see Recruitment, auditorythreshold shift — see Shift, auditory threshold
autosomes Q99.9fragile site Q95.5
basal metabolic rate R94.8biosynthesis, testicular androgen E29.1bleeding time R79.1blood-gas level R79.81blood level (of )
cobalt R79.0copper R79.0iron R79.0lithium R78.89magnesium R79.0mineral NEC R79.0zinc R79.0
blood pressureelevated R03.0low reading (nonspecific) R03.1
blood sugar R73.09bowel sounds R19.15
absent R19.11hyperactive R19.12
brain scan R94.02breathing R06.9caloric test R94.138cerebrospinal fluid R83.9
cytology R83.6drug level R83.2enzyme level R83.0hormones R83.1immunology R83.4microbiology R83.5nonmedicinal level R83.3specified type NEC R83.8
chemistry, blood R79.9C-reactive protein R79.82drugs — see Findings, abnormal, in bloodgas level R79.81minerals R79.0pancytopenia D61.818PTT R79.1specified NEC R79.89toxins — see Findings, abnormal, in blood
chest sounds (friction) (rales) R09.89chromosome, chromosomal Q99.9
with more than three X chromosomes, female Q97.1
analysis result R89.8bronchial washings R84.8cerebrospinal fluid R83.8cervix uteri NEC R87.89nasal secretions R84.8nipple discharge R89.8peritoneal fluid R85.89pleural fluid R84.8prostatic secretions R86.8saliva R85.89seminal fluid R86.8sputum R84.8synovial fluid R89.8throat scrapings R84.8vagina R87.89vulva R87.89wound secretions R89.8
dicentric replacement Q93.2ring replacement Q93.2sex Q99.8
female phenotype Q97.9specified NEC Q97.8
male phenotype Q98.9specified NEC Q98.8
structural male Q98.6specified NEC Q99.8
clinical findings NEC R68.89coagulation D68.9
newborn, transient P61.6profile R79.1time R79.1
communication — see Fistulaconjunctiva, vascular H11.41 Rcoronary artery Q24.5cortisol-binding globulin E27.8course, eustachian tube Q17.8creatinine clearance R94.4cytology
anus R85.619atypical squamous cells cannot exclude high
grade squamous intraepithelial lesion (ASC-H) R85.611
atypical squamous cells of undetermined significance (ASC-US) R85.610
cytologic evidence of malignancy R85.614high grade squamous intraepithelial lesion
(HGSIL) R85.613human papillomavirus (HPV) DNA test
high risk positive R85.81low risk positive R85.82
inadequate smear R85.615low grade squamous intraepithelial lesion
(LGSIL) R85.612
satisfactory anal smear but lacking transformation zone R85.616
specified NEC R85.618unsatisfactory smear R85.615
female genital organs — see Abnormal, Papanicolaou (smear)
dark adaptation curve H53.61dentofacial NEC — see Anomaly, dentofacialdevelopment, developmental Q89.9
central nervous system Q07.9diagnostic imaging
abdomen, abdominal region NEC R93.5biliary tract R93.2bladder R93.41breast R92.8central nervous system NEC R90.89cerebrovascular NEC R90.89coronary circulation R93.1digestive tract NEC R93.3gastrointestinal (tract) R93.3genitourinary organs R93.89head R93.0heart R93.1intrathoracic organ NEC R93.89kidney R93.42 Rlimbs R93.6liver R93.2lung (field) R91.8musculoskeletal system NEC R93.7renal pelvis R93.41retroperitoneum R93.5site specified NEC R93.89skin and subcutaneous tissue R93.89skull R93.0testis R93.81 Rurinary organs specified NEC R93.49ureter R93.41
direction, teeth, fully erupted M26.30ear ossicles, acquired NEC H74.39 R
ankylosis — see Ankylosis, ear ossiclesdiscontinuity — see Discontinuity, ossicles, earpartial loss — see Loss, ossicles, ear (partial)
Ebstein Q22.5echocardiogram R93.1echoencephalogram R90.81echogram — see Abnormal, diagnostic imagingelectrocardiogram [ECG] [EKG] R94.31electroencephalogram [EEG] R94.01electrolyte — see Imbalance, electrolyteelectromyogram [EMG] R94.131electro-oculogram [EOG] R94.110electrophysiological intracardiac studies R94.39electroretinogram [ERG] R94.111erythrocytes
congenital, with perinatal jaundice D58.9feces (color) (contents) (mucus) R19.5finding — see Findings, abnormal, without
diagnosisfluid
amniotic — see Abnormal, specimen, specifiedcerebrospinal — see Abnormal, cerebrospinal
fluidperitoneal — see Abnormal, specimen, digestive
organspleural — see Abnormal, specimen, respiratory
organssynovial — see Abnormal, specimen, specifiedthorax (bronchial washings) (pleural fluid) — see
Abnormal, specimen, respiratory organsvaginal — see Abnormal, specimen, female
genital organsform
teeth K00.2uterus — see Anomaly, uterus
function studiesauditory R94.120bladder R94.8brain R94.09cardiovascular R94.30ear R94.128endocrine NEC R94.7eye NEC R94.118kidney R94.4liver R94.5
The vertical yellow line appears at the 2nd and 4th indentations throughout the index.Abnormal — continuedAbnormal — continued
cytology — continued
44
ICD-10-CM INDEX TO DISEASES AND INjURIES2020 ICD-10-CM
Additional character required
ICD
-10-
CM In
Dex
to
DIs
eAse
s A
nD
Inju
rIes
Abnormal
Abn
orm
al
nervous systemcentral NEC R94.09peripheral NEC R94.138
pancreas R94.8placenta R94.8pulmonary R94.2special senses NEC R94.128spleen R94.8thyroid R94.6vestibular R94.121
gait — see Gaithysterical F44.4
gastrin secretion E16.4globulin R77.1
cortisol-binding E27.8thyroid-binding E07.89
glomerular, minor (see also N00-N07 with fourth character .0) N05.0
glucagon secretion E16.3glucose tolerance (test) (non-fasting) R73.09gravitational (G) forces or states (effect of ) T75.81 Rhair (color) (shaft) L67.9
specified NEC L67.8hard tissue formation in pulp (dental) K04.3head movement R25.0heart
rate R00.9specified NEC R00.8
shadow R93.1sounds NEC R01.2
hemoglobin (disease) (see also Disease, hemoglobin) D58.2
trait — see Trait, hemoglobin, abnormalhistology NEC R89.7immunological findings R89.4
in serum R76.9specified NEC R76.8
increase in appetite R63.2involuntary movement — see Abnormal,
movement, involuntaryjaw closure M26.51karyotype R89.8kidney function test R94.4knee jerk R29.2leukocyte (cell) (differential) NEC D72.9liver function test R94.5loss of
height R29.890weight R63.4
mammogram NEC R92.8calcification (calculus) R92.1microcalcification R92.0
Mantoux test R76.11movement (disorder) (see also Disorder, movement)
head R25.0involuntary R25.9
fasciculation R25.3of head R25.0spasm R25.2specified type NEC R25.8tremor R25.1
myoglobin (Aberdeen) (Annapolis) R89.7neonatal screening P09oculomotor study R94.113palmar creases Q82.8Papanicolaou (smear)
anus R85.619atypical squamous cells cannot exclude high
grade squamous intraepithelial lesion (ASC-H) R85.611
atypical squamous cells of undetermined significance (ASC-US) R85.610
cytologic evidence of malignancy R85.614high grade squamous intraepithelial lesion
(HGSIL) R85.613human papillomavirus (HPV) DNA test
high risk positive R85.81low risk positive R85.82
inadequate smear R85.615low grade squamous intraepithelial lesion
(LGSIL) R85.612satisfactory anal smear but lacking
transformation zone R85.616specified NEC R85.618unsatisfactory smear R85.615
bronchial washings R84.6cerebrospinal fluid R83.6cervix R87.619
atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H) R87.611
atypical squamous cells of undetermined significance (ASC-US) R87.610
cytologic evidence of malignancy R87.614high grade squamous intraepithelial lesion
(HGSIL) R87.613inadequate smear R87.615low grade squamous intraepithelial lesion
(LGSIL) R87.612non-atypical endometrial cells R87.618satisfactory cervical smear but lacking
transformation zone R87.616specified NEC R87.618thin preparation R87.619unsatisfactory smear R87.615
nasal secretions R84.6nipple discharge R89.6peritoneal fluid R85.69pleural fluid R84.6prostatic secretions R86.6saliva R85.69seminal fluid R86.6sites NEC R89.6sputum R84.6synovial fluid R89.6throat scrapings R84.6vagina R87.629
atypical squamous cells cannot exclude high grade squamous intraepithelial lesion (ASC-H) R87.621
atypical squamous cells of undetermined significance (ASC-US) R87.620
cytologic evidence of malignancy R87.624high grade squamous intraepithelial lesion
(HGSIL) R87.623inadequate smear R87.625low grade squamous intraepithelial lesion
(LGSIL) R87.622specified NEC R87.628thin preparation R87.629unsatisfactory smear R87.625
vulva R87.69wound secretions R89.6
partial thromboplastin time (PTT) R79.1pelvis (bony) — see Deformity, pelvispercussion, chest (tympany) R09.89periods (grossly) — see Menstruationphonocardiogram R94.39plantar reflex R29.2plasma
protein R77.9specified NEC R77.8
viscosity R70.1pleural (folds) Q34.0posture R29.3product of conception O02.9
specified type NEC O02.89prothrombin time (PT) R79.1pulmonary
artery, congenital Q25.79function, newborn P28.89test results R94.2
pulsations in neck R00.2pupillary H21.56 R
function (reaction) (reflex) — see Anomaly, pupil, function
radiological examination — see Abnormal, diagnostic imaging
red blood cell(s) (morphology) (volume) R71.8reflex — see Reflexrenal function test R94.4response to nerve stimulation R94.130retinal correspondence H53.31retinal function study R94.111rhythm, heart (see also Arrhythmia)saliva — see Abnormal, specimen, digestive organsscan
kidney R94.4liver R93.2thyroid R94.6
secretiongastrin E16.4glucagon E16.3
semen, seminal fluid — see Abnormal, specimen, male genital organs
serum level (of )acid phosphatase R74.8alkaline phosphatase R74.8
amylase R74.8enzymes R74.9
specified NEC R74.8lipase R74.8triacylglycerol lipase R74.8
shapegravid uterus — see Anomaly, uterus
sinus venosus Q21.1size, tooth, teeth K00.2spacing, tooth, teeth, fully erupted M26.30specimen
