ICD-10-CM Expert for Physicians the Complete Ofﬁcial Code Set Codes Valid October 1, 2016 Through September 30, 2017

ICD-10-CM Expert for Physicians The complete ofﬁcial code set Codes valid October 1, 2016 through September 30, 2017

ICD-10 IS NOW. For more resources and training visit Optum360Coding.com. Contents

Preface ...... iii ICD-10-CM Neoplasm Table ...... 328 ICD-10-CM Official Preface ...... iii Characteristics of ICD-10-CM ...... iii ICD-10-CM Table of Drugs and Chemicals ...... 346

What’s New for 2017 ...... iv ICD-10-CM Index to External Causes ...... 394

Introduction ...... v ICD-10-CM Tabular List of Diseases and Injuries ...... 429 History of ICD-10-CM ...... v Chapter 1. Certain Infectious and Parasitic Diseases ICD-10-CM: The Complete Official Code Set ...... v (A00-B99) ...... 429 Chapter 2. Neoplasms (C00-D49) ...... 451 How to Use ICD-10-CM for Physicians 2017...... vi Chapter 3. Diseases of the Blood and Blood-forming Organs Use of Official Sources ...... vi and Certain Disorders Involving the Immune Steps to Correct Coding ...... vi Mechanism (D50-D89) ...... 487 Organization ...... vi Chapter 4. Endocrine, Nutritional and Metabolic Diseases Introduction ...... vi (E00-E89) ...... 497 Official ICD-10-CM Conventions and Guidelines...... vi Chapter 5. Mental, Behavioral, and Neurodevelopmental Alphabetic Index to Diseases ...... vi Disorders (F01-F99) ...... 517 Neoplasm Table...... vi Chapter 6. Diseases of the Nervous System (G00-G99) ...... 539 Table of Drugs and Chemicals ...... vi Index to External Causes ...... vi Chapter 7. Diseases of the Eye and Adnexa (H00-H59) ...... 558 Tabular List of Diseases ...... vi Chapter 8. Diseases of the Ear and Mastoid Process Appendixes...... vi (H60-H95) ...... 592 Illustrations...... vii Chapter 9. Diseases of the Circulatory System (I00-I99) ...... 604 Chapter 10. Diseases of the Respiratory System (J00-J99) ...... 642 Overview of ICD-10-CM Official Conventions ...... viii Chapter 11. Diseases of the Digestive System (K00-K95) ...... 656 Format ...... viii Punctuation ...... viii Chapter 12. Diseases of the Skin and Subcutaneous Tissue (L00-L99) ...... 678 Abbreviations ...... viii NEC ...... viii Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) ...... 697 NOS...... viii Typeface...... viii Chapter 14. Diseases of the Genitourinary System (N00-N99) .781 General Notes ...... viii Chapter 15. Pregnancy, Childbirth and the Puerperium Includes Notes ...... viii (O00-O9A) ...... 798 Inclusion Terms...... viii Chapter 16. Certain Conditions Originating in the Perinatal Excludes Notes...... viii Period (P00-P96) ...... 835 Note...... ix Chapter 17. Congenital Malformations, Deformations and Default Codes...... ix Chromosomal Abnormalities (Q00-Q99) ...... 846 Syndromes...... ix Chapter 18. Symptoms, Signs and Abnormal Clinical and And ...... ix Laboratory Findings, Not Elsewhere With ...... ix Classified (R00-R99) ...... 863 Instruction Notes Used in the Tabular ...... ix Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) ...... 882 Additional Annotations ...... x Chapter 20. External Causes of Morbidity (V00-Y99)...... 1079 Code-Level Notationsx Chapter 21. Factors Influencing Health Status and Contact Italics ...... x With Health Services (Z00-Z99) ...... 1140 Color Coding/Symbols ...... x Chapter-Level Notations ...... xii Chapter-Specific Guidelines with Coding Examples...... xii Appendixes ...... Appendixes–1 Muscle/Tendon Table ...... xii Appendix A: 10 Steps to Correct Coding ...... Appendixes–1 Index Notations ...... xii Appendix B: Valid 3-character ICD-10-CM Codes...... Appendixes–3 Following References ...... xii Appendix C: Pharmacology List 2017...... Appendixes–5 Appendix D: Z Codes for Long-Term Drug Use with Associated Drugs ...... Appendixes–13 ICD-10-CM Official Guidelines for Coding Appendix E: Z Codes Only as a Principal/First-Listed and Reporting 2016 ...... Coding Guidelines–1 Diagnosis ...... Appendixes–15

ICD-10-CM Index to Diseases and Injuries ...... 1

ICD-10-CM 2017 i Contents Illustrations ...... Illustrations–1 Chapter 10. Diseases of the Respiratory Chapter 3. Diseases of the Blood and Blood-forming Organs and System (J00–J99) ...... Illustrations–27 Certain Disorders Involving the Immune Mechanism Respiratory System ...... Illustrations–27 (D50–D89) ...... Illustrations–1 Upper Respiratory System ...... Illustrations–28 Red Blood Cells ...... Illustrations–1 Lower Respiratory System ...... Illustrations–28 White Blood Cell ...... Illustrations–1 Paranasal Sinuses ...... Illustrations–28 Platelet ...... Illustrations–2 Lung Segments ...... Illustrations–29 Coagulation ...... Illustrations–2 Alveoli ...... Illustrations–29 Spleen Anatomical Location and External Chapter 11. Diseases of the Digestive System Structures ...... Illustrations–3 (K00–K95) ...... Illustrations–30 Spleen Interior Structures ...... Illustrations–3 Digestive System ...... Illustrations–30 Chapter 4. Endocrine, Nutritional and Metabolic Omentum and Mesentery ...... Illustrations–31 Diseases (E00–E89) ...... Illustrations–4 Peritoneum and Retroperitoneum ..Illustrations–31 Endocrine System ...... Illustrations–4 Chapter 12. Diseases of the Skin and Subcutaneous Thyroid ...... Illustrations–5 Tissue (L00–L99) ...... Illustrations–32 Thyroid and Parathyroid Glands ...... Illustrations–5 Nail Anatomy ...... Illustrations–32 Pancreas ...... Illustrations–6 Skin and Subcutaneous Tissue ...... Illustrations–32 Anatomy of the Adrenal Gland ...... Illustrations–6 Chapter 13. Diseases of the Musculoskeletal System and Structure of an Ovary ...... Illustrations–7 Connective Tissue (M00–M99) ...... Illustrations–33 Testis and Associated Structures ...... Illustrations–7 Bones and Joints ...... Illustrations–33 Thymus ...... Illustrations–8 Shoulder Anterior View ...... Illustrations–34 Chapter 6. Diseases of the Nervous System Shoulder Posterior View ...... Illustrations–34 (G00–G99)...... Illustrations–9 Elbow Anterior View ...... Illustrations–34 Brain ...... Illustrations–9 Elbow Posterior View ...... Illustrations–35 Cranial Nerves ...... Illustrations–9 Hand ...... Illustrations–35 Peripheral Nervous System ...... Illustrations–10 Hip Anterior View ...... Illustrations–36 Spinal Cord and Spinal Nerves ...... Illustrations–11 Hip Posterior View ...... Illustrations–36 Nerve Cell ...... Illustrations–12 Knee Anterior View ...... Illustrations–36 Chapter 7. Diseases of the Eye and Adnexa Knee Posterior View ...... Illustrations–37 (H00–H59) ...... Illustrations–13 Foot ...... Illustrations–37 Eye ...... Illustrations–13 Muscles ...... Illustrations–38 Posterior Pole of Globe/Flow of Chapter 14. Diseases of the Genitourinary System Aqueous Humor ...... Illustrations–13 (N00–N99) ...... Illustrations–39 Lacrimal System ...... Illustrations–14 Urinary System ...... Illustrations–39 Eye Musculature ...... Illustrations–14 Male Genitourinary System ...... Illustrations–40 Eyelid Structures ...... Illustrations–15 Female Internal Genitalia ...... Illustrations–40 Chapter 8. Diseases of the Ear and Mastoid Female Genitourinary Tract Lateral Process (H60–H95) ...... Illustrations–16 View ...... Illustrations–41 Ear Anatomy ...... Illustrations–16 Chapter 15. Pregnancy, Childbirth and the Chapter 9. Diseases of the Circulatory Puerperium (O00–O9A) ...... Illustrations–42 System (I00–I99) ...... Illustrations–17 Term Pregnancy – Single Gestation Illustrations–42 Anatomy of the Heart ...... Illustrations–17 Twin Gestation–Dichorionic–Diamniotic Heart Cross Section ...... Illustrations–17 (DI-DI) ...... Illustrations–42 Heart Valves...... Illustrations–18 Twin Gestation–Monochorionic–Diamniotic Heart Conduction System...... Illustrations–18 (MO-DI) ...... Illustrations– 43 Coronary Arteries ...... Illustrations–19 Twin Gestation–Monochorionic–Monoamniotic Arteries...... Illustrations–20 (MO-MO) ...... Illustrations–43 Veins ...... Illustrations–21 Internal Carotid and Vertebral Arteries and Branches ...... Illustrations–22 External Carotid Artery and Branches ...... Illustrations–22 Branches of Abdominal Aorta ...... Illustrations–23 Portal Venous Circulation ...... Illustrations–23 Lymphatic System ...... Illustrations–24 Axillary Lymph Nodes ...... Illustrations–25 Lymphatic System of Head and Neck ...... Illustrations–25 Lymphatic Capillaries ...... Illustrations–26 Lymphatic Drainage ...... Illustrations–26

