Leukemia/Mds

Home , Adrenoleukodystrophy, Leukemoid reaction, Nezelof syndrome, Sideroblastic anemia

LEUKEMIA/MDS

Multiple Myeloma & Malignant PLASMA CELL C90. Other Leukemias of NEOPLASM SPECIFIED CELL TYPE C94. 0 - Multiple Myeloma 0 - Not having achieved remission 1 - Plasma cell leukemia 1 - In remission 0 - Acute erythroid leukemia 2 - Acute megakaryoblastic leukemia 0 - Not having 2 - Extramedullary plasmacytoma 2 – In relapse achieved remission 3 - Solitary plasmacytoma 3 - Mast cell leukemia 4 - Acute panmyelosis with myelofibrosis 1 - In remission 8 - Other specified leukemias 2 - In relapse

Leukemia, 6 - Myelodysplastic disease, not classified STOP C91. LYMPHOID 0 - Acute lymphoblastic leukemia Leukemia of 1- Chronic lymphocytic leukemia of C95. B-cell type UNSPECIFIED 3 - Prolymphocytic leukemia of B-cell type 4 - Hairy cell leukemia 0 - Not having CELL TYPE achieved remission 0 - Not having 5 - Adult T-cell lymphoma/leukemia 0 - Acute 1 - In remission achieved remission (HTLV-1-associated) 1 - Chronic 2 - In relapse 1- In remission 6 - Prolymphocytic leukemia of T-cell type 9 - Unspecified A - Mature B-cell leukemia Burkitt-type 2– In relapse Z - Other lymphoid leukemia 9 - Unspecified Unspecified Malignant Neoplasms of C96. Leukemia, LYMPHOID, HEMATO POIETIC & RELATED TISSUE MYELOID C92. 0 - Acute myeloblastic leukemia 0 - Multifocal and multisystemic (disseminated) 1 - Chronic myeloid leukemia, BCR/ABL- Langerhans-cell histiocytosis positive 2 - Malignant mast cell tumor 4 - Sarcoma of dendritic cells (accessory cells) 2 - Atypical chronic myeloid leukemia, 0 -Not having 5 - Multifocal and unisystemic Langerhans-cell BCR/ABL-negative achieved remission histiocytosis 3 - Myeloid sarcoma 1 - In remission 6 - Unifocal Langerhans-cell histiocytosis 4 - Acute promyelocytic leukemia 2 - In relapse 5 - Acute myelomonocytic leukemia A - Histiocytic sarcoma 6 -Acute myeloid leukemia with 11q23- Z - Other specified abnormality 9 - Unspecified A - Acute myeloid leukemia with multilineage dysplasia Z - Other myeloid leukemia 9 - Unspecified MYELODYSPLASTIC D46. SYNDROME (MDS) 0 - Refractory anemia without ring sideroblasts, so stated Leukemia, 1 - Refractory anemia with ring sideroblasts MONOCYTIC C93. A - Refractory cytopenia with multilineage dysplasia B - Refractory cytopenia with multilineage dysplasia and 0 - Acute monoblastic/monocytic ring sideroblasts STOP leukemia 0 - Not having achieved C - Myelodysplastic syndrome with isolated del(5q) 1 - Chronic myelomonocytic leukemia remission chromosomal abnormality 3 - Juvenile myelomonocytic leukemia 1- In remission 4 - Refractory anemia, unspecified Z - Other monocytic leukemia 2– In relapse Z - Other myelodysplastic syndromes 9 - Unspecified 9 - Unspecified 0 - Not having achieved remission 2 - Refractory anemia 1- 1 with excess of blasts 2– 2

Use T45.1X code for adverse effect, if applicable

B-CELL LYMPHOMA Lymphoma, C81. HODGKIN Lymphoma, 0 - Unspecified site 0 - Nodular lymphocyte C85. 1 - Head, neck, face OTHER predominant 2 - Intrathoracic 1 - Nodular sclerosis classical 3 - Intra-abdominal NON-HODGKIN 0 - Unspecified site 2 - Mixed cellularity classical 4 - Axilla and upper limb 1 - Unspecified -B cell lymphoma 1 - Head, neck, face 3 - Lymphocyte-depleted 5 - Inguinal region and lower limb 2 - Mediastinal (thymic) large 2 - Intrathoracic classical 6 -Intrapelvic B-cell 3 - Intra-abdominal 4 - Lymphocyte-rich classical 7 -Spleen 8 - Other specified types of 4 - Axilla and upper limb 7 - Other classical 8 - Multiple-sites non-Hodgkin’s 5 - Inguinal region and lower limb 9 - Unspecified 9 - Extranodal and solid organ site 9 - Unspecified 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site Lymphoma,

FOLLICULAR C82. 0 - Grade I 0 - Unspecified site Lymphoma, Other 1 - Grade II 1 - Head, neck, face C86. 2 - Grade III unspecified 2 - Intrathoracic SPECIFIED T/NK-CELL 3 - Grade IIIa 3 - Intra-abdominal 0 - Extranodal NK/T-cell lymphoma, nasal type 4 - Grade IIIb 4 - Axilla and upper limb 1 - Hepatosplenic T-cell lymphoma 5 - Diffuse follicle center 5 - Inguinal region and lower limb 2 - Enteropathy-type (intestinal) -T cell lymphoma lymphoma 6 -Intrapelvic 3 - Subcutaneous panniculitis-like-T-cell lymphoma 6 - Cutaneous follicle center 7 -Spleen 4 - Blastic NK-cell lymphoma lymphoma 8 - Multiple-sites 5 - Angiommunoblastic -T cell lymphoma 8 - Other types lymphoma 9 - Extranodal and solid organ site 6 - Primary cutaneous CD-30-positive -T cell proliferations 9 - Unspecified

