ICD-10-CM TABULAR LIST of DISEASES and INJURIES 2018 Addenda No Change Chapter 1 No Change Certain infectious and parasitic diseases (A00-B99)
No Change Intestinal infectious diseases (A00-A09)
No Change A04 Other bacterial intestinal infections
No Change A04.7 Enterocolitis due to Clostridium difficile
Add A04.71 Enterocolitis due to Clostridium difficile, recurrent
Add A04.72 Enterocolitis due to Clostridium difficile, not specified as recurrent
No Change A05 Other bacterial foodborne intoxications, not elsewhere classified
No Change Excludes1: Revise from Clostridium difficile foodborne intoxication and infection (A04.7) Revise to Clostridium difficile foodborne intoxication and infection (A04.7-)
No Change Helminthiases (B65-B83)
No Change B81 Other intestinal helminthiases, not elsewhere classified
No Change Excludes1: Revise from angiostrongyliasis due to Parastrongylus cantonensis (B83.2) Revise to angiostrongyliasis due to: Add Angiostrongylus cantonensis (B83.2) Add Parastrongylus cantonensis (B83.2)
No Change B81.3 Intestinal angiostrongyliasis Revise from Angiostrongyliasis due to Parastrongylus costaricensis Revise to Angiostrongyliasis due to: Add Angiostrongylus costaricensis Add Parastrongylus costaricensis No Change Chapter 2 No Change Neoplasms (C00-D49)
No Change Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
No Change C79 Secondary malignant neoplasm of other and unspecified sites
Delete Excludes2: lymph node metastases (C77.0)
No Change C79.1 Secondary malignant neoplasm of bladder and other and unspecified urinary organs
No Change C79.11 Secondary malignant neoplasm of bladder
Add Excludes2: lymph node metastases (C77.0)
No Change Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
No Change C86 Other specified types of T/NK-cell lymphoma
No Change C86.4 Blastic NK-cell lymphoma Add Blastic plasmacytoid dendritic cell neoplasm (BPDCN)
No Change C96 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue
Revise from C96.2 Malignant mast cell tumor Revise to C96.2 Malignant mast cell neoplasm Delete Aggressive systemic mastocytosis Delete Mast cell sarcoma
No Change Excludes1: Revise from indolent mastocytosis (D47.0) Revise to indolent mastocytosis (D47.02)
Add C96.20 Malignant mast cell neoplasm, unspecified
Add C96.21 Aggressive systemic mastocytosis
Add C96.22 Mast cell sarcoma
Add C96.29 Other malignant mast cell neoplasm
No Change Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
No Change D47 Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
Revise from D47.0 Histiocytic and mast cell tumors of uncertain behavior Revise to D47.0 Mast cell neoplasms of uncertain behavior Delete Indolent systemic mastocytosis Delete Mast cell tumor NOS Delete Mastocytoma NOS
No Change Excludes1: Delete malignant mast cell tumor (C96.2) Delete mastocytosis (congenital) (cutaneous) (Q82.2) Add congenital cutaneous mastocytosis (Q82.2-) Add histiocytic neoplasms of uncertain behavior (D47.Z9) Add malignant mast cell neoplasm (C96.2-)
Add D47.01 Cutaneous mastocytosis Add Diffuse cutaneous mastocytosis Add Maculopapular cutaneous mastocytosis Add Solitary mastocytoma Add Telangiectasia macularis eruptiva perstans Add Urticaria pigmentosa
Add Excludes1: congenital (diffuse) (maculopapular) cutaneous mastocytosis (Q82.2) Add congenital urticaria pigmentosa (Q82.2) Add extracutaneous mastocytoma (D47.09)
Add D47.02 Systemic mastocytosis Add Indolent systemic mastocytosis Add Isolated bone marrow mastocytosis Add Smoldering systemic mastocytosis Add Systemic mastocytosis, with an associated hematological non-mast cell lineage disease (SM-AHNMD)
Add Code also, if applicable, any associated hematological non-mast cell lineage disease, such as: Add acute myeloid leukemia (C92.6-, C92.A-) Add chronic myelomonocytic leukemia (C93.1-) Add essential thrombocytosis (D47.3) Add hypereosinophilic syndrome (D72.1) Add myelodysplastic syndrome (D46.9) Add myeloproliferative syndrome (D47.1) Add non-Hodgkin lymphoma (C82-C85) Add plasma cell myeloma (C90.0-) Add polycythemia vera (D45)
Add Excludes1: aggressive systemic mastocytosis (C96.21) Add mast cell leukemia (C94.3-)
Add D47.09 Other mast cell neoplasms of uncertain behavior Add Extracutaneous mastocytoma Add Mast cell tumor NOS Add Mastocytoma NOS Add Mastocytosis 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 Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
No Change D63 Anemia in chronic diseases classified elsewhere
No Change D63.0 Anemia in neoplastic disease
Delete Excludes1: anemia due to antineoplastic chemotherapy (D64.81)
Add Excludes2: anemia due to antineoplastic chemotherapy (D64.81)
No Change Certain disorders involving the immune mechanism (D80-D89)
No Change D89 Other disorders involving the immune mechanism, not elsewhere classified
No Change D89.4 Mast cell activation syndrome and related disorders
No Change Excludes1: Revise from aggressive systemic mastocytosis (C96.2) Revise to aggressive systemic mastocytosis (C96.21) Revise from cutaneous mastocytosis (Q82.2) Revise to congenital cutaneous mastocytosis (Q82.2) Delete indolent systemic mastocytosis (D47.0) Delete malignant mastocytoma (C96.2) Add (non-congenital) cutaneous mastocytosis (D47.01) Add (indolent) systemic mastocytosis (D47.02) Add malignant mast cell neoplasm (C96.2-) Add malignant mastocytoma (C96.29) Delete mastocytoma (D47.0) Delete systemic mastocytosis associated with a clonal hematologic non-mast cell lineage disease (SM-AHNMD) (D47.0) Add mast cell sarcoma (C96.22) Add mastocytoma NOS (D47.09) Add other mast cell neoplasms of uncertain behavior (D47.09) Add systemic mastocytosis associated with a clonal hematologic non-mast cell lineage disease (SM-AHNMD) (D47.02) No Change Chapter 4 No Change Endocrine, nutritional and metabolic diseases (E00-E89)
No Change Diabetes mellitus (E08-E13)
No Change E11 Type 2 diabetes mellitus
Add E11.1 Type 2 diabetes mellitus with ketoacidosis
Add E11.10 Type 2 diabetes mellitus with ketoacidosis without coma
Add E11.11 Type 2 diabetes mellitus with ketoacidosis with coma
No Change E13 Other specified diabetes mellitus
Delete Excludes1: type 2 diabetes mellitus (E11.-)
No Change E13.0 Other specified diabetes mellitus with hyperosmolarity
No Change E13.00 Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
Add Excludes2: type 2 diabetes mellitus (E11.-)
No Change Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)
No Change E16 Other disorders of pancreatic internal secretion
No Change E16.0 Drug-induced hypoglycemia without coma
No Change Excludes1: Revise from diabetes with hypoglycemia without coma (E09.692) Revise to diabetes with hypoglycemia without coma (E09.649)
No Change Metabolic disorders (E70-E88)
No Change E78 Disorders of lipoprotein metabolism and other lipidemias
No Change E78.0 Pure hypercholesterolemia
No Change E78.00 Pure hypercholesterolemia, unspecified Add (Pure) hypercholesterolemia NOS
No Change E83 Disorders of mineral metabolism
No Change E83.1 Disorders of iron metabolism
No Change E83.11 Hemochromatosis
Add Excludes1: GALD (P78.84) Add Gestational alloimmune liver disease (P78.84) Add Neonatal hemochromatosis (P78.84)
No Change E85 Amyloidosis
Delete Excludes1: Alzheimer's disease (G30.0-)
Add Excludes2: Alzheimer's disease (G30.0-)
No Change E85.0 Non-neuropathic heredofamilial amyloidosis
Add Code also associated disorders, such as: Add autoinflammatory syndromes (M04.-)
Add Excludes2: Transthyretin-related (ATTR) familial amyloid cardiomyopathy (E85.4)
No Change E85.1 Neuropathic heredofamilial amyloidosis Add Transthyretin-related (ATTR) familial amyloid polyneuropathy
No Change E85.4 Organ-limited amyloidosis Add Transthyretin-related (ATTR) familial amyloid cardiomyopathy
No Change E85.8 Other amyloidosis
Add E85.81 Light chain (AL) amyloidosis
Add E85.82 Wild-type transthyretin-related (ATTR) amyloidosis Add Senile systemic amyloidosis (SSA)
Add E85.89 Other amyloidosis No Change Chapter 5 No Change Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
No Change Mental disorders due to known physiological conditions (F01-F09)
No Change F06 Other mental disorders due to known physiological condition
No Change F06.3 Mood disorder due to known physiological condition
No Change F06.31 Mood disorder due to known physiological condition with depressive features Add Depressive disorder due to known physiological condition, with depressive features
No Change F06.32 Mood disorder due to known physiological condition with major depressive-like episode Add Depressive disorder due to known physiological condition, with major depressive-like episode
No Change F06.33 Mood disorder due to known physiological condition with manic features Add Bipolar and related disorder due to a known physiological condition, with manic features Add Bipolar and related disorder due to known physiological condition, with manic- or hypomanic-like episodes
No Change F06.34 Mood disorder due to known physiological condition with mixed features Add Bipolar and related disorder due to known physiological condition, with mixed features Add Depressive disorder due to known physiological condition, with mixed features
No Change F06.8 Other specified mental disorders due to known physiological condition Add Obsessive-compulsive and related disorder due to a known physiological condition
No Change Mental and behavioral disorders due to psychoactive substance use (F10-F19)
No Change F10 Alcohol related disorders
No Change F10.1 Alcohol abuse
Add F10.11 Alcohol abuse, in remission Add Alcohol use disorder, mild, in early remission Add Alcohol use disorder, mild, in sustained remission
No Change F10.2 Alcohol dependence
No Change F10.21 Alcohol dependence, in remission Add Alcohol use disorder, moderate, in early remission Add Alcohol use disorder, moderate, in sustained remission Add Alcohol use disorder, severe, in early remission Add Alcohol use disorder, severe, in sustained remission
No Change F11 Opioid related disorders
No Change F11.1 Opioid abuse
Add F11.11 Opioid abuse, in remission Add Opioid use disorder, mild, in early remission Add Opioid use disorder, mild, in sustained remission
No Change F11.2 Opioid dependence
No Change F11.21 Opioid dependence, in remission Add Opioid use disorder, moderate, in early remission Add Opioid use disorder, moderate, in sustained remission Add Opioid use disorder, severe, in early remission Add Opioid use disorder, severe, in sustained remission
No Change F12 Cannabis related disorders
No Change F12.1 Cannabis abuse
Add F12.11 Cannabis abuse, in remission Add Cannabis use disorder, mild, in early remission Add Cannabis use disorder, mild, in sustained remission
No Change F12.2 Cannabis dependence
No Change F12.21 Cannabis dependence, in remission Add Cannabis use disorder, moderate, in early remission Add Cannabis use disorder, moderate, in sustained remission Add Cannabis use disorder, severe, in early remission Add Cannabis use disorder, severe, in sustained remission
No Change F13 Sedative, hypnotic, or anxiolytic related disorders
No Change F13.1 Sedative, hypnotic or anxiolytic-related abuse
Add F13.11 Sedative, hypnotic or anxiolytic abuse, in remission Add Sedative, hypnotic or anxiolytic use disorder, mild, in early remission Add Sedative, hypnotic or anxiolytic use disorder, mild, in sustained remission
No Change F13.14 Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, mild, with sedative, hypnotic, or anxiolytic induced bipolar or related disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, mild, with sedative, hypnotic, or anxiolytic- induced bipolar or related disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, mild, with sedative, hypnotic, or anxiolytic induced depressive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, mild, with sedative, hypnotic, or anxiolytic- induced depressive disorder
No Change F13.2 Sedative, hypnotic or anxiolytic-related dependence
No Change F13.21 Sedative, hypnotic or anxiolytic dependence, in remission Add Sedative, hypnotic or anxiolytic use disorder, moderate, in early remission Add Sedative, hypnotic or anxiolytic use disorder, moderate, in sustained remission Add Sedative, hypnotic or anxiolytic use disorder, severe, in early remission Add Sedative, hypnotic or anxiolytic use disorder, severe, in sustained remission
No Change F13.24 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic- induced mood disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic induced bipolar or related disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced bipolar or related disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic induced depressive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced depressive disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic induced depressive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic- induced depressive disorder
No Change F13.27 Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic- induced persisting dementia Revise from Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic induced major neurocognitive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced major neurocognitive disorder
No Change F13.28 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorders
No Change F13.288 Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic induced mild neurocognitive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, moderate, with sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder Revise from Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic induced mild neurocognitive disorder Revise to Sedative, hypnotic, or anxiolytic use disorder, severe, with sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder
No Change F13.9 Sedative, hypnotic or anxiolytic-related use, unspecified
No Change F13.95 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder
No Change F13.959 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced psychotic disorder, unspecified Revise from Sedative, hypnotic, or anxiolytic induced psychotic disorder, without use disorder Revise to Sedative, hypnotic, or anxiolytic-induced psychotic disorder, without use disorder
No Change F13.97 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting dementia Revise from Sedative, hypnotic, or anxiolytic induced major neurocognitive disorder, without use disorder Revise to Sedative, hypnotic, or anxiolytic-induced major neurocognitive disorder, without use disorder
No Change F13.98 Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorders
No Change F13.980 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder Revise from Sedative, hypnotic, or anxiolytic induced anxiety disorder, without use disorder Revise to Sedative, hypnotic, or anxiolytic-induced anxiety disorder, without use disorder
No Change F13.981 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction Revise from Sedative, hypnotic, or anxiolytic induced sexual dysfunction disorder, without use disorder Revise to Sedative, hypnotic, or anxiolytic-induced sexual dysfunction disorder, without use disorder
No Change F13.982 Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorder Revise from Sedative, hypnotic, or anxiolytic induced sleep disorder, without use disorder Revise to Sedative, hypnotic, or anxiolytic-induced sleep disorder, without use disorder