digestive organs (peritoneal fluid) (saliva) R85.9cytology R85.69drug level R85.2enzyme level R85.0histology R85.7hormones R85.1immunology R85.4microbiology R85.5nonmedicinal level R85.3specified type NEC R85.89
female genital organs (secretions) (smears) R87.9cytology R87.69
cervix R87.619human papillomavirus (HPV) DNA test
high risk positive R87.810low risk positive R87.820
inadequate (unsatisfactory) smear R87.615non-atypical endometrial cells R87.618specified NEC R87.618
vagina R87.629human papillomavirus (HPV) DNA test
high risk positive R87.811low risk positive R87.821
inadequate (unsatisfactory) smear R87.625
vulva R87.69drug level R87.2enzyme level R87.0histological R87.7hormones R87.1immunology R87.4microbiology R87.5nonmedicinal level R87.3specified type NEC R87.89
male genital organs (prostatic secretions) (semen) R86.9
cytology R86.6drug level R86.2enzyme level R86.0histological R86.7hormones R86.1immunology R86.4microbiology R86.5nonmedicinal level R86.3specified type NEC R86.8
nipple discharge — see Abnormal, specimen, specified
respiratory organs (bronchial washings) (nasal secretions) (pleural fluid) (sputum) R84.9
cytology R84.6drug level R84.2enzyme level R84.0histology R84.7hormones R84.1immunology R84.4microbiology R84.5nonmedicinal level R84.3specified type NEC R84.8
specified organ, system and tissue NOS R89.9cytology R89.6drug level R89.2enzyme level R89.0histology R89.7hormones R89.1immunology R89.4microbiology R89.5nonmedicinal level R89.3specified type NEC R89.8
synovial fluid — see Abnormal, specimen, specified
thorax (bronchial washings) (pleural fluids) — see Abnormal, specimen, respiratory organs
vagina (secretion) (smear) R87.629vulva (secretion) (smear) R87.69wound secretion — see Abnormal, specimen,
specifiedspermatozoa — see Abnormal, specimen, male
genital organssputum (amount) (color) (odor) R09.3
Abnormal — continuedfunction studies — continued
Abnormal — continuedPapanicolaou — continued
Abnormal — continuedserum level — continued
357
abdomen - bone
ICD-10-CM
Tab
le of N
eopla
sMs
Neoplasm
Mal
igna
nt
prim
ary
Mal
igna
nt
seco
ndar
y
Ca in
sit
u
beni
gn
Unc
erta
in
beha
vior
Uns
peci
fied
beha
vior
Neoplasm, neoplastic C80.1 C79.9 D09.9 D36.9 D48.9 D49.9abdomen, abdominal C76.2 C79.8- D09.8 D36.7 D48.7 D49.89
cavity C76.2 C79.8- D09.8 D36.7 D48.7 D49.89organ C76.2 C79.8- D09.8 D36.7 D48.7 D49.89viscera C76.2 C79.8- D09.8 D36.7 D48.7 D49.89wall (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 D49.2skin 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 D49.89accessory sinus — see Neoplasm, sinusacoustic nerve C72.4- C79.49 - D33.3 D43.3 D49.7adenoid (pharynx) (tissue) C11.1 C79.89 D00.08 D10.6 D37.05 D49.0adipose 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 D49.59adrenal C74.9- C79.7- D09.3 D35.0- D44.1- D49.7
capsule C74.9- C79.7- D09.3 D35.0- D44.1- D49.7cortex C74.0- C79.7- D09.3 D35.0- D44.1- D49.7gland C74.9- C79.7- D09.3 D35.0- D44.1- D49.7medulla C74.1- C79.7- D09.3 D35.0- D44.1- D49.7
ala nasi (external) (see also Neoplasm, 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 D49.0alveolar C03.9 C79.89 D00.03 D10.39 D37.09 D49.0
mucosa C03.9 C79.89 D00.03 D10.39 D37.09 D49.0lower C03.1 C79.89 D00.03 D10.39 D37.09 D49.0upper C03.0 C79.89 D00.03 D10.39 D37.09 D49.0
ridge or process C41.1 C79.51 - D16.5- D48.0 D49.2carcinoma C03.9 C79.8- - - - -
lower C03.1 C79.8- - - - -upper C03.0 C79.8- - - - -
lower C41.1 C79.51 - D16.5- D48.0 D49.2mucosa C03.9 C79.89 D00.03 D10.39 D37.09 D49.0
lower C03.1 C79.89 D00.03 D10.39 D37.09 D49.0upper C03.0 C79.89 D00.03 D10.39 D37.09 D49.0
upper C41.0 C79.51 - D16.4- D48.0 D49.2sulcus C06.1 C79.89 D00.02 D10.39 D37.09 D49.0
alveolus C03.9 C79.89 D00.03 D10.39 D37.09 D49.0lower C03.1 C79.89 D00.03 D10.39 D37.09 D49.0upper 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 D49.0ankle NEC C76.5- C79.89 D04.7- D36.7 D48.7 D49.89anorectum, anorectal (junction) C21.8 C78.5 D01.3 D12.9 D37.8 D49.0antecubital fossa or space C76.4- C79.89 D04.6- D36.7 D48.7 D49.89antrum (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 D49.0tympanicum C30.1 C78.39 D02.3 D14.0 D38.5 D49.1
anus, anal C21.0 C78.5 D01.3 D12.9 D37.8 D49.0canal C21.1 C78.5 D01.3 D12.9 D37.8 D49.0cloacogenic zone C21.2 C78.5 D01.3 D12.9 D37.8 D49.0margin (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 D49.2basal 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 D49.0aorta (thoracic) C49.3 C79.89 - D21.3 D48.1 D49.2
abdominal C49.4 C79.89 - D21.4 D48.1 D49.2aortic body C75.5 C79.89 - D35.6 D44.7 D49.7
Neoplasm
Mal
igna
nt
prim
ary
Mal
igna
nt
seco
ndar
y
Ca in
sit
u
beni
gn
Unc
erta
in
beha
vior
Uns
peci
fied
beha
vior
aponeurosis C49.9 C79.89 - D21.9 D48.1 D49.2palmar C49.1- C79.89 - D21.1- D48.1 D49.2plantar C49.2- C79.89 - D21.2- D48.1 D49.2
appendix C18.1 C78.5 D01.0 D12.1 D37.3 D49.0arachnoid C70.9 C79.49 - D32.9 D42.9 D49.7
cerebral C70.0 C79.32 - D32.0 D42.0 D49.7spinal C70.1 C79.49 - D32.1 D42.1 D49.7
areola C50.0- C79.81 D05.- D24.- D48.6- D49.3arm NEC C76.4- C79.89 D04.6- D36.7 D48.7 D49.89artery — see Neoplasm, connective tissuearyepiglottic 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 D49.0laryngeal aspect C32.1 C78.39 D02.0 D14.1 D38.0 D49.1marginal 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 D49.1fold — see Neoplasm, aryepiglottic
associated with transplanted organ C80.2 - - - - -atlas C41.2 C79.51 - D16.6 D48.0 D49.2atrium, cardiac C38.0 C79.89 - D15.1 D48.7 D49.89auditory
canal (external) (skin) C44.20- C79.2 D04.2- D23.2- D48.5 D49.2internal C30.1 C78.39 D02.3 D14.0 D38.5 D49.1
nerve C72.4- C79.49 - D33.3 D43.3 D49.7tube C30.1 C78.39 D02.3 D14.0 D38.5 D49.1
opening C11.2 C79.89 D00.08 D10.6 D37.05 D49.0auricle, ear (see also Neoplasm, skin, ear) C44.20- C79.2 D04.2- D23.2- D48.5 D49.2auricular canal (external) (see also
Neoplasm, skin, ear)C44.20- C79.2 D04.2- D23.2- D48.5 D49.2
internal C30.1 C78.39 D02.3 D14.0 D38.5 D49.2autonomic nerve or nervous system NEC
(see Neoplasm, nerve, peripheral)axilla, axillary C76.1 C79.89 D09.8 D36.7 D48.7 D49.89
fold (see also Neoplasm, skin, trunk) C44.509 C79.2 D04.5 D23.5 D48.5 D49.2back NEC C76.8 C79.89 D04.5 D36.7 D48.7 D49.89Bartholin’s gland C51.0 C79.82 D07.1 D28.0 D39.8 D49.59basal ganglia C71.0 C79.31 - D33.0 D43.0 D49.6basis pedunculi C71.7 C79.31 - D33.1 D43.1 D49.6bile or biliary (tract) C24.9 C78.89 D01.5 D13.5 D37.6 D49.0
canaliculi (biliferi) (intrahepatic) C22.1 C78.7 D01.5 D13.4 D37.6 D49.0canals, interlobular C22.1 C78.89 D01.5 D13.4 D37.6 D49.0duct or passage (common) (cystic)
(extrahepatic)C24.0 C78.89 D01.5 D13.5 D37.6 D49.0
interlobular C22.1 C78.89 D01.5 D13.4 D37.6 D49.0intrahepatic C22.1 C78.7 D01.5 D13.4 D37.6 D49.0
and extrahepatic C24.8 C78.89 D01.5 D13.5 D37.6 D49.0bladder (urinary) C67.9 C79.11 D09.0 D30.3 D41.4 D49.4
dome C67.1 C79.11 D09.0 D30.3 D41.4 D49.4neck C67.5 C79.11 D09.0 D30.3 D41.4 D49.4orifice C67.9 C79.11 D09.0 D30.3 D41.4 D49.4
ureteric C67.6 C79.11 D09.0 D30.3 D41.4 D49.4urethral C67.5 C79.11 D09.0 D30.3 D41.4 D49.4
overlapping lesion C67.8 - - - - -sphincter C67.8 C79.11 D09.0 D30.3 D41.4 D49.4trigone C67.0 C79.11 D09.0 D30.3 D41.4 D49.4urachus C67.7 C79.11 D09.0 D30.3 D41.4 D49.4wall C67.9 C79.11 D09.0 D30.3 D41.4 D49.4
anterior C67.3 C79.11 D09.0 D30.3 D41.4 D49.4lateral C67.2 C79.11 D09.0 D30.3 D41.4 D49.4posterior C67.4 C79.11 D09.0 D30.3 D41.4 D49.4
blood vessel — see Neoplasm, connective tissue
bone (periosteum) C41.9 C79.51 - D16.9- D48.0 D49.2acetabulum C41.4 C79.51 - D16.8- D48.0 D49.2ankle C40.3- C79.51 - D16.3- - -arm NEC C40.0- C79.51 - D16.0- - -astragalus C40.3- C79.51 - D16.3- - -atlas C41.2 C79.51 - D16.6- D48.0 D49.2axis C41.2 C79.51 - D16.6- D48.0 D49.2back NEC C41.2 C79.51 - D16.6- D48.0 D49.2calcaneus C40.3- C79.51 - D16.3- - -calvarium C41.0 C79.51 - D16.4- D48.0 D49.2carpus (any) C40.1- C79.51 - D16.1- - -cartilage NEC C41.9 C79.51 - D16.9- D48.0 D49.2clavicle C41.3 C79.51 - D16.7- D48.0 D49.2clivus C41.0 C79.51 - D16.4- D48.0 D49.2coccygeal vertebra C41.4 C79.51 - D16.8- D48.0 D49.2coccyx C41.4 C79.51 - D16.8- D48.0 D49.2costal cartilage C41.3 C79.51 - D16.7- D48.0 D49.2costovertebral joint C41.3 C79.51 - D16.7- D48.0 D49.2cranial C41.0 C79.51 - D16.4- D48.0 D49.2cuboid C40.3- C79.51 - D16.3- - -cuneiform C41.9 C79.51 - D16.9- D48.0 D49.2elbow C40.0- C79.51 - D16.0- - -
ICD-10-CM Table of NeoplasmsThe list below gives the code numbers for neoplasms by anatomical site. For each site there are six possible code numbers according 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 six columns is appropriate; e.g., malignant melanoma of skin, benign fibroadenoma of breast, carcinoma in situ of cervix uteri.
Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed; e.g., Mesonephroma—see Neoplasm, malignant; Embryoma—see also Neoplasm, uncertain behavior; Disease, Bowen’s—see Neoplasm, skin, in situ. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present; e.g., malignant adenoma of colon is coded to C18.9 and not to D12.6 as the adjective ‘malignant’ overrides the Index entry ‘Adenoma—see also Neoplasm, benign.’
Codes listed with a dash (-) following the code have a required additional character for laterality. The Tabular must be reviewed for the complete code.