Lymphomas, Lymphoma, C88. NON-FOLLICULAR C83. MALIGNANT 0 - Small cell B-cell Lymphoma 0 - Unspecified site IMMUNOPROLIFERATIVE 1 - Mantle cell Lymphoma 1 - Head, neck, face 3 - Diffuse Large -B cell 2 - Intrathoracic & OTHER B-CELLS lymphoma 3 - Intra-abdominal 0 - Waldenstrom macroglobulinemia 5 - Lymphoblastic (diffuse 4 - Axilla and upper limb 2 - Heavy chain disease lymphoma) 5 - Inguinal region and lower limb 3 - Immunoproliferative small intestinal disease 7 - Burkitt lymphoma 6 -Intrapelvic 4 - Extranodal marginal zone B-cell lymphoma of mucosa- 8 - Other non-follicular 7 -Spleen associated lymphoid tissue MALT[ -lymphoma] Lymphoma (includes PEL/ 8 - Multiple-sites 8 - Other malignant immunoproliferative diseases intravascular) 9 - Extranodal and solid organ site 9 - Unspecified. 9 - Unspecified

LYMPHOMA, C84. MATURE T/NK CELL

0 - Mycosis Fungoides 0 - Unspecified site 1 - Sezary Disease 1 - Head, neck, face 4 - Peripheral T-cell, not 2 - Intrathoracic classified 3 - Intra-abdominal 6 - Anaplastic Large cell 4 - Axilla and upper limb AKL-positive 5 - Inguinal region and lower limb 7 - Anaplastic Large cell 6 -Intrapelvic AKL-negative 7 -Spleen A - Cutaneous T-cell, unspecified 8 - Multiple-sites Z- Other 9 - Extranodal and solid organ site 9 - Unspecified

MYELOPROLIF/MGUS

Neoplasms of Uncertain Behavior of Other & Unspecified Diseases of LYMPHOID, HEMA- D47. BLOOD & BLOOD- D75. TOPOIETIC & RELATED TISSUE FORMING ORGANS 0 - Histiocytic and mast cell tumors of uncertain behavior (MYELOFIBROSIS) 1 - Chronic myeloproliferative disease 0 - Familial erythrocytosis 2 - Monoclonal gammopathy STOP 1 - Secondary polycythemia STOP 3 - Essential (hemorrhagic) thrombocythemia 9 - Unspecified 4 - Osteomyelofibrosis 9 - Unspecified 8 - Other 1- MYELOFIBROSIS specified (Code first underlying disorder such as Z - Other specified 1- Post-transplant lymphoproliferative diseases neoplasm. If applicable, code for associated neoplasms disorder (PTLD) of therapy-related MDS and for adverse effects 9 - Other specified neoplasms blood and to identify drug) blood- 2 - Heparin induced thrombocytopenia (HIT) For MYELOFIBROSIS, use D75.81 forming 9 - Other specified diseases of organs blood and blood-forming organs

Other Diseases W/Participation of LYMPHORETICULAR/ D76. RETICULOHISTIOCYTIC TISSUE MYELOFIBROSIS D75.81 1 - Hemophagocytic lymphohistiocytosis 2 - Hemophagocytic syndrome, infection-associated (Use additional code to identify infectious agent or disease) 3 - Other histiocytosis syndromes

Malignant Neoplasm of Malignant Neoplasm of ADRENAL GLAND C74. KIDNEY, EXCEPT C64. 0 - Cortex 0 - Unspecified RENAL PELVIS 1- Medulla 1 - Right 1 - Right kidney 9 -Unspecified 2 - Left 2 - Left kidney 9 - Unspecified

MALIGNANT NEOPLASMS OF BONE & ARTICULAR CARTILAGE

Malignant Neoplasm of Malignant Neoplasm of BONE & CARTILAGE C40. BONE & ARTICULAR C41. OF LIMBS CARTILAGE OF OTHER & 0 - Scapula & long bones of upper limb UNSPECIFIED SITES 1- Short bones of upper limb 0 - Unspecified 0 - Bones of skull and face 2 - Long bones of lower limb 1 - Right 1 - Mandible 3 - Short bones of lower limb 2 - Left 2 - Vertebral column 8 - Overlapping 3 - Ribs, sternum and clavicle 9 - Unspecified 4 - Pelvic bones, sacrum and coccyx Use additional code to identify major osseous 9 - Unspecified defect, if applicable (M89.7)

MALIGNANT NEOPLASMS OF PERIPHERAL NERVES & AUTONOMIC NERVOUS SYSTEM

Malignant Neoplasm of Malignant Neoplasm of Other PERIPHERAL NERVES C47. CONNECTIVE & C49. 0 - Head, face & neck SOFT TISSUE 3 - Thorax 0 - Head, face & neck 4 - Abdomen 3 - Thorax 5 - Pelvis STOP 4 - Abdomen 6 - Trunk, unspecified 5 - Pelvis STOP 8 - Overlapping sites 6 - Trunk, unspecified 9 - Unspecified 8 - Overlapping sites 9 - Unspecified 0 - Unspecified 1 - Upper limb, including shoulder 0 - Unspecified 2 - Lower limb, including hip 1 - Right 2 - Left 1 - Upper limb, including shoulder 1 - Right 2 - Lower limb, including hip 2 - Left

Malignant Neoplasm of RETROPERITONEUM C48. & PERITONEUM 0 - Retroperitoneum 1 - Specified parts of peritoneum 2 - Unspecified peritoneum 8 - Overlapping sites of retroperitoneum & peritoneum