No Change F13.988 Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder Revise from Sedative, hypnotic, or anxiolytic induced mild neurocognitive disorder Revise to Sedative, hypnotic, or anxiolytic-induced mild neurocognitive disorder
No Change F14 Cocaine related disorders No Change F14.1 Cocaine abuse
Add F14.11 Cocaine abuse, in remission Add Cocaine use disorder, mild, in early remission Add Cocaine use disorder, mild, in sustained remission
No Change F14.2 Cocaine dependence
No Change F14.21 Cocaine dependence, in remission Add Cocaine use disorder, moderate, in early remission Add Cocaine use disorder, moderate, in sustained remission Add Cocaine use disorder, severe, in early remission Add Cocaine use disorder, severe, in sustained remission
No Change F15 Other stimulant related disorders
No Change F15.1 Other stimulant abuse
Add F15.11 Other stimulant abuse, in remission Add Amphetamine type substance use disorder, mild, in early remission Add Amphetamine type substance use disorder, mild, in sustained remission Add Other or unspecified stimulant use disorder, mild, in early remission Add Other or unspecified stimulant use disorder, mild, in sustained remission
No Change F15.2 Other stimulant dependence
No Change F15.21 Other stimulant dependence, in remission Add Amphetamine type substance use disorder, moderate, in early remission Add Amphetamine type substance use disorder, moderate, in sustained remission Add Amphetamine type substance use disorder, severe, in early remission Add Amphetamine type substance use disorder, severe, in sustained remission Add Other or unspecified stimulant use disorder, moderate, in early remission Add Other or unspecified stimulant use disorder, moderate, in sustained remission Add Other or unspecified stimulant use disorder, severe, in early remission Add Other or unspecified stimulant use disorder, severe, in sustained remission
No Change F15.28 Other stimulant dependence with other stimulant-induced disorder
No Change F15.288 Other stimulant dependence with other stimulant-induced disorder Revise from Amphetamine or other stimulant use disorder, moderate, with amphetamine or other stimulant induced obsessive compulsiveor related disorder Revise to Amphetamine or other stimulant use disorder, moderate, with amphetamine or other stimulant induced obsessive compulsive or related disorder Revise from Amphetamine or other stimulant use disorder, severe, with amphetamine or other stimulant induced obsessive compulsiveor related disorder Revise to Amphetamine or other stimulant use disorder, severe, with amphetamine or other stimulant induced obsessive compulsive or related disorder
No Change F15.9 Other stimulant use, unspecified
No Change F15.95 Other stimulant use, unspecified with stimulant-induced psychotic disorder
No Change F15.959 Other stimulant use, unspecified with stimulant-induced psychotic disorder, unspecified Revise from Amphetamine or other stimulant-induced induced psychotic disorder, without use disorder Revise to Amphetamine or other stimulant-induced psychotic disorder, without use disorder
No Change F16 Hallucinogen related disorders
No Change F16.1 Hallucinogen abuse
Add F16.11 Hallucinogen abuse, in remission Add Other hallucinogen use disorder, mild, in early remission Add Other hallucinogen use disorder, mild, in sustained remission Add Phencyclidine use disorder, mild, in early remission Add Phencyclidine use disorder, mild, in sustained remission
No Change F16.2 Hallucinogen dependence
No Change F16.21 Hallucinogen dependence, in remission Add Other hallucinogen use disorder, moderate, in early remission Add Other hallucinogen use disorder, moderate, in sustained remission Add Other hallucinogen use disorder, severe, in early remission Add Other hallucinogen use disorder, severe, in sustained remission Add Phencyclidine use disorder, moderate, in early remission Add Phencyclidine use disorder, moderate, in sustained remission Add Phencyclidine use disorder, severe, in early remission Add Phencyclidine use disorder, severe, in sustained remission
No Change F17 Nicotine dependence
No Change F17.2 Nicotine dependence
No Change F17.20 Nicotine dependence, unspecified
No Change F17.201 Nicotine dependence, unspecified, in remission Add Tobacco use disorder, mild, in early remission Add Tobacco use disorder, mild, in sustained remission Add Tobacco use disorder, moderate, in early remission Add Tobacco use disorder, moderate, in sustained remission Add Tobacco use disorder, severe, in early remission Add Tobacco use disorder, severe, in sustained remission
No Change F17.21 Nicotine dependence, cigarettes
No Change F17.211 Nicotine dependence, cigarettes, in remission Add Tobacco use disorder, cigarettes, mild, in early remission Add Tobacco use disorder, cigarettes, mild, in sustained remission Add Tobacco use disorder, cigarettes, moderate, in early remission Add Tobacco use disorder, cigarettes, moderate, in sustained remission Add Tobacco use disorder, cigarettes, severe, in early remission Add Tobacco use disorder, cigarettes, severe, in sustained remission
No Change F17.22 Nicotine dependence, chewing tobacco
No Change F17.221 Nicotine dependence, chewing tobacco, in remission Add Tobacco use disorder, chewing tobacco, mild, in early remission Add Tobacco use disorder, chewing tobacco, mild, in sustained remission Add Tobacco use disorder, chewing tobacco, moderate, in early remission Add Tobacco use disorder, chewing tobacco, moderate, in sustained remission Add Tobacco use disorder, chewing tobacco, severe, in early remission Add Tobacco use disorder, chewing tobacco, severe, in sustained remission
No Change F17.29 Nicotine dependence, other tobacco product
No Change F17.291 Nicotine dependence, other tobacco product, in remission Add Tobacco use disorder, other tobacco product, mild, in early remission Add Tobacco use disorder, other tobacco product, mild, in sustained remission Add Tobacco use disorder, other tobacco product, moderate, in early remission Add Tobacco use disorder, other tobacco product, moderate, in sustained remission Add Tobacco use disorder, other tobacco product, severe, in early remission Add Tobacco use disorder, other tobacco product, severe, in sustained remission
No Change F18 Inhalant related disorders
No Change F18.1 Inhalant abuse
Add F18.11 Inhalant abuse, in remission Add Inhalant use disorder, mild, in early remission Add Inhalant use disorder, mild, in sustained remission
No Change F18.2 Inhalant dependence
No Change F18.21 Inhalant dependence, in remission Add Inhalant use disorder, moderate, in early remission Add Inhalant use disorder, moderate, in sustained remission Add Inhalant use disorder, severe, in early remission Add Inhalant use disorder, severe, in sustained remission
No Change F19 Other psychoactive substance related disorders
No Change F19.1 Other psychoactive substance abuse
Add F19.11 Other psychoactive substance abuse, in remission Add Other (or unknown) substance use disorder, mild, in early remission Add Other (or unknown) substance use disorder, mild, in sustained remission
No Change F19.2 Other psychoactive substance dependence
No Change F19.21 Other psychoactive substance dependence, in remission Add Other (or unknown) substance use disorder, moderate, in early remission Add Other (or unknown) substance use disorder, moderate, in sustained remission Add Other (or unknown) substance use disorder, severe, in early remission Add Other (or unknown) substance use, severe, in sustained remission
No Change Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29)
No Change F25 Schizoaffective disorders
No Change F25.0 Schizoaffective disorder, bipolar type Delete Schizophreniform psychosis, manic type
No Change F25.1 Schizoaffective disorder, depressive type Delete Schizophreniform psychosis, depressive type
No Change F28 Other psychotic disorder not due to a substance or known physiological condition Add Other specified schizophrenia spectrum and other psychotic disorder
No Change F29 Unspecified psychosis not due to a substance or known physiological condition Add Unspecified schizophrenia spectrum and other psychotic disorder
No Change Mood [affective] disorders (F30-F39)
No Change F31 Bipolar disorder
Add Includes: bipolar I disorder Add bipolar type I disorder
No Change F31.2 Bipolar disorder, current episode manic severe with psychotic features Add Bipolar I disorder, current or most recent episode manic with psychotic features
No Change F31.5 Bipolar disorder, current episode depressed, severe, with psychotic features Add Bipolar I disorder, current or most recent episode depressed, with psychotic features
No Change F31.8 Other bipolar disorders No Change F31.81 Bipolar II disorder Add Bipolar disorder, type 2
No Change F31.9 Bipolar disorder, unspecified Add Manic depression
No Change F33 Major depressive disorder, recurrent
No Change F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms Add Major depressive disorder, recurrent, with psychotic features
No Change Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)
No Change F40 Phobic anxiety disorders
No Change F40.1 Social phobias Add Social anxiety disorder
No Change F41 Other anxiety disorders
Revise from F41.0 Panic disorder [episodic paroxysmal anxiety] without agoraphobia Revise to F41.0 Panic disorder [episodic paroxysmal anxiety]
No Change F44 Dissociative and conversion disorders
No Change F44.4 Conversion disorder with motor symptom or deficit Add Conversion disorder with abnormal movement Add Conversion disorder with speech symptoms Add Conversion disorder with swallowing symptoms Add Conversion disorder with weakness/paralysis
No Change F44.5 Conversion disorder with seizures or convulsions Add Conversion disorder with attacks or seizures
No Change F44.6 Conversion disorder with sensory symptom or deficit Add Conversion disorder with anesthesia or sensory loss Add Conversion disorder with special sensory symptoms
No Change Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
No Change F50 Eating disorders
Add Excludes1: feeding problems of newborn (P92.-)
No Change F50.8 Other eating disorders
Add F50.82 Avoidant/restrictive food intake disorder
No Change F50.9 Eating disorder, unspecified Add Feeding or eating disorder, unspecified Add Other specified feeding disorder
No Change F51 Sleep disorders not due to a substance or known physiological condition
No Change F51.3 Sleepwalking [somnambulism] Add Non-rapid eye movement sleep arousal disorders, sleepwalking type
No Change F51.4 Sleep terrors [night terrors] Add Non-rapid eye movement sleep arousal disorders, sleep terror type
No Change F52 Sexual dysfunction not due to a substance or known physiological condition
No Change F52.0 Hypoactive sexual desire disorder Add Male hypoactive sexual desire disorder
No Change F52.2 Sexual arousal disorders
No Change F52.21 Male erectile disorder Add Erectile disorder
No Change F52.22 Female sexual arousal disorder Add Female sexual interest/arousal disorder
No Change Disorders of adult personality and behavior (F60-F69)
No Change F63 Impulse disorders
No Change F63.0 Pathological gambling Add Gambling disorder
No Change F64 Gender identity disorders
No Change F64.8 Other gender identity disorders Add Other specified gender dysphoria
No Change F64.9 Gender identity disorder, unspecified Add Gender dysphoria, unspecified
No Change F65 Paraphilias
No Change F65.0 Fetishism Add Fetishistic disorder
No Change F65.1 Transvestic fetishism Add Transvestic disorder
No Change F65.2 Exhibitionism Add Exhibitionistic disorder
No Change F65.3 Voyeurism Add Voyeuristic disorder
No Change F65.4 Pedophilia Add Pedophilic disorder
No Change F65.5 Sadomasochism
No Change F65.51 Sexual masochism Add Sexual masochism disorder
No Change F65.52 Sexual sadism Add Sexual sadism disorder
No Change F65.8 Other paraphilias
No Change F65.81 Frotteurism Add Frotteuristic disorder
No Change F65.89 Other paraphilias Add Other specified paraphilic disorder
No Change F65.9 Paraphilia, unspecified Add Paraphilic disorder, unspecified
No Change Pervasive and specific developmental disorders (F80-F89) No Change F81 Specific developmental disorders of scholastic skills
No Change F81.0 Specific reading disorder Add Specific learning disorder, with impairment in reading
No Change F81.2 Mathematics disorder Add Specific learning disorder, with impairment in mathematics
No Change F81.8 Other developmental disorders of scholastic skills
No Change F81.81 Disorder of written expression Add Specific learning disorder, with impairment in written expression
No Change Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90- F98)
No Change F90 Attention-deficit hyperactivity disorders
No Change F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type Add Attention-deficit/hyperactivity disorder, predominantly inattentive presentation
No Change F90.1 Attention-deficit hyperactivity disorder, predominantly hyperactive type Add Attention-deficit/hyperactivity disorder, predominantly hyperactive impulsive presentation
No Change F90.2 Attention-deficit hyperactivity disorder, combined type Add Attention-deficit/hyperactivity disorder, combined presentation No Change Chapter 6 No Change Diseases of the nervous system (G00-G99)
No Change Inflammatory diseases of the central nervous system (G00-G09)
No Change G00 Bacterial meningitis, not elsewhere classified
No Change Excludes1: Revise from bacterial: Revise to bacterial meningoencephalitis (G04.2) Revise from meningoencephalitis (G04.2) Revise to bacterial meningomyelitis (G04.2) Delete meningomyelitis (G04.2)
No Change Systemic atrophies primarily affecting the central nervous system (G10-G14)
No Change G10 Huntington's disease
Add Code also dementia in other diseases classified elsewhere without behavioral disturbance (F02.80)
No Change G12 Spinal muscular atrophy and related syndromes
No Change G12.2 Motor neuron disease
No Change G12.21 Amyotrophic lateral sclerosis Delete Progressive spinal muscle atrophy
Add G12.23 Primary lateral sclerosis
Add G12.24 Familial motor neuron disease
Add G12.25 Progressive spinal muscle atrophy
No Change G12.29 Other motor neuron disease Delete Familial motor neuron disease Delete Primary lateral sclerosis
No Change Extrapyramidal and movement disorders (G20-G26)
No Change G21 Secondary parkinsonism
No Change G21.1 Other drug-induced secondary parkinsonism
No Change G21.19 Other drug induced secondary parkinsonism Add Other medication-induced parkinsonism
No Change G25 Other extrapyramidal and movement disorders
No Change G25.7 Other and unspecified drug induced movement disorders
No Change G25.71 Drug induced akathisia Add Tardive akathisia
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 G31.8 Other specified degenerative diseases of nervous system
No Change G31.84 Mild cognitive impairment, so stated Add Mild neurocognitive disorder
No Change Episodic and paroxysmal disorders (G40-G47)
No Change G47 Sleep disorders
No Change G47.2 Circadian rhythm sleep disorders
No Change G47.24 Circadian rhythm sleep disorder, free running type Add Circadian rhythm sleep disorder, non-24-hour sleep-wake type
No Change G47.3 Sleep apnea
No Change G47.31 Primary central sleep apnea Add Idiopathic central sleep apnea
No Change G47.33 Obstructive sleep apnea (adult) (pediatric) Add Obstructive sleep apnea hypopnea
No Change G47.6 Sleep related movement disorders