358
ICD-10-CM TABlE oF NEoplAsMs2020 ICD-10-CM
bone - canthus
bone
- ca
nthu
sIC
D-1
0-CM
Ta
ble
of
Neo
pla
sMs
Neoplasm
Mal
igna
nt
prim
ary
Mal
igna
nt
seco
ndar
y
Ca in
sit
u
beni
gn
Unc
erta
in
beha
vior
Uns
peci
fied
beha
vior
bone — continuedethmoid (labyrinth) C41.0 C79.51 - D16.4- D48.0 D49.2face C41.0 C79.51 - D16.4- D48.0 D49.2femur (any part) C40.2- C79.51 - D16.2- - -fibula (any part) C40.2- C79.51 - D16.2- - -finger (any) C40.1- C79.51 - D16.1- - -foot C40.3- C79.51 - D16.3- - -forearm C40.0- C79.51 - D16.0- - -frontal C41.0 C79.51 - D16.4- D48.0 D49.2hand C40.1- C79.51 - D16.1- - -heel C40.3- C79.51 - D16.3- - -hip C41.4 C79.51 - D16.8- D48.0 D49.2humerus (any part) C40.0- C79.51 - D16.0- - -hyoid C41.0 C79.51 - D16.4- D48.0 D49.2ilium C41.4 C79.51 - D16.8- D48.0 D49.2innominate C41.4 C79.51 - D16.8- D48.0 D49.2intervertebral cartilage or disc C41.2 C79.51 - D16.6- D48.0 D49.2ischium C41.4 C79.51 - D16.8- D48.0 D49.2jaw (lower) C41.1 C79.51 - D16.5- D48.0 D49.2knee C40.2- C79.51 - D16.2- - -leg NEC C40.2- C79.51 - D16.2- - -limb NEC C40.9- C79.51 - D16.9- - -
lower (long bones) C40.2- C79.51 - D16.2- - -short bones C40.3- C79.51 - D16.3- - -
upper (long bones) C40.0- C79.51 - D16.0- - -short bones C40.1- C79.51 - D16.1- - -
malar C41.0 C79.51 - D16.4- D48.0 D49.2mandible C41.1 C79.51 - D16.5- D48.0 D49.2marrow NEC (any bone) C96.9 C79.52 - - D47.9 D49.89mastoid C41.0 C79.51 - D16.4- D48.0 D49.2maxilla, maxillary (superior) C41.0 C79.51 - D16.4- D48.0 D49.2
inferior C41.1 C79.51 - D16.5- D48.0 D49.2metacarpus (any) C40.1- C79.51 - D16.1- - -metatarsus (any) C40.3- C79.51 - D16.3- - -overlapping sites C40.8- - - - - -navicular
ankle C40.3- C79.51 - - - -hand C40.1- C79.51 - - - -
nose, nasal C41.0 C79.51 - D16.4- D48.0 D49.2occipital C41.0 C79.51 - D16.4- D48.0 D49.2orbit C41.0 C79.51 - D16.4- D48.0 D49.2parietal C41.0 C79.51 - D16.4- D48.0 D49.2patella C40.2- C79.51 - - - -pelvic C41.4 C79.51 - D16.8 D48.0 D49.2phalanges
foot C40.3- C79.51 - - - -hand C40.1- C79.51 - - - -
pubic C41.4 C79.51 - D16.8 D48.0 D49.2radius (any part) C40.0- C79.51 - D16.0- - -rib C41.3 C79.51 - D16.7 D48.0 D49.2sacral vertebra C41.4 C79.51 - D16.8 D48.0 D49.2sacrum C41.4 C79.51 - D16.8 D48.0 D49.2scaphoid
of ankle C40.3- C79.51 - - - -of hand C40.1- C79.51 - - - -
scapula (any part) C40.0- C79.51 - D16.0- - -sella turcica C41.0 C79.51 - D16.4- D48.0 D49.2shoulder C40.0- C79.51 - D16.0- - -skull C41.0 C79.51 - D16.4- D48.0 D49.2sphenoid C41.0 C79.51 - D16.4- D48.0 D49.2spine, spinal (column) C41.2 C79.51 - D16.6 D48.0 D49.2
coccyx C41.4 C79.51 - D16.8 D48.0 D49.2sacrum C41.4 C79.51 - D16.8 D48.0 D49.2
sternum C41.3 C79.51 - D16.7 D48.0 D49.2tarsus (any) C40.3- C79.51 - - - -temporal C41.0 C79.51 - D16.4- D48.0 D49.2thumb C40.1- C79.51 - - - -tibia (any part) C40.2- C79.51 - - - -toe (any) C40.3- C79.51 - - - -trapezium C40.1- C79.51 - - - -trapezoid C40.1- C79.51 - - - -turbinate C41.0 C79.51 - D16.4- D48.0 D49.2ulna (any part) C40.0- C79.51 - D16.0- - -unciform C40.1- C79.51 - - - -vertebra (column) C41.2 C79.51 - D16.6 D48.0 D49.2
coccyx C41.4 C79.51 - D16.8 D48.0 D49.2sacrum C41.4 C79.51 - D16.8 D48.0 D49.2
vomer C41.0 C79.51 - D16.4- D48.0 D49.2wrist C40.1- C79.51 - - - -xiphoid process C41.3 C79.51 - D16.7 D48.0 D49.2zygomatic C41.0 C79.51 - D16.4- D48.0 D49.2
book-leaf (mouth) [ventral surface of tongue and floor of mouth]
C06.89 C79.89 D00.00 D10.39 D37.09 D49.0
bowel — see Neoplasm, intestinebrachial plexus C47.1- C79.89 - D36.12 D48.2 D49.2brain NEC C71.9 C79.31 - D33.2 D43.2 D49.6
basal ganglia C71.0 C79.31 - D33.0 D43.0 D49.6cerebellopontine angle C71.6 C79.31 - D33.1 D43.1 D49.6
Neoplasm
Mal
igna
nt
prim
ary
Mal
igna
nt
seco
ndar
y
Ca in
sit
u
beni
gn
Unc
erta
in
beha
vior
Uns
peci
fied
beha
vior
brain NEC — continuedcerebellum Nos C71.6 C79.31 - D33.1 D43.1 D49.6cerebrum C71.0 C79.31 - D33.0 D43.0 D49.6choroid plexus C71.7 C79.31 - D33.1 D43.1 D49.6corpus callosum C71.8 C79.31 - D33.2 D43.2 D49.6corpus striatum C71.0 C79.31 - D33.0 D43.0 D49.6cortex (cerebral) C71.0 C79.31 - D33.0 D43.0 D49.6frontal lobe C71.1 C79.31 - D33.0 D43.0 D49.6globus pallidus C71.0 C79.31 - D33.0 D43.0 D49.6hippocampus C71.2 C79.31 - D33.0 D43.0 D49.6hypothalamus C71.0 C79.31 - D33.0 D43.0 D49.6internal capsule C71.0 C79.31 - D33.0 D43.0 D49.6medulla oblongata C71.7 C79.31 - D33.1 D43.1 D49.6meninges C70.0 C79.32 - D32.0 D42.0 D49.7midbrain C71.7 C79.31 - D33.1 D43.1 D49.6occipital lobe C71.4 C79.31 - D33.0 D43.0 D49.6overlapping lesion C71.8 C79.31 - - - -parietal lobe C71.3 C79.31 - D33.0 D43.0 D49.6peduncle C71.7 C79.31 - D33.1 D43.1 D49.6pons C71.7 C79.31 - D33.1 D43.1 D49.6stem C71.7 C79.31 - D33.1 D43.1 D49.6tapetum C71.8 C79.31 - D33.2 D43.2 D49.6temporal lobe C71.2 C79.31 - D33.0 D43.0 D49.6thalamus C71.0 C79.31 - D33.0 D43.0 D49.6uncus C71.2 C79.31 - D33.0 D43.0 D49.6ventricle (floor) C71.5 C79.31 - D33.0 D43.0 D49.6
fourth C71.7 C79.31 - D33.1 D43.1 D49.6branchial (cleft) (cyst) (vestiges) C10.4 C79.89 D00.08 D10.5 D37.05 D49.0breast (connective tissue) (glandular
tissue) (soft parts)C50.9- C79.81 D05.- D24.- D48.6- D49.3
areola C50.0- C79.81 D05.- D24.- D48.6- D49.3axillary tail C50.6- C79.81 D05.- D24.- D48.6- D49.3central portion C50.1- C79.81 D05.- D24.- D48.6- D49.3inner C50.8- C79.81 D05.- D24.- D48.6- D49.3lower C50.8- C79.81 D05.- D24.- D48.6- D49.3lower-inner quadrant C50.3- C79.81 D05.- D24.- D48.6- D49.3lower-outer quadrant C50.5- C79.81 D05.- D24.- D48.6- D49.3mastectomy site (skin) (see also
Neoplasm, breast, skin)C44.501 C79.2 - - - -
specified as breast tissue C50.8- C79.81 - - - -midline C50.8- C79.81 D05.- D24.- D48.6- D49.3nipple C50.0- C79.81 D05.- D24.- D48.6- D49.3outer C50.8- C79.81 D05.- D24.- D48.6- D49.3overlapping lesion C50.8- - - - - -skin C44.501 C79.2 D04.5 D23.5 D48.5 D49.2
basal cell carcinoma C44.511 - - - - -specified type NEC C44.591 - - - - -squamous cell carcinoma C44.521 - - - - -
tail (axillary) C50.6- C79.81 D05.- D24.- D48.6- D49.3upper C50.8- C79.81 D05.- D24.- D48.6- D49.3upper-inner quadrant C50.2- C79.81 D05.- D24.- D48.6- D49.3upper-outer quadrant C50.4- C79.81 D05.- D24.- D48.6- D49.3
broad ligament C57.1 C79.82 D07.39 D28.2 D39.8 D49.59bronchiogenic, bronchogenic (lung) C34.9- C78.0- D02.2- D14.3- D38.1 D49.1bronchiole C34.9- C78.0- D02.2- D14.3- D38.1 D49.1bronchus C34.9- C78.0- D02.2- D14.3- D38.1 D49.1
carina C34.0- C78.0- D02.2- D14.3- D38.1 D49.1lower lobe of lung C34.3- C78.0- D02.2- D14.3- D38.1 D49.1main C34.0- C78.0- D02.2- D14.3- D38.1 D49.1middle lobe of lung C34.2 C78.0- D02.21 D14.31 D38.1 D49.1overlapping lesion C34.8- - - - - -upper lobe of lung C34.1- C78.0- D02.2- D14.3- D38.1 D49.1
brow C44.309 C79.2 D04.39 D23.39 D48.5 D49.2basal cell carcinoma C44.319 - - - - -specified type NEC C44.399 - - - - -squamous cell carcinoma C44.329 - - - - -
buccal (cavity) C06.9 C79.89 D00.00 D10.39 D37.09 D49.0commissure C06.0 C79.89 D00.02 D10.39 D37.09 D49.0groove (lower) (upper) C06.1 C79.89 D00.02 D10.39 D37.09 D49.0mucosa C06.0 C79.89 D00.02 D10.39 D37.09 D49.0sulcus (lower) (upper) C06.1 C79.89 D00.02 D10.39 D37.09 D49.0
bulbourethral gland C68.0 C79.19 D09.19 D30.4 D41.3 D49.59bursa — see Neoplasm, connective tissuebuttock NEC C76.3 C79.89 D04.5 D36.7 D48.7 D49.89calf C76.5- C79.89 D04.7- D36.7 D48.7 D49.89calvarium C41.0 C79.51 - D16.4- D48.0 D49.2calyx, renal C65.- C79.0- D09.19 D30.1- D41.1- D49.51-canal
anal C21.1 C78.5 D01.3 D12.9 D37.8 D49.0auditory (external) (see also
Neoplasm, skin, ear)C44.20- C79.2 D04.2- D23.2- D48.5 D49.2
auricular (external) (see also Neoplasm, skin, ear)
C44.20- C79.2 D04.2- D23.2- D48.5 D49.2
canaliculi, biliary (biliferi) (intrahepatic) C22.1 C78.7 D01.5 D13.4 D37.6 D49.0canthus (eye) (inner) (outer) C44.10- C79.2 D04.1- D23.1- D48.5 D49.2
basal cell carcinoma C44.11- - - - - -sebaceous cell C44.13- - - - - -specified type NEC C44.19- - - - - -squamous cell carcinoma C44.12- - - - - -
417 Additional character required
Abandonm
ent - Accident
ICD-10-CM
InD
ex to
extern
Al C
Au
ses of In
jurIes
AAbandonment (causing exposure to weather
conditions) (with intent to injure or kill) NEC X58 RAbuse (adult) (child) (mental) (physical) (sexual) X58 RAccident (to) X58 R
aircraft (in transit) (powered) (see also Accident, transport, aircraft)
due to, caused by cataclysm — see Forces of nature, by type
animal-rider — see Accident, transport, animal-rideranimal-drawn vehicle — see Accident, transport,
animal-drawn vehicle occupantautomobile — see Accident, transport, car occupantbare foot water skiier V94.4 Rboat, boating (see also Accident, watercraft)
striking swimmerpowered V94.11 Runpowered V94.12 R
bus — see Accident, transport, bus occupantcable car, not on rails V98.0 R
on rails — see Accident, transport, streetcar occupant
car — see Accident, transport, car occupantcaused by, due to
animal NEC W64 Rchain hoist W24.0 Rcold (excessive) — see Exposure, coldcorrosive liquid, substance — see Table of Drugs
and Chemicalscutting or piercing instrument — see Contact,
with, by type of instrumentdrive belt W24.0 Relectric
current — see Exposure, electric currentmotor (see also Contact, with, by type of
machine) W31.3 Rcurrent (of ) W86.8 R
environmental factor NEC X58 Rexplosive material — see Explosionfire, flames — see Exposure, firefirearm missile — see Discharge, firearm by typeheat (excessive) — see Heathot — see Contact, with, hotignition — see Ignitionlifting device W24.0 Rlightning — see subcategory T75.0 R
causing fire — see Exposure, firemachine, machinery — see Contact, with, by type
of machinenatural factor NEC X58 Rpulley (block) W24.0 Rradiation — see Radiationsteam X13.1 R
inhalation X13.0 Rpipe X16 R
thunderbolt — see subcategory T75.0 Rcausing fire — see Exposure, fire
transmission device W24.1 Rcoach — see Accident, transport, bus occupantcoal car — see Accident, transport, industrial vehicle
occupantdiving (see also Fall, into, water)
withdrowning or submersion — see Drowning
forklift — see Accident, transport, industrial vehicle occupant
heavy transport vehicle NOS — see Accident, transport, truck occupant
ice yacht V98.2 Rin
medical, surgical procedureas, or due to misadventure — see Misadventurecausing an abnormal reaction or later
complication without mention of misadventure (see also Complication of or following, by type of procedure) Y84.9
land yacht V98.1 Rlate effect of — see W00-X58 with 7th character Slogging car — see Accident, transport, industrial
vehicle occupantmachine, machinery (see also Contact, with, by type
of machine)on board watercraft V93.69 R
explosion — see Explosion, in, watercraft
fire — see Burn, on board watercraftpowered craft V93.63 R
ferry boat V93.61 Rfishing boat V93.62 Rjetskis V93.63 Rliner V93.61 Rmerchant ship V93.60 Rpassenger ship V93.61 Rsailboat V93.64 R
mine tram — see Accident, transport, industrial vehicle occupant
mobility scooter (motorized) — see Accident, transport, pedestrian, conveyance, specified type NEC
motor scooter — see Accident, transport, motorcyclist
motor vehicle NOS (traffic) (see also Accident, transport) V89.2 R
nontraffic V89.0 Rthree-wheeled NOS — see Accident, transport,
three-wheeled motor vehicle occupantmotorcycle NOS — see Accident, transport,
motorcyclistnonmotor vehicle NOS (nontraffic) (see also
Accident, transport) V89.1 Rtraffic NOS V89.3 R
nontraffic (victim's mode of transport NOS) V88.9 Rcollision (between) V88.7 R
bus and truck V88.5 Rcar and:
bus V88.3 Rpickup V88.2 Rthree-wheeled motor vehicle V88.0 Rtrain V88.6 Rtruck V88.4 Rtwo-wheeled motor vehicle V88.0 Rvan V88.2 R