FUNCTIONAL D71 DISORDERS OF POLYMORPHONUCLEAR NEUTROPHILS

SECONDARY & UNSPECIFIED SITES

Secondary Malignant Neoplasm of Malignant C79. OTHER & NEUROENDOCRINE C7A. UNSPECIFIED SITES TUMORS 0 - Kidney & Renal Pelvis 0 - Unspecified 0- Unspecified STOP 6 - Ovary 1 - Right site 7 - Adrenal gland 2 - Left 0– Duodenum 1- Bladder and other and 0 - Unspecified urinary organs 1- Small 1- Jejunum unspecified urinary organs 1 - Bladder intestine 2- Ileum 9 - Other urinary organs 0- Malignant 9– Unspecified Carcinoid 2 - Skin STOP Tumors 0- Appendix 4- Descending 9 - Unspecified 1- Cecum colon 2- Appendix, 1 –Brain large 2- Ascending 5- Sigmoid colon 3– Brain and cerebral meninges colon 6- Rectum 2– Cerebral meninges intestine, 3- Transverse 9- Large and rectum 4– Other & unspecified parts of colon intestine, 0 - Unspecified unspecified nervous system 9 - Other 0- Bronchus/Lung 4- Foregut NOS 1 - Bone 5– Bone and bone marrow 9- Other sites 1- Thymus 5- Midgut NOS 2 -Bone marrow 2- Stomach 6- Hindgut NOS 3- Kidney 8- Other sites 8– Other specified sites 1 - Breast 2 - Genital organs 1 - Malignant poorly differentiated 9 - Other neuroendocrine tumors STOP 8 - Other malignant neuroendocrine tumors

Malignant Neoplasm of OTHER & C76. ILL-DEFINED SITES 0 - Head, face & neck 1- Thorax 2 - Abdomen STOP 3 - Pelvis 8 -Other specified ill-defined sites 0 - Unspecified 4 - Upper limb 1 - Right 5- Lower limb 2 - Left

DRUG-INDUCED PHENOMENON

AGRANULOCYTOSIS D70.1 TOXIC LIVER K71. SECONDARY TO CANCER DISEASE 0 - With cholestasis CHEMOTHERAPY 2 - With acute hepatitis STOP

1 - With hepatic necrosis 0 - Without coma 1 -With coma AGRANULOCYTOSIS D70.2 This is for toxic effects due to drug; DUE TO Does Not include ETOH NON-CHEMOTHERAPY DRUG Other & Unspecified G62. POLYNEUROPATHIES ANEMIA DUE TO D64.81 0 - Drug-induced 1 - Alcoholic STOP ANTINEOPLASTIC 2 - Due to other toxic agents CHEMOTHERAPY 9 - Unspecified (as used for AIDS) 1 -Critical illness 8 - Other specified 2 - Radiation-induced OTHER SECONDARY D69.59 9 - Other THROMBOCYTOPENIA * Due to drugs, EtOH, alloimmunization; NOT ITP POLYNEUROPATHY IN G63 DISEASES CLASSIFIED DRUG (OPIATE) K59.09 ELSEWHERE INDUCED (Includes myeloma induced neuropathy) CONSTIPATION ORAL MUCOSITIS, K12.3 ULCERATIVE DRUG (OPIATE) K59.09 0 -Unspecified 1 - Due to antineoplastic therapy INDUCED 2 - Due to other drugs CONSTIPATION 3 - Due to radiation 9 - Other

DRUG-INDUCED E27.3 DRUG-INDUCED E24.2 ADRENOCORTICAL CUSHING'S INSUFFICIENCY SYNDROME

METABOLISM VIT. D DEFICIENCY E55. Disorders of E27. 0 - Rickets, active ADRENAL GLAND 9 - Unspecified 1 - Primary adrenocortical insufficiency 2 - Addisonian crisis 3 - Drug-induced adrenocortical insufficiency BONE HEALTH: M81. OSTEOPOROSIS W/O OBESITY CURRENT FRACTURE 0 - Age-Related E66.01: MORBID (SEVERE) OBESITY 8 - Other (includes drug induced/Steroids) DUE TO EXCESS CALORIES

E66.3: OVERWEIGHT HYPERLIPEDMIA E78. 0 - Pure hypercholesterolemia 1 - Pure hyperglyceridemia 2 - Mixed hyperlipidemia HURLER’S SYNDROME E76.01 5 - Unspecified

PEROXISOMAL E71.5 Disorders of E71.3 DISORDERS FATTY-ACID 0 - Unspecified METABOLISM 3 - Other group 2 peroxisomal disorders STOP 0 - Unspecified 2 - Disorders of ketone metabolism STOP 1 - Disorders of 0 - Zellweger syndrome 9 - Other Disorders peroxisome 1 - Neonatal adrenoleukodystrophy biogenesis 8 - Other 0 - Long chain/very long chain acyl CoA dehydrogenase deficiency 0 - Childhood cerebral X-linked adrenoleu- 1 - Medium chain acyl CoA dehydrogenase 2 - X-linked kodystrophy 1 - Disorders of deficiency adrenoleu- 1 - Adolescent X-linked adrenoleu- fatty-acid 2 - Short chain acyl CoA dehydrogenase kodystrophy kodystrophy oxidation deficiency 2 - Adrenomyeloneuropathy 3 - Glutaric aciduria type II 8 - Other 4 - Muscle carnitine palmitoyltransferase 9 - Unspecified deficiency 8 - Other 0 - Rhizomelic chondrodysplasia punctata 4 - Other 1 - Zellweger-like syndrome peroxisomal 2 - Other group 3 peroxisomal disorders disorders 8 - Other peroxisomal disor- DEFECTS IN E77.1 GLYCOPROTEIN DEGRADATION