ii ICD-10-CM 2017 Glaucoma ICD-10-CM 2017 Glaucoma — continued Glioma — continued Glomerulonephritis — continued corticosteroid-induced — see Glaucoma, secondary, subependymal D43.2 in — continued drugs specified site — see Neoplasm, uncertain behavior, subacute bacterial endocarditis I33.0 [N08] hypersecretion H40.82- S by site syphilis (late) congenital A50.59 [N08] Index in (due to) unspecified site D43.2 systemic lupus erythematosus M32.14 amyloidosis E85.4 [H42] unspecified site C71.9 thrombotic thrombocytopenic purpura aniridia Q13.1 [H42] Gliomatosis cerebri C71.0 M31.1 [N08] concussion of globe — see Glaucoma, secondary, Glioneuroma — see Neoplasm, uncertain behavior, by typhoid fever A01.09 trauma site Waldenström macroglobulinemia C88.0 [N08] dislocation of lens — see Glaucoma, secondary Gliosarcoma Wegener's granulomatosis M31.31 disorder of lens NEC — see Glaucoma, secondary specified site — see Neoplasm, malignant, by site latent or quiescent N03.9 drugs — see Glaucoma, secondary, drugs unspecified site C71.9 lobular, lobulonodular — see Glomerulonephritis, endocrine disease NOS E34.9 [H42] Gliosis (cerebral) G93.89 membranoproliferative eye spinal G95.89 membranoproliferative (diffuse)(type 1 or 3) (see also inflammation — see Glaucoma, secondary, in- Glisson's disease — see Rickets N00-N07 with fourth character .5) N05.5 flammation Globinuria R82.3 dense deposit (type 2) NEC (see also N00-N07 with trauma — see Glaucoma, secondary, trauma Globus (hystericus) F45.8 fourth character .6) N05.6 hypermature cataract — see Glaucoma, secondary Glomangioma D18.00 membranous (diffuse) NEC (see also N00-N07 with iridocyclitis — see Glaucoma, secondary, inflamma- intra-abdominal D18.03 fourth character .2) N05.2 tion intracranial D18.02 mesangial lens disorder — see Glaucoma, secondary skin D18.01 IgA/IgG — see Nephropathy, IgA Lowe's syndrome E72.03 [H42] specified site NEC D18.09 proliferative (diffuse) NEC (see also N00-N07 with metabolic disease NOS E88.9 [H42] Glomangiomyoma D18.00 fourth character .3) N05.3 ocular disorders NEC — see Glaucoma, secondary intra-abdominal D18.03 mesangiocapillary (diffuse) NEC (see also N00-N07 onchocerciasis B73.02 intracranial D18.02 with fourth character .5) N05.5 pupillary block — see Glaucoma, secondary skin D18.01 necrotic, necrotizing NEC (see also N00- N07 with retinal vein occlusion — see Glaucoma, secondary specified site NEC D18.09 fourth character .8) N05.8 Rieger's anomaly Q13.81 [H42] Glomangiosarcoma — see Neoplasm, connective tissue, nodular — see Glomerulonephritis, membranoprolif- rubeosis of iris — see Glaucoma, secondary malignant erative tumor of globe — see Glaucoma, secondary Glomerular poststreptococcal NEC N05.9 infantile Q15.0 disease in syphilis A52.75 acute N00.9 low tension — see Glaucoma, open angle, primary, nephritis — see Glomerulonephritis chronic N03.9 low-tension Glomerulitis — see Glomerulonephritis rapidly progressive N01.9 malignant H40.83- S Glomerulonephritis (see also Nephritis) N05.9 proliferative NEC (see also N00-N07 with fourth char- narrow angle — see Glaucoma, angle-closure with acter .8) N05.8 newborn Q15.0 edema — see Nephrosis diffuse (lupus) M32.14 noncongestive (chronic) — see Glaucoma, open angle minimal change N05.0 rapidly progressive N01.9 nonobstructive — see Glaucoma, open angle minor glomerular abnormality N05.0 sclerosing, diffuse N05.8 obstructive (see also Glaucoma, angle-closure) acute N00.9 specified pathology NEC (see also N00- N07 with fourth due to lens changes — see Glaucoma, secondary chronic N03.9 character .8) N05.8 open angle H40.10- S crescentic (diffuse) NEC (see also N00-N07 with fourth subacute N01.9 primary H40.11- S character .7) N05.7 Glomerulopathy — see Glomerulonephritis capsular (with pseudoexfoliation of lens) dense deposit (see also N00-N07 with fourth character Glomerulosclerosis (see also Sclerosis, renal) H40.14- S .6) N05.6 intercapillary (nodular) (with diabetes) — see Diabetes, low-tension H40.12- S diffuse glomerulosclerosis intracapillary — see Diabetes, glomerulosclerosis pigmentary H40.13- S crescentic (see also N00-N07 with fourth character Glossagra K14.6 residual stage H40.15- S .7) N05.7 Glossalgia K14.6 phacolytic — see Glaucoma, secondary endocapillary proliferative (see also N00-N07 with Glossitis (chronic superficial) (gangrenous) (Moeller's) pigmentary — see Glaucoma, open angle, primary, fourth character .4) N05.4 K14.0 pigmentary membranous (see also N00-N07 with fourth char- areata exfoliativa K14.1 postinfectious — see Glaucoma, secondary, inflamma- acter .2) N05.2 mesangial proliferative (see also N00-N07 with atrophic K14.4 tion benign migratory K14.1 secondary (to) H40.5- S fourth character .3) N05.3 mesangiocapillary (see also N00-N07 with fourth cortical superficial, sclerotic K14.0 drugs H40.6- S Hunter's D51.0 inflammation H40.4- S character .5) N05.5 sclerosing N05.8 interstitial, sclerous K14.0 trauma H40.3- S median rhomboid K14.2 simple (chronic) H40.11- S endocapillary proliferative (diffuse) NEC (see also N00- N07 with fourth character .4) N05.4 pellagrous E52 simplex H40.11- S extracapillary NEC ( N00-N07 with fourth superficial, chronic K14.0 specified type NEC H40.89 see also character .7) N05.7 Glossocele K14.8 suspect H40.00- S focal (and segmental) (see also N00-N07 with fourth Glossodynia K14.6 syphilitic A52.71 character .1) N05.1 exfoliativa K14.4 traumatic (see also Glaucoma, secondary, trauma) hypocomplementemic — see Glomerulonephritis, Glossoncus K14.8 newborn (birth injury) P15.3 membranoproliferative Glossopathy K14.9 tuberculous A18.59 IgA — see Nephropathy, IgA Glossophytia K14.3 Glaucomatous flecks (subcapsular) — see Cataract, immune complex (circulating) NEC N05.8 Glossoplegia K14.8 complicated in (due to) Glossoptosis K14.8 K14.4 Glazed tongue amyloidosis E85.4 [N08] Glossopyrosis K14.6 Gleet (gonococcal) A54.01 bilharziasis B65.9 [N08] Glossotrichia K14.3 Glénard's disease K63.4 cryoglobulinemia D89.1 [N08] Glossy skin L90.8 malabsorption Glioblastoma (multiforme) defibrination syndrome D65 [N08] Glottis — see condition with sarcomatous component diabetes mellitus — see Diabetes, glomeruloscle- Glottitis (see also Laryngitis) J04.0 specified site — see Neoplasm, malignant, by site rosis Glucagonoma unspecified site C71.9 disseminated intravascular coagulation D65 [N08] pancreas giant cell Fabry (-Anderson) disease E75.21 [N08] benign D13.7 specified site — see Neoplasm, malignant, by site Goodpasture's syndrome M31.0 malignant C25.4 unspecified site C71.9 hemolytic-uremic syndrome D59.3 uncertain behavior D37.8 specified site — see Neoplasm, malignant, by site Henoch (-Schönlein) purpura D69.0 [N08] specified site NEC unspecified site C71.9 lecithin cholesterol acyltransferase deficiency benign — see Neoplasm, benign, by site Glioma (malignant) E78.6 [N08] malignant — see Neoplasm, malignant, by site astrocytic microscopic polyangiitis M31.7 [N08] uncertain behavior — see Neoplasm, uncertain Glucose-galactose specified site — see Neoplasm, malignant, by site multiple myeloma C90.0- S [N08] behavior, by site

