ICD-10-CM TABULAR LIST of DISEASES and INJURIES 2020 Addenda No Change Chapter 1 No Change Certain infectious and parasitic diseases (A00-B99)
No Change Tuberculosis (A15-A19)
No Change A18 Tuberculosis of other organs
No Change A18.4 Tuberculosis of skin and subcutaneous tissue
No Change Excludes2: Delete lupus NOS (M32.9) Revise from systemic (M32.-) Revise to systemic lupus erythematosus (M32.-)
No Change Bacterial and viral infectious agents (B95-B97)
No Change B96 Other bacterial agents as the cause of diseases classified elsewhere
No Change B96.2 Escherichia coli [E. coli ] as the cause of diseases classified elsewhere
Revise from B96.21 Shiga toxin-producing Escherichia coli [E. coli] (STEC) O157 as the cause of diseases classified elsewhere Revise to B96.21 Shiga toxin-producing Escherichia coli [E. coli] [STEC] O157 as the cause of diseases classified elsewhere
Revise from B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Revise to B96.22 Other specified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
Revise from B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] (STEC) as the cause of diseases classified elsewhere Revise to B96.23 Unspecified Shiga toxin-producing Escherichia coli [E. coli] [STEC] as the cause of diseases classified elsewhere
No Change B97 Viral agents as the cause of diseases classified elsewhere
No Change B97.4 Respiratory syncytial virus as the cause of diseases classified elsewhere Add RSV as the cause of diseases classified elsewhere
Add Code first related disorders, such as: Add otitis media (H65.-) Add upper respiratory infection (J06.9)
Add Excludes2: acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0) Add acute bronchitis due to respiratory syncytial virus (RSV) (J20.5) Add respiratory syncytial virus (RSV) pneumonia (J12.1) No Change Chapter 2 No Change Neoplasms (C00-D49)
No Change Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
No Change C91 Lymphoid leukemia
No Change C91.0 Acute lymphoblastic leukemia [ALL]
No Change Note: Revise from Code C91.0 should only be used for T-cell and B-cell precursor leukemia Revise to Codes in subcategory C91.0- should only be used for T-cell and B-cell precursor leukemia
No Change In situ neoplasms (D00-D09)
No Change D04 Carcinoma in situ of skin
No Change D04.0 Carcinoma in situ of skin of lip
Delete Excludes1: carcinoma in situ of vermilion border of lip (D00.01)
Add Excludes2: carcinoma in situ of vermilion border of lip (D00.01)
No Change Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
No Change D12 Benign neoplasm of colon, rectum, anus and anal canal
Add Excludes1: polyp of colon NOS (K63.5)
No Change D12.6 Benign neoplasm of colon, unspecified
Delete Excludes1: polyp of colon NOS (K63.5)
No Change D21 Other benign neoplasms of connective and other soft tissue
No Change D21.6 Benign neoplasm of connective and other soft tissue of trunk, unspecified Revise from Benign neoplasm of back NOS Revise to Benign neoplasm of connective and other soft tissue back NOS
No Change D23 Other benign neoplasms of skin
Delete Excludes1: melanocytic nevi (D22.-)
Add Excludes2: melanocytic nevi (D22.-)
No Change D36 Benign neoplasm of other and unspecified sites
No Change D36.7 Benign neoplasm of other specified sites Add Benign neoplasm of back NOS No Change Chapter 3 No Change Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50-D89)
No Change Hemolytic anemias (D55-D59)
No Change D55 Anemia due to enzyme disorders
No Change D55.0 Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency
Add Excludes1: glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia (D75.A)
No Change Other disorders of blood and blood-forming organs (D70-D77)
No Change D75 Other and unspecified diseases of blood and blood-forming organs
Add D75.A Glucose-6-phosphate dehydrogenase (G6PD) deficiency without anemia
Add Excludes1: glucose-6-phosphate dehydrogenase (G6PD) deficiency with anemia (D55.0)
No Change Certain disorders involving the immune mechanism (D80-D89)
No Change D81 Combined immunodeficiencies
No Change D81.3 Adenosine deaminase [ADA] deficiency
Add D81.30 Adenosine deaminase deficiency, unspecified Add ADA deficiency NOS
Add D81.31 Severe combined immunodeficiency due to adenosine deaminase deficiency Add ADA deficiency with SCID Add Adenosine deaminase [ADA] deficiency with severe combined immunodeficiency
Add D81.32 Adenosine deaminase 2 deficiency Add ADA2 deficiency Add Adenosine deaminase deficiency type 2
Add Code also, if applicable, any associated manifestations, such as: Add polyarteritis nodosa (M30.0) Add stroke (I63.-)
Add D81.39 Other adenosine deaminase deficiency Add Adenosine deaminase [ADA] deficiency type 1, NOS Add Adenosine deaminase [ADA] deficiency type 1, without SCID Add Adenosine deaminase [ADA] deficiency type 1, without severe combined immunodeficiency Add Partial ADA deficiency (type 1) Add Partial adenosine deaminase deficiency (type 1) No Change Chapter 4 No Change Endocrine, nutritional and metabolic diseases (E00-E89)
No Change Disorders of other endocrine glands (E20-E35)
No Change E23 Hypofunction and other disorders of the pituitary gland
No Change E23.3 Hypothalamic dysfunction, not elsewhere classified
No Change Excludes1: Revise from Prader-Willi syndrome (Q87.1) Revise to Prader-Willi syndrome (Q87.11) Revise from Russell-Silver syndrome (Q87.1) Revise to Russell-Silver syndrome (Q87.19)
No Change E34 Other endocrine disorders
No Change E34.3 Short stature due to endocrine disorder
No Change Excludes1: Revise from Russell-Silver syndrome (Q87.1) Revise to Russell-Silver syndrome (Q87.19)
No Change Overweight, obesity and other hyperalimentation (E65-E68)
No Change E66 Overweight and obesity
No Change Excludes1: Revise from Prader-Willi syndrome (Q87.1) Revise to Prader-Willi syndrome (Q87.11)
No Change Metabolic disorders (E70-E88)
No Change Excludes1: Revise from Ehlers-Danlos syndrome (Q79.6) Revise to Ehlers-Danlos syndrome (Q79.6-)
No Change E79 Disorders of purine and pyrimidine metabolism
No Change Excludes1: Revise from Ataxia-telangiectasia (Q87.1) Revise to Ataxia-telangiectasia (Q87.19) Revise from Cockayne's syndrome (Q87.1) Revise to Cockayne's syndrome (Q87.19)
No Change E88 Other and unspecified metabolic disorders
No Change E88.0 Disorders of plasma-protein metabolism, not elsewhere classified
No Change E88.02 Plasminogen deficiency
Delete Use Additional ligneous conjunctivitis (H10.51) No Change Chapter 6 No Change Diseases of the nervous system (G00-G99)
No Change Systemic atrophies primarily affecting the central nervous system (G10-G14)
No Change G11 Hereditary ataxia
No Change G11.3 Cerebellar ataxia with defective DNA repair
No Change Excludes2: Revise from Cockayne's syndrome (Q87.1) Revise to Cockayne's syndrome (Q87.19)
No Change Other degenerative diseases of the nervous system (G30-G32)
No Change G31 Other degenerative diseases of nervous system, not elsewhere classified
No Change Use Additional Revise from code to identify: Revise to For codes G31.0-G31.83, G31.85-G31.9, use additional code to identify:
No Change Episodic and paroxysmal disorders (G40-G47)
No Change G43 Migraine
No Change G43.A Cyclical vomiting
Add Excludes1: cyclical vomiting syndrome unrelated to migraine (R11.15)
Revise from G43.A0 Cyclical vomiting, not intractable Revise to G43.A0 Cyclical vomiting, in migraine, not intractable
Revise from G43.A1 Cyclical vomiting, intractable Revise to G43.A1 Cyclical vomiting, in migraine, intractable
No Change Polyneuropathies and other disorders of the peripheral nervous system (G60-G65)
No Change G63 Polyneuropathy in diseases classified elsewhere
No Change Excludes1: Revise from rheumatoid arthritis (M05.33) Revise to rheumatoid arthritis (M05.5-) No Change Chapter 7 No Change Diseases of the eye and adnexa (H00-H59)
No Change Disorders of optic nerve and visual pathways (H46-H47)
No Change H47 Other disorders of optic [2nd] nerve and visual pathways
No Change H47.6 Disorders of visual cortex
No Change Excludes1: Revise from injury to visual cortex S04.04 Revise to injury to visual cortex S04.04- No Change Chapter 8 No Change Diseases of the ear and mastoid process (H60-H95)
No Change Diseases of middle ear and mastoid (H65-H75)
No Change H65 Nonsuppurative otitis media
No Change Use Additional Revise from code to identify: Revise to code, if applicable, to identify: Add infectious agent (B95-B97)
No Change Diseases of inner ear (H80-H83)
No Change H81 Disorders of vestibular function
No Change H81.4 Vertigo of central origin
Delete H81.41 Vertigo of central origin, right ear
Delete H81.42 Vertigo of central origin, left ear
Delete H81.43 Vertigo of central origin, bilateral
Delete H81.49 Vertigo of central origin, unspecified ear No Change Chapter 9 No Change Diseases of the circulatory system (I00-I99)
No Change Ischemic heart diseases (I20-I25)
No Change I21 Acute myocardial infarction
No Change I21.A Other type of myocardial infarction
No Change I21.A1 Myocardial infarction type 2
Delete Code also the underlying cause, if known and applicable, such as: Delete anemia (D50.0-D64.9) Delete chronic obstructive pulmonary disease (J44.-) Delete heart failure (I50.-) Delete paroxysmal tachycardia (I47.0-I47.9) Delete renal failure (N17.0-N19) Delete shock (R57.0-R57.9)
Add Code first the underlying cause, such as: Add anemia (D50.0-D64.9) Add chronic obstructive pulmonary disease (J44.-) Add paroxysmal tachycardia (I47.0-I47.9) Add shock (R57.0-R57.9)
No Change I21.A9 Other myocardial infarction type
No Change Code also Revise from (acute) stent stenosis (T82.857-) Revise to (acute) stent stenosis (T82.855-)
No Change I25 Chronic ischemic heart disease
No Change I25.8 Other forms of chronic ischemic heart disease
No Change I25.81 Atherosclerosis of other coronary vessels without angina pectoris
Delete Excludes1: atherosclerotic heart disease of native coronary artery without angina pectoris (I25.10)
Add Excludes2: atherosclerotic heart disease of native coronary artery without angina pectoris (I25.10)
No Change Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
No Change I26 Pulmonary embolism
No Change I26.9 Pulmonary embolism without acute cor pulmonale
Add I26.93 Single subsegmental pulmonary embolism without acute cor pulmonale Add Subsegmental pulmonary embolism NOS
Add I26.94 Multiple subsegmental pulmonary emboli without acute cor pulmonale
No Change Other forms of heart disease (I30-I52)
No Change I48 Atrial fibrillation and flutter
No Change I48.1 Persistent atrial fibrillation
Add Excludes1: Permanent atrial fibrillation (I48.21)
Add I48.11 Longstanding persistent atrial fibrillation
Add I48.19 Other persistent atrial fibrillation Add Chronic persistent atrial fibrillation Add Persistent atrial fibrillation, NOS
No Change I48.2 Chronic atrial fibrillation Delete Permanent atrial fibrillation
Add I48.20 Chronic atrial fibrillation, unspecified
Add Excludes1: Chronic persistent atrial fibrillation (I48.19)
Add I48.21 Permanent atrial fibrillation
No Change I50 Heart failure
No Change I50.9 Heart failure, unspecified
No Change Excludes2: Revise from fluid overload (E87.70) Revise to fluid overload unrelated to congestive heart failure (E87.70)
No Change Diseases of arteries, arterioles and capillaries (I70-I79)
No Change I70 Atherosclerosis
No Change I70.2 Atherosclerosis of native arteries of the extremities
No Change I70.23 Atherosclerosis of native arteries of right leg with ulceration
Revise from I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower right leg Revise to I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
No Change I70.24 Atherosclerosis of native arteries of left leg with ulceration
Revise from I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower left leg Revise to I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
No Change Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
No Change I80 Phlebitis and thrombophlebitis
No Change I80.1 Phlebitis and thrombophlebitis of femoral vein Add Phlebitis and thrombophlebitis of common femoral vein Add Phlebitis and thrombophlebitis of deep femoral vein
No Change I80.2 Phlebitis and thrombophlebitis of other and unspecified deep vessels of lower extremities
No Change I80.21 Phlebitis and thrombophlebitis of iliac vein Add Phlebitis and thrombophlebitis of common iliac vein Add Phlebitis and thrombophlebitis of external iliac vein Add Phlebitis and thrombophlebitis of internal iliac vein
No Change I80.23 Phlebitis and thrombophlebitis of tibial vein Add Phlebitis and thrombophlebitis of anterior tibial vein Add Phlebitis and thrombophlebitis of posterior tibial vein
Add I80.24 Phlebitis and thrombophlebitis of peroneal vein Add I80.241 Phlebitis and thrombophlebitis of right peroneal vein
Add I80.242 Phlebitis and thrombophlebitis of left peroneal vein
Add I80.243 Phlebitis and thrombophlebitis of peroneal vein, bilateral
Add I80.249 Phlebitis and thrombophlebitis of unspecified peroneal vein
Add I80.25 Phlebitis and thrombophlebitis of calf muscular vein Add Phlebitis and thrombophlebitis of calf muscular vein, NOS Add Phlebitis and thrombophlebitis of gastrocnemial vein Add Phlebitis and thrombophlebitis of soleal vein
Add I80.251 Phlebitis and thrombophlebitis of right calf muscular vein
Add I80.252 Phlebitis and thrombophlebitis of left calf muscular vein
Add I80.253 Phlebitis and thrombophlebitis of calf muscular vein, bilateral
Add I80.259 Phlebitis and thrombophlebitis of unspecified calf muscular vein
No Change I82 Other venous embolism and thrombosis
No Change I82.4 Acute embolism and thrombosis of deep veins of lower extremity
No Change I82.41 Acute embolism and thrombosis of femoral vein Add Acute embolism and thrombosis of common femoral vein Add Acute embolism and thrombosis of deep femoral vein
No Change I82.42 Acute embolism and thrombosis of iliac vein Add Acute embolism and thrombosis of common iliac vein Add Acute embolism and thrombosis of external iliac vein Add Acute embolism and thrombosis of internal iliac vein
No Change I82.44 Acute embolism and thrombosis of tibial vein Add Acute embolism and thrombosis of anterior tibial vein Add Acute embolism and thrombosis of posterior tibial vein