No Change G47.61 Periodic limb movement disorder Delete Periodic limb movement disorder
No Change G47.8 Other sleep disorders Add Other specified sleep-wake disorder
No Change G47.9 Sleep disorder, unspecified Add Unspecified sleep-wake disorder
No Change Other disorders of the nervous system (G89-G99)
No Change G92 Toxic encephalopathy
Add Code first, if applicable, drug induced (T36-T50)
No Change G93 Other disorders of brain
No Change G93.7 Reye's syndrome
No Change Code first Delete (T39.0-), if salicylates-induced Add poisoning due to salicylates, if applicable (T39.0-, with sixth character 1-4)
Add Use Additional code for adverse effect due to salicylates, if applicable (T39.0-, with sixth character 5) No Change Chapter 7 No Change Diseases of the eye and adnexa (H00-H59)
No Change Disorders of eyelid, lacrimal system and orbit (H00-H05)
No Change H02 Other disorders of eyelid
No Change H02.0 Entropion and trichiasis of eyelid
Revise from H02.05 Trichiasis without entropian Revise to H02.05 Trichiasis without entropion
Revise from H02.051 Trichiasis without entropian right upper eyelid Revise to H02.051 Trichiasis without entropion right upper eyelid
Revise from H02.052 Trichiasis without entropian right lower eyelid Revise to H02.052 Trichiasis without entropion right lower eyelid
Revise from H02.053 Trichiasis without entropian right eye, unspecified eyelid Revise to H02.053 Trichiasis without entropion right eye, unspecified eyelid
Revise from H02.054 Trichiasis without entropian left upper eyelid Revise to H02.054 Trichiasis without entropion left upper eyelid
Revise from H02.055 Trichiasis without entropian left lower eyelid Revise to H02.055 Trichiasis without entropion left lower eyelid
Revise from H02.056 Trichiasis without entropian left eye, unspecified eyelid Revise to H02.056 Trichiasis without entropion left eye, unspecified eyelid
Revise from H02.059 Trichiasis without entropian unspecified eye, unspecified eyelid Revise to H02.059 Trichiasis without entropion unspecified eye, unspecified eyelid
No Change Glaucoma (H40-H42)
No Change H42 Glaucoma in diseases classified elsewhere
Add Code first glaucoma (in) diabetes mellitus (E08.39, E09.39, E10.39, E11.39, E13.39)
Delete Excludes2: glaucoma (in) diabetes mellitus (E08.39, E09.39, E10.39, E11.39, E13.39)
No Change Disorders of vitreous body and globe (H43-H44)
No Change H44 Disorders of globe
No Change H44.2 Degenerative myopia
Add H44.2A Degenerative myopia with choroidal neovascularization
Add Use Additional code for any associated choroid disorders (H31.-)
Add H44.2A1 Degenerative myopia with choroidal neovascularization, right eye
Add H44.2A2 Degenerative myopia with choroidal neovascularization, left eye
Add H44.2A3 Degenerative myopia with choroidal neovascularization, bilateral eye
Add H44.2A9 Degenerative myopia with choroidal neovascularization, unspecified eye
Add H44.2B Degenerative myopia with macular hole
Add H44.2B1 Degenerative myopia with macular hole, right eye Add H44.2B2 Degenerative myopia with macular hole, left eye
Add H44.2B3 Degenerative myopia with macular hole, bilateral eye
Add H44.2B9 Degenerative myopia with macular hole, unspecified eye
Add H44.2C Degenerative myopia with retinal detachment
Add Use Additional code to identify the retinal detachment (H33.-)
Add H44.2C1 Degenerative myopia with retinal detachment, right eye
Add H44.2C2 Degenerative myopia with retinal detachment, left eye
Add H44.2C3 Degenerative myopia with retinal detachment, bilateral eye
Add H44.2C9 Degenerative myopia with retinal detachment, unspecified eye
Add H44.2D Degenerative myopia with foveoschisis
Add H44.2D1 Degenerative myopia with foveoschisis, right eye
Add H44.2D2 Degenerative myopia with foveoschisis, left eye
Add H44.2D3 Degenerative myopia with foveoschisis, bilateral eye
Add H44.2D9 Degenerative myopia with foveoschisis, unspecified eye
Add H44.2E Degenerative myopia with other maculopathy
Add H44.2E1 Degenerative myopia with other maculopathy, right eye
Add H44.2E2 Degenerative myopia with other maculopathy, left eye
Add H44.2E3 Degenerative myopia with other maculopathy, bilateral eye
Add H44.2E9 Degenerative myopia with other maculopathy, unspecified eye
No Change Visual disturbances and blindness (H53-H54)
No Change H54 Blindness and low vision
No Change H54.0 Blindness, both eyes
Add H54.0X Blindness, both eyes, different category levels
Add H54.0X3 Blindness right eye, category 3
Add H54.0X33 Blindness right eye category 3, blindness left eye category 3
Add H54.0X34 Blindness right eye category 3, blindness left eye category 4
Add H54.0X35 Blindness right eye category 3, blindness left eye category 5
Add H54.0X4 Blindness right eye, category 4
Add H54.0X43 Blindness right eye category 4, blindness left eye category 3
Add H54.0X44 Blindness right eye category 4, blindness left eye category 4
Add H54.0X45 Blindness right eye category 4, blindness left eye category 5
Add H54.0X5 Blindness right eye, category 5
Add H54.0X53 Blindness right eye category 5, blindness left eye category 3 Add H54.0X54 Blindness right eye category 5, blindness left eye category 4
Add H54.0X55 Blindness right eye category 5, blindness left eye category 5
No Change H54.1 Blindness, one eye, low vision other eye
No Change H54.11 Blindness, right eye, low vision left eye
Add H54.113 Blindness right eye category 3, low vision left eye
Add H54.1131 Blindness right eye category 3, low vision left eye category 1
Add H54.1132 Blindness right eye category 3, low vision left eye category 2
Add H54.114 Blindness right eye category 4, low vision left eye
Add H54.1141 Blindness right eye category 4, low vision left eye category 1
Add H54.1142 Blindness right eye category 4, low vision left eye category 2
Add H54.115 Blindness right eye category 5, low vision left eye
Add H54.1151 Blindness right eye category 5, low vision left eye category 1
Add H54.1152 Blindness right eye category 5, low vision left eye category 2
No Change H54.12 Blindness, left eye, low vision right eye
Add H54.121 Low vision right eye category 1, blindness left eye
Add H54.1213 Low vision right eye category 1, blindness left eye category 3
Add H54.1214 Low vision right eye category 1, blindness left eye category 4
Add H54.1215 Low vision right eye category 1, blindness left eye category 5
Add H54.122 Low vision right eye category 2, blindness left eye
Add H54.1223 Low vision right eye category 2, blindness left eye category 3
Add H54.1224 Low vision right eye category 2, blindness left eye category 4
Add H54.1225 Low vision right eye category 2, blindness left eye category 5
No Change H54.2 Low vision, both eyes
Add H54.2X Low vision, both eyes, different category levels
Add H54.2X1 Low vision, right eye, category 1
Add H54.2X11 Low vision right eye category 1, low vision left eye category 1
Add H54.2X12 Low vision right eye category 1, low vision left eye category 2
Add H54.2X2 Low vision, right eye, category 2
Add H54.2X21 Low vision right eye category 2, low vision left eye category 1
Add H54.2X22 Low vision right eye category 2, low vision left eye category 2
No Change H54.4 Blindness, one eye
No Change H54.41 Blindness, right eye, normal vision left eye
Add H54.413 Blindness, right eye, category 3 Add H54.413A Blindness right eye category 3, normal vision left eye
Add H54.414 Blindness, right eye, category 4
Add H54.414A Blindness right eye category 4, normal vision left eye
Add H54.415 Blindness, right eye, category 5
Add H54.415A Blindness right eye category 5, normal vision left eye
No Change H54.42 Blindness, left eye, normal vision right eye
Add H54.42A Blindness, left eye, category 3-5
Add H54.42A3 Blindness left eye category 3, normal vision right eye
Add H54.42A4 Blindness left eye category 4, normal vision right eye
Add H54.42A5 Blindness left eye category 5, normal vision right eye
No Change H54.5 Low vision, one eye
No Change H54.51 Low vision, right eye, normal vision left eye
Add H54.511 Low vision, right eye, category 1-2
Add H54.511A Low vision right eye category 1, normal vision left eye
Add H54.512A Low vision right eye category 2, normal vision left eye
No Change H54.52 Low vision, left eye, normal vision right eye
Add H54.52A Low vision, left eye, category 1-2
Add H54.52A1 Low vision left eye category 1, normal vision right eye
Add H54.52A2 Low vision left eye category 2, normal vision right eye No Change Chapter 9 No Change Diseases of the circulatory system (I00-I99)
No Change Hypertensive diseases (I10-I16)
No Change I11 Hypertensive heart disease
No Change Includes: Revise from any condition in I51.4-I51.9 due to hypertension Revise to any condition in I50.-, I51.4-I51.9 due to hypertension
No Change Ischemic heart diseases (I20-I25)
Revise from I21 ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction Revise to I21 Acute myocardial infarction
No Change Excludes2: Revise from subsequent myocardial infarction (I22.-) Revise to subsequent type 1 myocardial infarction (I22.-)
No Change I21.0 ST elevation (STEMI) myocardial infarction of anterior wall Add Type 1 ST elevation myocardial infarction of anterior wall
No Change I21.1 ST elevation (STEMI) myocardial infarction of inferior wall Add Type 1 ST elevation myocardial infarction of inferior wall
No Change I21.2 ST elevation (STEMI) myocardial infarction of other sites Add Type 1 ST elevation myocardial infarction of other sites
No Change I21.3 ST elevation (STEMI) myocardial infarction of unspecified site Delete Myocardial infarction (acute) NOS Add Type 1 ST elevation myocardial infarction of unspecified site
No Change I21.4 Non-ST elevation (NSTEMI) myocardial infarction Add Type 1 non-ST elevation myocardial infarction
Add I21.9 Acute myocardial infarction, unspecified Add Myocardial infarction (acute) NOS
Add I21.A Other type of myocardial infarction
Add I21.A1 Myocardial infarction type 2 Add Myocardial infarction due to demand ischemia Add Myocardial infarction secondary to ischemic imbalance
Add Code also the underlying cause, if known and applicable, such as: Add anemia (D50.0-D64.9) Add chronic obstructive pulmonary disease (J44.-) Add heart failure (I50.-) Add paroxysmal tachycardia (I47.0-I47.9) Add renal failure (N17.0-N19) Add shock (R57.0-R57.9)
Add I21.A9 Other myocardial infarction type Add Myocardial infarction associated with revascularization procedure Add Myocardial infarction type 3 Add Myocardial infarction type 4a Add Myocardial infarction type 4b Add Myocardial infarction type 4c Add Myocardial infarction type 5
Add Code first, if applicable, postprocedural myocardial infarction following cardiac surgery (I97.190), or postprocedural myocardial infarction during cardiac surgery (I97.790)
Add Code also complication, if known and applicable, such as: Add (acute) stent occlusion (T82.897-) Add (acute) stent stenosis (T82.857-) Add (acute) stent thrombosis (T82.867-) Add cardiac arrest due to underlying cardiac condition (I46.2) Add complication of percutaneous coronary intervention (PCI) (I97.89) Add occlusion of coronary artery bypass graft (T82.218-)
No Change I22 Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction
Add Includes: subsequent type 1 myocardial infarction
Add Excludes1: subsequent myocardial infarction, type 2 (I21.A1) Add subsequent myocardial infarction of other type (type 3) (type 4) (type 5) (I21.A9)
No Change I24 Other acute ischemic heart diseases
No Change I24.8 Other forms of acute ischemic heart disease
Add Excludes1: myocardial infarction due to demand ischemia (I21.A1)
No Change I25 Chronic ischemic heart disease
No Change I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart with angina pectoris
Delete Excludes1: embolism or thrombus of coronary artery bypass graft(s) (T82.8-)
No Change I25.71 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris
No Change I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
Add Excludes2: embolism or thrombus of coronary artery bypass graft(s) (T82.8-)
No Change I25.8 Other forms of chronic ischemic heart disease
No Change I25.82 Chronic total occlusion of coronary artery
No Change Excludes1: Revise from acute coronary occulsion with myocardial infarction (I21.-, I22.-) Revise to acute coronary occlusion with myocardial infarction (I21.0-I21.9, I22.-) Revise from acute coronary occulsion without myocardial infarction (I24.0) Revise to acute coronary occlusion without myocardial infarction (I24.0)
No Change Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
No Change I27 Other pulmonary heart diseases
No Change I27.0 Primary pulmonary hypertension Add Heritable pulmonary arterial hypertension Add Idiopathic pulmonary arterial hypertension Add Primary group 1 pulmonary hypertension Add Primary pulmonary arterial hypertension
No Change Excludes1: Delete pulmonary hypertension NOS (I27.2) Delete secondary pulmonary hypertension (I27.2) Add persistent pulmonary hypertension of newborn (P29.30) Add pulmonary hypertension NOS (I27.20) Add secondary pulmonary arterial hypertension (I27.21) Add secondary pulmonary hypertension (I27.29)
No Change I27.2 Other secondary pulmonary hypertension Delete Pulmonary hypertension NOS
Add Excludes1: Eisenmenger's syndrome (I27.83)
Add I27.20 Pulmonary hypertension, unspecified Add Pulmonary hypertension NOS
Add I27.21 Secondary pulmonary arterial hypertension Add (Associated) (drug-induced) (toxin-induced) pulmonary arterial hypertension NOS Add (Associated) (drug-induced) (toxin-induced) (secondary) group 1 pulmonary hypertension
Add Code also associated conditions if applicable, or adverse effects of drugs or toxins, such as: Add adverse effect of appetite depressants (T50.5X5) Add congenital heart disease (Q20-Q28) Add human immunodeficiency virus [HIV] disease (B20) Add polymyositis (M33.2-) Add portal hypertension (K76.6) Add rheumatoid arthritis (M05.-) Add schistosomiasis (B65.-) Add Sjögren syndrome (M35.0-) Add systemic sclerosis (M34.-)
Add I27.22 Pulmonary hypertension due to left heart disease Add Group 2 pulmonary hypertension
Add Code also associated left heart disease, if known, such as: Add multiple valve disease (I08.-) Add rheumatic mitral valve diseases (I05.-) Add rheumatic aortic valve diseases (I06.-)
Add I27.23 Pulmonary hypertension due to lung diseases and hypoxia Add Group 3 pulmonary hypertension
Add Code also associated lung disease, if known, such as: Add bronchiectasis (J47.-) Add cystic fibrosis with pulmonary manifestations (E84.0) Add interstitial lung disease (J84.-) Add pleural effusion (J90) Add sleep apnea (G47.3-)
Add I27.24 Chronic thromboembolic pulmonary hypertension Add Group 4 pulmonary hypertension
Add Code also associated pulmonary embolism, if applicable (I26.-, I27.82)
Add I27.29 Other secondary pulmonary hypertension Add Group 5 pulmonary hypertension Add Pulmonary hypertension with unclear multifactorial mechanisms Add Pulmonary hypertension due to hematologic disorders Add Pulmonary hypertension due to metabolic disorders Add Pulmonary hypertension due to other systemic disorders
Add Code also other associated disorders, if known, such as: Add chronic myeloid leukemia (C92.10- C92.22) Add essential thrombocythemia (D47.3) Add Gaucher disease (E75.22) Add hypertensive chronic kidney disease with end stage renal disease (I12.0, I12.11, I13.2) Add hyperthyroidism (E05.-) Add hypothyroidism (E00-E03) Add polycythemia vera (D45) Add sarcoidosis (D86.-)