— unspecified site C71.9 Plasmodium malariae B52.0 unspecified site mixed schistosomiasis B65.9 [N08] benign D13.7 specified site — see Neoplasm, malignant, by site sepsis A41.9 [N08] malignant C25.4 unspecified site C71.9 streptococcal A40- S [N08] uncertain behavior D37.8 nose Q30.8 sickle-cell disorders D57.- S [N08] Glucoglycinuria E72.51 specified site NEC — see Neoplasm, malignant, by site strongyloidiasis B78.9 [N08] Glucose-galactose malabsorption E74.39 Glaucoma 158 S Additional Character Required — Refer to the Tabular List for Character Selection 2 Subterms under main terms may continue to next column or page ICD-10-CM 2017 Gout, gouty

Glue Golfer's elbow — see Epicondylitis, medial Gottron's papules L94.4 Index ear — see Otitis, media, nonsuppurative, chronic, Gonadoblastoma Gougerot-Blum syndrome (pigmented purpuric mucoid specified site — see Neoplasm, uncertain behavior, lichenoid dermatitis) L81.7 sniffing (airplane) — see Abuse, drug, inhalant by site Gougerot-Carteaud disease or syndrome (confluent dependence — see Dependence, drug, inhalant unspecified site reticulate papillomatosis) L83 Glutaric aciduria E72.3 female D39.10 Gougerot's syndrome (trisymptomatic) L81.7 Glycinemia E72.51 male D40.10 Gouley's syndrome (constrictive pericarditis) I31.1 Glycinuria (renal) (with ketosis) E72.09 Gonecystitis — see Vesiculitis Goundou A66.6 Glycogen Gongylonemiasis B83.8 Gout, chronic (see also Gout, gouty) M1A.9 S (following infiltration — see Disease, glycogen storage Goniosynechiae — see Adhesions, iris, goniosynechiae M08) storage disease — see Disease, glycogen storage Gonococcemia A54.86 drug-induced M1A.20 S (following M08) Glycogenosis (diffuse) (generalized) (see also Disease, Gonococcus, gonococcal (disease) (infection) (see also ankle M1A.27- S (following M08) glycogen storage) condition) A54.9 elbow M1A.22- S (following M08) cardiac E74.02 [I43] anus A54.6 foot joint M1A.27- S (following M08) diabetic, secondary — see Diabetes, glycogenosis, bursa, bursitis A54.49 hand joint M1A.24- S (following M08) secondary conjunctiva, conjunctivitis (neonatorum) A54.31 hip M1A.25- S (following M08) pulmonary interstitial J84.842 endocardium A54.83 knee M1A.26- S (following M08) Glycopenia E16.2 eye A54.30 multiple site M1A.29- S (following M08) Glycosuria R81 conjunctivitis A54.31 shoulder M1A.21- S (following M08) renal E74.8 iridocyclitis A54.32 vertebrae M1A.28 S (following M08) Gnathostoma spinigerum (infection) (infestation), keratitis A54.33 wrist M1A.23- S (following M08) gnathostomiasis (wandering swelling) B83.1 newborn A54.31 idiopathic M1A.00 S (following M08) other specified A54.39 Goiter (plunging) (substernal) E04.9 ankle M1A.07- S (following M08) fallopian tubes (acute) (chronic) A54.24 with elbow M1A.02- S (following M08) hyperthyroidism (recurrent) — see Hyperthy- genitourinary (organ) (system) (tract) (acute) lower A54.00 foot joint M1A.07- S (following M08) roidism, with, goiter hand joint M1A.04- S (following M08) thyrotoxicosis — see Hyperthyroidism, with, goiter with abscess (accessory gland) (periurethral) A54.1 hip M1A.05- S (following M08) adenomatous — see Goiter, nodular knee M1A.06- S (following M08) cancerous C73 upper (see also condition) A54.29 heart A54.83 multiple site M1A.09 S (following M08) congenital (nontoxic) E03.0 shoulder M1A.01- S (following M08) diffuse E03.0 iridocyclitis A54.32 joint A54.42 vertebrae M1A.08 S (following M08) parenchymatous E03.0 wrist M1A.03- S (following M08) transitory, with normal functioning P72.0 lymphatic (gland) (node) A54.89 in (due to) renal impairment M1A.30 S (following cystic E04.2 meninges, meningitis A54.81 M08) due to iodine-deficiency E01.1 musculoskeletal A54.40 S due to arthritis A54.42 ankle M1A.37- (following M08) enzyme defect in synthesis of thyroid hormone osteomyelitis A54.43 elbow M1A.32- S (following M08) E07.1 other specified A54.49 foot joint M1A.37- S (following M08) iodine-deficiency (endemic) E01.2 spondylopathy A54.41 hand joint M1A.34- S (following M08) dyshormonogenetic (familial) E07.1 pelviperitonitis A54.24 hip M1A.35- S (following M08) endemic (iodine-deficiency) E01.2 pelvis (acute) (chronic) A54.24 knee M1A.36- S (following M08) diffuse E01.0 pharynx A54.5 multiple site M1A.39 S (following M08) multinodular E01.1 proctitis A54.6 shoulder M1A.31- S (following M08) exophthalmic — see Hyperthyroidism, with, goiter pyosalpinx (acute) (chronic) A54.24 vertebrae M1A.38 S (following M08) iodine-deficiency (endemic) E01.2 rectum A54.6 wrist M1A.33- S (following M08) diffuse E01.0 skin A54.89 lead-induced M1A.10 S (following M08) multinodular E01.1 specified site NEC A54.89 ankle M1A.17- S (following M08) nodular E01.1 tendon sheath A54.49 elbow M1A.12- S (following M08) lingual Q89.2 throat A54.5 foot joint M1A.17- S (following M08) lymphadenoid E06.3 urethra (acute) (chronic) A54.01 hand joint M1A.14- S (following M08) malignant C73 with abscess (accessory gland) (periurethral) A54.1 hip M1A.15- S (following M08) vulva (acute) (chronic) A54.02 multinodular (cystic) (nontoxic) E04.2 knee M1A.16- S (following M08) Gonocytoma toxic or with hyperthyroidism E05.20 multiple site M1A.19 S (following M08) specified site — see Neoplasm, uncertain behavior, with thyroid storm E05.21 S by site shoulder M1A.11- (following M08) neonatal NEC P72.0 vertebrae M1A.18 S (following M08) nodular (nontoxic) (due to) E04.9 unspecified site female D39.10 wrist M1A.13- S (following M08) with primary — see Gout, chronic, idiopathic hyperthyroidism E05.20 male D40.10 Gonorrhea (acute) (chronic) A54.9 saturnine — see Gout, chronic, lead-induced with thyroid storm E05.21 secondary NEC M1A.40 S (following M08) thyrotoxicosis E05.20 Bartholin's gland (acute) (chronic) (purulent) A54.02 with abscess (accessory gland) (periurethral) A54.1 ankle M1A.47- S (following M08) with thyroid storm E05.21 elbow M1A.42- S (following M08) endemic E01.1 bladder A54.01 foot joint M1A.47- S (following M08) iodine-deficiency E01.1 cervix A54.03 S sporadic E04.9 conjunctiva, conjunctivitis (neonatorum) A54.31 hand joint M1A.44- (following M08) toxic E05.20 contact Z20.2 hip M1A.45- S (following M08) with thyroid storm E05.21 Cowper's gland (with abscess) A54.1 knee M1A.46- S (following M08) nontoxic E04.9 exposure to Z20.2 multiple site M1A.49 S (following M08) diffuse (colloid) E04.0 fallopian tube (acute) (chronic) A54.24 shoulder M1A.41- S (following M08) multinodular E04.2 kidney (acute) (chronic) A54.21 vertebrae M1A.48 S (following M08) simple E04.0 lower genitourinary tract A54.00 wrist M1A.43- S (following M08) specified NEC E04.8 with abscess (accessory gland) (periurethral) A54.1 syphilitic (see also subcategory M14.8-) A52.77 uninodular E04.1 ovary (acute) (chronic) A54.24 tophi M1A.9 S (following M08) simple E04.0 pelvis (acute) (chronic) A54.24 Gout, gouty (acute) (attack) (flare) (see also Gout, toxic — see Hyperthyroidism, with, goiter female pelvic inflammatory disease A54.24 chronic) M10.9 uninodular (nontoxic) E04.1 penis A54.09 drug-induced M10.20 toxic or with hyperthyroidism E05.10 prostate (acute) (chronic) A54.22 ankle M10.27- S with thyroid storm E05.11 seminal vesicle (acute) (chronic) A54.23 elbow M10.22- S