Add I82.45 Acute embolism and thrombosis of peroneal vein
Add I82.451 Acute embolism and thrombosis of right peroneal vein
Add I82.452 Acute embolism and thrombosis of left peroneal vein
Add I82.453 Acute embolism and thrombosis of peroneal vein, bilateral
Add I82.459 Acute embolism and thrombosis of unspecified peroneal vein
Add I82.46 Acute embolism and thrombosis of calf muscular vein Add Acute embolism and thrombosis of calf muscular vein, NOS Add Acute embolism and thrombosis of gastrocnemial vein Add Acute embolism and thrombosis of soleal vein
Add I82.461 Acute embolism and thrombosis of right calf muscular vein
Add I82.462 Acute embolism and thrombosis of left calf muscular vein
Add I82.463 Acute embolism and thrombosis of calf muscular vein, bilateral
Add I82.469 Acute embolism and thrombosis of unspecified calf muscular vein
No Change I82.5 Chronic embolism and thrombosis of deep veins of lower extremity
No Change I82.51 Chronic embolism and thrombosis of femoral vein Add Chronic embolism and thrombosis of common femoral vein Add Chronic embolism and thrombosis of deep femoral vein
No Change I82.52 Chronic embolism and thrombosis of iliac vein Add Chronic embolism and thrombosis of common iliac vein Add Chronic embolism and thrombosis of external iliac vein Add Chronic embolism and thrombosis of internal iliac vein
No Change I82.54 Chronic embolism and thrombosis of tibial vein Add Chronic embolism and thrombosis of anterior tibial vein Add Chronic embolism and thrombosis of posterior tibial vein
Add I82.55 Chronic embolism and thrombosis of peroneal vein
Add I82.551 Chronic embolism and thrombosis of right peroneal vein
Add I82.552 Chronic embolism and thrombosis of left peroneal vein
Add I82.553 Chronic embolism and thrombosis of peroneal vein, bilateral
Add I82.559 Chronic embolism and thrombosis of unspecified peroneal vein
Add I82.56 Chronic embolism and thrombosis of calf muscular vein Add Chronic embolism and thrombosis of calf muscular vein NOS Add Chronic embolism and thrombosis of gastrocnemial vein Add Chronic embolism and thrombosis of soleal vein
Add I82.561 Chronic embolism and thrombosis of right calf muscular vein
Add I82.562 Chronic embolism and thrombosis of left calf muscular vein
Add I82.563 Chronic embolism and thrombosis of calf muscular vein, bilateral
Add I82.569 Chronic embolism and thrombosis of unspecified calf muscular vein No Change Chapter 10 No Change Diseases of the respiratory system (J00-J99)
No Change Acute upper respiratory infections (J00-J06)
No Change J06 Acute upper respiratory infections of multiple and unspecified sites
No Change J06.9 Acute upper respiratory infection, unspecified
Add Use Additional code (B95-B97) to identify infectious agent, if known, such as: Add respiratory syncytial virus (RSV) (B97.4)
No Change Influenza and pneumonia (J09-J18)
No Change J12 Viral pneumonia, not elsewhere classified
No Change J12.1 Respiratory syncytial virus pneumonia Add RSV pneumonia
No Change Other acute lower respiratory infections (J20-J22)
No Change J20 Acute bronchitis
No Change J20.5 Acute bronchitis due to respiratory syncytial virus Add Acute bronchitis due to RSV
No Change J21 Acute bronchiolitis
No Change J21.0 Acute bronchiolitis due to respiratory syncytial virus Add Acute bronchiolitis due to RSV
No Change Chronic lower respiratory diseases (J40-J47)
No Change J44 Other chronic obstructive pulmonary disease
Revise from J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection Revise to J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection No Change Chapter 11 No Change Diseases of the digestive system (K00-K95)
No Change Other diseases of intestines (K55-K64)
No Change K59 Other functional intestinal disorders
No Change K59.0 Constipation
Delete Use Additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
No Change K63 Other diseases of intestine
No Change K63.5 Polyp of colon
No Change Excludes1: Revise from adenomatous polyp of colon (D12.6) Revise to adenomatous polyp of colon (D12.-)
No Change Diseases of liver (K70-K77)
No Change K74 Fibrosis and cirrhosis of liver
No Change K74.3 Primary biliary cirrhosis
No Change Excludes2: Revise from primary schlerosing cholangitis (K83.01) Revise to primary sclerosing cholangitis (K83.01) No Change Chapter 12 No Change Diseases of the skin and subcutaneous tissue (L00-L99)
No Change Urticaria and erythema (L49-L54)
No Change L49 Exfoliation due to erythematous conditions according to extent of body surface involved
No Change Code first Revise from (Staphylococcal) scalded skin syndrom (L00) Revise to (Staphylococcal) scalded skin syndrome (L00)
No Change L50 Urticaria
No Change Excludes1: Revise from urticaria pigmentosa (Q82.2) Revise to urticaria pigmentosa (D47.01)
No Change Other disorders of the skin and subcutaneous tissue (L80-L99)
No Change L89 Pressure ulcer
No Change L89.0 Pressure ulcer of elbow
No Change L89.00 Pressure ulcer of unspecified elbow
Add L89.006 Pressure-induced deep tissue damage of unspecified elbow
No Change L89.01 Pressure ulcer of right elbow
Add L89.016 Pressure-induced deep tissue damage of right elbow
No Change L89.02 Pressure ulcer of left elbow
Add L89.026 Pressure-induced deep tissue damage of left elbow
No Change L89.1 Pressure ulcer of back
No Change L89.10 Pressure ulcer of unspecified part of back
Add L89.106 Pressure-induced deep tissue damage of unspecified part of back
No Change L89.11 Pressure ulcer of right upper back
Add L89.116 Pressure-induced deep tissue damage of right upper back
No Change L89.12 Pressure ulcer of left upper back
Add L89.126 Pressure-induced deep tissue damage of left upper back
No Change L89.13 Pressure ulcer of right lower back
Add L89.136 Pressure-induced deep tissue damage of right lower back
No Change L89.14 Pressure ulcer of left lower back
Add L89.146 Pressure-induced deep tissue damage of left lower back
No Change L89.15 Pressure ulcer of sacral region
Add L89.156 Pressure-induced deep tissue damage of sacral region
No Change L89.2 Pressure ulcer of hip
No Change L89.20 Pressure ulcer of unspecified hip
Add L89.206 Pressure-induced deep tissue damage of unspecified hip
No Change L89.21 Pressure ulcer of right hip
Add L89.216 Pressure-induced deep tissue damage of right hip
No Change L89.22 Pressure ulcer of left hip
Add L89.226 Pressure-induced deep tissue damage of left hip
No Change L89.3 Pressure ulcer of buttock
No Change L89.30 Pressure ulcer of unspecified buttock
Add L89.306 Pressure-induced deep tissue damage of unspecified buttock
No Change L89.31 Pressure ulcer of right buttock
Add L89.316 Pressure-induced deep tissue damage of right buttock
No Change L89.32 Pressure ulcer of left buttock
Add L89.326 Pressure-induced deep tissue damage of left buttock
No Change L89.4 Pressure ulcer of contiguous site of back, buttock and hip
Add L89.46 Pressure-induced deep tissue damage of contiguous site of back, buttock and hip
No Change L89.5 Pressure ulcer of ankle
No Change L89.50 Pressure ulcer of unspecified ankle