No Change I27.8 Other specified pulmonary heart diseases
Add I27.83 Eisenmenger's syndrome Add Eisenmenger's complex Add (Irreversible) Eisenmenger's disease Add Pulmonary hypertension with right to left shunt related to congenital heart disease
Add Code also underlying heart defect, if known, such as: Add atrial septal defect (Q21.1) Add Eisenmenger's defect (Q21.8) Add patent ductus arteriosus (Q25.0) Add ventricular septal defect (Q21.0)
No Change I27.89 Other specified pulmonary heart diseases Delete Eisenmenger's complex Delete Eisenmenger's syndrome
Delete Excludes1: Eisenmenger's defect (Q21.8)
No Change Other forms of heart disease (I30-I52)
No Change I30 Acute pericarditis
Add Excludes1: viral pericarditis due to Coxsakie virus (B33.23)
No Change I34 Nonrheumatic mitral valve disorders
No Change Excludes1: Revise from mitral valve disorder specified as congenital (Q23.2, Q23.3) Revise to mitral valve disorder specified as congenital (Q23.2, Q23.9)
No Change I49 Other cardiac arrhythmias
Delete Excludes1: bradycardia NOS (R00.1)
Add Excludes2: bradycardia NOS (R00.1)
No Change I49.8 Other specified cardiac arrhythmias Add Brugada syndrome
No Change I50 Heart failure
Revise from I50.1 Left ventricular failure Revise to I50.1 Left ventricular failure, unspecified
No Change I50.2 Systolic (congestive) heart failure Add Heart failure with reduced ejection fraction [HFrEF] Add Systolic left ventricular heart failure
Add Code also end stage heart failure, if applicable (I50.84)
No Change I50.3 Diastolic (congestive) heart failure Add Diastolic left ventricular heart failure Add Heart failure with normal ejection fraction Add Heart failure with preserved ejection fraction [HFpEF]
Add Code also end stage heart failure, if applicable (I50.84) No Change I50.4 Combined systolic (congestive) and diastolic (congestive) heart failure Add Combined systolic and diastolic left ventricular heart failure Add Heart failure with reduced ejection fraction and diastolic dysfunction
Add Code also end stage heart failure, if applicable (I50.84)
Add I50.8 Other heart failure
Add I50.81 Right heart failure Add Right ventricular failure
Add I50.810 Right heart failure, unspecified Add Right heart failure without mention of left heart failure Add Right ventricular failure NOS
Add I50.811 Acute right heart failure Add Acute isolated right heart failure Add Acute (isolated) right ventricular failure
Add I50.812 Chronic right heart failure Add Chronic isolated right heart failure Add Chronic (isolated) right ventricular failure
Add I50.813 Acute on chronic right heart failure Add Acute on chronic isolated right heart failure Add Acute on chronic (isolated) right ventricular failure Add Acute decompensation of chronic (isolated) right ventricular failure Add Acute exacerbation of chronic (isolated) right ventricular failure
Add I50.814 Right heart failure due to left heart failure Add Right ventricular failure secondary to left ventricular failure
Add Code also the type of left ventricular failure, if known (I50.2-I50.43)
Add Excludes1: Right heart failure with but not due to left heart failure (I50.82)
Add I50.82 Biventricular heart failure
Add Code also the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
Add I50.83 High output heart failure
Add I50.84 End stage heart failure Add Stage D heart failure
Add Code also the type of heart failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
Add I50.89 Other heart failure
No Change I50.9 Heart failure, unspecified Delete Biventricular (heart) failure NOS Delete Right ventricular failure (secondary to left heart failure)
No Change Cerebrovascular diseases (I60-I69)
Delete Excludes1: transient cerebral ischemic attacks and related syndromes (G45.-)
No Change I60 Nontraumatic subarachnoid hemorrhage
Delete Includes: ruptured cerebral aneurysm
No Change I63 Cerebral infarction No Change I63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries
No Change I63.21 Cerebral infarction due to unspecified occlusion or stenosis of vertebral arteries
Revise from I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral arteries Revise to I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
Revise from I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral arteries Revise to I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
Revise from I63.22 Cerebral infarction due to unspecified occlusion or stenosis of basilar arteries Revise to I63.22 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery
No Change I63.3 Cerebral infarction due to thrombosis of cerebral arteries
No Change I63.32 Cerebral infarction due to thrombosis of anterior cerebral artery
Revise from I63.323 Cerebral infarction due to thrombosis of bilateral anterior arteries Revise to I63.323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
No Change I63.33 Cerebral infarction due to thrombosis of posterior cerebral artery
Revise from I63.333 Cerebral infarction to thrombosis of bilateral posterior arteries Revise to I63.333 Cerebral infarction to thrombosis of bilateral posterior cerebral arteries
No Change I63.5 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries
No Change I63.51 Cerebral infarction due to unspecified occlusion or stenosis of middle cerebral artery
Revise from I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle arteries Revise to I63.513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries
No Change I63.52 Cerebral infarction due to unspecified occlusion or stenosis of anterior cerebral artery
Revise from I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior arteries Revise to I63.523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries
No Change I63.53 Cerebral infarction due to unspecified occlusion or stenosis of posterior cerebral artery
Revise from I63.533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior arteries Revise to I63.533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries
No Change I63.9 Cerebral infarction, unspecified
Add Excludes2: transient cerebral ischemic attacks and related syndromes (G45.-)
No Change I67 Other cerebrovascular diseases
No Change I67.4 Hypertensive encephalopathy
Add Excludes2: insufficiency, NOS, of precerebral arteries (G45.2)
No Change I69 Sequelae of cerebrovascular disease
Delete Excludes1: transient ischemic attack (TIA) (G45.9)
No Change I69.3 Sequelae of cerebral infarction
No Change I69.32 Speech and language deficits following cerebral infarction
No Change I69.322 Dysarthria following cerebral infarction
Add Excludes2: transient ischemic attack (TIA) (G45.9)
No Change I69.35 Hemiplegia and hemiparesis following cerebral infarction
No Change I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
Add Excludes2: transient ischemic attack (TIA) (G45.9)
No Change Diseases of arteries, arterioles and capillaries (I70-I79)
No Change I72 Other aneurysm
Add Excludes2: precerebral artery, congential (nonruptured) (Q28.1)
No Change Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
No Change I82 Other venous embolism and thrombosis
No Change I82.8 Embolism and thrombosis of other specified veins
No Change I82.81 Embolism and thrombosis of superficial veins of lower extremities
Revise from I82.811 Embolism and thrombosis of superficial veins of right lower extremities Revise to I82.811 Embolism and thrombosis of superficial veins of right lower extremity
Revise from I82.812 Embolism and thrombosis of superficial veins of left lower extremities Revise to I82.812 Embolism and thrombosis of superficial veins of left lower extremity
Revise from I82.819 Embolism and thrombosis of superficial veins of unspecified lower extremities Revise to I82.819 Embolism and thrombosis of superficial veins of unspecified lower extremity
No Change I83 Varicose veins of lower extremities
No Change I83.8 Varicose veins of lower extremities with other complications
No Change I83.81 Varicose veins of lower extremities with pain
Revise from I83.811 Varicose veins of right lower extremities with pain Revise to I83.811 Varicose veins of right lower extremity with pain
Revise from I83.812 Varicose veins of left lower extremities with pain Revise to I83.812 Varicose veins of left lower extremity with pain
Revise from I83.819 Varicose veins of unspecified lower extremities with pain Revise to I83.819 Varicose veins of unspecified lower extremity with pain
No Change I83.89 Varicose veins of lower extremities with other complications
Revise from I83.891 Varicose veins of right lower extremities with other complications Revise to I83.891 Varicose veins of right lower extremity with other complications
Revise from I83.892 Varicose veins of left lower extremities with other complications Revise to I83.892 Varicose veins of left lower extremity with other complications
Revise from I83.899 Varicose veins of unspecified lower extremities with other complications Revise to I83.899 Varicose veins of unspecified lower extremity with other complications
No Change Other and unspecified disorders of the circulatory system (I95-I99)
No Change I96 Gangrene, not elsewhere classified
Delete Excludes1: gangrene in diabetes mellitus (E08-E13 with .52)
Add Excludes2: gangrene in diabetes mellitus (E08-E13 with .52)
No Change I97 Intraoperative and postprocedural complications and disorders of circulatory system, not elsewhere classified
No Change I97.1 Other postprocedural cardiac functional disturbances
No Change I97.19 Other postprocedural cardiac functional disturbances
No Change I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery
Add Use Additional code, if applicable, for type 4 or type 5 myocardial infarction, to further specify disorder No Change Chapter 10 No Change Diseases of the respiratory system (J00-J99)
No Change Influenza and pneumonia (J09-J18)
No Change J09 Influenza due to certain identified influenza viruses
Add Excludes1: influenza A/H1N1 (J10.-)
No Change J15 Bacterial pneumonia, not elsewhere classified
Revise from J15.6 Pneumonia due to other aerobic Gram-negative bacteria Revise to J15.6 Pneumonia due to other Gram-negative bacteria Add Pneumonia due to other aerobic Gram-negative bacteria
No Change Chronic lower respiratory diseases (J40-J47)
No Change J44 Other chronic obstructive pulmonary disease
Delete Excludes2: lung diseases due to external agents (J60-J70)
No Change J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection
Delete Use Additional code to identify the infection
Add Code also to identify the infection
No Change J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation
Add Excludes2: lung diseases due to external agents (J60-J70)
No Change J44.9 Chronic obstructive pulmonary disease, unspecified
Add Excludes2: lung diseases due to external agents (J60-J70)
No Change J45 Asthma
Delete Excludes1: lung diseases due to external agents (J60-J70)
No Change J45.9 Other and unspecified asthma
No Change J45.90 Unspecified asthma
No Change J45.909 Unspecified asthma, uncomplicated
Add Excludes2: lung diseases due to external agents (J60-J70)
No Change Other respiratory diseases principally affecting the interstitium (J80-J84)
No Change J84 Other interstitial pulmonary diseases
Delete Excludes1: lung diseases due to external agents (J60-J70)
Add Excludes2: lung diseases due to external agents (J60-J70)
No Change Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified (J95)
No Change J95 Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified
No Change J95.0 Tracheostomy complications No Change J95.02 Infection of tracheostomy stoma
No Change Use Additional Revise from cellulitis of neck (L03.8) Revise to cellulitis of neck (L03.221) No Change Chapter 11 No Change Diseases of the digestive system (K00-K95)
No Change Diseases of oral cavity and salivary glands (K00-K14)
No Change K04 Diseases of pulp and periapical tissues
No Change K04.7 Periapical abscess without sinus Delete Periapical abscess without sinus
No Change K06 Other disorders of gingiva and edentulous alveolar ridge
No Change K06.0 Gingival recession Revise from Gingival recession (generalized) (localized) (postinfective) (postprocedural) Revise to Gingival recession (postinfective) (postprocedural)
Add K06.01 Gingival recession, localized
Add K06.010 Localized gingival recession, unspecified Add Localized gingival recession, NOS
Add K06.011 Localized gingival recession, minimal
Add K06.012 Localized gingival recession, moderate
Add K06.013 Localized gingival recession, severe
Add K06.02 Gingival recession, generalized
Add K06.020 Generalized gingival recession, unspecified Add Generalized gingival recession, NOS
Add K06.021 Generalized gingival recession, minimal
Add K06.022 Generalized gingival recession, moderate
Add K06.023 Generalized gingival recession, severe
No Change Other diseases of intestines (K55-K64)
No Change K55 Vascular disorders of intestine
No Change K55.3 Necrotizing enterocolitis
No Change Excludes2: Revise from necrotizing enterocolitis due to Clostridium difficile (A04.7) Revise to necrotizing enterocolitis due to Clostridium difficile (A04.7-)
No Change K56 Paralytic ileus and intestinal obstruction without hernia
No Change Excludes1: Revise from postprocedural intestinal obstruction (K91.3) Revise to postprocedural intestinal obstruction (K91.3-) Delete intestinal obstruction with hernia (K40-K46)
No Change K56.0 Paralytic ileus
No Change Excludes1: Revise from obstructive ileus NOS (K56.69) Revise to obstructive ileus NOS (K56.69-)
Revise from K56.5 Intestinal adhesions [bands] with obstruction (postprocedural) (postinfection) Revise to K56.5 Intestinal adhesions [bands] with obstruction (postinfection) Revise from Peritoneal adhesions [bands] with intestinal obstruction (postprocedural) (postinfection) Revise to Peritoneal adhesions [bands] with intestinal obstruction (postinfection)
Add K56.50 Intestinal adhesions [bands], unspecified as to partial versus complete obstruction Add Intestinal adhesions with obstruction NOS
Add K56.51 Intestinal adhesions [bands], with partial obstruction Add Intestinal adhesions with incomplete obstruction
Add K56.52 Intestinal adhesions [bands] with complete obstruction
No Change K56.6 Other and unspecified intestinal obstruction
No Change K56.60 Unspecified intestinal obstruction Delete Intestinal obstruction NOS
Add K56.600 Partial intestinal obstruction, unspecified as to cause Add Incomplete intestinal obstruction, NOS
Add K56.601 Complete intestinal obstruction, unspecified as to cause
Add K56.609 Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction Add Intestinal obstruction NOS
No Change K56.69 Other intestinal obstruction
Add K56.690 Other partial intestinal obstruction Add Other incomplete intestinal obstruction
Add K56.691 Other complete intestinal obstruction
Add K56.699 Other intestinal obstruction unspecified as to partial versus complete obstruction Add Other intestinal obstruction, NEC
No Change K56.7 Ileus, unspecified
No Change Excludes1: Revise from obstructive ileus (K56.69) Revise to obstructive ileus (K56.69-)
Add Excludes2: intestinal obstruction with hernia (K40-K46)
No Change K59 Other functional intestinal disorders
No Change K59.3 Megacolon, not elsewhere classified
No Change Excludes1: Revise from megacolon (due to) (in) Clostridium difficile (A04.7) Revise to megacolon (due to) (in) Clostridium difficile (A04.7-)
No Change Diseases of peritoneum and retroperitoneum (K65-K68)