specified vehicle NEC and:three-wheeled motor vehicle V88.1 Rtwo-wheeled motor vehicle V88.1 R
known mode of transport — see Accident, transport, by type of vehicle
noncollision V88.8 Ron board watercraft V93.89 R
powered craft V93.83 Rferry boat V93.81 Rfishing boat V93.82 Rjetskis V93.83 Rliner V93.81 Rmerchant ship V93.80 Rpassenger ship V93.81 R
unpowered craft V93.88 Rcanoe V93.85 Rinflatable V93.86 R
in towrecreational V94.31 Rspecified NEC V94.32 R
kayak V93.85 Rsailboat V93.84 Rsurf-board V93.88 Rwater skis V93.87 Rwindsurfer V93.88 R
parachutist V97.29 Rentangled in object V97.21 Rinjured on landing V97.22 R
pedal cycle — see Accident, transport, pedal cyclistpedestrian (on foot)
withanother pedestrian W51 R
with fall W03 Rdue to ice or snow W00.0 R
on pedestrian conveyance NEC V00.09 Rroller skater (in-line) V00.01 Rskate boarder V00.02 Rtransport vehicle — see Accident, transport
on pedestrian conveyance — see Accident, transport, pedestrian, conveyance
pick-up truck or van — see Accident, transport, pickup truck occupant
quarry truck — see Accident, transport, industrial vehicle occupant
railway vehicle (any) (in motion) — see Accident, transport, railway vehicle occupant
due to cataclysm — see Forces of nature, by type
scooter (non-motorized) — see Accident, transport, pedestrian, conveyance, scooter
sequelae of — see W00-X58 with 7th character Sskateboard — see Accident, transport, pedestrian,
conveyance, skateboardski (ing) — see Accident, transport, pedestrian,
conveyancelift V98.3 R
specified cause NEC X58 Rstreetcar — see Accident, transport, streetcar
occupanttraffic (victim's mode of transport NOS) V87.9 R
collision (between) V87.7 Rbus and truck V87.5 Rcar and:
bus V87.3 Rpickup V87.2 Rthree-wheeled motor vehicle V87.0 Rtrain V87.6 Rtruck V87.4 Rtwo-wheeled motor vehicle V87.0 Rvan V87.2 R
specified vehicle NEC V86.39 Rand
three-wheeled motor vehicle V87.1 Rtwo-wheeled motor vehicle V87.1 R
driver V86.09 Rperson on outside V86.29 Rpassenger V86.19 Rwhile boarding or alighting V86.49 R
known mode of transport — see Accident, transport, by type of vehicle
noncollision V87.8 Rtransport (involving injury to) V99 R
18 wheeler — see Accident, transport, truck occupant
agricultural vehicle occupant (nontraffic) V84.9 Rdriver V84.5 Rhanger-on V84.7 Rpassenger V84.6 Rtraffic V84.3 R
driver V84.0 Rhanger-on V84.2 Rpassenger V84.1 R
while boarding or alighting V84.4 Raircraft NEC V97.89 R
military NEC V97.818 Rwith civilian aircraft V97.810 Rcivilian injured by V97.811 R
occupant injured (in)nonpowered craft accident V96.9 R
balloon V96.00 Rcollision V96.03 Rcrash V96.01 Rexplosion V96.05 Rfire V96.04 Rforced landing V96.02 Rspecified type NEC V96.09 R
glider V96.20 Rcollision V96.23 Rcrash V96.21 Rexplosion V96.25 Rfire V96.24 Rforced landing V96.22 Rspecified type NEC V96.29 R
hang glider V96.10 Rcollision V96.13 Rcrash V96.11 Rexplosion V96.15 Rfire V96.14 Rforced landing V96.12 Rspecified type NEC V96.19 R
specified craft NEC V96.8 Rpowered craft accident V95.9 R
fixed wing NECcommercial V95.30 R
collision V95.33 Rcrash V95.31 Rexplosion V95.35 Rfire V95.34 Rforced landing V95.32 Rspecified type NEC V95.39 R
private V95.20 Rcollision V95.23 Rcrash V95.21 R
ICD-10-CM Index to external Causes of InjuriesThe vertical yellow line appears at the 2nd and 4th indentations throughout the index.
Accident — continuedmachine — continued
Accident — continued
418
ICD-10-CM INDEX TO EXTERNAl CAuSES OF INjuRIES2020 ICD-10-CM
Additional character required
ICD
-10-
CM In
Dex
to
ex
tern
Al
CA
use
s o
f In
jurI
esA
ccid
ent
Accident
explosion V95.25 Rfire V95.24 Rforced landing V95.22 Rspecified type NEC V95.29 R
glider V95.10 Rcollision V95.13 Rcrash V95.11 Rexplosion V95.15 Rfire V95.14 Rforced landing V95.12 Rspecified type NEC V95.19 R
helicopter V95.00 Rcollision V95.03 Rcrash V95.01 Rexplosion V95.05 Rfire V95.04 Rforced landing V95.02 Rspecified type NEC V95.09 R
spacecraft V95.40 Rcollision V95.43 Rcrash V95.41 Rexplosion V95.45 Rfire V95.44 Rforced landing V95.42 Rspecified type NEC V95.49 R
specified craft NEC V95.8 Rultralight V95.10 R
collision V95.13 Rcrash V95.11 Rexplosion V95.15 Rfire V95.14 Rforced landing V95.12 Rspecified type NEC V95.19 R
specified accident NEC V97.0 Rwhile boarding or alighting V97.1 R
person (injured by)falling from, in or on aircraft V97.0 Rmachinery on aircraft V97.89 Ron ground with aircraft involvement
V97.39 Rrotating propeller V97.32 Rstruck by object falling from aircraft V97.31 Rsucked into aircraft jet V97.33 Rwhile boarding or alighting aircraft V97.1 R
airport (battery-powered) passenger vehicle — see Accident, transport, industrial vehicle occupant
all-terrain vehicle occupant (nontraffic) V86.95 Rdriver V86.55 Rdune buggy — see Accident, transport, dune
buggy occupanthanger-on V86.75 Rpassenger V86.65 Rsnowmobile — see Accident, transport,
snowmobile occupantspecified type NEC V86.99 R
driver V86.59 Rpassenger V86.69 Rperson on outside V86.79 R
traffic V86.35 Rdriver V86.05 Rhanger-on V86.25 Rpassenger V86.15 R
while boarding or alighting V86.45 Rambulance occupant (traffic) V86.31 R
driver V86.01 Rhanger-on V86.21 Rnontraffic V86.91 R
driver V86.51 Rhanger-on V86.71 Rpassenger V86.61 R
passenger V86.11 Rwhile boarding or alighting V86.41 R
animal-drawn vehicle occupant (in) V80.929 Rcollision (with)
animal V80.12 Rbeing ridden V80.711 R
animal-drawn vehicle V80.721 Rbus V80.42 Rcar V80.42 Rfixed or stationary object V80.82 Rmilitary vehicle V80.920 Rnonmotor vehicle V80.791 Rpedal cycle V80.22 Rpedestrian V80.12 Rpickup V80.42 Rrailway train or vehicle V80.62 Rspecified motor vehicle NEC V80.52 Rstreetcar V80.731 Rtruck V80.42 R
two- or three-wheeled motor vehicle V80.32 R
van V80.42 Rnoncollision V80.02 Rspecified circumstance NEC V80.928 R
animal-rider V80.919 Rcollision (with)
animal V80.11 Rbeing ridden V80.710 R
animal-drawn vehicle V80.720 Rbus V80.41 Rcar V80.41 Rfixed or stationary object V80.81 Rmilitary vehicle V80.910 Rnonmotor vehicle V80.790 Rpedal cycle V80.21 Rpedestrian V80.11 Rpickup V80.41 Rrailway train or vehicle V80.61 Rspecified motor vehicle NEC V80.51 Rstreetcar V80.730 Rtruck V80.41 Rtwo- or three-wheeled motor vehicle
V80.31 Rvan V80.41 R
noncollision V80.018 Rspecified as horse rider V80.010 R
specified circumstance NEC V80.918 Rarmored car — see Accident, transport, truck
occupantbattery-powered truck (baggage) (mail) — see
Accident, transport, industrial vehicle occupant
bus occupant V79.9 Rcollision (with)
animal (traffic) V70.9 Rbeing ridden (traffic) V76.9 R
nontraffic V76.3 Rwhile boarding or alighting V76.4 R
nontraffic V70.3 Rwhile boarding or alighting V70.4 R
animal-drawn vehicle (traffic) V76.9 Rnontraffic V76.3 Rwhile boarding or alighting V76.4 R
bus (traffic) V74.9 Rnontraffic V74.3 Rwhile boarding or alighting V74.4 R
car (traffic) V73.9 Rnontraffic V73.3 Rwhile boarding or alighting V73.4 R
motor vehicle NOS (traffic) V79.60 Rnontraffic V79.20 Rspecified type NEC (traffic) V79.69 R
nontraffic V79.29 Rpedal cycle (traffic) V71.9 R
nontraffic V71.3 Rwhile boarding or alighting V71.4 R
pickup truck (traffic) V73.9 Rnontraffic V73.3 Rwhile boarding or alighting V73.4 R
railway vehicle (traffic) V75.9 Rnontraffic V75.3 Rwhile boarding or alighting V75.4 R
specified vehicle NEC (traffic) V76.9 Rnontraffic V76.3 Rwhile boarding or alighting V76.4 R
stationary object (traffic) V77.9 Rnontraffic V77.3 Rwhile boarding or alighting V77.4 R
streetcar (traffic) V76.9 Rnontraffic V76.3 Rwhile boarding or alighting V76.4 R
three wheeled motor vehicle (traffic) V72.9 Rnontraffic V72.3 Rwhile boarding or alighting V72.4 R
truck (traffic) V74.9 Rnontraffic V74.3 Rwhile boarding or alighting V74.4 R
two wheeled motor vehicle (traffic) V72.9 Rnontraffic V72.3 Rwhile boarding or alighting V72.4 R
van (traffic) V73.9 Rnontraffic V73.3 Rwhile boarding or alighting V73.4 R
drivercollision (with)
animal (traffic) V70.5 Rbeing ridden (traffic) V76.5 R
nontraffic V76.0 Rnontraffic V70.0 R
animal-drawn vehicle (traffic) V76.5 Rnontraffic V76.0 R
bus (traffic) V74.5 Rnontraffic V74.0 R
car (traffic) V73.5 Rnontraffic V73.0 R
motor vehicle NOS (traffic) V79.40 Rnontraffic V79.00 Rspecified type NEC (traffic) V79.49 R
nontraffic V79.09 Rpedal cycle (traffic) V71.5 R
nontraffic V71.0 Rpickup truck (traffic) V73.5 R
nontraffic V73.0 Rrailway vehicle (traffic) V75.5 R
nontraffic V75.0 Rspecified vehicle NEC (traffic) V76.5 R
nontraffic V76.0 Rstationary object (traffic) V77.5 R
nontraffic V77.0 Rstreetcar (traffic) V76.5 R
nontraffic V76.0 Rthree wheeled motor vehicle (traffic)
V72.5 Rnontraffic V72.0 R
truck (traffic) V74.5 Rnontraffic V74.0 R
two wheeled motor vehicle (traffic) V72.5 R
nontraffic V72.0 Rvan (traffic) V73.5 R
nontraffic V73.0 Rnoncollision accident (traffic) V78.5 R
nontraffic V78.0 Rnoncollision accident (traffic) V78.9 R
nontraffic V78.3 Rwhile boarding or alighting V78.4 R
nontraffic V79.3 Rhanger-on
collision (with)animal (traffic) V70.7 R
being ridden (traffic) V76.7 Rnontraffic V76.2 R
nontraffic V70.2 Ranimal-drawn vehicle (traffic) V76.7 R
nontraffic V76.2 Rbus (traffic) V74.7 R
nontraffic V74.2 Rcar (traffic) V73.7 R
nontraffic V73.2 Rpedal cycle (traffic) V71.7 R
nontraffic V71.2 Rpickup truck (traffic) V73.7 R
nontraffic V73.2 Rrailway vehicle (traffic) V75.7 R
nontraffic V75.2 Rspecified vehicle NEC (traffic) V76.7 R
nontraffic V76.2 Rstationary object (traffic) V77.7 R
nontraffic V77.2 Rstreetcar (traffic) V76.7 R
nontraffic V76.2 Rthree wheeled motor vehicle (traffic)
V72.7 Rnontraffic V72.2 R
truck (traffic) V74.7 Rnontraffic V74.2 R
two wheeled motor vehicle (traffic) V72.7 R
nontraffic V72.2 Rvan (traffic) V73.7 R
nontraffic V73.2 Rnoncollision accident (traffic) V78.7 R
nontraffic V78.2 Rpassenger
collision (with)animal (traffic) V70.6 R
being ridden (traffic) V76.6 Rnontraffic V76.1 R
nontraffic V70.1 Ranimal-drawn vehicle (traffic) V76.6 R
nontraffic V76.1 Rbus (traffic) V74.6 R
nontraffic V74.1 Rcar (traffic) V73.6 R
nontraffic V73.1 Rmotor vehicle NOS (traffic) V79.50 R
nontraffic V79.10 Rspecified type NEC (traffic) V79.59 R
nontraffic V79.19 R
Accident — continuedtransport — continued
Accident — continuedtransport — continued
Accident — continuedtransport — continued
Ch
ap
ter 1: C
erta
in in
feCtio
us a
nd
par
asitiC
disea
ses (a00-B
99)
4492020 ICD-10-CM
a00 - a
05.1
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unspecified Code Other Specified Code Manifestation Code Newborn Pediatric Maternity Adult Male Female ● New Code ▲ Revised Code Title
▲ ▲ Revised Text notes INCLUDES EXCLUDES1 Not coded here EXCLUDES2 Not included here
4th character required 5th character required 6th character required 7th character required Extension ‘X’ Alert Hospital-acquired condition (HAC) alert aha AHA Coding Clinic© Code first alert
Chapter 1: Certain infectious and parasitic diseases (a00-B99)
Certain infectious and parasitic diseases (a00-B99)
INCLUDES diseases generally recognized as communicable or transmissibleUse additional code to identify resistance to antimicrobial drugs (Z16.-)EXCLUDES1 certain localized infections - see body system-related chaptersEXCLUDES2 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
intestinal infectious diseases (a00-a09)
A00 Cholera A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae
Classical cholera A00.1 Cholera due to Vibrio cholerae 01, biovar eltor
Cholera eltor A00.9 Cholera, unspecified
A01 Typhoid and paratyphoid fevers A01.0 Typhoid fever