Add L89.506 Pressure-induced deep tissue damage of unspecified ankle
No Change L89.51 Pressure ulcer of right ankle
Add L89.516 Pressure-induced deep tissue damage of right ankle
No Change L89.52 Pressure ulcer of left ankle
Add L89.526 Pressure-induced deep tissue damage of left ankle
No Change L89.6 Pressure ulcer of heel
No Change L89.60 Pressure ulcer of unspecified heel
Add L89.606 Pressure-induced deep tissue damage of unspecified heel
No Change L89.61 Pressure ulcer of right heel
Add L89.616 Pressure-induced deep tissue damage of right heel
No Change L89.62 Pressure ulcer of left heel
Add L89.626 Pressure-induced deep tissue damage of left heel
No Change L89.8 Pressure ulcer of other site
No Change L89.81 Pressure ulcer of head
Add L89.816 Pressure-induced deep tissue damage of head
No Change L89.89 Pressure ulcer of other site Add L89.896 Pressure-induced deep tissue damage of other site
No Change L89.9 Pressure ulcer of unspecified site
Add L89.96 Pressure-induced deep tissue damage of unspecified site No Change Chapter 13 No Change Diseases of the musculoskeletal system and connective tissue (M00-M99)
No Change Other joint disorders (M20-M25)
No Change M21 Other acquired deformities of limbs
No Change M21.0 Valgus deformity, not elsewhere classified
No Change Excludes1: Revise from talipes calcaneovalgus (Q66.4) Revise to talipes calcaneovalgus (Q66.4-)
No Change M21.1 Varus deformity, not elsewhere classified
No Change Excludes1: Revise from metatarsus varus (Q66.22) Revise to metatarsus varus (Q66.22-)
No Change M24 Other specific joint derangements
No Change M24.2 Disorder of ligament
No Change Excludes2: Revise from internal derangement of knee (M23.5-M23.89) Revise to internal derangement of knee (M23.5-M23.8X9)
No Change Systemic connective tissue disorders (M30-M36)
No Change M34 Systemic sclerosis [scleroderma]
No Change Excludes1: Revise from neonatal scleroderma (P83.8) Revise to neonatal scleroderma (P83.88)
No Change M35 Other systemic involvement of connective tissue
No Change M35.7 Hypermobility syndrome
No Change Excludes1: Revise from Ehlers-Danlos syndrome (Q79.6) Revise to Ehlers-Danlos syndrome (Q79.6-)
No Change Spondylopathies (M45-M49)
No Change M47 Spondylosis
No Change M47.1 Other spondylosis with myelopathy
No Change Excludes1: Revise from vertebral subluxation (M43.3-M43.59) Revise to vertebral subluxation (M43.3-M43.5X9)
No Change Other dorsopathies (M50-M54)
No Change M50 Cervical disc disorders
No Change M50.1 Cervical disc disorder with radiculopathy
No Change M50.12 Cervical disc disorder with radiculopathy, mid-cervical region
Revise from M50.120 Mid-cervical disc disorder, unspecified Revise to M50.120 Mid-cervical disc disorder, unspecified level
No Change Disorders of synovium and tendon (M65-M67)
No Change M66 Spontaneous rupture of synovium and tendon
No Change M66.8 Spontaneous rupture of other tendons
Revise from M66.88 Spontaneous rupture of other tendons, other Revise to M66.88 Spontaneous rupture of other tendons, other sites
No Change M67 Other disorders of synovium and tendon
No Change M67.8 Other specified disorders of synovium and tendon
No Change M67.83 Other specified disorders of synovium and tendon, wrist
Revise from M67.839 Other specified disorders of synovium and tendon, unspecified forearm Revise to M67.839 Other specified disorders of synovium and tendon, unspecified wrist
No Change Other soft tissue disorders (M70-M79)
No Change M77 Other enthesopathies
Revise from M77.5 Other enthesopathy of foot Revise to M77.5 Other enthesopathy of foot and ankle
Revise from M77.50 Other enthesopathy of unspecified foot Revise to M77.50 Other enthesopathy of unspecified foot and ankle
Revise from M77.51 Other enthesopathy of right foot Revise to M77.51 Other enthesopathy of right foot and ankle
Revise from M77.52 Other enthesopathy of left foot Revise to M77.52 Other enthesopathy of left foot and ankle No Change Chapter 14 No Change Diseases of the genitourinary system (N00-N99)
No Change Other diseases of the urinary system (N30-N39)
No Change N35 Urethral stricture
No Change N35.8 Other urethral stricture
No Change N35.81 Other urethral stricture, male
Revise from N35.814 Other anterior urethral stricture, male, anterior Revise to N35.814 Other anterior urethral stricture, male
No Change N39 Other disorders of urinary system
No Change N39.0 Urinary tract infection, site not specified
Add Excludes1: pyuria (R82.81)
No Change Disorders of breast (N60-N65)
No Change N63 Unspecified lump in breast
No Change N63.1 Unspecified lump in the right breast
Add N63.15 Unspecified lump in the right breast, overlapping quadrants
No Change N63.2 Unspecified lump in the left breast
Add N63.25 Unspecified lump in the left breast, overlapping quadrants
No Change Noninflammatory disorders of female genital tract (N80-N98)
No Change N92 Excessive, frequent and irregular menstruation
No Change N92.4 Excessive bleeding in the premenopausal period Add Perimenopausal bleeding Add Perimenopausal menorrhagia or metrorrhagia
No Change Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified (N99)
No Change N99 Intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified
No Change N99.8 Other intraoperative and postprocedural complications and disorders of genitourinary system
Add N99.85 Post endometrial ablation syndrome No Change Chapter 15 No Change Pregnancy, childbirth and the puerperium (O00-O9A)
No Change Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-O48)
No Change O36 Maternal care for other fetal problems
No Change O36.8 Maternal care for other specified fetal problems
No Change O36.83 Maternal care for abnormalities of the fetal heart rate or rhythm Add Maternal care for depressed fetal heart rate tones Add Maternal care for fetal bradycardia Add Maternal care for fetal heart rate abnormal variability Add Maternal care for fetal heart rate decelerations Add Maternal care for fetal heart rate irregularity Add Maternal care for fetal tachycardia Add Maternal care for non-reassuring fetal heart rate or rhythm
No Change Complications predominantly related to the puerperium (O85-O92)
No Change O86 Other puerperal infections
No Change O86.0 Infection of obstetric surgical wound
No Change O86.02 Infection of obstetric surgical wound, deep incisional site Revise from Sub-fascial abscess following a procedure Revise to Sub-fascial abscess following an obstetrical procedure
No Change Other obstetric conditions, not elsewhere classified (O94-O9A)
No Change O99 Other maternal diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium
No Change O99.3 Mental disorders and diseases of the nervous system complicating pregnancy, childbirth and the puerperium
No Change O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium Revise from Conditions in F01-F09 and F20-F99 Revise to Conditions in F01-F09, F20-F99 and F54-F99
No Change O99.8 Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