Goiter-deafness syndrome E07.1 specified site not listed (see also Gonococcus) A54.89 foot joint M10.27- S Glue Goldberg syndrome Q89.8 spermatic cord (acute) (chronic) A54.23 hand joint M10.24- S Goldberg-Maxwell syndrome E34.51 urethra A54.01 hip M10.25- S Goldblatt's hypertension or kidney I70.1 with abscess (accessory gland) (periurethral) A54.1 knee M10.26- S — (-Gorlin) Q87.0 vagina A54.02 multiple site M10.29

Goldenhar syndrome Gout, Goldflam-Erb disease or syndrome G70.00 vas deferens (acute) (chronic) A54.23 shoulder M10.21- S with exacerbation (acute) G70.01 vulva A54.02 vertebrae M10.28 in crisis G70.01 Goodall's disease A08.19 wrist M10.23- S Goldscheider's disease Q81.8 Goodpasture's syndrome M31.0 idiopathic M10.00 gouty Goldstein's disease (familial hemorrhagic telangiectasia) Gopalan's syndrome (burning feet) E53.0 ankle M10.07- S I78.0 Gorlin-Chaudry-Moss syndrome Q87.0 elbow M10.02- S

2 Subterms under main terms may continue to next column or page S Additional Character Required — Refer to the Tabular List for Character Selection 159 Guidelines and Examples Chapter 10. Diseases of the Respiratory System ICD-10-CM 2017 Chapter 10. Diseases of the Respiratory System (J00–J99)

Chapter Specific Guidelines with Coding Examples Acute respiratory failure due to accidental oxycodone overdose The chapter specific guidelines from the ICD-10-CM Official Guidelines for T40.2X1A Poisoning by other opioids, accidental (unintentional), Coding and Reporting have been provided below. Along with these guidelines initial encounter are coding examples, contained in the shaded boxes, that have been developed to help illustrate the coding and/or sequencing guidance found in these J96.00 Acute respiratory failure, unspecified whether with guidelines. hypoxia or hypercapnia Explanation: Respiratory failure may be assigned as a principal diagnosis a. Chronic obstructive pulmonary disease [COPD] and asthma when it is the condition established after study to be chiefly responsible 1) Acute exacerbation of chronic obstructive bronchitis and asthma for occasioning the admission to the hospital, and the selection is The codes in categories J44 and J45 distinguish between uncomplicated supported by the Alphabetic Index and Tabular List. However, cases and those in acute exacerbation. An acute exacerbation is a chapter-specific coding guidelines, such as poisoning, that provide worsening or a decompensation of a chronic condition. An acute sequencing direction take precedence. When coding a poisoning or exacerbation is not equivalent to an infection superimposed on a chronic reaction to the improper use of a medication (e.g. overdose, wrong condition, though an exacerbation may be triggered by an infection. substance given or taken in error, wrong route of administration), first Diseases of the Respiratory System the Respiratory of Diseases assign the appropriate code from categories T36–T50. Use additional Acute streptococcal bronchitis with acute exacerbation of COPD code(s) for all manifestations of the poisoning. In this instance, the J20.2 Acute bronchitis due to streptococcus respiratory failure is a manifestation of the poisoning and is sequenced as a secondary diagnosis. J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection Acute pneumococcal pneumonia with subsequent development of Chapter 10. Chapter J44.1 Chronic obstructive pulmonary disease with (acute) acute respiratory failure exacerbation J13 Pneumonia due to Streptococcus pneumoniae Explanation: ICD-10-CM uses combination codes to create organism-specific classifications for acute bronchitis. Category J44 J96.00 Acute respiratory failure, unspecified whether with codes include combination codes with severity components, which hypoxia or hypercapnia differentiate between COPD with acute lower respiratory infection Explanation: Acute respiratory failure may be listed as a secondary (acute bronchitis), COPD with acute exacerbation, and COPD without diagnosis if it occurs after admission, or if it is present on admission but mention of a complication (unspecified). does not meet the definition of principal diagnosis. An acute exacerbation is a worsening or a decompensation of a chronic 3) Sequencing of acute respiratory failure and another acute condition condition. An acute exacerbation is not equivalent to an infection superimposed on a chronic condition, though an exacerbation may be When a patient is admitted with respiratory failure and another acute triggered by an infection, as in this example. condition, (e.g., myocardial infarction, cerebrovascular accident, aspiration pneumonia), the principal diagnosis will not be the same in every situation. This applies whether the other acute condition is a Exacerbation of moderate persistent asthma with status asthmaticus respiratory or nonrespiratory condition. Selection of the principal diagnosis will be dependent on the circumstances of admission. If both J45.42 Moderate persistent asthma with status asthmaticus the respiratory failure and the other acute condition are equally Explanation: Category J45 Asthma includes severity-specific responsible for occasioning the admission to the hospital, and there are subcategories and fifth-character codes to distinguish between no chapter-specific sequencing rules, the guideline regarding two or uncomplicated cases, those in acute exacerbation, and those with status more diagnoses that equally meet the definition for principal diagnosis asthmaticus. (Section II, C.) may be applied in these situations. If the documentation is not clear as to whether acute respiratory failure b. Acute respiratory failure and another condition are equally responsible for occasioning the 1) Acute respiratory failure as principal diagnosis admission, query the provider for clarification. A code from subcategory J96.0, Acute respiratory failure, or subcategory Acute pneumococcal pneumonia and acute respiratory failure, both J96.2, Acute and chronic respiratory failure, may be assigned as a principal present on admission diagnosis when it is the condition established after study to be chiefly J96.00 Acute respiratory failure, unspecified whether with responsible for occasioning the admission to the hospital, and the hypoxia or hypercapnia selection is supported by the Alphabetic Index and Tabular List. However, chapter-specific coding guidelines (such as obstetrics, poisoning, HIV, J13 Pneumonia due to Streptococcus pneumoniae newborn) that provide sequencing direction take precedence. Explanation: When a patient is admitted with respiratory failure and Acute hypoxic respiratory failure due to COPD exacerbation another acute condition, such as a bacterial pneumonia, the principal diagnosis is not the same in every situation. This applies whether the J96.01 Acute respiratory failure with hypoxia other acute condition is a respiratory or nonrespiratory condition. The J44.1 Chronic obstructive pulmonary disease with (acute) principal diagnosis depends on the circumstances of admission. exacerbation Explanation: Category J96 classifies respiratory failure with combination c. Influenza due to certain identified influenza viruses codes that designate the severity and the presence of hypoxia and Code only confirmed cases of influenza due to certain identified influenza hypercapnia. Code J96.01 is sequenced as the first-listed diagnosis, as viruses (category J09), and due to other identified influenza virus (category the reason for the admission. Respiratory failure may be assigned as a J10). This is an exception to the hospital inpatient guideline Section II, H. principal diagnosis when it is the condition established after study to be (Uncertain Diagnosis). chiefly responsible for occasioning the admission to the hospital and In this context, “confirmation” does not require documentation of positive the selection is supported by the Alphabetic Index and Tabular List. laboratory testing specific for avian or other novel influenza A or other identified influenza virus. However, coding should be based on the provider’s 2) Acute respiratory failure as secondary diagnosis diagnostic statement that the patient has avian influenza, or other novel Respiratory failure may be listed as a secondary diagnosis if it occurs after influenza A, for category J09, or has another particular identified strain of admission, or if it is present on admission, but does not meet the influenza, such as H1N1 or H3N2, but not identified as novel or variant, for definition of principal diagnosis. category J10.