COMMON VARIABLE D83.1 IMMUNODEFICIENCY WITH PREDOMINANT IMMUNOREGULATORY T-CELL DISORDERS (IPEX)

DIABETES MELLITUS TYPE 2 DIABETES MELLITUS Diabetic complications are complex and can be added electronically by using the follow- E08: DUE TO UNDERLYING CONDITION ing key words: kidney, ophthalmic, or neuro- E09: DRUG OR CHEMICAL INDUCED logic complications E10: TYPE 1 TYPE 2 DM E11: TYPE 2 E11.42: W/ DIABETIC POLYNEUROPATHY E13: OTHER SPECIFIED E11.65: W/ HYPERGLYCEMIA *Diabetes codes are complex; Need to look up; Key words: kidney, ophthalmic, neurological, E11.9: W/O COMPLICATIONS circulatory, skin TYPE 2 DM WITH E11.42 TYPE 1 DM WITH E10.42 DIABETIC DIABETIC POLYNEUROPATHY POLYNEUROPATHY

POSTERIOR I67.83 NEUROLOGY REVERSIBLE ENCEPHALOPATHY SYNDROME Other & Unspecified G62. POLYNEUROPATHIES POLYNEUROPATHY IN 0 - Drug-induced G63 1 - Alcoholic DISEASES CLASSIFIED 2 - Due to other toxic agents 9 - Unspecified (Myeloma/Amyloid) ELSEWHERE *Code malignancy elsewhere

Disorders of FLUIDS & ELECTROLYTES FLUID, E87. ELECTROLYTE & Disorders of ACID/BASE BALANCE MAGNESIUM & CALCIUM 0 - Hyperosmolality & Hypernatremia METABOLISM 1 - Hypoosmolality and hyponatremia 2 - Acidosis E83.42: HYPO-MAGNESEMIA 3 - Alkalosis STOP 4 - Mixed disorder of acid-base balance 5 - Hyperkalemia E83.51: HYPO-CALCEMIA 6 - Hypokalemia 8 - Other electrolyte & acid/base disorder E83.52: HYPER-CALCEMIA 0 - Unspecified 7 - Fluid Overload 1- Transfusion associated circulatory overload 9 - Other

GASTRO-ESOPHAGEAL TOXIC LIVER K71. K21. DISEASE REFLUX DISEASE 0 - With esophagitis 0 - With cholestasis STOP 9 - Without esophagitis 2 - With acute hepatitis

0 - Without coma 1 - With hepatic necrosis 1 -With coma PARALYTIC ILEUS & K56. * This code is for toxic effects due to drug; INTESTINAL OBSTRUTION Does Not include ETOH W/O HERNIA 0 - Paralytic Ileus 1 - Intussusception Other Diseases of K76. 2 - Volvulus 3 - Gallstone Ileus STOP LIVER 5 - Intestinal adhesions [bands] w/obstruction (post- 0 - Fatty (change of) liver, not elsewhere classified procedural & post-infection) 1 - Chronic passive congestion of liver 7 - Illeus, unspecified 2 - Central hemorrhagic necrosis of liver 3 - Infarction of liver 4 - Other impaction of intestine 1 - Fecal 4 - Peliosis hepatis 9 - Other 5 - Hepatic veno-occlusive disease 6 - Portal hypertension 0 - Unspecified 7 - Hepatorenal syndrome 6 - Other & unspecified intestinal obstruction 9 - Other

HEMORRHOIDS K64. DYSPHAGIA R13.1 0 - First degree 0 - Unspecified 1 - Second degree 1– Oral phase 2 - Third degree 2 - Oropharyngeal phase 3 - Fourth degree 3 - Pharyngeal phase 4 - Pharyngoesophageal phase 9 - Other ANOREXIA R63.0 ASCITES R18. 0 - Malignant 8 - Other ENTERCOLITIS DUE A04.7 TO COLOSTRIDIUM DIFFICILE GASTROINTESTINAL K92.81 MUCOSITIS (ULCERATIVE) Other non-infective K52. GASTROENTERITIS ORAL MUCOSITIS K12.3 & COLITIS (ULCERATIVE) 0 - Gastroenteritis and colitis due to radiation 1 - Toxic gastroenteritis and colitis 0 - Unspecified 2 - Allergic and dietetic gastroenteritis and colitis 1– Due to antineoplastic therapy 2 - Due to other drugs 3 - Due to radiation 9 - Other oral mucositis (ulcerative)

GI (continued

CONSTIPATION NAUSEA & R11. K59.0 VOMITING 1 – Slow transit 0 - Nausea 9 - Other (including Opiate-induced STOP constipation in therapeutic use) 2 - Nausea with vomiting, unspecified

0 - Unspecified 1 - Vomiting 1 -Without nausea DIARRHEA R19.7 2 - Projectile vomiting UNSPECIFIED

PAIN

DORSALGIA M54. ABDOMINAL & R10. 3 - Sciatica 0 - Unspecified side PELVIC PAIN 4- Lumbago with sciatica 1– Right side 0 - Acute abdomen 2 - Leftside 2 - Pelvic and Perineal pain STOP 5- Low back pain STOP 0 - Upper abdomen unspecified 1 - Pain localized to Upper 1– Right upper quadrant Abdomen 2 - Left upper quadrant 3 - Epigastric pain LIMB PAIN M79.6 0 - Lower abdomen unspecified 1 - Right arm 3 - Pain localized to lower 1– Right lower quadrant 0 - Pain in limb, 2 - Left arm abdomen 2 - Left lower quadrant unspecified 3 - Arm unspecified 3 - Periumbilical pain 4 - Right leg 5 - Left leg 6 - Leg unspecified 9 - Unspecified limb