No Change Excludes2: Revise from infection of genitourinary tract following delivery (O86.1-O86.3) Revise to infection of genitourinary tract following delivery (O86.1-O86.4) No Change Chapter 16 No Change Certain conditions originating in the perinatal period (P00-P96)
No Change Newborn affected by maternal factors and by complications of pregnancy, labor, and delivery (P00- P04)
No Change P04 Newborn affected by noxious substances transmitted via placenta or breast milk
No Change P04.4 Newborn affected by maternal use of drugs of addiction
No Change P04.41 Newborn affected by maternal use of cocaine Delete 'Crack baby'
No Change Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)
No Change P22 Respiratory distress of newborn
Delete Excludes1: respiratory arrest of newborn (P28.81) Delete respiratory failure of newborn NOS (P28.5)
No Change P22.0 Respiratory distress syndrome of newborn
Add Excludes2: respiratory arrest of newborn (P28.81) Add respiratory failure of newborn NOS (P28.5)
No Change P22.8 Other respiratory distress of newborn
Add Excludes1: respiratory arrest of newborn (P28.81) Add respiratory failure of newborn NOS (P28.5)
No Change P22.9 Respiratory distress of newborn, unspecified
Add Excludes1: respiratory arrest of newborn (P28.81) Add respiratory failure of newborn NOS (P28.5)
No Change Transitory endocrine and metabolic disorders specific to newborn (P70-P74)
No Change P74 Other transitory neonatal electrolyte and metabolic disturbances
No Change P74.4 Other transitory electrolyte disturbances of newborn
No Change P74.42 Disturbances of chlorine balance of newborn
No Change P74.421 Hyperchloremia of newborn
No Change Excludes2: Revise from late metabolic acidosis of the newborn (P77.0) Revise to late metabolic acidosis of the newborn (P74.0) No Change Chapter 17 No Change Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
No Change Congenital malformations of the nervous system (Q00-Q07)
No Change Q02 Microcephaly
Delete Use Additional code, if applicable, to identify congenital Zika virus disease
Add Code first, if applicable, congenital Zika virus disease
No Change Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
No Change Q66 Congenital deformities of feet
No Change Q66.0 Congenital talipes equinovarus
Add Q66.00 Congenital talipes equinovarus, unspecified foot
Add Q66.01 Congenital talipes equinovarus, right foot
Add Q66.02 Congenital talipes equinovarus, left foot
No Change Q66.1 Congenital talipes calcaneovarus
Add Q66.10 Congenital talipes calcaneovarus, unspecified foot
Add Q66.11 Congenital talipes calcaneovarus, right foot
Add Q66.12 Congenital talipes calcaneovarus, left foot
No Change Q66.2 Congenital metatarsus (primus) varus
No Change Q66.21 Congenital metatarsus primus varus
Add Q66.211 Congenital metatarsus primus varus, right foot
Add Q66.212 Congenital metatarsus primus varus, left foot
Add Q66.219 Congenital metatarsus primus varus, unspecified foot
No Change Q66.22 Congenital metatarsus adductus
Add Q66.221 Congenital metatarsus adductus, right foot
Add Q66.222 Congenital metatarsus adductus, left foot
Add Q66.229 Congenital metatarsus adductus, unspecified foot
No Change Q66.3 Other congenital varus deformities of feet
Add Q66.30 Other congenital varus deformities of feet, unspecified foot
Add Q66.31 Other congenital varus deformities of feet, right foot
Add Q66.32 Other congenital varus deformities of feet, left foot
No Change Q66.4 Congenital talipes calcaneovalgus
Add Q66.40 Congenital talipes calcaneovalgus, unspecified foot
Add Q66.41 Congenital talipes calcaneovalgus, right foot
Add Q66.42 Congenital talipes calcaneovalgus, left foot
No Change Q66.7 Congenital pes cavus
Add Q66.70 Congenital pes cavus, unspecified foot
Add Q66.71 Congenital pes cavus, right foot
Add Q66.72 Congenital pes cavus, left foot
No Change Q66.9 Congenital deformity of feet, unspecified
Add Q66.90 Congenital deformity of feet, unspecified, unspecified foot
Add Q66.91 Congenital deformity of feet, unspecified, right foot
Add Q66.92 Congenital deformity of feet, unspecified, left foot
No Change Q79 Congenital malformations of musculoskeletal system, not elsewhere classified
Revise from Q79.6 Ehlers-Danlos syndrome Revise to Q79.6 Ehlers-Danlos syndromes
Add Q79.60 Ehlers-Danlos syndrome, unspecified
Add Q79.61 Classical Ehlers-Danlos syndrome Add Classical EDS (cEDS)
Add Q79.62 Hypermobile Ehlers-Danlos syndrome Add Hypermobile EDS (hEDS)
Add Q79.63 Vascular Ehlers-Danlos syndrome Add Vascular EDS (vEDS)
Add Q79.69 Other Ehlers-Danlos syndromes
No Change Other congenital malformations (Q80-Q89)
No Change Q81 Epidermolysis bullosa
No Change Q81.0 Epidermolysis bullosa simplex
No Change Excludes1: Revise from Cockayne's syndrome (Q87.1) Revise to Cockayne's syndrome (Q87.19)
No Change Q82 Other congenital malformations of skin
No Change Q82.8 Other specified congenital malformations of skin
No Change Excludes1: Revise from Ehlers-Danlos syndrome (Q79.6) Revise to Ehlers-Danlos syndrome (Q79.6-)
No Change Q87 Other specified congenital malformation syndromes affecting multiple systems
No Change Q87.1 Congenital malformation syndromes predominantly associated with short stature Delete Aarskog syndrome Delete Cockayne syndrome Delete De Lange syndrome Delete Dubowitz syndrome Delete Noonan syndrome Delete Prader-Willi syndrome Delete Robinow-Silverman-Smith syndrome Delete Russell-Silver syndrome Delete Seckel syndrome
Add Q87.11 Prader-Willi syndrome
Add Q87.19 Other congenital malformation syndromes predominantly associated with short stature Add Aarskog syndrome Add Cockayne syndrome Add De Lange syndrome Add Dubowitz syndrome Add Noonan syndrome Add Robinow-Silverman-Smith syndrome Add Russell-Silver syndrome Add Seckel syndrome
No Change Chromosomal abnormalities, not elsewhere classified (Q90-Q99)
No Change Q96 Turner's syndrome
No Change Excludes1: Revise from Noonan syndrome (Q87.1) Revise to Noonan syndrome (Q87.19) No Change Chapter 18 No Change Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
No Change Symptoms and signs involving the digestive system and abdomen (R10-R19)
No Change R11 Nausea and vomiting
No Change R11.1 Vomiting
Add R11.15 Cyclical vomiting syndrome unrelated to migraine Add Cyclic vomiting syndrome NOS Add Persistent vomiting
Add Excludes1: cyclical vomiting in migraine (G43.A-)
Add Excludes2: bulimia nervosa (F50.2) Add diabetes mellitus due to underlying condition (E08.-)
No Change General symptoms and signs (R50-R69)
No Change R63 Symptoms and signs concerning food and fluid intake
Delete Excludes1: eating disorders of nonorganic origin (F50.-) Delete malnutrition (E40-E46)
No Change R65 Symptoms and signs specifically associated with systemic inflammation and infection
No Change R65.1 Systemic inflammatory response syndrome (SIRS) of non-infectious origin
No Change Code first Revise from heatstroke (T67.0) Revise to heatstroke (T67.0-)
No Change Abnormal findings on examination of urine, without diagnosis (R80-R82)
No Change R82 Other and unspecified abnormal findings in urine
No Change R82.8 Abnormal findings on cytological and histological examination of urine
Add R82.81 Pyuria Add Sterile pyuria