No Change K66 Other disorders of peritoneum
No Change K66.0 Peritoneal adhesions (postprocedural) (postinfection)
No Change Excludes1: Revise from peritoneal adhesions with intestinal obstruction (K56.5) Revise to peritoneal adhesions with intestinal obstruction (K56.5-)
No Change Other diseases of the digestive system (K90-K95)
No Change K90 Intestinal malabsorption
No Change K90.0 Celiac disease Revise from Gluten-sensitive enteropathy Revise to Celiac gluten-sensitive enteropathy
No Change K90.4 Other malabsorption due to intolerance
No Change Excludes2: Revise from gluten-sensitive enteropathy (K90.0) Revise to celiac gluten-sensitive enteropathy (K90.0)
No Change K91 Intraoperative and postprocedural complications and disorders of digestive system, not elsewhere classified
No Change K91.3 Postprocedural intestinal obstruction
Add K91.30 Postprocedural intestinal obstruction, unspecified as to partial versus complete Add Postprocedural intestinal obstruction NOS
Add K91.31 Postprocedural partial intestinal obstruction Add Postprocedural incomplete intestinal obstruction
Add K91.32 Postprocedural complete intestinal obstruction No Change Chapter 12 No Change Diseases of the skin and subcutaneous tissue (L00-L99)
No Change Radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
No Change L57 Skin changes due to chronic exposure to nonionizing radiation
No Change Use Additional Revise from code to identify the source of the ultraviolet radiation (W89, X32) Revise to code to identify the source of the ultraviolet radiation (W89)
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 L89.01 Pressure ulcer of right elbow
No Change L89.019 Pressure ulcer of right elbow, unspecified stage Revise from Healing pressure ulcer of unspecified elbow, unspecified stage Revise to Healing pressure ulcer of right elbow, unspecified stage
No Change L89.02 Pressure ulcer of left elbow
No Change L89.029 Pressure ulcer of left elbow, unspecified stage Revise from Healing pressure ulcer of unspecified elbow, unspecified stage Revise to Healing pressure ulcer of left elbow, unspecified stage
No Change L89.6 Pressure ulcer of heel
No Change L89.61 Pressure ulcer of right heel
No Change L89.619 Pressure ulcer of right heel, unspecified stage Revise from Healing pressure ulcer of unspecified heel, right stage Revise to Healing pressure ulcer of right heel, unspecified stage
No Change L92 Granulomatous disorders of skin and subcutaneous tissue
No Change L92.9 Granulomatous disorder of the skin and subcutaneous tissue, unspecified
Add Excludes2: umbilical granuloma (P83.81)
No Change L97 Non-pressure chronic ulcer of lower limb, not elsewhere classified
No Change L97.1 Non-pressure chronic ulcer of thigh
No Change L97.10 Non-pressure chronic ulcer of unspecified thigh
Add L97.105 Non-pressure chronic ulcer of unspecified thigh with muscle involvement without evidence of necrosis
Add L97.106 Non-pressure chronic ulcer of unspecified thigh with bone involvement without evidence of necrosis
Add L97.108 Non-pressure chronic ulcer of unspecified thigh with other specified severity
No Change L97.11 Non-pressure chronic ulcer of right thigh
Add L97.115 Non-pressure chronic ulcer of right thigh with muscle involvement without evidence of necrosis
Add L97.116 Non-pressure chronic ulcer of right thigh with bone involvement without evidence of necrosis
Add L97.118 Non-pressure chronic ulcer of right thigh with other specified severity
No Change L97.12 Non-pressure chronic ulcer of left thigh
Add L97.125 Non-pressure chronic ulcer of left thigh with muscle involvement without evidence of necrosis
Add L97.126 Non-pressure chronic ulcer of left thigh with bone involvement without evidence of necrosis
Add L97.128 Non-pressure chronic ulcer of left thigh with other specified severity
No Change L97.2 Non-pressure chronic ulcer of calf
No Change L97.20 Non-pressure chronic ulcer of unspecified calf
Add L97.205 Non-pressure chronic ulcer of unspecified calf with muscle involvement without evidence of necrosis
Add L97.206 Non-pressure chronic ulcer of unspecified calf with bone involvement without evidence of necrosis
Add L97.208 Non-pressure chronic ulcer of unspecified calf with other specified severity
No Change L97.21 Non-pressure chronic ulcer of right calf
Add L97.215 Non-pressure chronic ulcer of right calf with muscle involvement without evidence of necrosis
Add L97.216 Non-pressure chronic ulcer of right calf with bone involvement without evidence of necrosis
Add L97.218 Non-pressure chronic ulcer of right calf with other specified severity
No Change L97.22 Non-pressure chronic ulcer of left calf
Add L97.225 Non-pressure chronic ulcer of left calf with muscle involvement without evidence of necrosis
Add L97.226 Non-pressure chronic ulcer of left calf with bone involvement without evidence of necrosis
Add L97.228 Non-pressure chronic ulcer of left calf with other specified severity
No Change L97.3 Non-pressure chronic ulcer of ankle
No Change L97.30 Non-pressure chronic ulcer of unspecified ankle
Add L97.305 Non-pressure chronic ulcer of unspecified ankle with muscle involvement without evidence of necrosis
Add L97.306 Non-pressure chronic ulcer of unspecified ankle with bone involvement without evidence of necrosis
Add L97.308 Non-pressure chronic ulcer of unspecified ankle with other specified severity
No Change L97.31 Non-pressure chronic ulcer of right ankle
Add L97.315 Non-pressure chronic ulcer of right ankle with muscle involvement without evidence of necrosis
Add L97.316 Non-pressure chronic ulcer of right ankle with bone involvement without evidence of necrosis
Add L97.318 Non-pressure chronic ulcer of right ankle with other specified severity
No Change L97.32 Non-pressure chronic ulcer of left ankle
Add L97.325 Non-pressure chronic ulcer of left ankle with muscle involvement without evidence of necrosis
Add L97.326 Non-pressure chronic ulcer of left ankle with bone involvement without evidence of necrosis
Add L97.328 Non-pressure chronic ulcer of left ankle with other specified severity
No Change L97.4 Non-pressure chronic ulcer of heel and midfoot
No Change L97.40 Non-pressure chronic ulcer of unspecified heel and midfoot
Add L97.405 Non-pressure chronic ulcer of unspecified heel and midfoot with muscle involvement without evidence of necrosis
Add L97.406 Non-pressure chronic ulcer of unspecified heel and midfoot with bone involvement without evidence of necrosis
Add L97.408 Non-pressure chronic ulcer of unspecified heel and midfoot with other specified severity
No Change L97.41 Non-pressure chronic ulcer of right heel and midfoot
Add L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without evidence of necrosis
Add L97.416 Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis
Add L97.418 Non-pressure chronic ulcer of right heel and midfoot with other specified severity
No Change L97.42 Non-pressure chronic ulcer of left heel and midfoot
Add L97.425 Non-pressure chronic ulcer of left heel and midfoot with muscle involvement without evidence of necrosis
Add L97.426 Non-pressure chronic ulcer of left heel and midfoot with bone involvement without evidence of necrosis
Add L97.428 Non-pressure chronic ulcer of left heel and midfoot with other specified severity
No Change L97.5 Non-pressure chronic ulcer of other part of foot
No Change L97.50 Non-pressure chronic ulcer of other part of unspecified foot
Add L97.505 Non-pressure chronic ulcer of other part of unspecified foot with muscle involvement without evidence of necrosis
Add L97.506 Non-pressure chronic ulcer of other part of unspecified foot with bone involvement without evidence of necrosis
Add L97.508 Non-pressure chronic ulcer of other part of unspecified foot with other specified severity
No Change L97.51 Non-pressure chronic ulcer of other part of right foot Add L97.515 Non-pressure chronic ulcer of other part of right foot with muscle involvement without evidence of necrosis
Add L97.516 Non-pressure chronic ulcer of other part of right foot with bone involvement without evidence of necrosis
Add L97.518 Non-pressure chronic ulcer of other part of right foot with other specified severity
No Change L97.52 Non-pressure chronic ulcer of other part of left foot
Add L97.525 Non-pressure chronic ulcer of other part of left foot with muscle involvement without evidence of necrosis
Add L97.526 Non-pressure chronic ulcer of other part of left foot with bone involvement without evidence of necrosis
Add L97.528 Non-pressure chronic ulcer of other part of left foot with other specified severity
No Change L97.8 Non-pressure chronic ulcer of other part of lower leg
No Change L97.80 Non-pressure chronic ulcer of other part of unspecified lower leg
Add L97.805 Non-pressure chronic ulcer of other part of unspecified lower leg with muscle involvement without evidence of necrosis
Add L97.806 Non-pressure chronic ulcer of other part of unspecified lower leg with bone involvement without evidence of necrosis
Add L97.808 Non-pressure chronic ulcer of other part of unspecified lower leg with other specified severity
No Change L97.81 Non-pressure chronic ulcer of other part of right lower leg
Add L97.815 Non-pressure chronic ulcer of other part of right lower leg with muscle involvement without evidence of necrosis
Add L97.816 Non-pressure chronic ulcer of other part of right lower leg with bone involvement without evidence of necrosis
Add L97.818 Non-pressure chronic ulcer of other part of right lower leg with other specified severity
No Change L97.82 Non-pressure chronic ulcer of other part of left lower leg
Add L97.825 Non-pressure chronic ulcer of other part of left lower leg with muscle involvement without evidence of necrosis
Add L97.826 Non-pressure chronic ulcer of other part of left lower leg with bone involvement without evidence of necrosis
Add L97.828 Non-pressure chronic ulcer of other part of left lower leg with other specified severity
No Change L97.9 Non-pressure chronic ulcer of unspecified part of lower leg
No Change L97.90 Non-pressure chronic ulcer of unspecified part of unspecified lower leg
Add L97.905 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with muscle involvement without evidence of necrosis
Add L97.906 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with bone involvement without evidence of necrosis
Add L97.908 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with other specified severity
No Change L97.91 Non-pressure chronic ulcer of unspecified part of right lower leg
Add L97.915 Non-pressure chronic ulcer of unspecified part of right lower leg with muscle involvement without evidence of necrosis
Add L97.916 Non-pressure chronic ulcer of unspecified part of right lower leg with bone involvement without evidence of necrosis
Add L97.918 Non-pressure chronic ulcer of unspecified part of right lower leg with other specified severity
No Change L97.92 Non-pressure chronic ulcer of unspecified part of left lower leg
Add L97.925 Non-pressure chronic ulcer of unspecified part of left lower leg with muscle involvement without evidence of necrosis
Add L97.926 Non-pressure chronic ulcer of unspecified part of left lower leg with bone involvement without evidence of necrosis
Add L97.928 Non-pressure chronic ulcer of unspecified part of left lower leg with other specified severity
No Change L98 Other disorders of skin and subcutaneous tissue, not elsewhere classified
No Change L98.4 Non-pressure chronic ulcer of skin, not elsewhere classified
No Change L98.41 Non-pressure chronic ulcer of buttock
Add L98.415 Non-pressure chronic ulcer of buttock with muscle involvement without evidence of necrosis
Add L98.416 Non-pressure chronic ulcer of buttock with bone involvement without evidence of necrosis
Add L98.418 Non-pressure chronic ulcer of buttock with other specified severity
No Change L98.42 Non-pressure chronic ulcer of back
Add L98.425 Non-pressure chronic ulcer of back with muscle involvement without evidence of necrosis
Add L98.426 Non-pressure chronic ulcer of back with bone involvement without evidence of necrosis
Add L98.428 Non-pressure chronic ulcer of back with other specified severity
No Change L98.49 Non-pressure chronic ulcer of skin of other sites
Add L98.495 Non-pressure chronic ulcer of other sites with muscle involvement without evidence of necrosis
Add L98.496 Non-pressure chronic ulcer of other sites with bone involvement without evidence of necrosis
Add L98.498 Non-pressure chronic ulcer of other sites with other specified severity No Change Chapter 13 No Change Diseases of the musculoskeletal system and connective tissue (M00-M99)
No Change This chapter contains the following blocks: Delete M04 Autoinflammatory syndromes Delete M97 Periprosthetic fracture around internal prosthetic joint
No Change Systemic connective tissue disorders (M30-M36)
No Change M33 Dermatopolymyositis
Revise from M33.0 Juvenile dermatopolymyositis Revise to M33.0 Juvenile dermatomyositis
Revise from M33.00 Juvenile dermatopolymyositis, organ involvement unspecified Revise to M33.00 Juvenile dermatomyositis, organ involvement unspecified
Revise from M33.01 Juvenile dermatopolymyositis with respiratory involvement Revise to M33.01 Juvenile dermatomyositis with respiratory involvement
Revise from M33.02 Juvenile dermatopolymyositis with myopathy Revise to M33.02 Juvenile dermatomyositis with myopathy
Add M33.03 Juvenile dermatomyositis without myopathy
Revise from M33.09 Juvenile dermatopolymyositis with other organ involvement Revise to M33.09 Juvenile dermatomyositis with other organ involvement
Revise from M33.1 Other dermatopolymyositis Revise to M33.1 Other dermatomyositis Add Adult dermatomyositis
Revise from M33.10 Other dermatopolymyositis, organ involvement unspecified Revise to M33.10 Other dermatomyositis, organ involvement unspecified
Revise from M33.11 Other dermatopolymyositis with respiratory involvement Revise to M33.11 Other dermatomyositis with respiratory involvement
Revise from M33.12 Other dermatopolymyositis with myopathy Revise to M33.12 Other dermatomyositis with myopathy
Add M33.13 Other dermatomyositis without myopathy Add Dermatomyositis NOS
Revise from M33.19 Other dermatopolymyositis with other organ involvement Revise to M33.19 Other dermatomyositis with other organ involvement
No Change M33.9 Dermatopolymyositis, unspecified
Add M33.93 Dermatopolymyositis, unspecified without myopathy
No Change Spondylopathies (M45-M49)
No Change M48 Other spondylopathies
No Change M48.0 Spinal stenosis
No Change M48.06 Spinal stenosis, lumbar region
Add M48.061 Spinal stenosis, lumbar region without neurogenic claudication Add Spinal stenosis, lumbar region NOS
Add M48.062 Spinal stenosis, lumbar region with neurogenic claudication
No Change Disorders of muscles (M60-M63)
No Change M62 Other disorders of muscle
No Change M62.5 Muscle wasting and atrophy, not elsewhere classified
No Change Excludes1: Revise from progressive muscular atrophy (G12.29) Revise to progressive muscular atrophy (G12.21) No Change Chapter 14 No Change Diseases of the genitourinary system (N00-N99)
No Change Renal tubulo-interstitial diseases (N10-N16)
No Change N13 Obstructive and reflux uropathy
No Change Excludes2: Revise from hydronephrosis with ureteropelvic junction obstruction (Q62.1) Revise to hydronephrosis with ureteropelvic junction obstruction (Q62.11)