Infection due to Salmonella typhi A01.00 Typhoid fever, unspecified A01.01 Typhoid meningitis A01.02 Typhoid fever with heart involvement
Typhoid endocarditisTyphoid myocarditis
A01.03 Typhoid pneumonia A01.04 Typhoid arthritis A01.05 Typhoid osteomyelitis A01.09 Typhoid fever with other complications A01.1 Paratyphoid fever A A01.2 Paratyphoid fever B A01.3 Paratyphoid fever C A01.4 Paratyphoid fever, unspecified
Infection due to Salmonella paratyphi NOS A02 Other salmonella infections
INCLUDES infection or foodborne intoxication due to any Salmonella species other than S. typhi and S. paratyphi
A02.0 Salmonella enteritis Salmonellosis
A02.1 Salmonella sepsis A02.2 Localized salmonella infections A02.20 Localized salmonella infection, unspecified A02.21 Salmonella meningitis A02.22 Salmonella pneumonia A02.23 Salmonella arthritis A02.24 Salmonella osteomyelitis A02.25 Salmonella pyelonephritis
Salmonella tubulo-interstitial nephropathy A02.29 Salmonella with other localized infection A02.8 Other specified salmonella infections A02.9 Salmonella infection, unspecified
A03 ShigellosisDEFINITION: Shigellosis is caused by a group of bacteria called Shigella,
leading to diarrhea, fever, and stomach cramps. A03.0 Shigellosis due to Shigella dysenteriae
Group A shigellosis [Shiga-Kruse dysentery] A03.1 Shigellosis due to Shigella flexneri
Group B shigellosis A03.2 Shigellosis due to Shigella boydii
Group C shigellosis A03.3 Shigellosis due to Shigella sonnei
Group D shigellosis A03.8 Other shigellosis A03.9 Shigellosis, unspecified
Bacillary dysentery NOS A04 Other bacterial intestinal infections
EXCLUDES1 bacterial foodborne intoxications, NEC (A05.-) tuberculous enteritis (A18.32)
A04.0 Enteropathogenic Escherichia coli infection A04.1 Enterotoxigenic Escherichia coli infection A04.2 Enteroinvasive Escherichia coli infection A04.3 Enterohemorrhagic Escherichia coli infection A04.4 Other intestinal Escherichia coli infections
Escherichia coli enteritis NOS A04.5 Campylobacter enteritis A04.6 Enteritis due to Yersinia enterocolitica
EXCLUDES1 extraintestinal yersiniosis (A28.2) A04.7 Enterocolitis due to Clostridium difficile
Foodborne intoxication by Clostridium difficilePseudomembranous colitis
A04.71 Enterocolitis due to Clostridium difficile, recurrent aha: Q4 2017
A04.72 Enterocolitis due to Clostridium difficile, not specified as recurrent aha: Q4 2017
A04.8 Other specified bacterial intestinal infections A04.9 Bacterial intestinal infection, unspecified
Bacterial enteritis NOS A05 Other bacterial foodborne intoxications, not elsewhere classified
EXCLUDES1 Clostridium difficile foodborne intoxication and infection (A04.7-)
Escherichia coli infection (A04.0-A04.4) listeriosis (A32.-) salmonella foodborne intoxication and infection (A02.-) toxic effect of noxious foodstuffs (T61-T62)
A05.0 Foodborne staphylococcal intoxication A05.1 Botulism food poisoning
Botulism NOSClassical foodborne intoxication due to Clostridium botulinumEXCLUDES1 infant botulism (A48.51) wound botulism (A48.52)
Ch
ap
ter
1: C
erta
in in
feC
tio
us
an
d p
ar
asi
tiC
dis
ease
s (a
00-B
99)
450
a05.2 - a15.0 Tabular ListChapter 1: Certain infectious and parasitic diseases (a00-B99)
2020 ICD-10-CM
a05
.2 -
a15
.0
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unacceptable principal diagnosis symbol per Medicare code edits Code exempt from diagnosis present on admission requirement Questionable admission Complication or comorbidity Major complication or comorbidity CC/MCC exclusion
HCC diagnosis code RxHCC diagnosis code MACRA code DEFINITION Describes condition/terminology tip Coding guidance Official Guideline Reference Z-1 Z code as first-listed diagnosis
A05.2 Foodborne Clostridium perfringens [Clostridium welchii] intoxication Enteritis necroticansPig-bel
A05.3 Foodborne Vibrio parahaemolyticus intoxication A05.4 Foodborne Bacillus cereus intoxication A05.5 Foodborne Vibrio vulnificus intoxication A05.8 Other specified bacterial foodborne intoxications A05.9 Bacterial foodborne intoxication, unspecified
A06 AmebiasisINCLUDES infection due to Entamoeba histolyticaEXCLUDES1 other protozoal intestinal diseases (A07.-)EXCLUDES2 acanthamebiasis (B60.1-) Naegleriasis (B60.2)
A06.0 Acute amebic dysentery Acute amebiasisIntestinal amebiasis NOS
A06.1 Chronic intestinal amebiasis A06.2 Amebic nondysenteric colitis A06.3 Ameboma of intestine
Ameboma NOS A06.4 Amebic liver abscess
Hepatic amebiasis A06.5 Amebic lung abscess
Amebic abscess of lung (and liver) A06.6 Amebic brain abscess
Amebic abscess of brain (and liver) (and lung) A06.7 Cutaneous amebiasis A06.8 Amebic infection of other sites A06.81 Amebic cystitis A06.82 Other amebic genitourinary infections
Amebic balanitisAmebic vesiculitisAmebic vulvovaginitis
A06.89 Other amebic infections Amebic appendicitisAmebic splenic abscess
A06.9 Amebiasis, unspecified A07 Other protozoal intestinal diseases
A07.0 BalantidiasisBalantidial dysentery
A07.1 Giardiasis [lambliasis] A07.2 Cryptosporidiosis A07.3 Isosporiasis
Infection due to Isospora belli and Isospora hominisIntestinal coccidiosisIsosporosis
A07.4 Cyclosporiasis A07.8 Other specified protozoal intestinal diseases
Intestinal microsporidiosisIntestinal trichomoniasisSarcocystosisSarcosporidiosis
A07.9 Protozoal intestinal disease, unspecified Flagellate diarrheaProtozoal colitisProtozoal diarrheaProtozoal dysentery
A08 Viral and other specified intestinal infectionsEXCLUDES1 influenza with involvement of gastrointestinal tract (J09.X3,
J10.2, J11.2) A08.0 Rotaviral enteritis A08.1 Acute gastroenteropathy due to Norwalk agent and other
small round viruses A08.11 Acute gastroenteropathy due to Norwalk
agent Acute gastroenteropathy due to NorovirusAcute gastroenteropathy due to Norwalk-like agent
A08.19 Acute gastroenteropathy due to other small round viruses Acute gastroenteropathy due to small round virus
[SRV] NOS
A08.2 Adenoviral enteritis A08.3 Other viral enteritis A08.31 Calicivirus enteritis A08.32 Astrovirus enteritis A08.39 Other viral enteritis
Coxsackie virus enteritisEchovirus enteritisEnterovirus enteritis NECTorovirus enteritis
A08.4 Viral intestinal infection, unspecifiedaha: Q3 2016Viral enteritis NOSViral gastroenteritis NOSViral gastroenteropathy NOS
A08.8 Other specified intestinal infections A09 Infectious gastroenteritis and colitis, unspecified
Infectious colitis NOSInfectious enteritis NOSInfectious gastroenteritis NOSEXCLUDES1 colitis NOS (K52.9) diarrhea NOS (R19.7) enteritis NOS (K52.9) gastroenteritis NOS (K52.9) noninfective gastroenteritis and colitis, unspecified (K52.9)
tuberculosis (a15-a19) (figure 1.1)
INCLUDES infections due to Mycobacterium tuberculosis and Mycobacterium bovis
EXCLUDES1 congenital tuberculosis (P37.0) nonspecific reaction to test for tuberculosis without active
tuberculosis (R76.1-) pneumoconiosis associated with tuberculosis, any type in A15
(J65) positive PPD (R76.11) positive tuberculin skin test without active tuberculosis (R76.11) sequelae of tuberculosis (B90.-) silicotuberculosis (J65)
figure 1.1 progression of tuberculosis
A15 Respiratory tuberculosis A15.0 Tuberculosis of lung
Tuberculous bronchiectasisTuberculous fibrosis of lungTuberculous pneumoniaTuberculous pneumothorax
Ch
ap
ter 2: N
eop
lasm
s (C00-D
49)
4792020 ICD-10-CM
Tabular List C44.62 - C47.6Chapter 2: Neoplasms (C00-D49)
C44.62 - C
47.6
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unspecified Code Other Specified Code Manifestation Code Newborn Pediatric Maternity Adult Male Female ● New Code ▲ Revised Code Title
▲ ▲ Revised Text Notes INCLUDES EXCLUDES1 Not coded here EXCLUDES2 Not included here
4th character required 5th character required 6th character required 7th character required Extension ‘X’ Alert Hospital-acquired condition (HAC) alert aha AHA Coding Clinic© Code first alert
C44.62 Squamous cell carcinoma of skin of upper limb, including shoulder
C44.621 Squamous cell carcinoma of skin of unspecified upper limb, including shoulder
C44.622 Squamous cell carcinoma of skin of right upper limb, including shoulder
C44.629 Squamous cell carcinoma of skin of left upper limb, including shoulder
C44.69 Other specified malignant neoplasm of skin of upper limb, including shoulder
C44.691 Other specified malignant neoplasm of skin of unspecified upper limb, including shoulder
C44.692 Other specified malignant neoplasm of skin of right upper limb, including shoulder
C44.699 Other specified malignant neoplasm of skin of left upper limb, including shoulder
C44.7 Other and unspecified malignant neoplasm of skin of lower limb, including hip
C44.70 Unspecified malignant neoplasm of skin of lower limb, including hip
C44.701 Unspecified malignant neoplasm of skin of unspecified lower limb, including hip
C44.702 Unspecified malignant neoplasm of skin of right lower limb, including hip
C44.709 Unspecified malignant neoplasm of skin of left lower limb, including hip
C44.71 Basal cell carcinoma of skin of lower limb, including hip
C44.711 Basal cell carcinoma of skin of unspecified lower limb, including hip
C44.712 Basal cell carcinoma of skin of right lower limb, including hip
C44.719 Basal cell carcinoma of skin of left lower limb, including hip
C44.72 Squamous cell carcinoma of skin of lower limb, including hip
C44.721 Squamous cell carcinoma of skin of unspecified lower limb, including hip
C44.722 Squamous cell carcinoma of skin of right lower limb, including hip
C44.729 Squamous cell carcinoma of skin of left lower limb, including hip
C44.79 Other specified malignant neoplasm of skin of lower limb, including hip
C44.791 Other specified malignant neoplasm of skin of unspecified lower limb, including hip
C44.792 Other specified malignant neoplasm of skin of right lower limb, including hip
C44.799 Other specified malignant neoplasm of skin of left lower limb, including hip
C44.8 Other and unspecified malignant neoplasm of overlapping sites of skin
C44.80 Unspecified malignant neoplasm of overlapping sites of skin
C44.81 Basal cell carcinoma of overlapping sites of skin C44.82 Squamous cell carcinoma of overlapping sites of
skin C44.89 Other specified malignant neoplasm of overlapping
sites of skin C44.9 Other and unspecified malignant neoplasm of skin,
unspecified C44.90 Unspecified malignant neoplasm of skin,
unspecifiedMalignant neoplasm of unspecified site of skin
C44.91 Basal cell carcinoma of skin, unspecified C44.92 Squamous cell carcinoma of skin, unspecified C44.99 Other specified malignant neoplasm of skin,
unspecified
malignant neoplasms of mesothelial and soft tissue (C45-C49)
C45 Mesothelioma C45.0 Mesothelioma of pleura
aha: Q2 2017EXCLUDES1 other malignant neoplasm of pleura (C38.4)
C45.1 Mesothelioma of peritoneum Mesothelioma of cul-de-sacMesothelioma of mesenteryMesothelioma of mesocolonMesothelioma of omentumMesothelioma of peritoneum (parietal) (pelvic)EXCLUDES1 other malignant neoplasm of soft tissue of
peritoneum (C48.-) C45.2 Mesothelioma of pericardium
EXCLUDES1 other malignant neoplasm of pericardium (C38.0) C45.7 Mesothelioma of other sites C45.9 Mesothelioma, unspecified
C46 Kaposi's sarcoma Code first any human immunodeficiency virus [HIV] disease (B20)
C46.0 Kaposi's sarcoma of skin C46.1 Kaposi's sarcoma of soft tissue
Kaposi's sarcoma of blood vesselKaposi's sarcoma of connective tissueKaposi's sarcoma of fasciaKaposi's sarcoma of ligamentKaposi's sarcoma of lymphatic(s) NECKaposi's sarcoma of muscleEXCLUDES2 Kaposi's sarcoma of lymph glands and nodes (C46.3)