Add R82.89 Other abnormal findings on cytological and histological examination of urine
No Change R82.9 Other and unspecified abnormal findings in urine
No Change R82.99 Other abnormal findings in urine
Revise from R82.993 Hyperuricoscuria Revise to R82.993 Hyperuricosuria No Change Chapter 19 No Change Injury, poisoning and certain other consequences of external causes (S00-T88)
No Change Injuries to the head (S00-S09)
No Change S02 Fracture of skull and facial bones
No Change S02.1 Fracture of base of skull
Delete Excludes1: orbit NOS (S02.8)
Add Excludes2: lateral orbital wall (S02.84-) Add medial orbital wall (S02.83-)
Add S02.12 Fracture of orbital roof
Add S02.121 Fracture of orbital roof, right side
Add S02.122 Fracture of orbital roof, left side
Add S02.129 Fracture of orbital roof, unspecified side
No Change S02.19 Other fracture of base of skull Delete Fracture of orbital roof
No Change S02.3 Fracture of orbital floor Add Fracture of inferior orbital wall
No Change Excludes1: Revise from orbit NOS (S02.8) Revise to orbit NOS (S02.85)
Add Excludes2: lateral orbital wall (S02.84-) Add medial orbital wall (S02.83-)
No Change S02.8 Fractures of other specified skull and facial bones Delete Fracture of orbit NOS
Delete Excludes1: fracture of orbital floor (S02.3-) Delete fracture of orbital roof (S02.1-)
Add Excludes2: fracture of orbital floor (S02.3-) Add fracture of orbital roof (S02.12-)
Add S02.83 Fracture of medial orbital wall
Add Excludes2: orbital floor (S02.3-) Add orbital roof (S02.12-)
Add S02.831 Fracture of medial orbital wall, right side
Add S02.832 Fracture of medial orbital wall, left side
Add S02.839 Fracture of medial orbital wall, unspecified side
Add S02.84 Fracture of lateral orbital wall
Add Excludes2: orbital floor (S02.3-) Add orbital roof (S02.12-)
Add S02.841 Fracture of lateral orbital wall, right side
Add S02.842 Fracture of lateral orbital wall, left side Add S02.849 Fracture of lateral orbital wall, unspecified side
Add S02.85 Fracture of orbit, unspecified Add Fracture of orbit NOS Add Fracture of orbit wall NOS
Add Excludes1: lateral orbital wall (S02.84-) Add medial orbital wall (S02.83-) Add orbital floor (S02.3-) Add orbital roof (S02.12-)
No Change Burns and corrosions confined to eye and internal organs (T26-T28)
No Change T27 Burn and corrosion of respiratory tract
No Change T27.5 Corrosion involving larynx and trachea with lung
Add Code first (T51-T65) to identify chemical and intent
No Change T28 Burn and corrosion of other internal organs
No Change T28.4 Burns of other and unspecified internal organs
Delete Code first (T51-T65) to identify chemical and intent
No Change Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50)
No Change T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
No Change T40.9 Poisoning by, adverse effect of and underdosing of other and unspecified psychodysleptics [hallucinogens]
No Change T40.90 Poisoning by, adverse effect of and underdosing of unspecified psychodysleptics [hallucinogens]
Revise from T40.906 Underdosing of unspecified psychodysleptics Revise to T40.906 Underdosing of unspecified psychodysleptics [hallucinogens]
No Change T40.99 Poisoning by, adverse effect of and underdosing of other psychodysleptics [hallucinogens]
Revise from T40.996 Underdosing of other psychodysleptics Revise to T40.996 Underdosing of other psychodysleptics [hallucinogens]
No Change T44 Poisoning by, adverse effect of and underdosing of drugs primarily affecting the autonomic nervous system
No Change T44.1 Poisoning by, adverse effect of and underdosing of other parasympathomimetics [cholinergics]
No Change T44.1X Poisoning by, adverse effect of and underdosing of other parasympathomimetics [cholinergics]
Revise from T44.1X6 Underdosing of other parasympathomimetics Revise to T44.1X6 Underdosing of other parasympathomimetics [cholinergics]
No Change T50 Poisoning by, adverse effect of and underdosing of diuretics and other and unspecified drugs, medicaments and biological substances
No Change T50.9 Poisoning by, adverse effect of and underdosing of other and unspecified drugs, medicaments and biological substances
Add T50.91 Poisoning by, adverse effect of and underdosing of multiple unspecified drugs, medicaments and biological substances Add Multiple drug ingestion NOS
Add Code also any specific drugs, medicaments and biological substances
Add T50.911 Poisoning by multiple unspecified drugs, medicaments and biological substances, accidental (unintentional)
Add T50.912 Poisoning by multiple unspecified drugs, medicaments and biological substances, intentional self-harm
Add T50.913 Poisoning by multiple unspecified drugs, medicaments and biological substances, assault
Add T50.914 Poisoning by multiple unspecified drugs, medicaments and biological substances, undetermined
Add T50.915 Adverse effect of multiple unspecified drugs, medicaments and biological substances
Add T50.916 Underdosing of multiple unspecified drugs, medicaments and biological substances
No Change Other and unspecified effects of external causes (T66-T78)
No Change T67 Effects of heat and light
No Change T67.0 Heatstroke and sunstroke Delete Heat apoplexy Delete Heat pyrexia Delete Siriasis Delete Thermoplegia
Add Use Additional rhabdomyolysis (M62.82)
Add T67.01 Heatstroke and sunstroke Add Heat apoplexy Add Heat pyrexia Add Siriasis Add Thermoplegia
Add T67.02 Exertional heatstroke
Add T67.09 Other heatstroke and sunstroke
No Change Certain early complications of trauma (T79)
No Change T79 Certain early complications of trauma, not elsewhere classified
No Change T79.A Traumatic compartment syndrome
Delete Excludes1: traumatic ischemic infarction of muscle (T79.6)
Add Excludes2: traumatic ischemic infarction of muscle (T79.6) No Change Chapter 20 No Change External causes of morbidity (V00-Y99)
No Change Car occupant injured in transport accident (V40-V49)
No Change V43 Car occupant injured in collision with car, pick-up truck or van
No Change V43.1 Car passenger injured in collision with car, pick-up truck or van in nontraffic accident
Revise from V43.13 Car passenger injured in collision with pick-up in nontraffic accident Revise to V43.13 Car passenger injured in collision with pick-up truck in nontraffic accident
No Change Other land transport accidents (V80-V89)
No Change V86 Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
No Change V86.0 Driver of special all-terrain or other off-road motor vehicle injured in traffic accident
No Change V86.09 Driver of other special all-terrain or other off-road motor vehicle injured in traffic accident Delete Driver of dirt bike injured in traffic accident
No Change V86.1 Passenger of special all-terrain or other off-road motor vehicle injured in traffic accident
No Change V86.19 Passenger of other special all-terrain or other off-road motor vehicle injured in traffic accident Delete Passenger of dirt bike injured in traffic accident
No Change V86.2 Person on outside of special all-terrain or other off-road motor vehicle injured in traffic accident