No Change Acute kidney failure and chronic kidney disease (N17-N19)
No Change N18 Chronic kidney disease (CKD)
No Change N18.9 Chronic kidney disease, unspecified Revise from Chronic uremia Revise to Chronic uremia NOS Add Diffuse sclerosing glomerulonephritis NOS
No Change Other disorders of kidney and ureter (N25-N29)
No Change N25 Disorders resulting from impaired renal tubular function
Delete Excludes1: metabolic disorders classifiable to E70-E88
No Change N25.0 Renal osteodystrophy
Add Excludes2: metabolic disorders classifiable to E70-E88
No Change N25.8 Other disorders resulting from impaired renal tubular function
No Change N25.81 Secondary hyperparathyroidism of renal origin
Add Excludes2: metabolic disorders classifiable to E70-E88
No Change N28 Other disorders of kidney and ureter, not elsewhere classified
No Change N28.1 Cyst of kidney, acquired Revise from Cyst (multiple)(solitary) of kidney, acquired Revise to Cyst (multiple) (solitary) of kidney (acquired)
No Change Other diseases of the urinary system (N30-N39)
No Change N35 Urethral stricture
No Change N35.1 Postinfective urethral stricture, not elsewhere classified
No Change N35.11 Postinfective urethral stricture, not elsewhere classified, male
Revise from N35.112 Postinfective bulbous urethral stricture, not elsewhere classified Revise to N35.112 Postinfective bulbous urethral stricture, not elsewhere classified, male
Revise from N35.113 Postinfective membranous urethral stricture, not elsewhere classified Revise to N35.113 Postinfective membranous urethral stricture, not elsewhere classified, male
Revise from N35.114 Postinfective anterior urethral stricture, not elsewhere classified Revise to N35.114 Postinfective anterior urethral stricture, not elsewhere classified, male
No Change Disorders of breast (N60-N65)
No Change N63 Unspecified lump in breast
Add N63.0 Unspecified lump in unspecified breast
Add N63.1 Unspecified lump in the right breast
Add N63.10 Unspecified lump in the right breast, unspecified quadrant
Add N63.11 Unspecified lump in the right breast, upper outer quadrant
Add N63.12 Unspecified lump in the right breast, upper inner quadrant
Add N63.13 Unspecified lump in the right breast, lower outer quadrant
Add N63.14 Unspecified lump in the right breast, lower inner quadrant
Add N63.2 Unspecified lump in the left breast
Add N63.20 Unspecified lump in the left breast, unspecified quadrant
Add N63.21 Unspecified lump in the left breast, upper outer quadrant
Add N63.22 Unspecified lump in the left breast, upper inner quadrant
Add N63.23 Unspecified lump in the left breast, lower outer quadrant
Add N63.24 Unspecified lump in the left breast, lower inner quadrant
Add N63.3 Unspecified lump in axillary tail
Add N63.31 Unspecified lump in axillary tail of the right breast
Add N63.32 Unspecified lump in axillary tail of the left breast
Add N63.4 Unspecified lump in breast, subareolar
Add N63.41 Unspecified lump in right breast, subareolar
Add N63.42 Unspecified lump in left breast, subareolar
No Change Noninflammatory disorders of female genital tract (N80-N98)
No Change N80 Endometriosis
No Change N80.8 Other endometriosis Add Endometriosis of thorax
No Change N81 Female genital prolapse
No Change N81.2 Incomplete uterovaginal prolapse
No Change Excludes1: Revise from cervical stump prolaspe (N81.85) Revise to cervical stump prolapse (N81.85)
No Change N94 Pain and other conditions associated with female genital organs and menstrual cycle
No Change N94.3 Premenstrual tension syndrome Delete Premenstrual dysphoric disorder
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 N99.1 Postprocedural urethral stricture
No Change N99.11 Postprocedural urethral stricture, male
Revise from N99.111 Postprocedural bulbous urethral stricture Revise to N99.111 Postprocedural bulbous urethral stricture, male
Revise from N99.112 Postprocedural membranous urethral stricture Revise to N99.112 Postprocedural membranous urethral stricture, male
Revise from N99.113 Postprocedural anterior bulbous urethral stricture Revise to N99.113 Postprocedural anterior bulbous urethral stricture, male No Change Chapter 15 No Change Pregnancy, childbirth and the puerperium (O00-O9A)
No Change Pregnancy with abortive outcome (O00-O08)
No Change O00 Ectopic pregnancy
No Change O00.1 Tubal pregnancy
No Change O00.10 Tubal pregnancy without intrauterine pregnancy
Add O00.101 Right tubal pregnancy without intrauterine pregnancy
Add O00.102 Left tubal pregnancy without intrauterine pregnancy
Add O00.109 Unspecified tubal pregnancy without intrauterine pregnancy
No Change O00.11 Tubal pregnancy with intrauterine pregnancy
Add O00.111 Right tubal pregnancy with intrauterine pregnancy
Add O00.112 Left tubal pregnancy with intrauterine pregnancy
Add O00.119 Unspecified tubal pregnancy with intrauterine pregnancy
No Change O00.2 Ovarian pregnancy
No Change O00.20 Ovarian pregnancy without intrauterine pregnancy
Add O00.201 Right ovarian pregnancy without intrauterine pregnancy
Add O00.202 Left ovarian pregnancy without intrauterine pregnancy
Add O00.209 Unspecified ovarian pregnancy without intrauterine pregnancy
No Change O00.21 Ovarian pregnancy with intrauterine pregnancy
Add O00.211 Right ovarian pregnancy with intrauterine pregnancy
Add O00.212 Left ovarian pregnancy without intrauterine pregnancy
Add O00.219 Unspecified ovarian pregnancy with intrauterine pregnancy
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
Add O36.83 Maternal care for abnormalities of the fetal heart rate or rhythm
Add O36.831 Maternal care for abnormalities of the fetal heart rate or rhythm, first trimester
Add O36.832 Maternal care for abnormalities of the fetal heart rate or rhythm, second trimester
Add O36.833 Maternal care for abnormalities of the fetal heart rate or rhythm, third trimester
Add O36.839 Maternal care for abnormalities of the fetal heart rate or rhythm, unspecified trimester
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 O99.1 Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating pregnancy, childbirth and the puerperium
Delete Excludes2: hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3)
Add Excludes1: hemorrhage with coagulation defects (O45.-, O46.0-, O67.0, O72.3) 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 P00 Newborn affected by maternal conditions that may be unrelated to present pregnancy
No Change P00.2 Newborn affected by maternal infectious and parasitic diseases
Delete Excludes1: infections specific to the perinatal period (P35-P39)
Add Excludes2: infections specific to the perinatal period (P35-P39)
No Change Respiratory and cardiovascular disorders specific to the perinatal period (P19-P29)
No Change P24 Neonatal aspiration
No Change P24.0 Meconium aspiration
No Change P24.01 Meconium aspiration with respiratory symptoms
No Change Use Additional Revise from code to identify any secondary pulmonary hypertension, if applicable (I27.2) Revise to code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
No Change P24.1 Neonatal aspiration of (clear) amniotic fluid and mucus
No Change P24.11 Neonatal aspiration of (clear) amniotic fluid and mucus with respiratory symptoms
No Change Use Additional Revise from code to identify any secondary pulmonary hypertension, if applicable (I27.2) Revise to code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
No Change P24.2 Neonatal aspiration of blood
No Change P24.21 Neonatal aspiration of blood with respiratory symptoms
No Change Use Additional Revise from code to identify any secondary pulmonary hypertension, if applicable (I27.2) Revise to code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
No Change P24.3 Neonatal aspiration of milk and regurgitated food
No Change P24.31 Neonatal aspiration of milk and regurgitated food with respiratory symptoms
No Change Use Additional Revise from code to identify any secondary pulmonary hypertension, if applicable (I27.2) Revise to code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
No Change P24.8 Other neonatal aspiration
No Change P24.81 Other neonatal aspiration with respiratory symptoms No Change Use Additional Revise from code to identify any secondary pulmonary hypertension, if applicable (I27.2) Revise to code to identify any secondary pulmonary hypertension, if applicable (I27.2-)
No Change P27 Chronic respiratory disease originating in the perinatal period
Delete Excludes1: respiratory distress of newborn (P22.0-P22.9)
Add Excludes2: respiratory distress of newborn (P22.0-P22.9)
No Change P29 Cardiovascular disorders originating in the perinatal period
No Change P29.3 Persistent fetal circulation Delete Delayed closure of ductus arteriosus Delete (Persistent) pulmonary hypertension of newborn
Add P29.30 Pulmonary hypertension of newborn Add Persistent pulmonary hypertension of newborn
Add P29.38 Other persistent fetal circulation Add Delayed closure of ductus arteriosus
No Change Digestive system disorders of newborn (P76-P78)
No Change P78 Other perinatal digestive system disorders
No Change P78.8 Other specified perinatal digestive system disorders
Add P78.84 Gestational alloimmune liver disease Add GALD Add Neonatal hemochromatosis Add Excludes 1: hemochromatosis (E83.11-)
No Change Conditions involving the integument and temperature regulation of newborn (P80-P83)
No Change P83 Other conditions of integument specific to newborn
No Change P83.8 Other specified conditions of integument specific to newborn Delete Bronze baby syndrome Delete Neonatal scleroderma Delete Urticaria neonatorum
Add P83.81 Umbilical granuloma
Add Excludes2: : Granulomatous disorder of the skin and subcutaneous tissue, unspecified (L92.9)
Add P83.88 Other specified conditions of integument specific to newborn Add Bronze baby syndrome Add Neonatal scleroderma Add Urticaria neonatorum
No Change Other disorders originating in the perinatal period (P90-P96)
No Change P91 Other disturbances of cerebral status of newborn
No Change P91.6 Hypoxic ischemic encephalopathy [HIE]
Add Excludes1: Neonatal cerebral depression (P91.4) Add Neonatal cerebral irritability (P91.3) Add Neonatal coma (P91.5)
No Change P91.8 Other specified disturbances of cerebral status of newborn
Add P91.81 Neonatal encephalopathy
Add P91.811 Neonatal encephalopathy in diseases classified elsewhere
Add Code first underlying condition, if known, such as: Add congenital cirrhosis (of liver) (P78.71) Add intracranial nontraumatic hemorrhage of newborn (P52.-) Add kernicterus (P57.-)
Add P91.819 Neonatal encephalopathy, unspecified
Add P91.88 Other specified disturbances of cerebral status of newborn
No Change P92 Feeding problems of newborn
Add Excludes1: eating disorders (F50.-) No Change Chapter 17 No Change Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
No Change Congenital malformations of the circulatory system (Q20-Q28)
No Change Q21 Congenital malformations of cardiac septa
No Change Q21.8 Other congenital malformations of cardiac septa
Delete Excludes1: Eisenmenger's complex (I27.8) Delete Eisenmenger's syndrome (I27.8)
Add Code also if applicable: Add Eisenmenger's complex (I27.83) Add Eisenmenger's syndrome (I27.83)
No Change Q25 Congenital malformations of great arteries
No Change Q25.4 Other congenital malformations of aorta
No Change Q25.49 Other congenital malformations of aorta Add Aortic arch Add Bovine arch
No Change Congenital malformations of genital organs (Q50-Q56)
No Change Q53 Undescended and ectopic testicle
No Change Q53.1 Undescended testicle, unilateral
No Change Q53.11 Abdominal testis, unilateral
Add Q53.111 Unilateral intraabdominal testis
Add Q53.112 Unilateral inguinal testis
Add Q53.13 Unilateral high scrotal testis
No Change Q53.2 Undescended testicle, bilateral
No Change Q53.21 Abdominal testis, bilateral
Add Q53.211 Bilateral intraabdominal testes
Add Q53.212 Bilateral inguinal testes
Add Q53.23 Bilateral high scrotal testes
No Change Congenital malformations of the urinary system (Q60-Q64)
No Change Q64 Other congenital malformations of urinary system
No Change Q64.1 Exstrophy of urinary bladder
Revise from Q64.12 Cloacal extrophy of urinary bladder Revise to Q64.12 Cloacal exstrophy of urinary bladder
No Change Other congenital malformations (Q80-Q89)
No Change Q82 Other congenital malformations of skin
Revise from Q82.2 Mastocytosis Revise to Q82.2 Congenital cutaneous mastocytosis Delete Urticaria pigmentosa Add Congenital diffuse cutaneous mastocytosis Add Congenital maculopapular cutaneous mastocytosis Add Congenital urticaria pigmentosa
No Change Excludes1: Delete malignant mastocytosis (C96.2) Add cutaneous mastocytosis NOS (D47.01) Add diffuse cutaneous mastocytosis (with onset after newborn period) (D47.01) Add malignant mastocytosis (C96.2-) Add systemic mastocytosis (D47.02) Add urticaria pigmentosa (non-congenital) (with onset after newborn period) (D47.01) 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 circulatory and respiratory systems (R00-R09)
No Change R06 Abnormalities of breathing
No Change R06.0 Dyspnea
Add R06.03 Acute respiratory distress
No Change R09 Other symptoms and signs involving the circulatory and respiratory system
No Change R09.0 Asphyxia and hypoxemia
Delete Excludes1: hypercapnia (R06.4)
Add Excludes2: hypercapnia (R06.89)
No Change Symptoms and signs involving the genitourinary system (R30-R39)
No Change R39 Other and unspecified symptoms and signs involving the genitourinary system
No Change R39.8 Other symptoms and signs involving the genitourinary system
Add R39.83 Unilateral non-palpable testicle
Add R39.84 Bilateral non-palpable testicles
No Change Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
No Change R40 Somnolence, stupor and coma
No Change R40.2 Coma
No Change R40.22 Coma scale, best verbal response
No Change R40.222 Coma scale, best verbal response, incomprehensible words Add Incomprehensible sounds (2-5 years of age) Add Moans/grunts to pain; restless (<2 years old)
No Change R40.223 Coma scale, best verbal response, inappropriate words Add Inappropriate crying or screaming (< 2 years of age) Add Screaming (2-5 years of age)
No Change R40.224 Coma scale, best verbal response, confused conversation Add Inappropriate words (2-5 years of age) Add Irritable cries (< 2 years of age)
No Change R40.225 Coma scale, best verbal response, oriented Add Cooing or babbling or crying appropriately (< 2 years of age) Add Uses appropriate words (2- 5 years of age)
No Change R40.23 Coma scale, best motor response
No Change R40.232 Coma scale, best motor response, extension Add Abnormal extensor posturing to pain or noxious stimuli (< 2 years of age) Add Extensor posturing to pain or noxious stimuli (2-5 years of age)
No Change R40.233 Coma scale, best motor response, abnormal Add Abnormal flexure posturing to pain or noxious stimuli (0-5 years of age) Add Flexion/decorticate posturing (< 2 years of age) No Change R40.234 Coma scale, best motor response, flexion withdrawal Add Withdraws from pain or noxious stimuli (0-5 years of age)
No Change R40.235 Coma scale, best motor response, localizes pain Add Localizes pain (2-5 years of age) Add Withdraws to touch (< 2 years of age)
No Change R40.236 Coma scale, best motor response, obeys commands Add Normal or spontaneous movement (< 2 years of age) Add Obeys commands (2-5 years of age)
No Change R41 Other symptoms and signs involving cognitive functions and awareness