C46.2 Kaposi's sarcoma of palate C46.3 Kaposi's sarcoma of lymph nodes C46.4 Kaposi's sarcoma of gastrointestinal sites C46.5 Kaposi's sarcoma of lung C46.50 Kaposi's sarcoma of unspecified lung C46.51 Kaposi's sarcoma of right lung C46.52 Kaposi's sarcoma of left lung C46.7 Kaposi's sarcoma of other sites C46.9 Kaposi's sarcoma, unspecified
Kaposi's sarcoma of unspecified site C47 Malignant neoplasm of peripheral nerves and autonomic nervous
system INCLUDES malignant neoplasm of sympathetic and parasympathetic
nerves and gangliaEXCLUDES1 Kaposi's sarcoma of soft tissue (C46.1)
C47.0 Malignant neoplasm of peripheral nerves of head, face and neck EXCLUDES1 malignant neoplasm of peripheral nerves of orbit
(C69.6-) C47.1 Malignant neoplasm of peripheral nerves of upper limb,
including shoulder C47.10 Malignant neoplasm of peripheral nerves of
unspecified upper limb, including shoulder C47.11 Malignant neoplasm of peripheral nerves of
right upper limb, including shoulder C47.12 Malignant neoplasm of peripheral nerves of left
upper limb, including shoulder C47.2 Malignant neoplasm of peripheral nerves of lower limb,
including hip C47.20 Malignant neoplasm of peripheral nerves of
unspecified lower limb, including hip C47.21 Malignant neoplasm of peripheral nerves of
right lower limb, including hip C47.22 Malignant neoplasm of peripheral nerves of left
lower limb, including hip C47.3 Malignant neoplasm of peripheral nerves of thorax C47.4 Malignant neoplasm of peripheral nerves of abdomen C47.5 Malignant neoplasm of peripheral nerves of pelvis C47.6 Malignant neoplasm of peripheral nerves of trunk,
unspecified Malignant neoplasm of peripheral nerves of unspecified part
of trunk
Ch
ap
ter
2: N
eop
lasm
s (C
00-D
49)
480
C47.8 - C50 Tabular ListChapter 2: Neoplasms (C00-D49)
2020 ICD-10-CM
C47
.8 -
C50
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unacceptable principal diagnosis symbol per Medicare code edits Code exempt from diagnosis present on admission requirement Questionable admission Complication or comorbidity Major complication or comorbidity CC/MCC exclusion
HCC diagnosis code RxHCC diagnosis code MACRA code DEFINITION Describes condition/terminology tIp Coding guidance Official Guideline Reference Z-1 Z code as first-listed diagnosis
C47.8 Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
C47.9 Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified Malignant neoplasm of unspecified site of peripheral nerves
and autonomic nervous system C48 Malignant neoplasm of retroperitoneum and peritoneum
EXCLUDES1 Kaposi's sarcoma of connective tissue (C46.1) mesothelioma (C45.-)
C48.0 Malignant neoplasm of retroperitoneum C48.1 Malignant neoplasm of specified parts of peritoneum
Malignant neoplasm of cul-de-sacMalignant neoplasm of mesenteryMalignant neoplasm of mesocolonMalignant neoplasm of omentumMalignant neoplasm of parietal peritoneumMalignant neoplasm of pelvic peritoneum
C48.2 Malignant neoplasm of peritoneum, unspecified C48.8 Malignant neoplasm of overlapping sites of retroperitoneum
and peritoneum C49 Malignant neoplasm of other connective and soft tissue
INCLUDES malignant neoplasm of blood vessel malignant neoplasm of bursa malignant neoplasm of cartilage malignant neoplasm of fascia malignant neoplasm of fat malignant neoplasm of ligament, except uterine malignant neoplasm of lymphatic vessel malignant neoplasm of muscle malignant neoplasm of synovia malignant neoplasm of tendon (sheath)EXCLUDES1 malignant neoplasm of cartilage (of): articular (C40-C41) larynx (C32.3) nose (C30.0) malignant neoplasm of connective tissue of breast (C50.-)EXCLUDES2 Kaposi's sarcoma of soft tissue (C46.1) malignant neoplasm of heart (C38.0) malignant neoplasm of peripheral nerves and autonomic
nervous system (C47.-) malignant neoplasm of peritoneum (C48.2) malignant neoplasm of retroperitoneum (C48.0) malignant neoplasm of uterine ligament (C57.3) mesothelioma (C45.-)
C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck Malignant neoplasm of connective tissue of earMalignant neoplasm of connective tissue of eyelidEXCLUDES1 connective tissue of orbit (C69.6-)
C49.1 Malignant neoplasm of connective and soft tissue of upper limb, including shoulder
C49.10 Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
C49.11 Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
C49.12 Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder
C49.2 Malignant neoplasm of connective and soft tissue of lower limb, including hip
C49.20 Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip
C49.21 Malignant neoplasm of connective and soft tissue of right lower limb, including hip
C49.22 Malignant neoplasm of connective and soft tissue of left lower limb, including hip
C49.3 Malignant neoplasm of connective and soft tissue of thorax aha: Q3 2015
Malignant neoplasm of axillaMalignant neoplasm of diaphragmMalignant neoplasm of great vesselsEXCLUDES1 malignant neoplasm of breast (C50.-) malignant neoplasm of heart (C38.0) malignant neoplasm of mediastinum (C38.1-C38.3) malignant neoplasm of thymus (C37)
C49.4 Malignant neoplasm of connective and soft tissue of abdomen Malignant neoplasm of abdominal wallMalignant neoplasm of hypochondrium
C49.5 Malignant neoplasm of connective and soft tissue of pelvis Malignant neoplasm of buttockMalignant neoplasm of groinMalignant neoplasm of perineum
C49.6 Malignant neoplasm of connective and soft tissue of trunk, unspecified Malignant neoplasm of back NOS
C49.8 Malignant neoplasm of overlapping sites of connective and soft tissue Primary malignant neoplasm of two or more contiguous sites
of connective and soft tissue C49.9 Malignant neoplasm of connective and soft tissue,
unspecified C49.A Gastrointestinal stromal tumor C49.A0 Gastrointestinal stromal tumor, unspecified
site aha: Q4 2016
C49.A1 Gastrointestinal stromal tumor of esophagus aha: Q4 2016
C49.A2 Gastrointestinal stromal tumor of stomach aha: Q4 2016
C49.A3 Gastrointestinal stromal tumor of small intestine aha: Q4 2016
C49.A4 Gastrointestinal stromal tumor of large intestine aha: Q4 2016
C49.A5 Gastrointestinal stromal tumor of rectum aha: Q4 2016
C49.A9 Gastrointestinal stromal tumor of other sites aha: Q4 2016
malignant neoplasms of breast (C50)
C50 Malignant neoplasm of breast (Figure 2.2)INCLUDES connective tissue of breast Paget's disease of breast Paget's disease of nippleUse additional code to identify estrogen receptor status (Z17.0, Z17.1)EXCLUDES1 skin of breast (C44.501, C44.511, C44.521, C44.591)
Figure 2.2 malignant Neoplasm of the Breast
Ch
ap
ter 4: en
do
Cr
ine, n
utr
ition
al a
nd
Meta
bo
liC d
iseases (e00-e89)
5212020 ICD-10-CM
Tabular List e08.32 - e08.62Chapter 4: endocrine, nutritional and Metabolic diseases (e00-e89)
e08.32 - e08.62
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unspecified Code Other Specified Code Manifestation Code Newborn Pediatric Maternity Adult Male Female ● New Code ▲ Revised Code Title
▲ ▲ Revised Text notes INCLUDES EXCLUDES1 Not coded here EXCLUDES2 Not included here
4th character required 5th character required 6th character required 7th character required Extension ‘X’ Alert Hospital-acquired condition (HAC) alert aha AHA Coding Clinic© Code first alert
E08.32 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy Diabetes mellitus due to underlying condition with
nonproliferative diabetic retinopathy NOSOne of the following 7th characters is to be assigned to codes in subcategory E08.32 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E08.321 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema
E08.329 Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy without macular edema
E08.33 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy One of the following 7th characters is to be assigned to codes in subcategory E08.33 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E08.331 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy with macular edema
E08.339 Diabetes mellitus due to underlying condition with moderate nonproliferative diabetic retinopathy without macular edema
E08.34 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy One of the following 7th characters is to be assigned to codes in subcategory E08.34 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E08.341 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy with macular edema
E08.349 Diabetes mellitus due to underlying condition with severe nonproliferative diabetic retinopathy without macular edema
E08.35 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy One of the following 7th characters is to be assigned to codes in subcategory E08.35 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E08.351 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with macular edema
E08.352 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment involving the macula
E08.353 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with traction retinal detachment not involving the macula
E08.354 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment
E08.355 Diabetes mellitus due to underlying condition with stable proliferative diabetic retinopathy
E08.359 Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema
E08.36 Diabetes mellitus due to underlying condition with diabetic cataract
E08.37 Diabetes mellitus due to underlying condition with diabetic macular edema, resolved following treatment One of the following 7th characters is to be assigned to code E08.37 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E08.39 Diabetes mellitus due to underlying condition with other diabetic ophthalmic complication Use additional code to identify manifestation, such as:
diabetic glaucoma (H40-H42) E08.4 Diabetes mellitus due to underlying condition with
neurological complications E08.40 Diabetes mellitus due to underlying condition
with diabetic neuropathy, unspecified E08.41 Diabetes mellitus due to underlying condition
with diabetic mononeuropathy E08.42 Diabetes mellitus due to underlying condition
with diabetic polyneuropathy Diabetes mellitus due to underlying condition with
diabetic neuralgia E08.43 Diabetes mellitus due to underlying condition
with diabetic autonomic (poly)neuropathy aha: Q4 2013Diabetes mellitus due to underlying condition with
diabetic gastroparesis E08.44 Diabetes mellitus due to underlying condition
with diabetic amyotrophy E08.49 Diabetes mellitus due to underlying condition
with other diabetic neurological complication E08.5 Diabetes mellitus due to underlying condition with
circulatory complications E08.51 Diabetes mellitus due to underlying condition
with diabetic peripheral angiopathy without gangrene
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene Diabetes mellitus due to underlying condition with
diabetic gangrene E08.59 Diabetes mellitus due to underlying condition
with other circulatory complications E08.6 Diabetes mellitus due to underlying condition with other
specified complications E08.61 Diabetes mellitus due to underlying condition with
diabetic arthropathy E08.610 Diabetes mellitus due to underlying
condition with diabetic neuropathic arthropathy Diabetes mellitus due to underlying
condition with Charcôt's joints E08.618 Diabetes mellitus due to underlying
condition with other diabetic arthropathy
E08.62 Diabetes mellitus due to underlying condition with skin complications
Ch
ap
ter
4: e
nd
oC
rin
e, n
utr
itio
na
l a
nd
Met
ab
oli
C d
isea
ses
(e00
-e89
)
522
e08.620 - e09.34 Tabular ListChapter 4: endocrine, nutritional and Metabolic diseases (e00-e89)
2020 ICD-10-CM
e08.