No Change V86.29 Person on outside of other special all-terrain or other off-road motor vehicle injured in traffic accident Delete Person on outside of dirt bike injured in traffic accident
No Change V86.3 Unspecified occupant of special all-terrain or other off-road motor vehicle injured in traffic accident
No Change V86.39 Unspecified occupant of other special all-terrain or other off-road motor vehicle injured in traffic accident Delete Unspecified occupant of dirt bike injured in traffic accident
No Change V86.4 Person injured while boarding or alighting from special all-terrain or other off-road motor vehicle
No Change V86.49 Person injured while boarding or alighting from other special all-terrain or other off- road motor vehicle Delete Person injured while boarding or alighting from dirt bike
No Change V86.5 Driver of special all-terrain or other off-road motor vehicle injured in nontraffic accident
No Change V86.59 Driver of other special all-terrain or other off-road motor vehicle injured in nontraffic accident Delete Driver of dirt bike injured in nontraffic accident
No Change V86.6 Passenger of special all-terrain or other off-road motor vehicle injured in nontraffic accident
No Change V86.69 Passenger of other special all-terrain or other off-road motor vehicle injured in nontraffic accident Delete Passenger of dirt bike injured in nontraffic accident
No Change V86.7 Person on outside of special all-terrain or other off-road motor vehicle injured in nontraffic accident
No Change V86.79 Person on outside of other special all-terrain or other off-road motor vehicles injured in nontraffic accident Delete Person on outside of dirt bike injured in nontraffic accident
No Change Exposure to inanimate mechanical forces (W20-W49)
No Change W25 Contact with sharp glass
No Change Excludes1: Revise from fall on same level due to slipping, tripping and stumbling with subsequent striking against sharp glass (W01.10) Revise to fall on same level due to slipping, tripping and stumbling with subsequent striking against sharp glass (W01.110)
No Change Legal intervention, operations of war, military operations, and terrorism (Y35-Y38)
No Change Y35 Legal intervention
No Change Y35.0 Legal intervention involving firearm discharge
No Change Y35.00 Legal intervention involving unspecified firearm discharge
Add Y35.009 Legal intervention involving unspecified firearm discharge, unspecified person injured
No Change Y35.01 Legal intervention involving injury by machine gun
Add Y35.019 Legal intervention involving injury by machine gun, unspecified person injured
No Change Y35.02 Legal intervention involving injury by handgun
Add Y35.029 Legal intervention involving injury by handgun, unspecified person injured
No Change Y35.03 Legal intervention involving injury by rifle pellet
Add Y35.039 Legal intervention involving injury by rifle pellet, unspecified person injured
No Change Y35.04 Legal intervention involving injury by rubber bullet
Add Y35.049 Legal intervention involving injury by rubber bullet, unspecified person injured
No Change Y35.09 Legal intervention involving other firearm discharge
Add Y35.099 Legal intervention involving other firearm discharge, unspecified person injured
No Change Y35.1 Legal intervention involving explosives
No Change Y35.10 Legal intervention involving unspecified explosives
Add Y35.109 Legal intervention involving unspecified explosives, unspecified person injured
No Change Y35.11 Legal intervention involving injury by dynamite
Add Y35.119 Legal intervention involving injury by dynamite, unspecified person injured
No Change Y35.12 Legal intervention involving injury by explosive shell
Add Y35.129 Legal intervention involving injury by explosive shell, unspecified person injured
No Change Y35.19 Legal intervention involving other explosives
Add Y35.199 Legal intervention involving other explosives, unspecified person injured
No Change Y35.2 Legal intervention involving gas
No Change Y35.20 Legal intervention involving unspecified gas
Add Y35.209 Legal intervention involving unspecified gas, unspecified person injured
No Change Y35.21 Legal intervention involving injury by tear gas
Add Y35.219 Legal intervention involving injury by tear gas, unspecified person injured
No Change Y35.29 Legal intervention involving other gas
Add Y35.299 Legal intervention involving other gas, unspecified person injured
No Change Y35.3 Legal intervention involving blunt objects
No Change Y35.30 Legal intervention involving unspecified blunt objects
Add Y35.309 Legal intervention involving unspecified blunt objects, unspecified person injured
No Change Y35.31 Legal intervention involving baton
Add Y35.319 Legal intervention involving baton, unspecified person injured
No Change Y35.39 Legal intervention involving other blunt objects
Add Y35.399 Legal intervention involving other blunt objects, unspecified person injured
No Change Y35.4 Legal intervention involving sharp objects
No Change Y35.40 Legal intervention involving unspecified sharp objects
Add Y35.409 Legal intervention involving unspecified sharp objects, unspecified person injured
No Change Y35.41 Legal intervention involving bayonet
Add Y35.419 Legal intervention involving bayonet, unspecified person injured
No Change Y35.49 Legal intervention involving other sharp objects
Add Y35.499 Legal intervention involving other sharp objects, unspecified person injured
No Change Y35.8 Legal intervention involving other specified means
No Change Y35.81 Legal intervention involving manhandling
Add Y35.819 Legal intervention involving manhandling, unspecified person injured
Add Y35.83 Legal intervention involving a conducted energy device Add Electroshock device (taser) Add Stun gun
Add Y35.831 Legal intervention involving a conducted energy device, law enforcement official injured
Add Y35.832 Legal intervention involving a conducted energy device, bystander injured
Add Y35.833 Legal intervention involving a conducted energy device, suspect injured
Add Y35.839 Legal intervention involving a conducted energy device, unspecified person injured
No Change Y35.9 Legal intervention, means unspecified
Add Y35.99 Legal intervention, means unspecified, unspecified person injured No Change Chapter 21 No Change Factors influencing health status and contact with health services (Z00-Z99)
No Change Persons encountering health services for examinations (Z00-Z13)
No Change Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
No Change Z01.0 Encounter for examination of eyes and vision
Add Z01.02 Encounter for examination of eyes and vision following failed vision screening
Add Excludes1: examination for examination of eyes and vision with abnormal findings (Z01.01) Add examination for examination of eyes and vision without abnormal findings (Z01.00)
Add Z01.020 Encounter for examination of eyes and vision following failed vision screening without abnormal findings
Add Z01.021 Encounter for examination of eyes and vision following failed vision screening with abnormal findings
Add Use Additional code to identify abnormal findings