642 ICD-10-CM 2017 Muscle/Tendon Table Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM 2017 Muscle/Tendon Table ICD-10-CM categorizes certain muscles and tendons in the upper and lower extremities by their action (e.g., extension, flexion), their anatomical location (e.g., posterior, anterior), and/or whether they are intrinsic or extrinsic to a certain anatomical area. The Muscle/Tendon Table is provided at the beginning of chapters 13 and 19 as a resource to help users when code selection depends on one or more of these characteristics. Please note that this table is not all-inclusive, and proper code assignment should be based on the provider’s documentation. Body Region Muscle Extensor Tendon Flexor Tendon Other Tendon Shoulder Deltoid Posterior deltoid Anterior deltoid Rotator cuff Infraspinatus Infraspinatus Subscapularis Subscapularis Supraspinatus Supraspinatus Teres minor Teres minor Teres major Teres major Upper arm Anterior muscles Biceps brachii — long head Biceps brachii — long head Biceps brachii — short head Biceps brachii — short head Brachialis Brachialis Coracobrachialis Coracobrachialis Posterior muscles Triceps brachii Triceps brachii Forearm Anterior muscles Flexors Deep Flexor digitorum profundus Flexor digitorum profundus Flexor pollicis longus Flexor pollicis longus Intermediate Flexor digitorum superficialis Flexor digitorum superficialis Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue Connective and System Musculoskeletal of the Diseases 13. Chapter Superficial Flexor carpi radialis Flexor carpi radialis Flexor carpi ulnaris Flexor carpi ulnaris Palmaris longus Palmaris longus Pronators Pronator quadratus Pronator quadratus Pronator teres Pronator teres Posterior muscles Extensors Deep Abductor pollicis longus Abductor pollicis longus Extensor indicis Extensor indicis Extensor pollicis brevis Extensor pollicis brevis Extensor pollicis longus Extensor pollicis longus Superficial Brachioradialis Brachioradialis Extensor carpi radialis brevis Extensor carpi radialis brevis Extensor carpi radialis longus Extensor carpi radialis longus Extensor carpi ulnaris Extensor carpi ulnaris Extensor digiti minimi Extensor digiti minimi Extensor digitorum Extensor digitorum Anconeus Anconeus Supinator Supinator

698 ICD-10-CM 2017 M67.979–M70.88 Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue ICD-10-CM 2017 M67.979 Unspecified disorder of synovium B M70.51 Other bursitis of knee, right knee and tendon, unspecified ankle and M70.52 Other bursitis of knee, left knee foot c M70.6 Trochanteric bursitis M67.98 Unspecified disorder of synovium and B Trochanteric tendinitis tendon, other site M67.99 Unspecified disorder of synovium and B M70.60 Trochanteric bursitis, unspecified hip B tendon, multiple sites M70.61 Trochanteric bursitis, right hip M70.62 Trochanteric bursitis, left hip Other soft tissue disorders (M70-M79) c M70.7 Other bursitis of hip Ischial bursitis b M70 Soft tissue disorders related to use, overuse and pressure M70.70 Other bursitis of hip, unspecified hip B 1 soft tissue disorders of occupational origin Use additional external cause code to identify activity causing disorder M70.71 Other bursitis of hip, right hip (Y93.-) M70.72 Other bursitis of hip, left hip 1 bursitis NOS (M71.9-) c M70.8 Other soft tissue disorders related to use, overuse and 2 bursitis of shoulder (M75.5) pressure enthesopathies (M76-M77) M70.80 Other soft tissue disorders related to use, B overuse and pressure of unspecified site pressure ulcer (pressure area) (L89.-) d M70.81 Other soft tissue disorders related to use, overuse c M70.0 Crepitant synovitis (acute) (chronic) of hand and wrist and pressure of shoulder d M70.03 Crepitant synovitis (acute) (chronic), wrist M70.811 Other soft tissue disorders related to use, M70.031 Crepitant synovitis (acute) (chronic), right overuse and pressure, right shoulder wrist M70.812 Other soft tissue disorders related to use, M70.032 Crepitant synovitis (acute) (chronic), left overuse and pressure, left shoulder wrist M70.819 Other soft tissue disorders related B M70.039 Crepitant synovitis (acute) B to use, overuse and pressure, (chronic), unspecified wrist unspecified shoulder d M70.04 Crepitant synovitis (acute) (chronic), hand d M70.82 Other soft tissue disorders related to use, overuse and pressure of upper arm M70.041 Crepitant synovitis (acute) (chronic), right hand M70.821 Other soft tissue disorders related to use, overuse and pressure, right upper arm M70.042 Crepitant synovitis (acute) (chronic), left hand M70.822 Other soft tissue disorders related to use, overuse and pressure, left upper arm M70.049 Crepitant synovitis (acute) B (chronic), unspecified hand M70.829 Other soft tissue disorders related B to use, overuse and pressure, c M70.1 Bursitis of hand unspecified upper arms M70.10 Bursitis, unspecified hand B d M70.83 Other soft tissue disorders related to use, overuse M70.11 Bursitis, right hand and pressure of forearm M70.12 Bursitis, left hand M70.831 Other soft tissue disorders related to use, c M70.2 Olecranon bursitis overuse and pressure, right forearm M70.832 Other soft tissue disorders related to use, Chapter 13. Diseases of the Musculoskeletal System and Connective Tissue M70.20 Olecranon bursitis, unspecified elbow B overuse and pressure, left forearm M70.21 Olecranon bursitis, right elbow M70.839 Other soft tissue disorders related B M70.22 Olecranon bursitis, left elbow to use, overuse and pressure, c M70.3 Other bursitis of elbow unspecified forearm M70.84 Other soft tissue disorders related to use, overuse M70.30 Other bursitis of elbow, unspecified elbow B d and pressure of hand M70.31 Other bursitis of elbow, right elbow M70.841 Other soft tissue disorders related to use, M70.32 Other bursitis of elbow, left elbow overuse and pressure, right hand c M70.4 Prepatellar bursitis M70.842 Other soft tissue disorders related to use, M70.40 Prepatellar bursitis, unspecified knee B overuse and pressure, left hand M70.849 Other soft tissue disorders related B M70.41 Prepatellar bursitis, right knee to use, overuse and pressure, M70.42 Prepatellar bursitis, left knee unspecified hand d M70.85 Other soft tissue disorders related to use, overuse and pressure of thigh M70.851 Other soft tissue disorders related to use, overuse and pressure, right thigh M70.852 Other soft tissue disorders related to use, overuse and pressure, left thigh M70.859 Other soft tissue disorders related B to use, overuse and pressure, unspecified thigh d M70.86 Other soft tissue disorders related to use, overuse and pressure lower leg M70.861 Other soft tissue disorders related to use, overuse and pressure, right lower leg M70.862 Other soft tissue disorders related to use, overuse and pressure, left lower leg M70.869 Other soft tissue disorders related B to use, overuse and pressure, unspecified leg d M70.87 Other soft tissue disorders related to use, overuse and pressure of ankle and foot M70.871 Other soft tissue disorders related to use, overuse and pressure, right ankle and foot M70.872 Other soft tissue disorders related to use, overuse and pressure, leftankle and foot M70.879 Other soft tissue disorders related B to use, overuse and pressure, c M70.5 Other bursitis of knee unspecified ankle and foot M67.979–M70.88 M70.88 Other soft tissue disorders related to use, overuse M70.50 Other bursitis of knee, unspecified knee B and pressure other site