No Change R41.9 Unspecified symptoms and signs involving cognitive functions and awareness Add Unspecified neurocognitive disorder
No Change General symptoms and signs (R50-R69)
No Change R53 Malaise and fatigue
No Change R53.8 Other malaise and fatigue
Delete Excludes1: exhaustion and fatigue due to depressive episode (F32.-)
No Change R53.83 Other fatigue
Add Excludes2: exhaustion and fatigue due to depressive episode (F32.-)
No Change R57 Shock, not elsewhere classified
Delete Excludes1: septic shock (R65.21)
No Change R57.0 Cardiogenic shock
Add Excludes2: septic shock (R65.21)
No Change R60 Edema, not elsewhere classified
Delete Excludes1: nutritional edema (E40-E46)
No Change R60.1 Generalized edema
Add Excludes2: nutritional edema (E40-E46)
No Change R63 Symptoms and signs concerning food and fluid intake
No Change R63.3 Feeding difficulties Add Picky eater
Add Excludes1: eating disorders (F50.-)
No Change R68 Other general symptoms and signs
No Change R68.1 Nonspecific symptoms peculiar to infancy
No Change R68.13 Apparent life threatening event in infant (ALTE) Add Brief resolved unexplained event (BRUE)
No Change Abnormal findings on examination of blood, without diagnosis (R70-R79)
No Change R79 Other abnormal findings of blood chemistry
Delete Excludes1: abnormality of fluid, electrolyte or acid-base balance (E86-E87) No Change R79.1 Abnormal coagulation profile
Add Excludes2: abnormality of fluid, electrolyte or acid-base balance (E86-E87) No Change Chapter 19 No Change Injury, poisoning and certain other consequences of external causes (S00-T88)
No Change This chapter contains the following blocks: Delete T20-T32 Burns and corrosions
No Change Injuries to the head (S00-S09)
No Change S00 Superficial injury of head
No Change S00.5 Superficial injury of lip and oral cavity
No Change S00.53 Contusion of lip and oral cavity
No Change S00.531 Contusion of lip Revise from Hematoma of oral cavity Revise to Hematoma of lip
No Change S00.532 Contusion of oral cavity Revise from Bruise of lip Revise to Bruise of oral cavity
No Change S01 Open wound of head
No Change S01.8 Open wound of other parts of head
No Change S01.85 Open bite of other part of head
No Change Excludes1: Revise from superficial bite of other part of head (S00.85) Revise to superficial bite of other part of head (S00.87)
No Change S04 Injury of cranial nerve
No Change S04.0 Injury of optic nerve and pathways
No Change Use Additional Revise from code to identify any visual field defect or blindness (H53.4-, H54) Revise to code to identify any visual field defect or blindness (H53.4-, H54.-)
No Change S04.03 Injury of optic tract and pathways
Revise from S04.031 Injury of optic tract and pathways, right eye Revise to S04.031 Injury of optic tract and pathways, right side
Revise from S04.032 Injury of optic tract and pathways, left eye Revise to S04.032 Injury of optic tract and pathways, left side
Revise from S04.039 Injury of optic tract and pathways, unspecified eye Revise to S04.039 Injury of optic tract and pathways, unspecified side
No Change S04.04 Injury of visual cortex
Revise from S04.041 Injury of visual cortex, right eye Revise to S04.041 Injury of visual cortex, right side
Revise from S04.042 Injury of visual cortex, left eye Revise to S04.042 Injury of visual cortex, left side
Revise from S04.049 Injury of visual cortex, unspecified eye Revise to S04.049 Injury of visual cortex, unspecified side
No Change S06 Intracranial injury
Add Note: 7th characters D and S do not apply to codes in category S06 with 6th character 7 - death due to brain injury prior to regaining consciousness, or 8 - death due to other cause prior to regaining consciousness.
No Change Injuries to the wrist, hand and fingers (S60-S69)
No Change S62 Fracture at wrist and hand level
No Change S62.3 Fracture of other and unspecified metacarpal bone
No Change S62.31 Displaced fracture of base of other metacarpal bone
Revise from S62.311 Displaced fracture of base of second metacarpal bone. left hand Revise to S62.311 Displaced fracture of base of second metacarpal bone, left hand
Revise from S62.317 Displaced fracture of base of fifth metacarpal bone. left hand Revise to S62.317 Displaced fracture of base of fifth metacarpal bone, left hand
No Change S62.34 Nondisplaced fracture of base of other metacarpal bone
Revise from S62.341 Nondisplaced fracture of base of second metacarpal bone. left hand Revise to S62.341 Nondisplaced fracture of base of second metacarpal bone, left hand
Revise from S62.347 Nondisplaced fracture of base of fifth metacarpal bone. left hand Revise to S62.347 Nondisplaced fracture of base of fifth metacarpal bone, left hand
No Change S62.6 Fracture of other and unspecified finger(s)
Revise from S62.62 Displaced fracture of medial phalanx of finger Revise to S62.62 Displaced fracture of middle phalanx of finger
Revise from S62.620 Displaced fracture of medial phalanx of right index finger Revise to S62.620 Displaced fracture of middle phalanx of right index finger
Revise from S62.621 Displaced fracture of medial phalanx of left index finger Revise to S62.621 Displaced fracture of middle phalanx of left index finger
Revise from S62.622 Displaced fracture of medial phalanx of right middle finger Revise to S62.622 Displaced fracture of middle phalanx of right middle finger
Revise from S62.623 Displaced fracture of medial phalanx of left middle finger Revise to S62.623 Displaced fracture of middle phalanx of left middle finger
Revise from S62.624 Displaced fracture of medial phalanx of right ring finger Revise to S62.624 Displaced fracture of middle phalanx of right ring finger
Revise from S62.625 Displaced fracture of medial phalanx of left ring finger Revise to S62.625 Displaced fracture of middle phalanx of left ring finger
Revise from S62.65 Nondisplaced fracture of medial phalanx of finger Revise to S62.65 Nondisplaced fracture of middle phalanx of finger
Revise from S62.650 Nondisplaced fracture of medial phalanx of right index finger Revise to S62.650 Nondisplaced fracture of middle phalanx of right index finger
Revise from S62.651 Nondisplaced fracture of medial phalanx of left index finger Revise to S62.651 Nondisplaced fracture of middle phalanx of left index finger
Revise from S62.652 Nondisplaced fracture of medial phalanx of right middle finger Revise to S62.652 Nondisplaced fracture of middle phalanx of right middle finger
Revise from S62.653 Nondisplaced fracture of medial phalanx of left middle finger Revise to S62.653 Nondisplaced fracture of middle phalanx of left middle finger
No Change S63 Dislocation and sprain of joints and ligaments at wrist and hand level
No Change S63.1 Subluxation and dislocation of thumb
Revise from S63.12 Subluxation and dislocation of unspecified interphalangeal joint of thumb Revise to S63.12 Subluxation and dislocation of interphalangeal joint of thumb
Revise from S63.121 Subluxation of unspecified interphalangeal joint of right thumb Revise to S63.121 Subluxation of interphalangeal joint of right thumb
Revise from S63.122 Subluxation of unspecified interphalangeal joint of left thumb Revise to S63.122 Subluxation of interphalangeal joint of left thumb
Revise from S63.123 Subluxation of unspecified interphalangeal joint of unspecified thumb Revise to S63.123 Subluxation of interphalangeal joint of unspecified thumb
Revise from S63.124 Dislocation of unspecified interphalangeal joint of right thumb Revise to S63.124 Dislocation of interphalangeal joint of right thumb
Revise from S63.125 Dislocation of unspecified interphalangeal joint of left thumb Revise to S63.125 Dislocation of interphalangeal joint of left thumb
Revise from S63.126 Dislocation of unspecified interphalangeal joint of unspecified thumb Revise to S63.126 Dislocation of interphalangeal joint of unspecified thumb
Delete S63.13 Subluxation and dislocation of proximal interphalangeal joint of thumb
Delete S63.131 Subluxation of proximal interphalangeal joint of right thumb
Delete S63.132 Subluxation of proximal interphalangeal joint of left thumb
Delete S63.133 Subluxation of proximal interphalangeal joint of unspecified thumb
Delete S63.134 Dislocation of proximal interphalangeal joint of right thumb
Delete S63.135 Dislocation of proximal interphalangeal joint of left thumb
Delete S63.136 Dislocation of proximal interphalangeal joint of unspecified thumb
Delete S63.14 Subluxation and dislocation of distal interphalangeal joint of thumb
Delete S63.141 Subluxation of distal interphalangeal joint of right thumb
Delete S63.142 Subluxation of distal interphalangeal joint of left thumb
Delete S63.143 Subluxation of distal interphalangeal joint of unspecified thumb
Delete S63.144 Dislocation of distal interphalangeal joint of right thumb
Delete S63.145 Dislocation of distal interphalangeal joint of left thumb
Delete S63.146 Dislocation of distal interphalangeal joint of unspecified thumb
No Change S63.2 Subluxation and dislocation of other finger(s)
No Change S63.25 Unspecified dislocation of other finger
No Change S63.259 Unspecified dislocation of unspecified finger Revise from Unspecified dislocation of specified finger with unspecified laterality Revise to Unspecified dislocation of unspecified finger with unspecified laterality
No Change S63.27 Dislocation of unspecified interphalangeal joint of finger
No Change S63.279 Dislocation of unspecified interphalangeal joint of unspecified finger Revise from Dislocation of unspecified interphalangeal joint of specified finger without specified laterality Revise to Dislocation of unspecified interphalangeal joint of unspecified finger without specified laterality
No Change Injuries to the hip and thigh (S70-S79)
No Change S72 Fracture of femur
No Change Excludes2: Revise from periprosthetic fracture of prosthetic implant of hip (T84.040, T84.041) Revise to periprosthetic fracture of prosthetic implant of hip (M97.0-)
No Change S73 Dislocation and sprain of joint and ligaments of hip
No Change S73.0 Subluxation and dislocation of hip
Revise from S73.03 Other anterior dislocation of hip Revise to S73.03 Other anterior subluxation and dislocation of hip
Revise from S73.04 Central dislocation of hip Revise to S73.04 Central subluxation and dislocation of hip
No Change Injuries to the knee and lower leg (S80-S89)
No Change S82 Fracture of lower leg, including ankle
No Change Excludes2: Revise from periprosthetic fracture of prosthetic implant of knee (T84.042, T84.043) Revise to periprosthetic fracture of prosthetic implant of knee (M97.0-)
No Change Injuries to the ankle and foot (S90-S99)
No Change S92 Fracture of foot and toe, except ankle
No Change S92.5 Fracture of lesser toe(s)
Revise from S92.52 Fracture of medial phalanx of lesser toe(s) Revise to S92.52 Fracture of middle phalanx of lesser toe(s)
Revise from S92.521 Displaced fracture of medial phalanx of right lesser toe(s) Revise to S92.521 Displaced fracture of middle phalanx of right lesser toe(s)
Revise from S92.522 Displaced fracture of medial phalanx of left lesser toe(s) Revise to S92.522 Displaced fracture of middle phalanx of left lesser toe(s)
Revise from S92.523 Displaced fracture of medial phalanx of unspecified lesser toe(s) Revise to S92.523 Displaced fracture of middle phalanx of unspecified lesser toe(s)
Revise from S92.524 Nondisplaced fracture of medial phalanx of right lesser toe(s) Revise to S92.524 Nondisplaced fracture of middle phalanx of right lesser toe(s)
Revise from S92.525 Nondisplaced fracture of medial phalanx of left lesser toe(s) Revise to S92.525 Nondisplaced fracture of middle phalanx of left lesser toe(s)
Revise from S92.526 Nondisplaced fracture of medial phalanx of unspecified lesser toe(s) Revise to S92.526 Nondisplaced fracture of middle phalanx of unspecified lesser toe(s)
No Change Injuries involving multiple body regions (T07) No Change T07 Unspecified multiple injuries
Add The appropriate 7th character is to be added to code T07 Add A initial encounter Add D subsequent encounter Add S sequela
No Change Excludes1: Revise from injury NOS (T14) Revise to injury NOS (T14.90)
No Change Injury of unspecified body region (T14)
No Change T14 Injury of unspecified body region
Add The appropriate 7th character is to be added to each code from category T14 Add A initial encounter Add D subsequent encounter Add S sequela
No Change T14.8 Other injury of unspecified body region Add Wound NOS
No Change Burns and corrosions confined to eye and internal organs (T26-T28)
No Change T27 Burn and corrosion of respiratory tract
No Change T27.3 Burn of respiratory tract, part unspecified
Delete Code first (T51-T65) to identify chemical and intent for codes T27.4-T27.7
No Change T27.4 Corrosion of larynx and trachea
Add Code first (T51-T65) to identify chemical and intent
No Change T27.6 Corrosion of other parts of respiratory tract
Add Code first (T51-T65) to identify chemical and intent
No Change T27.7 Corrosion of respiratory tract, part unspecified
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
Add Code first (T51-T65) to identify chemical and intent
No Change T28.49 Burn of other internal organ
Delete Code first (T51-T65) to identify chemical and intent for T28.5-T28.9-
No Change T28.5 Corrosion of mouth and pharynx
Add Code first (T51-T65) to identify chemical and intent
No Change T28.6 Corrosion of esophagus
Add Code first (T51-T65) to identify chemical and intent
No Change T28.7 Corrosion of other parts of alimentary tract
Add Code first (T51-T65) to identify chemical and intent
No Change T28.8 Corrosion of internal genitourinary organs
Add Code first (T51-T65) to identify chemical and intent
No Change T28.9 Corrosions of other and unspecified internal organs
Add 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 T43 Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified
No Change T43.2 Poisoning by, adverse effect of and underdosing of other and unspecified antidepressants
No Change T43.20 Poisoning by, adverse effect of and underdosing of unspecified antidepressants
No Change T43.205 Adverse effect of unspecified antidepressants Add Antidepressant discontinuation syndrome
No Change Other and unspecified effects of external causes (T66-T78)
No Change T76 Adult and child abuse, neglect and other maltreatment, suspected
No Change T76.2 Sexual abuse, suspected Delete Sexual abuse, suspected
No Change Complications of surgical and medical care, not elsewhere classified (T80-T88)
No Change T80 Complications following infusion, transfusion and therapeutic injection
No Change T80.6 Other serum reactions
No Change T80.69 Other serum reaction due to other serum
Add Code also, if applicable, arthropathy in hypersensitivity reactions classified elsewhere (M36.4)
No Change T84 Complications of internal orthopedic prosthetic devices, implants and grafts
No Change T84.0 Mechanical complication of internal joint prosthesis
No Change T84.01 Broken internal joint prosthesis
No Change Excludes1: Revise from periprosthetic joint implant fracture (T84.04) Revise to periprosthetic joint implant fracture (M97-)
No Change T85 Complications of other internal prosthetic devices, implants and grafts
No Change T85.6 Mechanical complication of other specified internal and external prosthetic devices, implants and grafts
No Change T85.62 Displacement of other specified internal prosthetic devices, implants and grafts