No Change Z11 Encounter for screening for infectious and parasitic diseases
No Change Z11.1 Encounter for screening for respiratory tuberculosis Add Encounter for screening for active tuberculosis disease
Add Z11.7 Encounter for testing for latent tuberculosis infection
No Change Persons with potential health hazards related to communicable diseases (Z20-Z29)
No Change Z22 Carrier of infectious disease
Add Z22.7 Latent tuberculosis Add Latent tuberculosis infection (LTBI)
Add Excludes1: nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis (R76.12) Add nonspecific reaction to tuberculin skin test without active tuberculosis (R76.11)
No Change Encounters for other specific health care (Z40-Z53)
No Change Z45 Encounter for adjustment and management of implanted device
No Change Z45.0 Encounter for adjustment and management of cardiac device
No Change Z45.01 Encounter for adjustment and management of cardiac pacemaker
No Change Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker
Add Excludes1: presence of other part of cardiac pacemaker (Z95.0)
No Change Excludes2: Revise from presence of prosthetic and other devices (Z95-Z97) Revise to presence of prosthetic and other devices (Z95.1-Z95.5, Z95.811-Z97)
No Change Z45.4 Encounter for adjustment and management of implanted nervous system device
Revise from Z45.42 Encounter for adjustment and management of neuropacemaker (brain) (peripheral nerve) (spinal cord) Revise to Z45.42 Encounter for adjustment and management of neurostimulator Add Encounter for adjustment and management of brain neurostimulator Add Encounter for adjustment and management of gastric neurostimulator Add Encounter for adjustment and management of peripheral nerve neurostimulator Add Encounter for adjustment and management of sacral nerve neurostimulator Add Encounter for adjustment and management of spinal cord neurostimulator Add Encounter for adjustment and management of vagus nerve neurostimulator
No Change Z45.8 Encounter for adjustment and management of other implanted devices
No Change Z45.81 Encounter for adjustment or removal of breast implant Revise from Encounter removal of tissue expander without synchronous insertion of permanent implant Revise to Encounter removal of tissue expander with or without synchronous insertion of permanent implant
No Change Body mass index [BMI] (Z68)
No Change Z68 Body mass index [BMI]
No Change Note: Revise from BMI adult codes are for use for persons 21 years of age or older Revise to BMI adult codes are for use for persons 20 years of age or older Revise from BMI pediatric codes are for use for persons 2-20 years of age. These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC) Revise to BMI pediatric codes are for use for persons 2-19 years of age. Add These percentiles are based on the growth charts published by the Centers for Disease Control and Prevention (CDC)
No Change Z68.4 Body mass index (BMI) 40 or greater, adult
Revise from Z68.43 Body mass index (BMI) 50-59.9, adult Revise to Z68.43 Body mass index (BMI) 50.0-59.9, adult
No Change Persons encountering health services in other circumstances (Z69-Z76)
No Change Z69 Encounter for mental health services for victim and perpetrator of abuse
No Change Z69.8 Encounter for mental health services for victim or perpetrator of other abuse
No Change Z69.81 Encounter for mental health services for victim of other abuse Delete Encounter for mental health services for perpetrator of non-spousal adult abuse
No Change Z69.82 Encounter for mental health services for perpetrator of other abuse Add Encounter for mental health services for perpetrator of non-spousal adult abuse
No Change Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
No Change Z71.8 Other specified counseling
Add Z71.84 Encounter for health counseling related to travel Add Encounter for health risk and safety counseling for (international) travel
Add Code also, if applicable, encounter for immunization (Z23)
Add Excludes2: encounter for administrative examination (Z02.-) Add encounter for other special examination without complaint, suspected or reported diagnosis (Z01.-)
No Change Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
No Change Z86 Personal history of certain other diseases
No Change Z86.0 Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior
No Change Z86.00 Personal history of in-situ neoplasm
No Change Z86.000 Personal history of in-situ neoplasm of breast Add Conditions classifiable to D05
No Change Z86.001 Personal history of in-situ neoplasm of cervix uteri Add Conditions classifiable to D06
Add Z86.002 Personal history of in-situ neoplasm of other and unspecified genital organs Add Conditions classifiable to D07 Add Personal history of high-grade prostatic intraepithelial neoplasia III [HGPIN III] Add Personal history of vaginal intraepithelial neoplasia III [VAIN III] Add Personal history of vulvar intraepithelial neoplasia III [VIN III]
Add Z86.003 Personal history of in-situ neoplasm of oral cavity, esophagus and stomach Add Conditions classifiable to D00
Add Z86.004 Personal history of in-situ neoplasm of other and unspecified digestive organs Add Conditions classifiable to D01 Add Personal history of anal intraepithelial neoplasia (AIN III)
Add Z86.005 Personal history of in-situ neoplasm of middle ear and respiratory system Add Conditions classifiable to D02
Add Z86.006 Personal history of melanoma in-situ Add Conditions classifiable to D03
Add Excludes2: sites other than skin - code to personal history of in-situ neoplasm of the site
Add Z86.007 Personal history of in-situ neoplasm of skin Add Conditions classifiable to D04 Add Personal history of carcinoma in situ of skin
No Change Z86.008 Personal history of in-situ neoplasm of other site Delete Personal history of vaginal intraepithelial neoplasia III [VAIN III] Delete Personal history of vulvar intraepithelial neoplasia III [VIN III] Add Conditions classifiable to D09
No Change Z86.1 Personal history of infectious and parasitic diseases
Add Z86.15 Personal history of latent tuberculosis infection
No Change Z90 Acquired absence of organs, not elsewhere classified
No Change Z90.4 Acquired absence of other specified parts of digestive tract
No Change Z90.41 Acquired absence of pancreas
No Change Use Additional Delete insulin use (Z79.4) Delete diabetes mellitus, postpancreatectomy (E13.-) Add diabetes mellitus, postpancreatectomy (E13.-) Add insulin use (Z79.4)
No Change Z96 Presence of other functional implants No Change Z96.8 Presence of other specified functional implants
Add Z96.82 Presence of neurostimulator Add Presence of brain neurostimulator Add Presence of gastric neurostimulator Add Presence of peripheral nerve neurostimulator Add Presence of sacral nerve neurostimulator Add Presence of spinal cord neurostimulator Add Presence of vagus nerve neurostimulator
No Change Z97 Presence of other devices
Delete Excludes1: fitting and adjustment of prosthetic and other devices (Z44-Z46)
Add Excludes2: fitting and adjustment of prosthetic and other devices (Z44-Z46)