1 Not coded here 2 Not included here 8 Newborn Age : 0 9 Pediatric Age : 0-17 x Maternity Age : 12-55 y Adult Age : 15-124 754 ICD-10-CM 2017 ICD-10-CM 2017 Chapter 14. Diseases of the Genitourinary System N30–N35.119

N32.89 Other specified disorders of bladder Chapter 14. Diseases of the Genitourinary System Other diseases of the urinary system (N30-N39) Bladder hemorrhage 1 urinary infection (complicating): Bladder hypertrophy abortion or ectopic or molar pregnancy (O00-O07, O08.8) Calcified bladder pregnancy, childbirth and the puerperium (O23.-, O75.3, O86.2-) Contracted bladder N32.9 Bladder disorder, unspecified B b N30 Cystitis Use additional code to identify infectious agent (B95-B97) N33 Bladder disorders in diseases classified elsewhere 1 prostatocystitis (N41.3) Code first underlying disease, such as: c N30.0 Acute cystitis schistosomiasis (B65.0-B65.9) 1 bladder disorder in syphilis (A52.76) irradiation cystitis (N30.4-) 1 bladder disorder in tuberculosis (A18.12) trigonitis (N30.3-) candidal cystitis (B37.41) N30.00 Acute cystitis without hematuria chlamydial cystitis (A56.01) N30.01 Acute cystitis with hematuria cystitis in gonorrhea (A54.01) c N30.1 Interstitial cystitis (chronic) cystitis in neurogenic bladder (N31.-) N30.10 Interstitial cystitis (chronic) without hematuria diphtheritic cystitis (A36.85) N30.11 Interstitial cystitis (chronic) with hematuria syphilitic cystitis (A52.76) c N30.2 Other chronic cystitis trichomonal cystitis (A59.03) N30.20 Other chronic cystitis without hematuria b N34 Urethritis and urethral syndrome N30.21 Other chronic cystitis with hematuria Use additional code (B95-B97), to identify infectious agent c N30.3 Trigonitis 2 Reiter's disease (M02.3-) Urethrotrigonitis urethritis in diseases with a predominantly sexual mode of N30.30 Trigonitis without hematuria transmission (A50-A64) N30.31 Trigonitis with hematuria urethrotrigonitis (N30.3-) c N30.4 Irradiation cystitis N34.0 Urethral abscess N30.40 Irradiation cystitis without hematuria Abscess (of) Cowper's gland N30.41 Irradiation cystitis with hematuria Abscess (of) Littré's gland c N30.8 Other cystitis Abscess (of) urethral (gland) Periurethral abscess Abscess of bladder 1 urethral caruncle (N36.2) N30.80 Other cystitis without hematuria N34.1 Nonspecific urethritis N30.81 Other cystitis with hematuria Nongonococcal urethritis c N30.9 Cystitis, unspecified Nonvenereal urethritis N30.90 Cystitis, unspecified without hematuria B N34.2 Other urethritis N30.91 Cystitis, unspecified with hematuria B Meatitis, urethral b N31 Neuromuscular dysfunction of bladder, not elsewhere classified Postmenopausal urethritis Ulcer of urethra (meatus) Use additional code to identify any associated urinary incontinence Urethritis NOS (N39.3-N39.4-) N34.3 Urethral syndrome, unspecified B 1 cord bladder NOS (G95.89) neurogenic bladder due to cauda equina syndrome (G83.4) b N35 Urethral stricture neuromuscular dysfunction due to spinal cord lesion (G95.89) 1 congenital urethral stricture (Q64.3-) N31.0 Uninhibited neuropathic bladder, not elsewhere classified postprocedural urethral stricture (N99.1-) N31.1 Reflex neuropathic bladder, not elsewhere classified c N35.0 Post-traumatic urethral stricture N31.2 Flaccid neuropathic bladder, not elsewhere classified Urethral stricture due to injury Atonic (motor) (sensory) neuropathic bladder 1 postprocedural urethral stricture (N99.1-) Autonomous neuropathic bladder d N35.01 Post-traumatic urethral stricture, male Nonreflex neuropathic bladder N35.010 Post-traumatic urethral stricture, : N31.8 Other neuromuscular dysfunction of bladder male, meatal N31.9 Neuromuscular dysfunction of bladder, unspecified B N35.011 Post-traumatic bulbous urethral stricture Neurogenic bladder dysfunction NOS N35.012 Post-traumatic membranous urethral b N32 Other disorders of bladder stricture N35.013 Post-traumatic anterior urethral stricture 2 calculus of bladder (N21.0) N35.014 Post-traumatic urethral stricture, : B cystocele (N81.1-) male, unspecified hernia or prolapse of bladder, female (N81.1-) d N35.02 Post-traumatic urethral stricture, female N32.0 Bladder-neck obstruction N35.021 Urethral stricture due to childbirth Bladder-neck stenosis (acquired) ; 1 congenital bladder-neck obstruction (Q64.3-) N35.028 Other post-traumatic urethral ; DEF: Bladder outlet and vesicourethral obstruction; occurs as a stricture, female consequence of benign prostatic hypertrophy or prostatic cancer; c N35.1 Postinfective urethral stricture, not elsewhere classified may also occur in either sex due to strictures, radiation, 1 gonococcal urethral stricture (A54.01) cystoscopy, catheterization, injury, infection, blood clots, bladder syphilitic urethral stricture (A52.76) cancer, impaction, or other disease that compresses the bladder urethral stricture associated with schistosomiasis neck. (B65.-, N29) N32.1 Vesicointestinal fistula d N35.11 Postinfective urethral stricture, not elsewhere classified, male Vesicorectal fistula N35.111 Postinfective urethral stricture, : N32.2 Vesical fistula, not elsewhere classified not elsewhere classified, male, 1 fistula between bladder and female genital tract meatal N30–N35.119 (N82.0-N82.1) N35.112 Postinfective bulbous urethral stricture, N32.3 Diverticulum of bladder not elsewhere classified 1 congenital diverticulum of bladder (Q64.6) N35.113 Postinfective membranous urethral diverticulitis of bladder (N30.8-) stricture, not elsewhere classified c N32.8 Other specified disorders of bladder N35.114 Postinfective anterior urethral stricture, N32.81 Overactive bladder not elsewhere classified Detrusor muscle hyperactivity N35.119 Postinfective urethral stricture, : B not elsewhere classified, male, frequent urination due to specified bladder 1 unspecified condition - code to condition SAdditional Character Required g Placeholder Alert Manifestation Dx BUnspecified Dx wx Revised Text l New Code s Revised Code Title ICD-10-CM 2017 787 ICD-10-CM 2017 Chapter 15. Pregnancy, Childbirth and the Puerperium O34.7–O36.191

