ICD-10 Dx Edit Code Lists
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Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists v15.0 ICD-10 Pilot 3M Health Information Systems 100 Barnes Road Wallingford, CT 06492 CPT codes, descriptions and material only are copyright 2013 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained herein. This manual was written, designed, and produced by the Technical Writing Department of 3M Health Information Systems. 3M is a trademark of 3M Company. Microsoft and Windows are registered trademarks of Microsoft Corporation in the United States and/or other countries. CPT is a registered trademark of the American Medical Association. PBL-040 January 2014 Table of Contents Appendix A. ICD-10 Dx Edit Code Lists .......................................................... 4 Adult diagnoses ......................................................................................................................... 5 Newborn diagnoses ................................................................................................................. 22 Pediatric diagnoses ................................................................................................................. 31 Maternity diagnoses ................................................................................................................. 34 Diagnoses for females only ..................................................................................................... 73 Diagnoses for males only ...................................................................................................... 124 Manifestation diagnoses ........................................................................................................ 133 Mental health diagnoses ........................................................................................................ 138 Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists Page iii ICD-10 Dx Edit Code Lists Appendix A. ICD-10 Dx Edit Code Lists This appendix lists the ICD-10-CM diagnosis codes for the following categories associated with edits in the program. • Adult diagnoses • Newborn diagnoses • Pediatric diagnoses • Maternity diagnoses • Diagnoses for females only • Diagnoses for males only • Manifestation diagnoses • Mental health diagnoses Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists Page 4 ICD-10 Dx Edit Code Lists Adult diagnoses A1814 Tuberculosis of prostate C9150 Adult T-cell lymph/leuk (HTLV-1-assoc) not achieve remission C9151 Adult T-cell lymphoma/leukemia (HTLV-1-assoc), in remission C9152 Adult T-cell lymphoma/leukemia (HTLV-1-assoc), in relapse F0150 Vascular dementia without behavioral disturbance F0151 Vascular dementia with behavioral disturbance F0390 Unspecified dementia without behavioral disturbance F0391 Unspecified dementia with behavioral disturbance F69 Unspecified disorder of adult personality and behavior G112 Late-onset cerebellar ataxia G1221 Amyotrophic lateral sclerosis G301 Alzheimer's disease with late onset G451 Carotid artery syndrome (hemispheric) G452 Multiple and bilateral precerebral artery syndromes G458 Oth transient cerebral ischemic attacks and related synd G459 Transient cerebral ischemic attack, unspecified G460 Middle cerebral artery syndrome G461 Anterior cerebral artery syndrome G462 Posterior cerebral artery syndrome H02031 Senile entropion of right upper eyelid H02032 Senile entropion of right lower eyelid H02033 Senile entropion of right eye, unspecified eyelid H02034 Senile entropion of left upper eyelid H02035 Senile entropion of left lower eyelid H02036 Senile entropion of left eye, unspecified eyelid H02039 Senile entropion of unspecified eye, unspecified eyelid H02131 Senile ectropion of right upper eyelid H02132 Senile ectropion of right lower eyelid H02133 Senile ectropion of right eye, unspecified eyelid H02134 Senile ectropion of left upper eyelid H02135 Senile ectropion of left lower eyelid H02136 Senile ectropion of left eye, unspecified eyelid H02139 Senile ectropion of unspecified eye, unspecified eyelid H25011 Cortical age-related cataract, right eye H25012 Cortical age-related cataract, left eye H25013 Cortical age-related cataract, bilateral H25019 Cortical age-related cataract, unspecified eye H25031 Anterior subcapsular polar age-related cataract, right eye H25032 Anterior subcapsular polar age-related cataract, left eye H25033 Anterior subcapsular polar age-related cataract, bilateral H25039 Anterior subcapsular polar age-related cataract, unsp eye H25041 Posterior subcapsular polar age-related cataract, right eye H25042 Posterior subcapsular polar age-related cataract, left eye H25043 