2 - Upper arm 1 - Right 3 - Forearm 2 - Left PAIN IN THROAT R07.0 5 - Thigh 9 - Unspecified limb 6 - Lower leg 1 - Right hand or foot 2 - Left hand or foot 4 - Hand & fingers 3 - Unspecified hand or foot 7 - Foot & toes 4 - Right finger or toe 5 - Left finger or toes PAIN 6 - Unspecified finger or toe G89.29: OTHER CHRONIC PAIN

G89.3: NEOPLASM RELATED JOINT PAIN M25.5 PAIN (ACUTE) (CHRONIC) 0 - Unspecified joint STOP

1 - Shoulder 2 - Elbow 1 - Right HEADACHE R51 3 - Wrist 2 - Left 5 - Hip 9 - Unspecified 6 - Knee This code excludes atypical face pain, migraine and other 7 - Ankle & foot joints headache syndromes, trigeminal neuralgia.

LUNG/RESPIRATORY

COUGH RO5 OBSTRUCTIVE SLEEP G47.33 APNEA (ADULT & PEDIATRIC) BREATHING ABNORMALITIES MALIGNANT PLEURAL J91.0 RO6.01: ORTHOPNEA EFFUSION RO6.02: SHORTNESS OF BREATH R06.2: WHEEZING ASPERGILLOSIS B44. 0 - Invasive pulmonary R06.4: HYPERVENTILATION 1 - Other pulmonary 2 - Tonsillar STOP R06.6: HICCOUGH 7 - Disseminated 9 - Unspecified

R06.81: APNEA (Sleep apnea) 8 - Other 1- Allergic bronchopulmonary 9 - Other forms

EMPHYSEMA J43. ACUTE RESPIRATORY 0 - Unilateral pulmonary emphysema J80 [MacLeod's syndrome] DISTRESS SYNDROME 1 - Panlobular 2 - Centrilobular 8 - Other 9 - Unspecified ACUTE UPPER J06. Other RESPIRATORY INFECTIONS OF COPD J44. MULTIPLE/UNSPECIFIED SITES 0 - With acute lower respiratory infection 0 - Acute laryngopharyngitis 1 - With (acute) exacerbation 9 - Unspecified 9 - Unspecified

PULMONARY I26.9 ASTHMA J45. EMBOLISM W/O 2 - Mild intermittent ACUTE COR PULMONALE 3 - Mild persistent 0– Uncomplicated 0 - Septic pulmonary embolism 4 - Moderate persistent 1 - With acute exacerbation 2 – Saddle embolus of pulmonary artery 5 - Severe persistent 2 - With status asthmaticus 9 - Other

Abnormal Findings on IDIOPATHIC J84.11 DIAGNOSTIC R91. INTERSTITIAL PNEUMONIA IMAGING OF LUNG 1 - Not otherwise specified 2 - Idiopathic pulmonary fibrosis 1 - Solitary pulmonary nodule 3 - Idiopathic non-specific interstitial pneumonitis 8 - Other nonspecific abnormal finding of lung field 4 - Acute interstitial pneumonitis Including multiple pulmonary nodules 5 - Respiratory bronchiolitis interstitial lung disease 6 - Cryptogenic organizing pneumonia

BLOOD Functional Disorders of D71 POLYMORPHONUCLEAR WHITE BLOOD CELL DISORDERS NEUTROPHILS D70.1: AGRANULOCYTOSIS SECONDARY TO CANCER CHEMOTHERAPY LEUKEMOID D72.823 REACTION D70.2: AGRANULOCYTOSIS DUE TO NON- CHEMOTHERAPY DRUG LYMPHO- D72.810 D70.9: NEUTROPENIA,UNSPECIFIED CYTOPENIA

D72.810: LYMPHOCYTOPENIA HEPATIC THROMBOSIS D72.823: LEUKEMOID REACTION I81: PORTAL VEIN THROMBOSIS

I82.0: BUDD-CHIARI SYNDROME NEUTROPENIA D70. PULMONARY 0 – Congenital agranulocytosis I26.9 1 - Agranulocytosis secondary to cancer chemotherapy EMBOLISM W/O (Code also underlying neoplasm. Use additional code for adverse effect, if applicable, to identify drug.) ACUTE COR PULMONALE 2 - Other drug-induced agranulocytosis 0 - Septic pulmonary embolism (Use additional code for adverse effect, if applicable, to 2 - Saddle embolus of pulmonary artery identify drug) 9 - Other 3 - Neutropenia due to infection 4 - Cyclic neutropenia 8 - Other 9 - Unspecified OTHER SECONDARY D69.59 Use additional code for any associated fever THROMBOCYTOPENIA & mucositis * Due to drugs, EtOH, alloimmunization; NOT ITP

Hemorrhagic Disorders due to Other CIRCULATING D68. COAGULATION DEFECTS D68. ANTI-COAGULANTS 0 - Von Willebrand's disease 1- Hereditary factor XI deficiency 1 - Acquired 2 -Hereditary deficiency of other clotting factors 1- Hemorrhagic hemophilia 4 - Acquired coagulation factor deficiency disorder due 2 - Antiphospholipid 8 - Other specified coagulation defects antibody with hem- to intrinsic 9 - Unspecified 3 - Hemorrhagic orrhagic disorder circulating disorder due 8 - Other Hemorrhagic anticoagulants, to circulating disorder due to antibodies, Other Coagulation Defects, anticoagulants intrinsic circulat- or inhibitors D68. ing anticoagulants, THROMBOPHILIA antibodies, 5 - Primary 1- Activated protein C resistance or inhibitors thrombophilia 2 - Prothrombin gene mutation 2 - Hemorrhagic 9 - Other primary thrombophilia disorder due to extrinsic STOP 1- Antiphospholipid syndrome 6 - Other 2 - Lupus anticoagulant syndrome circulating thrombophilia anticoagulants 9 - Other thrombophilia