620
- e09
.34
When symbols appear on a code that requires a 7th character extension, refer to Appendix B to identify applicable 7th character codes.
Unacceptable principal diagnosis symbol per Medicare code edits Code exempt from diagnosis present on admission requirement Questionable admission Complication or comorbidity Major complication or comorbidity CC/MCC exclusion
HCC diagnosis code RxHCC diagnosis code MACRA code DEFINITION Describes condition/terminology tip Coding guidance Official Guideline Reference Z-1 Z code as first-listed diagnosis
E08.620 Diabetes mellitus due to underlying condition with diabetic dermatitis Diabetes mellitus due to underlying
condition with diabetic necrobiosis lipoidica
E08.621 Diabetes mellitus due to underlying condition with foot ulcer Use additional code to identify site of ulcer
(L97.4-, L97.5-) E08.622 Diabetes mellitus due to underlying
condition with other skin ulcer Use additional code to identify site of ulcer
(L97.1-L97.9, L98.41-L98.49) E08.628 Diabetes mellitus due to underlying
condition with other skin complications
E08.63 Diabetes mellitus due to underlying condition with oral complications
E08.630 Diabetes mellitus due to underlying condition with periodontal disease
E08.638 Diabetes mellitus due to underlying condition with other oral complications
E08.64 Diabetes mellitus due to underlying condition with hypoglycemia
E08.641 Diabetes mellitus due to underlying condition with hypoglycemia with coma
E08.649 Diabetes mellitus due to underlying condition with hypoglycemia without coma
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
E08.69 Diabetes mellitus due to underlying condition with other specified complication aha: Q4 2016Use additional code to identify complication
E08.8 Diabetes mellitus due to underlying condition with unspecified complications
E08.9 Diabetes mellitus due to underlying condition without complications
E09 Drug or chemical induced diabetes mellitus See Official Guidelines "Secondary diabetes mellitus" I.C.4.a.6,
"Assigning and sequencing secondary diabetes codes and its causes" I.C.4.a.6.b
Code first poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Use additional code to identify control using:insulin (Z79.4)oral antidiabetic drugs (Z79.84)oral hypoglycemic drugs (Z79.84)
EXCLUDES1 diabetes mellitus due to underlying condition (E08.-) gestational diabetes (O24.4-) neonatal diabetes mellitus (P70.2) postpancreatectomy diabetes mellitus (E13.-) postprocedural diabetes mellitus (E13.-) secondary diabetes mellitus NEC (E13.-) type 1 diabetes mellitus (E10.-) type 2 diabetes mellitus (E11.-)
E09.0 Drug or chemical induced diabetes mellitus with hyperosmolarity
E09.00 Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E09.01 Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
E09.1 Drug or chemical induced diabetes mellitus with ketoacidosis
E09.10 Drug or chemical induced diabetes mellitus with ketoacidosis without coma
E09.11 Drug or chemical induced diabetes mellitus with ketoacidosis with coma
E09.2 Drug or chemical induced diabetes mellitus with kidney complications
E09.21 Drug or chemical induced diabetes mellitus with diabetic nephropathy Drug or chemical induced diabetes mellitus with
intercapillary glomerulosclerosisDrug or chemical induced diabetes mellitus with
intracapillary glomerulonephrosisDrug or chemical induced diabetes mellitus with
Kimmelstiel-Wilson disease E09.22 Drug or chemical induced diabetes mellitus
with diabetic chronic kidney disease Use additional code to identify stage of chronic
kidney disease (N18.1-N18.6) E09.29 Drug or chemical induced diabetes mellitus
with other diabetic kidney complication Drug or chemical induced diabetes mellitus with renal
tubular degeneration E09.3 Drug or chemical induced diabetes mellitus with ophthalmic
complications E09.31 Drug or chemical induced diabetes mellitus with
unspecified diabetic retinopathy E09.311 Drug or chemical induced diabetes
mellitus with unspecified diabetic retinopathy with macular edema
E09.319 Drug or chemical induced diabetes mellitus with unspecified diabetic retinopathy without macular edema
E09.32 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathyDrug or chemical induced diabetes mellitus with
nonproliferative diabetic retinopathy NOSOne of the following 7th characters is to be assigned to codes in subcategory E09.32 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E09.321 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E09.329 Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E09.33 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathyOne of the following 7th characters is to be assigned to codes in subcategory E09.33 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
E09.331 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E09.339 Drug or chemical induced diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
E09.34 Drug or chemical induced diabetes mellitus with severe nonproliferative diabetic retinopathyOne of the following 7th characters is to be assigned to codes in subcategory E09.34 to designate laterality of the disease:
1 = right eye2 = left eye3 = bilateral9 = unspecified eye
A-G
Profen® - Anaprox-D
S® A
PPenD
ix A
: Z CoD
eS for Lo
nG
-term U
Se of D
rUG
S
12852020 ICD-10-CM
Appendix A: Z Codes for Long-term Use of DrugsThe following Z codes/categories may only be reported as the principal/first-listed diagnosis, except when there are multiple encounters on the same day and the medical records for the encounters are combined. This list is based on 2019 CMS data, which was the most current available at the time of printing. Please visit the CMS website at www.cms.gov for further updates.
Drug name Code Code Descriptor
A-G Profen® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Abstral® Z79.891 Long term (current) use of opiate analgesic
acarbose Z79.84 Long term (current) use of oral hypoglycemic drugs
acetaminophen Z79.899 Other long term (current) drug therapy
acetaminophen and hydrocodone Z79.891 Long term (current) use of opiate analgesic
acetaminophen and oxycodone Z79.891 Long term (current) use of opiate analgesic
acetaminophen/codine Z79.891 Long term (current) use of opiate analgesic
acetylsalicylic acid Z79.82 Long term (current) use of aspirin
Achromycin V® Z79.2 Long term (current) use of antibiotics
Aclasta® Z79.83 Long term (current) use of bisphosphonates
Acova® Z79.02 Long term (current) use of antithrombotics/antiplatelets
Acticlate® Z79.2 Long term (current) use of antibiotics
Actimmune® Z79.899 Other long term (current) drug therapy
Actiprofen® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Actiq® Z79.891 Long term (current) use of opiate analgesic
Activella® Z79.890 Hormone replacement therapy (postmenopausal)
Actonel® Z79.83 Long term (current) use of bisphosphonates
Actoplus Met® Z79.84 Long term (current) use of oral hypoglycemic drugs
Actos® Z79.84 Long term (current) use of oral hypoglycemic drugs
Addaprin® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Admelog® Z79.4 Long term (current) use of insulin
Adoxa® Z79.2 Long term (current) use of antibiotics
Advair HFA® Z79.51 Long term (current) use of inhaled steroids
Advil Infants Concentrated Drops® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Advil Liqui-Gels® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Advil® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Aerospan HFA® Z79.51 Long term (current) use of inhaled steroids
Aflaxen® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Afrezza® Z79.4 Long term (current) use of insulin
Aggrastat® Z79.02 Long term (current) use of antithrombotics/antiplatelets
Aggrenox® Z79.02 Long term (current) use of antithrombotics/antiplatelets
Agrylin® Z79.02 Long term (current) use of antithrombotics/antiplatelets
alendronate Z79.83 Long term (current) use of bisphosphonates
Aleve® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
All Day Pain Relief® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
All Day Relief® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Alodox® Z79.2 Long term (current) use of antibiotics
alogliptin and metformin Z79.84 Long term (current) use of oral hypoglycemic drugs
alogliptin and pioglitazone Z79.84 Long term (current) use of oral hypoglycemic drugs
Alora® Z79.890 Hormone replacement therapy (postmenopausal)
Altabax® Z79.2 Long term (current) use of antibiotics
Altavera® Z79.3 Long term (current) use of hormonal contraceptives
Alvesco® Z79.51 Long term (current) use of inhaled steroids
Alyacen 1/35® Z79.3 Long term (current) use of hormonal contraceptives
Alyacen 1/35® Z79.890 Hormone replacement therapy (postmenopausal)
Amaryl® Z79.84 Long term (current) use of oral hypoglycemic drugs
Amethia Lo® Z79.3 Long term (current) use of hormonal contraceptives
Amethia® Z79.3 Long term (current) use of hormonal contraceptives
Amethyst® Z79.3 Long term (current) use of hormonal contraceptives
amoxicillin Z79.2 Long term (current) use of antibiotics
amoxicillin and clavulanate potassium Z79.2 Long term (current) use of antibiotics
Amoxil® Z79.2 Long term (current) use of antibiotics
ampicillin/sulbactam Z79.2 Long term (current) use of antibiotics
anagrelide Z79.02 Long term (current) use of antithrombotics/antiplatelets
Anaprox-DS® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Ana
prox
® - B
actr
oban
nas
al®
APP
enD
ix A
: Z
CoD
eS f
or
Lon
G-t
erm
USe
of
DrU
GS
Anaprox® - Bactroban nasal® Appendix A: Z Codes for Long-term Use of Drugs
1286 2020 ICD-10-CM
Drug name Code Code Descriptor
Anaprox® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
anastrozole Z79.811 Long term (current) use of aromatase inhibitors
Ancef® Z79.2 Long term (current) use of antibiotics
Angeliq® Z79.890 Hormone replacement therapy (postmenopausal)
Angiomax® Z79.02 Long term (current) use of antithrombotics/antiplatelets
Ansaid® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Antibiotic Plus Pain Relief® Z79.2 Long term (current) use of antibiotics
antineoplastic/chemotherapy Z79.899 Other long term (current) drug therapy
Apidra SoloStar® Z79.4 Long term (current) use of insulin
Apidra® Z79.4 Long term (current) use of insulin
apixaban Z79.01 Long term (current) use of anticoagulants
Apri® Z79.3 Long term (current) use of hormonal contraceptives
Aranelle® Z79.3 Long term (current) use of hormonal contraceptives
Aranelle® Z79.890 Hormone replacement therapy (postmenopausal)
Aredia® Z79.83 Long term (current) use of bisphosphonates
argatroban Z79.02 Long term (current) use of antithrombotics/antiplatelets
Arimidex® Z79.811 Long term (current) use of aromatase inhibitors
Aristospan® Z79.52 Long term (current) use of systemic steroids