Posterior subcapsular polar age-related cataract, bilateral H25049 Posterior subcapsular polar age-related cataract, unsp eye H25091 Other age-related incipient cataract, right eye H25092 Other age-related incipient cataract, left eye H25093 Other age-related incipient cataract, bilateral H25099 Other age-related incipient cataract, unspecified eye H2510 Age-related nuclear cataract, unspecified eye H2511 Age-related nuclear cataract, right eye H2512 Age-related nuclear cataract, left eye Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists Page 5 ICD-10 Dx Edit Code Lists H2513 Age-related nuclear cataract, bilateral H2520 Age-related cataract, morgagnian type, unspecified eye H2521 Age-related cataract, morgagnian type, right eye H2522 Age-related cataract, morgagnian type, left eye H2523 Age-related cataract, morgagnian type, bilateral H25811 Combined forms of age-related cataract, right eye H25812 Combined forms of age-related cataract, left eye H25813 Combined forms of age-related cataract, bilateral H25819 Combined forms of age-related cataract, unspecified eye H2589 Other age-related cataract H259 Unspecified age-related cataract H31111 Age-related choroidal atrophy, right eye H31112 Age-related choroidal atrophy, left eye H31113 Age-related choroidal atrophy, bilateral H31119 Age-related choroidal atrophy, unspecified eye H3530 Unspecified macular degeneration H3531 Nonexudative age-related macular degeneration H3532 Exudative age-related macular degeneration H35441 Age-related reticular degeneration of retina, right eye H35442 Age-related reticular degeneration of retina, left eye H35443 Age-related reticular degeneration of retina, bilateral H35449 Age-related reticular degeneration of retina, unsp eye H43821 Vitreomacular adhesion, right eye H43822 Vitreomacular adhesion, left eye H43823 Vitreomacular adhesion, bilateral H43829 Vitreomacular adhesion, unspecified eye I200 Unstable angina I201 Angina pectoris with documented spasm I208 Other forms of angina pectoris I209 Angina pectoris, unspecified I2101 STEMI involving left main coronary artery I2102 STEMI involving left anterior descending coronary artery I2109 STEMI involving oth coronary artery of anterior wall I2111 STEMI involving right coronary artery I2119 STEMI involving oth coronary artery of inferior wall I2121 STEMI involving left circumflex coronary artery I2129 STEMI involving oth sites I213 ST elevation (STEMI) myocardial infarction of unsp site I214 Non-ST elevation (NSTEMI) myocardial infarction I220 Subsequent STEMI of anterior wall I221 Subsequent STEMI of inferior wall I222 Subsequent non-ST elevation (NSTEMI) myocardial infarction I228 Subsequent STEMI of sites I229 Subsequent STEMI of unsp site I230 Hemopericardium as current complication following AMI I231 Atrial septal defect as current complication following AMI I232 Ventricular septal defect as current comp following AMI I233 Rupture of card wall w/o hemoperic as current comp fol AMI I236 Thombos of atrium/auric append/ventr as current comp fol AMI I237 Postinfarction angina I238 Oth current complications following AMI I240 Acute coronary thrombosis not resulting in myocardial infrc I241 Dressler's syndrome I248 Other forms of acute ischemic heart disease I249 Acute ischemic heart disease, unspecified I2510 Athscl heart disease of native coronary artery w/o ang pctrs I25110 Athscl heart disease of native cor art w unstable ang pctrs I25111 Athscl heart disease of native cor art w ang pctrs w spasm I25118 Athscl heart disease of native cor art w oth ang pctrs Integrated Outpatient Code Editor Software ICD-10 Dx Edit Code Lists Page 6 ICD-10 Dx Edit Code Lists I25119 Athscl heart disease of native cor art w unsp ang pctrs I252 Old myocardial infarction I25700 Atherosclerosis of CABG, unsp, w unstable angina pectoris I25701 Athscl CABG, unsp, w angina pectoris w documented spasm I25708 Atherosclerosis of CABG, unsp, w oth angina pectoris I25709 Atherosclerosis of CABG, unsp, w unsp angina pectoris I25710 Athscl autologous vein CABG w unstable angina pectoris I25711 Athscl autologous vein CABG w ang pctrs w documented spasm I25718 Athscl autologous vein CABG w oth angina pectoris I25719 Athscl autologous vein CABG w unsp angina pectoris I25720 Athscl autologous artery CABG w unstable angina pectoris I25721 Athscl autologous artery CABG w ang pctrs w documented spasm I25728 Athscl autologous artery CABG w oth angina pectoris I25729 Athscl autologous artery CABG w unsp angina pectoris I25730 Athscl nonautologous biological CABG w unstable ang pctrs I25731 Athscl nonaut biological CABG w ang pctrs w documented spasm I25738 Athscl nonautologous biological CABG w oth angina pectoris I25739