BLOOD (continued) Other specified diseases with PARTICIPATION OF D76. LYMPHORETICULAR AND RETICULOHISTIOCYTIC TISSUE 1 - Hemophagocytic lymphohistiocytosis 2 - Hemophagocytic syndrome, infection-associated 3 - Other histiocytosis syndromes

IMMUNODEFICIENCES COMBINED D81. IMMUNODEFICIENCIES 0 - SCID with reticular dysgenesis 1 - SCID with low T- and B-cell numbers IMMUNODEFICIENCY D82. 2 - SCID with low or normal B-cell numbers ASSOCIATED W/ 3 - Adenosine deaminase [ADA] deficiency STOP 4 - Nezelof's syndrome OTHER MAJOR DEFECTS 5 - Purine nucleoside phosphorylase [PNP] deficiency 0 - Wiskott-Aldrich syndrome 6 - Major histocompatibility complex class I deficiency 1 - Di George's syndrome 7 - Major histocompatibility complex class II deficiency 2 - Immunodeficiency with short-limbed stature 9 - Unspecified 3 - Immunodeficiency following hereditary defective response to Epstein-Barr virus 8 - Other 1 - Biotin-dependent 0 - Biotinidase 4 - Hyperimmunoglobulin E [IgE] syndrome combined carboxylase deficiency deficiency 8 - Other immunodefi- 8 - Other 9 - Unspecified ciencies 9 - Unspecified 9 - Other combined Immunodeficiencies STOP

ENDOCRINE THYROTOXICOSIS E05. HYPOFUNCTION AND E23. [HYPERTHYROIDISM] OTHER DISORDERS 0 - With diffuse goiter OF THE PITUITARY GLAND 1 - With toxic single thyroid nodule 2 - With toxic multinodular goiter 0- Without crisis or storm 0 - Hypopituitarism 3 - From ectopic thyroid tissue 1- With crisis or storm 1 - Drug-induced hypopituitarism 4 - Thyrotoxicosis factitia 2 - Diabetes insipidus 8 - Other 3 - Hypothalamic dysfunction, not elsewhere classified 9 - Unspecified 6 - Other disorders of pituitary gland 7 - Disorder of pituitary gland, unspecified Other E03. TESTICULAR HYPOTHYROIDISM E29. 0 - Congenital hypothyroidism with diffuse goiter DYSFUNCTION 1 - Congenital hypothyroidism without goiter 0 - Testicular hyperfunction 2 - Due to medicaments and other exogenous substances 1 - Testicular hypofunction 3 - Postinfectious hypothyroidism 8 - Other 4 - Atrophy of thyroid (acquired) 9 - Unspecified 5 - Myxedema coma 8 - Other specified hypothyroidism 9 - Unspecified

ANEMIAS

ANEMIA DUE TO D64.81 ANEMIA IN CHRONIC D63. ANTINEOPLASTIC DISEASES CHEMOTHERAPY 0 - In neoplastic disease 1 - In chronic kidney disease 8 - In other chronic diseases THALASSEMIA D56. 0 –Alpha Other Aplastic Anemias & Other 1 - Beta D61. 2 - Delta-beta BONE MARROW 3 - Minor 4 - HPFH (Hereditary persistence of fetal hemoglobin) FAILURE SYNDROMES 5 - Hemoglobin E-beta 0– Constitutional 1 - Constitutional (pure) red blood cell aplasia 8 - Other aplastic anemia 9 - Other constitutional aplastic anemia 9 - Unspecified 0 - Antineoplastic 8 - Other 1- Pancytopenia chemotherapy specified Hemolytic Anemia, induced aplastic pancytopenia D59. anemias & 1 - Other drug-induced ACQUIRED other bone 0 -Drug-induced autoimmune pancytopenia marrow 8 - Other pancytopenia (Use additional code for adverse effects, if applicable, to failure 2 - Myelophthisis identify drug) syndromes 9- Other specified 1 - Other autoimmune aplastic anemias STOP 2 - Drug-induced non-autoimmune & other bone (Use additional code for adverse effects, if applicable, to marrow failure identify drug) syndrome 3 - Hemolytic-uremic syndrome (Use additional code to identify associated: E. coli, 1 - Drug-induced aplastic anemia Pneumoncoccal pneumonia, or Shigella dysenteriae) (If applicable, use additional code for adverse effects 4 - Other non-autoimmune to identify drug) 5 - Paroxysmal nocturnal hemoglobinuria (Marchiafava-Micheli) 2 - Aplastic anemia due to other external agents STOP 6 - Hemoglobinuria due to hemolysis from other external causes (If applicable, code first toxic effects of substance 8 - Other acquired hemolytic anemias chiefly non-medicinal as to source (T51-T65) 9 - Unspecified 3 - Idiopathic aplastic anemia 9 - Unspecified Anemia in CHRONIC DISEASES D63. CLASSIFIED ELSEWHERE OTHER ANEMIAS D64. 0 - Anemia in neoplastic disease (Code first neoplasm) 0 - Hereditary sideroblastic anemia 1 - Anemia in chronic kidney disease 1 - Secondary sideroblastic anemia due to disease (Code first underlying CKD) 2 - Secondary sideroblastic anemia due to drugs 8 - Anemia in other chronic diseases classified elsewhere and toxins STOP (Code first underlying disease such as: 3 - Other sideroblastic anemias - Hypothyroidism 4 - Congenital dyserythropoietic anemia - Tuberculosis) 9 - Unspecified 8 –Other specified 1- Anemia due to Anemia, anemias anti-neoplastic chemotherapy IRON DEFICIENCY D50. 9 -Other specified anemias 0 - Secondary to blood loss (chronic) 1 - Sideropenic dysphagia 8 - Other iron deficiency anemias 9 - Unspecified