Arixtra® Z79.01 Long term (current) use of anticoagulants
ArmonAir RespiClick® Z79.51 Long term (current) use of inhaled steroids
Arnuity Ellipta® Z79.51 Long term (current) use of inhaled steroids
Aromasin® Z79.811 Long term (current) use of aromatase inhibitors
Arthritis Pain Relief® Z79.82 Long term (current) use of aspirin
Arthrotec® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID)
Ascriptin® Z79.82 Long term (current) use of aspirin
Ashlyna® Z79.3 Long term (current) use of hormonal contraceptives
Asmanex HFA® Z79.51 Long term (current) use of inhaled steroids
Asmanex Twisthaler® Z79.51 Long term (current) use of inhaled steroids
Aspir 81® Z79.82 Long term (current) use of aspirin
Aspir-Low® Z79.82 Long term (current) use of aspirin
aspirin Z79.82 Long term (current) use of aspirin
aspirin and dipyridamole Z79.02 Long term (current) use of antithrombotics/antiplatelets
Astagraf XL® Z79.899 Other long term (current) drug therapy
Astramorph PF® Z79.891 Long term (current) use of opiate analgesic
Atelvia® Z79.83 Long term (current) use of bisphosphonates
atovaquone Z79.2 Long term (current) use of antibiotics
Aubra® Z79.3 Long term (current) use of hormonal contraceptives
Augmentin® Z79.2 Long term (current) use of antibiotics
Avandia® Z79.84 Long term (current) use of oral hypoglycemic drugs
Avar Cleanser® Z79.2 Long term (current) use of antibiotics
Avar-E Green® Z79.2 Long term (current) use of antibiotics
Avar-E LS® Z79.2 Long term (current) use of antibiotics
Avar-E® Z79.2 Long term (current) use of antibiotics
Avar® Z79.2 Long term (current) use of antibiotics
Avelox® Z79.2 Long term (current) use of antibiotics
Aviane® Z79.3 Long term (current) use of hormonal contraceptives
Avidoxy® Z79.2 Long term (current) use of antibiotics
Avonex® Z79.899 Other long term (current) drug therapy
Aygestin® Z79.3 Long term (current) use of hormonal contraceptives
Azactam® Z79.2 Long term (current) use of antibiotics
azathioprine Z79.899 Other long term (current) drug therapy
azithromycin Z79.2 Long term (current) use of antibiotics
aztreonam Z79.2 Long term (current) use of antibiotics
Azurette® Z79.3 Long term (current) use of hormonal contraceptives
BACiiM® Z79.2 Long term (current) use of antibiotics
bacitracin Z79.2 Long term (current) use of antibiotics
bacitracin/hydrocortisone/neomycin/polymyxin B Z79.2 Long term (current) use of antibiotics
bacitracin/polymyxin b Z79.2 Long term (current) use of antibiotics
Bactrim® Z79.2 Long term (current) use of antibiotics
Bactroban Nasal® Z79.2 Long term (current) use of antibiotics
H35.3110 - M
84.651K A
ppend
ix B: SyM
Bo
lS for 7tH
-CHA
rA
Cter Co
deS
13032020 ICD-10-CM
Appendix B: Symbols for 7th-Character Codes
H35.3110H35.3111H35.3112H35.3113H35.3114H35.3120H35.3121H35.3122H35.3123H35.3124H35.3130H35.3131H35.3132H35.3133H35.3134
H35.3190H35.3191H35.3192H35.3193H35.3194H35.3210H35.3211H35.3212H35.3213H35.3220H35.3221H35.3222H35.3223H35.3230H35.3231
H35.3232H35.3233H35.3290H35.3291H35.3292H35.3293M80.00XAM80.00XDM80.00XGM80.00XKM80.00XPM80.00XSM80.011AM80.011DM80.011G
M80.011KM80.011PM80.011SM80.012AM80.012DM80.012GM80.012KM80.012PM80.012SM80.019AM80.019DM80.019GM80.019KM80.019PM80.019S
M80.021AM80.021DM80.021GM80.021KM80.021PM80.021SM80.022AM80.022DM80.022GM80.022KM80.022PM80.022SM80.029AM80.029DM80.029G
M80.029KM80.029PM80.029SM80.031AM80.031DM80.031GM80.031KM80.031PM80.031SM80.032AM80.032DM80.032GM80.032KM80.032PM80.032S
M80.039AM80.039DM80.039GM80.039KM80.039PM80.039SM80.041AM80.041DM80.041GM80.041KM80.041PM80.041SM80.042AM80.042DM80.042G
M80.042KM80.042PM80.042SM80.049AM80.049DM80.049GM80.049KM80.049PM80.049SM80.051AM80.051DM80.051GM80.051KM80.051PM80.051S
M80.052AM80.052DM80.052GM80.052KM80.052PM80.052SM80.059AM80.059DM80.059GM80.059KM80.059PM80.059SM80.061AM80.061DM80.061G
M80.061KM80.061PM80.061SM80.062AM80.062DM80.062GM80.062KM80.062PM80.062SM80.069AM80.069DM80.069GM80.069KM80.069PM80.069S
M80.071AM80.071DM80.071GM80.071KM80.071PM80.071SM80.072AM80.072DM80.072GM80.072KM80.072PM80.072SM80.079AM80.079DM80.079G
M80.079KM80.079PM80.079SM80.08XAM80.08XDM80.08XGM80.08XKM80.08XPM80.08XST74.01XAT74.01XDT74.01XST74.11XAT74.11XDT74.11XS
T74.21XAT74.21XDT74.21XST74.31XAT74.31XDT74.31XST74.51XAT74.51XDT74.51XST74.61XAT74.61XDT74.61XST74.91XAT74.91XDT74.91XS
T76.01XAT76.01XDT76.01XST76.11XAT76.11XDT76.11XST76.21XAT76.21XDT76.21XST76.31XAT76.31XDT76.31XST76.51XAT76.51XDT76.51XS
T76.61XAT76.61XDT76.61XST76.91XAT76.91XDT76.91XS
C44.1021C44.1022C44.1091C44.1092C44.1121C44.1122C44.1191C44.1192C44.1221C44.1222C44.1291C44.1292C44.1321C44.1322C44.1391C44.1392C44.1921
C44.1922C44.1991C44.1992H35.3112H35.3121H40.1110M80.051AM84.454AM97.01XAO35.3XX0O36.80X0O60.14X0O60.14X1O60.14X2R40.2110R40.2111R40.2112
R40.2113R40.2114R40.2120R40.2121R40.2122R40.2123R40.2124R40.2130R40.2131R40.2132R40.2133R40.2134R40.2140R40.2141R40.2142R40.2143R40.2144
R40.2210R40.2211R40.2212R40.2213R40.2214R40.2220R40.2221R40.2222R40.2223R40.2224R40.2230R40.2231R40.2232R40.2233R40.2234R40.2240R40.2241
R40.2242R40.2243R40.2244R40.2250R40.2251R40.2252R40.2253R40.2254R40.2310R40.2311R40.2312R40.2313R40.2314R40.2320R40.2321R40.2322R40.2323
R40.2324R40.2330R40.2331R40.2332R40.2333R40.2334R40.2340R40.2341R40.2342R40.2343R40.2344R40.2350R40.2351R40.2352R40.2353R40.2354R40.2360
R40.2361R40.2362R40.2363R40.2364S01.02XAS01.02XDS01.21XAS01.21XDS01.411AS01.411DS06.1X0AS06.340AS06.5X0AS06.5X0SS06.6X0AS31.613AS36.029A
S36.031AS39.012AS42.295AS51.001AS52.532DS53.031AS53.031DS53.114AS62.002AS62.102DS72.002DS72.002SS72.141DS72.401AS81.841AS82.234AS82.234D
S82.251DS83.232AS83.511DS92.331AS92.331BS92.331DS92.331GS92.331KS92.331PS92.331SS92.332AS92.332BS92.332DS92.332GS92.332KS92.332PS92.332S
S92.333AS92.333BS92.333DS92.333GS92.333KS92.333PS92.333SS92.334AS92.334BS92.334DS92.334GS92.334KS92.334PS92.334SS92.335AS92.335BS92.335D
S92.335GS92.335KS92.335PS92.335SS92.336AS92.336BS92.336DS92.336GS92.336KS92.336PS92.336SS99.112AS99.112BS99.112DS99.112GS99.112KS99.112P
S99.112ST20.25XST20.312ST21.31XDT23.301ST23.302ST24.391AT24.392AT36.8X5AT39.015AT40.5X1AT43.592AT45.1X5AT45.525AT45.615AT45.8X5AT50.901S
T59.811AT65.891AT71.191AT80.211AT81.31XAT81.40XAT81.40XDT81.40XST81.41XAT81.41XDT81.41XST81.42XAT81.42XDT81.42XST81.43XAT81.43XDT81.43XS
T81.718AT82.7XXAT82.867AT82.897AT83.428AT84.021AT84.50XAT84.51XAT84.52XAT85.628AT88.53XAV00.321AV43.61XAV43.61XDV49.9XXAW00.0XXDW03.XXXA
W03.XXXDW05.0XXAW17.89XDW19.XXXDW34.00XSW50.2XXAW50.2XXDX00.0XXDX00.0XXSX03.0XXSX04.XXXAX08.01XSX50.0XXAX95.9XXAY35.893A
H34.8110H34.8111H34.8112H34.8120H34.8121H34.8122H34.8130H34.8131H34.8132H34.8190H34.8191H34.8192M48.50XAM48.51XAM48.52XAM48.53XAM48.54XAM48.55XAM48.56XAM48.57XAM48.58XAM80.00XAM80.00XKM80.00XPM80.011AM80.011KM80.011PM80.012AM80.012KM80.012PM80.019AM80.019KM80.019P
M80.021AM80.021KM80.021PM80.022AM80.022KM80.022PM80.029AM80.029KM80.029PM80.031AM80.031KM80.031PM80.032AM80.032KM80.032PM80.039AM80.039KM80.039PM80.041AM80.041KM80.041PM80.042AM80.042KM80.042PM80.049AM80.049KM80.049PM80.051AM80.051KM80.051PM80.052AM80.052KM80.052P
M80.059AM80.059KM80.059PM80.061AM80.061KM80.061PM80.062AM80.062KM80.062PM80.069AM80.069KM80.069PM80.071AM80.071KM80.071PM80.072AM80.072KM80.072PM80.079AM80.079KM80.079PM80.08XAM80.08XKM80.08XPM80.80XAM80.80XKM80.80XPM80.811AM80.811KM80.811PM80.812AM80.812KM80.812P
M80.819AM80.819KM80.819PM80.821AM80.821KM80.821PM80.822AM80.822KM80.822PM80.829AM80.829KM80.829PM80.831AM80.831KM80.831PM80.832AM80.832KM80.832PM80.839AM80.839KM80.839PM80.841AM80.841KM80.841PM80.842AM80.842KM80.842PM80.849AM80.849KM80.849PM80.851AM80.851KM80.851P
M80.852AM80.852KM80.852PM80.859AM80.859KM80.859PM80.861AM80.861KM80.861PM80.862AM80.862KM80.862PM80.869AM80.869KM80.869PM80.871AM80.871KM80.871PM80.872AM80.872KM80.872PM80.879AM80.879KM80.879PM80.88XAM80.88XKM80.88XPM84.30XKM84.30XPM84.311KM84.311PM84.312KM84.312P
M84.319KM84.319PM84.321KM84.321PM84.322KM84.322PM84.329KM84.329PM84.331KM84.331PM84.332KM84.332PM84.333KM84.333PM84.334KM84.334PM84.339KM84.339PM84.341KM84.341PM84.342KM84.342PM84.343KM84.343PM84.344KM84.344PM84.345KM84.345PM84.346KM84.346PM84.350KM84.350PM84.351K
M84.351PM84.352KM84.352PM84.353KM84.353PM84.359KM84.359PM84.361KM84.361PM84.362KM84.362PM84.363KM84.363PM84.364KM84.364PM84.369KM84.369PM84.371KM84.371PM84.372KM84.372PM84.373KM84.373PM84.374KM84.374PM84.375KM84.375PM84.376KM84.376PM84.377KM84.377PM84.378KM84.378P
M84.379KM84.379PM84.38XKM84.38XPM84.40XAM84.40XKM84.40XPM84.411AM84.411KM84.411PM84.412AM84.412KM84.412PM84.419AM84.419KM84.419PM84.421AM84.421KM84.421PM84.422AM84.422KM84.422PM84.429AM84.429KM84.429PM84.431AM84.431KM84.431PM84.432AM84.432KM84.432PM84.433AM84.433K
M84.433PM84.434AM84.434KM84.434PM84.439AM84.439KM84.439PM84.441AM84.441KM84.441PM84.442AM84.442KM84.442PM84.443AM84.443KM84.443PM84.444AM84.444KM84.444PM84.445AM84.445KM84.445PM84.446AM84.446KM84.446PM84.451AM84.451KM84.451PM84.452AM84.452KM84.452PM84.453AM84.453K
M84.453PM84.454AM84.454KM84.454PM84.459AM84.459KM84.459PM84.461AM84.461KM84.461PM84.462AM84.462KM84.462PM84.463AM84.463KM84.463PM84.464AM84.464KM84.464PM84.469AM84.469KM84.469PM84.471AM84.471KM84.471PM84.472AM84.472KM84.472PM84.473AM84.473KM84.473PM84.474AM84.474K
M84.474PM84.475AM84.475KM84.475PM84.476AM84.476KM84.476PM84.477AM84.477KM84.477PM84.478AM84.478KM84.478PM84.479AM84.479KM84.479PM84.48XAM84.48XKM84.48XPM84.50XAM84.50XKM84.50XPM84.511AM84.511KM84.511PM84.512AM84.512KM84.512PM84.519AM84.519KM84.519PM84.521AM84.521K
M84.521PM84.522AM84.522KM84.522PM84.529AM84.529KM84.529PM84.531AM84.531KM84.531PM84.532AM84.532KM84.532PM84.533AM84.533KM84.533PM84.534AM84.534KM84.534PM84.539AM84.539KM84.539PM84.541AM84.541KM84.541PM84.542AM84.542KM84.542PM84.549AM84.549KM84.549PM84.550AM84.550K
M84.550PM84.551AM84.551KM84.551PM84.552AM84.552KM84.552PM84.553AM84.553KM84.553PM84.559AM84.559KM84.559PM84.561AM84.561KM84.561PM84.562AM84.562KM84.562PM84.563AM84.563KM84.563PM84.564AM84.564KM84.564PM84.569AM84.569KM84.569PM84.571AM84.571KM84.571PM84.572AM84.572K
M84.572PM84.573AM84.573KM84.573PM84.574AM84.574KM84.574PM84.575AM84.575KM84.575PM84.576AM84.576KM84.576PM84.58XAM84.58XKM84.58XPM84.60XAM84.60XKM84.60XPM84.611AM84.611KM84.611PM84.612AM84.612KM84.612PM84.619AM84.619KM84.619PM84.621AM84.621KM84.621PM84.622AM84.622K
M84.622PM84.629AM84.629KM84.629PM84.631AM84.631KM84.631PM84.632AM84.632KM84.632PM84.633AM84.633KM84.633PM84.634AM84.634KM84.634PM84.639AM84.639KM84.639PM84.641AM84.641KM84.641PM84.642AM84.642KM84.642PM84.649AM84.649KM84.649PM84.650AM84.650KM84.650PM84.651AM84.651K
Adult - Age range is 18–124 years inclusive (e.g., senile delirium, mature cataract); based on Medicare’s Outpatient Code Editor (OCE).
AHA Coding Clinic®
Complication or Comorbidity (CC) - Based on CMS data