No Change T85.623 Displacement of artificial skin graft and decellularized allodermis Delete Displacement of artificial skin graft and decellularized allodermis No Change Chapter 20 No Change External causes of morbidity (V00-Y99)
No Change This chapter contains the following blocks: Delete X50 Overexertion and strenuous or repetitive movements
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
Add V86.05 Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
Add V86.06 Driver of dirt bike or motor/cross bike injured in traffic accident
No Change V86.1 Passenger of special all-terrain or other off-road motor vehicle injured in traffic accident
Add V86.15 Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
Add V86.16 Passenger of dirt bike or motor/cross 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
Add V86.25 Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
Add V86.26 Person on outside of dirt bike or motor/cross 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
Add V86.35 Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
Add V86.36 Unspecified occupant of dirt bike or motor/cross 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
Add V86.45 Person injured while boarding or alighting from a 3- or 4- wheeled all-terrain vehicle (ATV)
Add V86.46 Person injured while boarding or alighting from a dirt bike or motor/cross bike
No Change V86.5 Driver of special all-terrain or other off-road motor vehicle injured in nontraffic accident
Add V86.55 Driver of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident
Add V86.56 Driver of dirt bike or motor/cross bike injured in nontraffic accident
No Change V86.6 Passenger of special all-terrain or other off-road motor vehicle injured in nontraffic accident
Add V86.65 Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident
Add V86.66 Passenger of dirt bike or motor/cross 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
Add V86.75 Person on outside of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident Add V86.76 Person on outside of dirt bike or motor/cross bike injured in nontraffic accident
No Change V86.9 Unspecified occupant of special all-terrain or other off-road motor vehicle injured in nontraffic accident
Add V86.95 Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident
Add V86.96 Unspecified occupant of dirt bike or motor/cross bike injured in nontraffic accident
No Change V86.99 Unspecified occupant of other special all-terrain or other off-road motor vehicle injured in nontraffic accident Delete All-terrain motor-vehicle accident NOS Delete Unspecified occupant of dirt bike injured in nontraffic accident
No Change Slipping, tripping, stumbling and falls (W00-W19)
No Change Excludes2: Revise from fall into fire (X00-X04, X08-X09) Revise to fall into fire (X00-X04, X08)
No Change Exposure to inanimate mechanical forces (W20-W49)
No Change W29 Contact with other powered hand tools and household machinery
Revise from W29.8 Contact with other powered powered hand tools and household machinery Revise to W29.8 Contact with other powered hand tools and household machinery
No Change Contact with heat and hot substances (X10-X19)
No Change Excludes1: Revise from exposure to fire and flames (X00-X09) Revise to exposure to fire and flames (X00-X08)
No Change X19 Contact with other heat and hot substances
No Change Excludes1: Revise from objects that are not normally hot, e.g., an object made hot by a house fire (X00-X09) Revise to objects that are not normally hot, e.g., an object made hot by a house fire (X00-X08)
No Change Exposure to forces of nature (X30-X39)
No Change X32 Exposure to sunlight
Add Excludes2: radiation-related disorders of the skin and subcutaneous tissue (L55-L59) No Change Chapter 21 No Change Factors influencing health status and contact with health services (Z00-Z99)
No Change This chapter contains the following blocks: Delete Z19 Hormone sensitivity malignancy status
No Change Persons encountering health services for examinations (Z00-Z13)
No Change Z03 Encounter for medical observation for suspected diseases and conditions ruled out
No Change Excludes1: Delete newborn observation for suspected condition, ruled out (P00-P04) Add encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out (Z05.0-)
No Change Z05 Encounter for observation and evaluation of newborn for suspected diseases and conditions ruled out Revise from This category is to be used for newborns, within the neonatal period (the first 28 days of life), who are suspected of having an abnormal condition unrelated to exposure from the mother or the birth process, but without signs or symptoms, and which, after examination and observation, is ruled out. Revise to This category is to be used for newborns, within the neonatal period (the first 28 days of life), who are suspected of having an abnormal condition, but without signs or symptoms, and which, after examination and observation, is ruled out.
Delete Excludes2: newborn observation for suspected condition, related to exposure from the mother or birth process (P00-P04)
No Change Resistance to antimicrobial drugs (Z16)
No Change Z16 Resistance to antimicrobial drugs
Delete Excludes1: Methicillin resistant Staphylococcus aureus infection in diseases classified elsewhere (B95.62)
No Change Z16.1 Resistance to beta lactam antibiotics
No Change Z16.12 Extended spectrum beta lactamase (ESBL) resistance
Add Excludes2: Methicillin resistant Staphylococcus aureus infection in diseases classified elsewhere (B95.62)
No Change Persons encountering health services in circumstances related to reproduction (Z30-Z39)
No Change Z31 Encounter for procreative management
Revise from Z31.5 Encounter for genetic counseling Revise to Z31.5 Encounter for procreative genetic counseling
No Change Z36 Encounter for antenatal screening of mother
Add Includes: Encounter for placental sample (taken vaginally) Add Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Delete Excludes1: abnormal findings on antenatal screening of mother (O28.-)
Add Excludes2: abnormal findings on antenatal screening of mother (O28.-)
Add Z36.0 Encounter for antenatal screening for chromosomal anomalies
Add Z36.1 Encounter for antenatal screening for raised alphafetoprotein level Add Encounter for antenatal screening for elevated maternal serum alphafetoprotein level
Add Z36.2 Encounter for other antenatal screening follow-up Add Non-visualized anatomy on a previous scan
Add Z36.3 Encounter for antenatal screening for malformations Add Screening for a suspected anomaly
Add Z36.4 Encounter for antenatal screening for fetal growth retardation Add Intrauterine growth restriction (IUGR)/small-for-dates
Add Z36.5 Encounter for antenatal screening for isoimmunization
Add Z36.8 Encounter for other antenatal screening
Add Z36.81 Encounter for antenatal screening for hydrops fetalis
Add Z36.82 Encounter for antenatal screening for nuchal translucency
Add Z36.83 Encounter for fetal screening for congenital cardiac abnormalities
Add Z36.84 Encounter for antenatal screening for fetal lung maturity
Add Z36.85 Encounter for antenatal screening for Streptococcus B
Add Z36.86 Encounter for antenatal screening for cervical length Add Screening for risk of pre-term labor
Add Z36.87 Encounter for antenatal screening for uncertain dates
Add Z36.88 Encounter for antenatal screening for fetal macrosomia Add Screening for large-for-dates
Add Z36.89 Encounter for other specified antenatal screening
Add Z36.8A Encounter for antenatal screening for other genetic defects
Add Z36.9 Encounter for antenatal screening, unspecified
No Change Z3A Weeks of gestation
No Change Code first Revise from complications of pregnancy, childbirth and the puerperium (O00-O9A) Revise to complications of pregnancy, childbirth and the puerperium (O09-O9A)
No Change Encounters for other specific health care (Z40-Z53)
No Change Z40 Encounter for prophylactic surgery
No Change Z40.0 Encounter for prophylactic surgery for risk factors related to malignant neoplasms
Revise from Z40.02 Encounter for prophylactic removal of ovary Revise to Z40.02 Encounter for prophylactic removal of ovary(s) Add Encounter for prophylactic removal of ovary(s) and fallopian tube(s)
Add Z40.03 Encounter for prophylactic removal of fallopian tube(s )
No Change Z43 Encounter for attention to artificial openings
Delete Excludes1: artificial opening status only, without need for care (Z93.-)
No Change Z43.1 Encounter for attention to gastrostomy
Add Excludes2: artificial opening status only, without need for care (Z93.-) No Change Z45 Encounter for adjustment and management of implanted device
Delete Excludes1: presence of prosthetic and other devices (Z95-Z97)
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 Excludes2: presence of prosthetic and other devices (Z95-Z97)
No Change Z48 Encounter for other postprocedural aftercare
Add Excludes1: encounter for aftercare following injury - code to Injury, by site, with appropriate 7th character for subsequent encounter
No Change Persons with potential health hazards related to socioeconomic and psychosocial circumstances (Z55-Z65)
No Change Z63 Other problems related to primary support group, including family circumstances
No Change Z63.0 Problems in relationship with spouse or partner Add Relationship distress with spouse or intimate partner
No Change Z65 Problems related to other psychosocial circumstances
No Change Z65.8 Other specified problems related to psychosocial circumstances Add Religious or spiritual problem
No Change Body mass index [BMI] (Z68)
No Change Z68 Body mass index [BMI]
Revise from Z68.1 Body mass index (BMI) 19 or less, adult Revise to Z68.1 Body mass index (BMI) 19.9 or less, 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 Z69.0 Encounter for mental health services for child abuse problems
No Change Z69.01 Encounter for mental health services for parental child abuse
No Change Z69.010 Encounter for mental health services for victim of parental child abuse Add Encounter for mental health services for victim of child abuse by parent Add Encounter for mental health services for victim of child neglect by parent Add Encounter for mental health services for victim of child psychological abuse by parent Add Encounter for mental health services for victim of child sexual abuse by parent
No Change Z69.011 Encounter for mental health services for perpetrator of parental child abuse Add Encounter for mental health services for perpetrator of parental child neglect Add Encounter for mental health services for perpetrator of parental child psychological abuse Add Encounter for mental health services for perpetrator of parental child sexual abuse
No Change Z69.02 Encounter for mental health services for non-parental child abuse
No Change Z69.020 Encounter for mental health services for victim of non-parental child abuse Add Encounter for mental health services for victim of non-parental child neglect Add Encounter for mental health services for victim of non-parental child psychological abuse Add Encounter for mental health services for victim of non-parental child sexual abuse
No Change Z69.021 Encounter for mental health services for perpetrator of non-parental child abuse Add Encounter for mental health services for perpetrator of non-parental child neglect Add Encounter for mental health services for perpetrator of non-parental child psychological abuse Add Encounter for mental health services for perpetrator of non-parental child sexual abuse
No Change Z69.1 Encounter for mental health services for spousal or partner abuse problems
No Change Z69.11 Encounter for mental health services for victim of spousal or partner abuse Add Encounter for mental health services for victim of spouse or partner neglect Add Encounter for mental health services for victim of spouse or partner psychological abuse Add Encounter for mental health services for victim of spouse or partner violence, physical
No Change Z69.12 Encounter for mental health services for perpetrator of spousal or partner abuse Add Encounter for mental health services for perpetrator of spouse or partner neglect Add Encounter for mental health services for perpetrator of spouse or partner psychological abuse Add Encounter for mental health services for perpetrator of spouse or partner violence, physical Add Encounter for mental health services for perpetrator of spouse or partner violence, sexual
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 Add Encounter for mental health services for perpetrator of non-spousal adult abuse Add Encounter for mental health services for victim of non-spousal adult abuse Add Encounter for mental health services for victim of spouse or partner violence, sexual
No Change Z71 Persons encountering health services for other counseling and medical advice, not elsewhere classified
No Change Z71.8 Other specified counseling
Delete Excludes2: counseling for genetics (Z31.5) Delete counseling for procreative management (Z31.6-)
Add Z71.82 Exercise counseling
Add Z71.83 Encounter for nonprocreative genetic counseling
Add Excludes1: counseling for procreative genetics (Z31.5) Add counseling for procreative management (Z31.6)
No Change Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
No Change Z79 Long term (current) drug therapy
No Change Z79.8 Other long term (current) drug therapy
No Change Z79.81 Long term (current) use of agents affecting estrogen receptors and estrogen levels
No Change Excludes1: Revise from hormone replacement therapy (postmenopausal) (Z79.890) Revise to hormone replacement therapy (Z79.890)
No Change Z79.89 Other long term (current) drug therapy
Revise from Z79.890 Hormone replacement therapy (postmenopausal) Revise to Z79.890 Hormone replacement therapy
No Change Z83 Family history of other specific disorders
No Change Z83.7 Family history of diseases of the digestive system
No Change Z83.71 Family history of colonic polyps
Delete Excludes1: family history of malignant neoplasm of digestive organs (Z80.0)
Add Excludes2: family history of malignant neoplasm of digestive organs (Z80.0)
No Change Z87 Personal history of other diseases and conditions
No Change Z87.4 Personal history of diseases of genitourinary system
No Change Z87.41 Personal history of dysplasia of the female genital tract
No Change Excludes1: Revise from personal history of intraepithelial neoplasia III of female genital tract (Z87.001, Z87.008) Revise to personal history of intraepithelial neoplasia III of female genital tract (Z86.001, Z86.008)
No Change Z91 Personal risk factors, not elsewhere classified
Add Excludes2: female genital mutilation status (N90.81-)
No Change Z91.1 Patient's noncompliance with medical treatment and regimen
No Change Z91.19 Patient's noncompliance with other medical treatment and regimen Add Nonadherence to medical treatment
No Change Z91.8 Other specified personal risk factors, not elsewhere classified
Add Z91.84 Oral health risk factors
Add Z91.841 Risk for dental caries, low
Add Z91.842 Risk for dental caries, moderate
Add Z91.843 Risk for dental caries, high
Add Z91.849 Unspecified risk for dental caries
No Change Z95 Presence of cardiac and vascular implants and grafts
Delete Excludes1: complications of cardiac and vascular devices, implants and grafts (T82.-)
Add Excludes2: complications of cardiac and vascular devices, implants and grafts (T82.-)