CONSTITUTIONAL

ESSENTIAL (PRIMARY) I10 NON VERERTIGINOUS R42 HYPERTENSION DIZZINESS

HYPOTENSION I95. FEVER OF R50. 0 - Idiopathic UNKNOWN ORIGIN 1 - Orthostatic 2 - Due to drugs 2 - Drug Induced 9 - Unspecified STOP

1 - Fever presenting with conditions EDEMA R60. classified elsewhere 8 - Other specified 2 - Post procedural fever 0 - Localized fever 3 - Post vaccination fever 1 - Generalized 4 - Febrile nonhemolytic transfusion 9 - Unspecified reaction

ENLARGED LYMPH R59. NODES CHILLS W/O FEVER R68.83 0 - Localized 1 - Generalized

ABNORMALITIES OF R26. DEHYDRATION E86.0 GAIT & MOBILITY 0 - Ataxic gait 1 - Paralytic gait STOP 2 - Difficulty in walking UNSPECIFIED PROTEIN- E46 8 - Other abnormalities of gait 1 - Unsteadiness CALORIE MALNUTRITION & mobility on feet

CACHEXIA R64

SLEEP DISORDERS SLEEP DISORDERS G47.33: OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC)

G25.81: RESTLESS LEGS SYNDROME

RENAL/GU

ACUTE KIDNEY N17. HEMATURIA R31. FAILURE 0 - Gross hematuria 0 - With tubular necrosis 1 - Benign essential microscopic hematuria 1 - With acute cortical necrosis 2 - With medullary necrosis *Use code forcystitis/ 8 - Other glomerunephritis if present) 9 - Unspecified DYSURIA R30.0 CHRONIC KIDNEY N18. DISEASE (CKD) 1 - Stage 1 2 - Stage 2 (mild) 3 - Stage 3 (moderate) INCONTINENCE/ N39. 4 - Stage 4 (severe) 5 - Stage 5 UTI 6 - End stage renal disease 0 - Urinary tract infection, site not specified 3 - Stress incontinence (female/male) STOP

Disorders of 1 - Urge incontinence E87. 4 - Other FLUID, ELECTROLYTE specified 2 - Incontinence without urinary sensory awareness 3 - Post-void dribbling incontinence & ACID/BASE BALANCE 4 - Nocturnal enuresis 0 - Hyperosmolality & Hypernatremia 5 - Continuous leakage 1 - Hypoosmolality and hyponatremia 6 - Mixed incontinence 2 - Acidosis 1 - Overflow incontinence 3 - Alkalosis STOP 9 - Other incontinence 4 - Mixed disorder of acid-base balance 8 - Other 5 - Hyperkalemia specified 6 - Hypokalemia urinary 8 - Other electrolyte & acid/base disorder incontinence

0 - Unspecified 7 - Fluid Overload 1- Transfusion associated circulatory overload 9 - Other ESSENTIAL (PRIMARY) I10 HYPERTENSION CYSTITIS N30.

0 - Acute EDEMA 1 - Interstitial cystitis (chronic) 0 - Without hematuria R60. 2 - Other chronic cystitis 1 - With hematuria 3 - Trigonitis 0 - Localized 4 - Irradiation cystitis 1 - Generalized 9 - Unspecified

CALCULUS OF N20. KIDNEY & URETER 0 - Calculus of kidney 1 - Calculus of ureter 2 - Calculus of kidney with calculus of ureter

BACTERIAL INTESTINAL A04. INFECTIONS 0 - Enteropathogenic Escherichia coli infection 1 - Enterotoxigenic Escherichia coli infection 2 - Enteroinvasive Escherichia coli infection 3 - Enterohemorrhagic Escherichia coli infection ZOSTER (HERPES) B02. 4 - Other intestinal Escherichia coli infections 0 - Zoster encephalitis 5 - Campylobacter enteritis 1 - Zoster meningitis 6 - Enteritis due to Yersinia enterocolitica STOP 7 - Disseminated 7 - Enterocolitis due to Clostridium difficile 8 - With other complications 8 - Other specified bacterial intestinal infections 9 - Without complications

2 - With other 1- Postherpetic geniculate ganglionitis CYTOMEGALOVIRAL nervous system 2 - Postherpetic trigeminal neuralgia B25. involvement 3 - Postherpetic polyneuropathy 4 - Postherpetic myelitis DISEASE 9 - Other postherpetic nervous system 0 - Cytomegaloviral pneumonitis involvement 1 - Cytomegaloviral hepatitis 2 - Cytomegaloviral pancreatitis 0 - Unspecified 8 - Other cytomegaloviral diseases 3 - Ocular disease 1– Conjunctivitis 9 - Cytomegaloviral disease, unspecified 2 - Iridocyclitis 3 - Keratitis 4 - Scleritis CANDIDIASIS B37. 9 - Other herpes zoster eye 0 - Candidal stomatitis 1 - Pulmonary candidiasis 2 - Candidiasis of skin and nail 3 - Candidiasis of vulva and vagina CELLULITIS & L03. 5 - Candidal meningitis STOP L03. 6 - Candidal endocarditis ACUTE LYMPHANGITIS 7 - Candidal sepsis 1 - Cellulitis of finger 9 - Unspecified 2 - Acute lymphangitis 1 - Right 0 - Finger & toe of finger 2 - Left 1- Candidal cystitis and urethritis 9 - Unspecified 4 - Other urogenital sites 2 - Candidal balanitis 3 - Cellulitis of toe 9 - Unspecified 4 - Acute lymphangitis 9 - Other urogenital candidiasis of finger 1- Candidal esophagitis 1 - Right axilla 8 - Other sites 2 - Candidal enteritis 1 - Cellulitis 2 - Left axilla 1 - Other parts 2 - Acute 3 - Candidal cheilitis of limb 3 - Right upper limb 4 - Candidal otitis externa lymphangitis 4 - Left upper limb 9 - Other sites 5 - Right lower limb 6 - Left lower limb 9 - Unspecified part