c O34.7 Maternal care for abnormality of vulva and perineum g O35.7 Maternal care for (suspected) damage to fetus by x ; Chapter 15. Pregnancy, Childbirth and the Puerperium other medical procedures maternal care for perineal and vulval varices in 2 Maternal care for damage to fetus by amniocentesis pregnancy (O22.1-) Maternal care for damage to fetus by biopsy procedures O34.70 Maternal care for abnormality of vulva and x ; B Maternal care for damage to fetus by hematological perineum, unspecified trimester investigation O34.71 Maternal care for abnormality of vulva and x ; Maternal care for damage to fetus by intrauterine contraceptive perineum, first trimester device O34.72 Maternal care for abnormality of vulva and x ; Maternal care for damage to fetus by intrauterine surgery perineum, second trimester O35.8 Maternal care for other (suspected) fetal abnormality O34.73 Maternal care for abnormality of vulva and g x ; x ; and damage perineum, third trimester Maternal care for damage to fetus from maternal listeriosis O34.8 Maternal care for other abnormalities of pelvic organs c Maternal care for damage to fetus from maternal toxoplasmosis O34.80 Maternal care for other abnormalities of B x ; g O35.9 Maternal care for (suspected) fetal abnormality and x ; B pelvic organs, unspecified trimester damage, unspecified O34.81 Maternal care for other abnormalities of x ; pelvic organs, first trimester b O36 Maternal care for other fetal problems O34.82 Maternal care for other abnormalities of x ; 1 the listed conditions in the fetus as a reason for pelvic organs, second trimester hospitalization or other obstetric care of the mother, or O34.83 Maternal care for other abnormalities of x ; for termination of pregnancy pelvic organs, third trimester 1 encounter for suspected maternal and fetal conditions ruled c O34.9 Maternal care for abnormality of pelvic organ, unspecified out (Z03.7-) placental transfusion syndromes (O43.0-) O34.90 Maternal care for abnormality of pelvic x ; B organ, unspecified, unspecified trimester 2 labor and delivery complicated by fetal stress (O77.-) AHA: 2015,3Q,40 O34.91 Maternal care for abnormality of pelvic x ; B organ, unspecified, first trimester One of the following 7th characters is to be assigned to each code O34.92 Maternal care for abnormality of pelvic x ; B under category O36. 7th character 0 is for single gestations and organ, unspecified, second trimester multiple gestations where the fetus is unspecified. 7th characters 1 O34.93 Maternal care for abnormality of pelvic x ; B through 9 are for cases of multiple gestations to identify the fetus for organ, unspecified, third trimester which the code applies. The appropriate code from category O30, b O35 Maternal care for known or suspected fetal abnormality and Multiple gestation, must also be assigned when assigning a code damage from category O36 that has a 7th character of 1 through 9. 1 the listed conditions in the fetus as a reason for 0 not applicable or unspecified hospitalization or other obstetric care to the mother, or 1 fetus 1 for termination of pregnancy 2 fetus 2 Code also any associated maternal condition 3 fetus 3 1 encounter for suspected maternal and fetal conditions ruled 4 fetus 4 out (Z03.7-) 5 fetus 5 One of the following 7th characters is to be assigned to each code 9 other fetus under category O35. 7th character 0 is for single gestations and c O36.0 Maternal care for rhesus isoimmunization multiple gestations where the fetus is unspecified. 7th characters 1 Maternal care for Rh incompatibility (with hydrops fetalis) through 9 are for cases of multiple gestations to identify the fetus for d O36.01 Maternal care for anti-D [Rh] antibodies which the code applies. The appropriate code from category O30, AHA: 2014,4Q,17 Multiple gestation, must also be assigned when assigning a code from category O35 that has a 7th character of 1 through 9. e O36.011 Maternal care for anti-D [Rh] x ; antibodies, first trimester 0 not applicable or unspecified e O36.012 Maternal care for anti-D [Rh] x ; 1 fetus 1 antibodies, second trimester 2 fetus 2 e O36.013 Maternal care for anti-D [Rh] x ; 3 fetus 3 antibodies, third trimester 4 fetus 4 e O36.019 Maternal care for anti-D [Rh] x ; B 5 fetus 5 antibodies, unspecified trimester 9 other fetus d O36.09 Maternal care for other rhesus isoimmunization g O35.0 Maternal care for (suspected) central nervous system x ; e O36.091 Maternal care for other rhesus x ; malformation in fetus isoimmunization, first trimester Maternal care for fetal anencephaly e O36.092 Maternal care for other rhesus x ; Maternal care for fetal hydrocephalus isoimmunization, second trimester Maternal care for fetal spina bifida e O36.093 Maternal care for other rhesus x ; 2 chromosomal abnormality in fetus (O35.1) isoimmunization, third trimester g O35.1 Maternal care for (suspected) chromosomal x ; e O36.099 Maternal care for other rhesus x ; B abnormality in fetus isoimmunization, unspecified g O35.2 Maternal care for (suspected) hereditary disease in x ; trimester fetus c O36.1 Maternal care for other isoimmunization 2 chromosomal abnormality in fetus (O35.1) Maternal care for ABO isoimmunization g O35.3 Maternal care for (suspected) damage to fetus from x ; d O36.11 Maternal care for Anti-A sensitization viral disease in mother Maternal care for isoimmunization NOS (with hydrops Maternal care for damage to fetus from maternal fetalis) cytomegalovirus infection e O36.111 Maternal care for Anti-A x ; Maternal care for damage to fetus from maternal rubella sensitization, first trimester g O35.4 Maternal care for (suspected) damage to fetus from x ; e O36.112 Maternal care for Anti-A x ; alcohol sensitization, second trimester O34.7–O36.191 g O35.5 Maternal care for (suspected) damage to fetus by x ; e O36.113 Maternal care for Anti-A x ; drugs sensitization, third trimester Maternal care for damage to fetus from drug addiction e O36.119 Maternal care for Anti-A x ; B g O35.6 Maternal care for (suspected) damage to fetus by x ; sensitization, unspecified radiation trimester d O36.19 Maternal care for other isoimmunization Maternal care for Anti-B sensitization e O36.191 Maternal care for other x ; isoimmunization, first trimester

SAdditional Character Required g Placeholder Alert Manifestation Dx BUnspecified Dx wx Revised Text l New Code s Revised Code Title ICD-10-CM 2017 819 ICD-10-CM 2017 Chapter 21. Factors Influencing Health Status and Contact With Health Services Z03.7–Z09

c Z03.7 Encounter for suspected maternal and fetal conditions ruled Z04.72 Encounter for examination and u 9 Chapter 21. Factors Influencing Health Status and Contact With Services out observation following alleged child Encounter for suspected maternal and fetal conditions not physical abuse found Suspected child physical abuse, ruled out 1 known or suspected fetal anomalies affecting 1 confirmed case of child physical abuse management of mother, not ruled out (O26.-, (T74.-) O35.-, O36.-, O40.-, O41.-) encounter for examination and observation Z03.71 Encounter for suspected problem with u x ; following alleged child sexual abuse amniotic cavity and membrane ruled out (Z04.42) Encounter for suspected oligohydramnios ruled out suspected case of child physical abuse, not Encounter for suspected polyhydramnios ruled out ruled out (T76.-) Z03.72 Encounter for suspected placental u x ; Z04.8 Encounter for examination and observation for u problem ruled out other specified reasons Z03.73 Encounter for suspected fetal anomaly u x ; Encounter for examination and observation for request for ruled out expert evidence Z03.74 Encounter for suspected problem with u x ; Z04.9 Encounter for examination and observation for u B fetal growth ruled out unspecified reason Z03.75 Encounter for suspected cervical u x ; Encounter for observation NOS shortening ruled out l b Z05 Encounter for observation and evaluation of newborn for Z03.79 Encounter for other suspected maternal u x ; suspected diseases and conditions ruled out and fetal conditions ruled out This category is to be used for newborns, within the neonatal c Z03.8 Encounter for observation for other suspected diseases and period (the first 28 days of life), who are suspected of having conditions ruled out an abnormal condition unrelated to exposure from the d Z03.81 Encounter for observation for suspected exposure to biological agents ruled out mother or the birth process, but without signs or symptoms, and which, after examination and observation, is ruled out. Z03.810 Encounter for observation for u suspected exposure to anthrax 2 newborn observation for suspected condition, related to ruled out exposure from the mother or birth process (P00-P04) Z03.818 Encounter for observation for u l Z05.0 Observation and evaluation of newborn for suspected cardiac suspected exposure to other condition ruled out biological agents ruled out l Z05.1 Observation and evaluation of newborn for suspected Z03.89 Encounter for observation for other u infectious condition ruled out suspected diseases and conditions ruled l Z05.2 Observation and evaluation of newborn for suspected out neurological condition ruled out b Z04 Encounter for examination and observation for other reasons l Z05.3 Observation and evaluation of newborn for suspected respiratory condition ruled out 1 encounter for examination for medicolegal reasons l c Z05.4 Observation and evaluation of newborn for suspected NOTE This category is to be used when a person without a genetic, metabolic or immunologic condition ruled out diagnosis is suspected of having an abnormal condition, l Z05.41 Observation and evaluation of newborn for without signs or symptoms, which requires study, but after suspected genetic condition ruled out examination and observation, is ruled-out. This category is l Z05.42 Observation and evaluation of newborn for also for use for administrative and legal observation status. suspected metabolic condition ruled out Z04.1 Encounter for examination and observation u l Z05.43 Observation and evaluation of newborn for following transport accident suspected immunologic condition ruled out 1 encounter for examination and observation following l Z05.5 Observation and evaluation of newborn for suspected work accident (Z04.2) gastrointestinal condition ruled out Z04.2 Encounter for examination and observation u l Z05.6 Observation and evaluation of newborn for suspected following work accident genitourinary condition ruled out Z04.3 Encounter for examination and observation u l c Z05.7 Observation and evaluation of newborn for suspected skin, following other accident subcutaneous, musculoskeletal and connective tissue c Z04.4 Encounter for examination and observation following alleged condition ruled out rape l Z05.71 Observation and evaluation of newborn for Encounter for examination and observation of victim following suspected skin and subcutaneous tissue condition alleged rape ruled out l Encounter for examination and observation of victim following Z05.72 Observation and evaluation of newborn for suspected musculoskeletal condition ruled out alleged sexual abuse l Z05.73 Observation and evaluation of newborn for Z04.41 Encounter for examination and u y suspected connective tissue condition ruled out observation following alleged adult rape l Z05.8 Observation and evaluation of newborn for other specified Suspected adult rape, ruled out suspected condition ruled out Suspected adult sexual abuse, ruled out l Z05.9 Observation and evaluation of newborn for B Z04.42 Encounter for examination and u 9 unspecified suspected condition ruled out observation following alleged child rape Suspected child rape, ruled out Z08 Encounter for follow-up examination after completed treatment Suspected child sexual abuse, ruled out for malignant neoplasm Medical surveillance following completed treatment Z04.6 Encounter for general psychiatric examination, u requested by authority Use additional code to identify any acquired absence of organs (Z90.-) Use additional code to identify the personal history of malignant c Z04.7 Encounter for examination and observation following alleged physical abuse neoplasm (Z85.-) aftercare following medical care (Z43-Z49, Z51) Z04.71 Encounter for examination and u y 1 observation following alleged adult Z09 Encounter for follow-up examination after completed treatment physical abuse for conditions other than malignant neoplasm Suspected adult physical abuse, ruled out Medical surveillance following completed treatment