1 - Face 1 - Cellulitis 2 - Face & Neck ASPERGILLOSIS B44. 2 - Neck 2 - Acute lymphangitis 0 - Invasive pulmonary 1 - Abdominal wall 1 - Other pulmonary 2 - Back (except 2 - Tonsillar STOP buttock) 7 - Disseminated 1 - Cellulitis 3 - Chest wall 9 - Unspecified 3 - Trunk 2 - Acute 4 - Groin lymphangitis 5 - Perineum 8 - Other 1- Allergic bronchopulmonary 6 - Umbilicus 9 - Other forms 7 - Buttock 9 - Unspecified part 1 - Cellulitis 1 - Head (except face) 8 - Other sites 2 - Acute RESPIRATORY J12.1 8 - Other sites SYNCYTIAL VIRUS lymphangitis PNEUMONIA 0 - Cellulitis 9 - Unspecified 1 - Acute STOP lymphangitis

TOXOPLASMOSIS B58. 0 - Unspecified 0 - Oculopathy 1 - Chorioretinitis FEVER OF R50. 9 - Other 1 - Hepatitis UNKNOWN ORIGIN 2 - Meningoencephalitis STOP 2 - Drug Induced 3 - Pulmonary toxoplasmosis 9 - Unspecified STOP 9 - Unspecified 1 - Myocarditis 1 - Fever presenting with 2 - Myositis conditions classified elsewhere 8 - With other organ 3 - Tubulo-interstitial 8 - Other 2 - Post procedural fever involvement nephropathy specified fever 3 - Post vaccination fever 9 - Other organ 4 - Febrile nonhemolytic involvement transfusion reaction

PSYCHIATRIC

MAJOR DEPRESSIVE F32. REACTION TO F43. DISORDER, SEVERE STRESS SINGLE EPISODE 0 - Unspecified 1 - PTSD 1 -Acute 0 - Mild 2 - Chronic 1 - Moderate 2 - Severe without psychotic features 0 - Unspecified 3 - Severe with psychotic features 1 -With depressed mood 4 - In partial remission 2 - Adjustment disorders 2 - With anxiety 5 - In full remission 3 - With anxiety & depressed mood 4 - With disturbance of conduct 5 - With disturbance of emotions & conduct 9 - With other symptoms ANXIETY DISORDERS F41. 0 - Panic disorder [episodic paroxysmal anxiety] without agoraphobia 1 - Generalized anxiety disorder

CARDIOLOGY

ATRIAL FIBRILLATION I48. HYPOTENSION I95. 0 - Idiopathic & FLUTTER 1 - Orthostatic 0 - Paroxysmal atrial fibrillation 2 - Due to drugs 1 - Persistent atrial fibrillation 2 - Chronic atrial fibrillation HEART FAILURE I50. 1 - Left ventricular failure ABNORMALITIES OF R00. STOP HEART BEAT 9 - Unspecified 0 - Tachycardia, unspecified 2 - Systolic CHF 0 - Unspecified 1 - Bradycardia, unspecified 3 - Diastolic CHF 1 -Acute 2 - Palpitations 4 - Combined systolic & diastolic CHF 2 - Chronic 3 - Acute on chronic

MISCELLANEOUS

GRAFT-VERSUS- D89.81 ENLARGED LYMPH R59. HOST DISEASE NODES 0 - Acute 0 - Localized 1 - Chronic 1 - Generalized 2 - Acute on chronic 3 - Unspecified NICOTINE F17.21 ORAL MUCOSITIS, K12.3 DEPENDENCE - ULCERATIVE CIGARETTES 0 -Unspecified 0 - Uncomplicated 1 - Due to antineoplastic therapy 1 - In Remission 2 - Due to other drugs 3 - With withdrawal 3 - Due to radiation 8 - With other nicotine-induced disorders 9 - Other 9 - Unspecified nicotine-induced disorders

SICCA SYNDROME M35.0 NONFAMILIAL D80.1 0 -Unspecified 1 - With keratoconjunctivitis HYPOGAMMAGLOBULINEMIA 2 - With lung involvement 3 - With myopathy 4 - With tubulo-interstitial nephropathy 9 - With other organ involvement

DRY EYE SYNDROME H04.12 EPISTAXIS R04.0 1 - Right lacrimal gland 2– Left lacrimal gland 3 - Bilateral lacrimal glands 9 - Unspecified lacrimal gland HEPATIC VENO- K76.5 OCCLUSIVE DISEASE ERYTHEMA IN DISEASES L54 (SINUSOIDAL OBSTRUCTION CLASSIFIED ELSEWHERE SYNDROME –SOS)

SHINE DIAGNOSIS CODES

LYMPHEDEMA, NOT I89.0 ABNORMALITIES OF R26. ELSEWHERE CLASSIFIED GAIT & MOBILITY 0 - Ataxic gait 1 - Paralytic gait STOP 2 - Difficulty in walking

8 - Other abnormalities of gait 1 - Unsteadiness & mobility on feet