1 confirmed case of adult physical abuse Use additional code to identify any applicable history of disease code Z03.7–Z09 (T74.-) (Z86.-. Z87.-) encounter for examination and observation 1 aftercare following medical care (Z43-Z49, Z51) following alleged adult sexual abuse surveillance of contraception (Z30.4-) (Z04.41) surveillance of prosthetic and other medical devices (Z44-Z46) suspected case of adult physical abuse, not AHA: 2015,1Q,8 ruled out (T76.-)

SAdditional Character Required g Placeholder Alert Manifestation Dx BUnspecified Dx wx Revised Text l New Code s Revised Code Title ICD-10-CM 2017 1147 Appendix C: Pharmacology List 2017 Appendixes–5 edication based on on based edication termine the drug action, action, drug termine the , Proteus mirabilis, Klebsiella Klebsiella mirabilis, , Proteus or undocumented diagnoses. diagnoses. undocumented or Streptococcus pneumoniae, s influenzae (H. influenzae), (H. influenzae), s influenzae E. coli , and group A betahemolytic streptococci; streptococci; A betahemolytic group and , urinary tract infections due to Pseudomonas, Escherichia coli (E. coli), Proteus, Proteus, (E. coli), coli Escherichia Pseudomonas, Klebsiella-Enterobacter-Serratia Indications Staphylococcus aureus Klebsiella Haemophilu species, species and some strains of Enterobacter and enterococci; skin and and enterococci; Enterobacter of some strains and species skin structureinfections, biliary tract infections, bone and joint infections, genital infections, septicemia, and endocarditis cancer or chemotherapy of CKD and neoplasms patients in some thinking ability anti-inflammatory(NSAIDs) taking from nonsteroidal ulcers drugs somearthritis, symptoms of as such alone; relieve help used to inflammation, swelling, stiffness, and joint pain hypokalemia lymphoma to secondary hyperuricemia leukemia, to secondary in Open in glaucoma or pressure angle another which condition hypertension) (ocular high too is eye the Reliefand/or prevention of symptoms from asthma and reversible emphysema and bronchitis in bronchospasms activity against many gram-positive and gram-negative micro-organisms; media, gonorrhea, otitis respiratory, skin, gastrointestinal, and genitourinary infections Decrease bone loss in multiple myeloma patients; Paget’s disease; disease; Paget’s patients; myeloma multiple in loss bone Decrease hyperparathyroidism; osteoporosis cirrhosis; with associated ascites failure; heart severe of Treatment Drug Action Drug Alcohol treatment antinauseantAntiemetic/ agent (ESA)Erythropoiesis-stimulating as such disorders from (anemia) cells blood normal than lower Treat inhibitor sterase Acetylcholine effects from or surgery following nausea/vomiting of Management Analgesic Alcoholism improve can disease; Alzheimer’s moderate to mild of Symptoms stomach develop may who arthritis with patients of Treatment agent; diuretic; electrolytic and renal renal and electrolytic diuretic; agent; agent AntihistamineAntigout (ophthalmic) agent Antiglaucoma ocular antihypertensive, sedative/hypnotic Antianxiety; antihypertensive inhibitor; ACE Blood glucose regulator Seasonal allergic rhinitis Sedative/hypnotic hypertension essential heart failure, Congestive Antipsychotic antibiotic GoutyAminoglycoside arthritis, renal calculus, hyperuricemia,hyperuricemia Diabetes mellitus vasodilator, pulmonary Bronchodilator, relaxant muscle smooth as antidepressant such Insomnia stimulant; infections bacterial Anorexiant/CNS of gram-negative in treatment Active Depression Penicillin symptoms autism schizophrenia, disorder, bipolar Depression, Muscle relaxant antibiotic cephalosporin Semisynthetic to due infections tract Respiratory bactericidal of spectrum broad a with infections for Effective Adjunct torest and physical therapy for muscle spasms ACE inhibitor; antihypertensive inhibitor; ACE AnalgesicAntirheumatic hypertension essential heart Congestive failure; bone agent; renal and Electrolytic resorption inhibitor blocker channel Calcium antihypertensive agent; Cardiovascular severe to moderate Pain, arthritis Rheumatoid hypertension essential angina; stable chronic angina; Vasospastic Aranesp [darbepoetin alfa] [darbepoetin Aranesp hydrochloride] [donepezil Aricept Arthrotec [diclofenac/misoprostol] Antabuse [disulfiram] Anzemet mesylate] [dolasetron Amoxicillin, Amoxil [amoxicillin]Amoxicillin, Amoxil Amrix [cyclobenzaprine hydrochloride] Ancef [cefazoline sodium] Alprazolam [alprazolam] [ramipril]Altace Amaryl [glimepiride] Ambien [zolpidem] [aripiprazole] Abilify sulfate] [amikacin Amikacin Aminophylline [aminophylline] Amitriptyline hydrochloride hydrochloride] [amitriptyline [acetominophen/codeine phosphate] [acetominophen/codeine Actemra [tocilizumab] Actonel [risedronate] [nifedipine] CC Adalat Aldactone [spironolactone] hydrochloride [fexofenadine/ Allegra pseudoephedrine] Allopurinol [allopurinol] Alphagan P [brimonidine] Accupril [quinapril] and codeine Acetaminophen Drug ICD-10-CM 2017 ICD-10-CM ICD-10-CM 2017 2017 Pharmacology C: List Appendix overlooked with associated often are that indications and actions, drug drugs, review quickly to coder the enables section This m the prescribed with is treating physician the condition know what and record medication patient’s the review should coder The this de the drug, section to locate When the documentation coderdocumentation reference can lacking, is therecord. in medical and when drug indications, necessary confirm query physician. the Appendix C: Pharmacology List 2017 ICD-10-CM 2017 Illustrations Chapter 10. Diseases of the Respiratory System (J00–J99)

Respiratory System

ICD-10-CM 2017 Illustrations–27