JCAAI Top ICD9CM to ICD10CM

•Excludes 1 –Indicates that the code excluded should never be used at the same time as the code above the EXCLUDES 1 note. •Excludes 2 –Indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

ICD‐9 Description ICD‐9 Code ICD‐10 Code Notes/ICD‐10 Descriptions Encounter for testing Z01.82 Encounter for antibody response examination, Encounter for immunity status testing Z01.84 EXCLUDES 1: encounter for allergy testing (Z01.82) Note: Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70‐R94. (eg: SOB R06.02 Encounter for immunization Z23 Immunization not carried out because of acute illness of patient Z28.01 Immunization not carried out because of chronic illness or condition of patient Z28.02 Immunization not carried out because of immune compromised state of patient Z28.03 Immunization not carried out because of patient allergy to vaccine or component Z28.04 Immunization not carried out because of other contraindication Z28.09 Immunization not carried out because of patient decision for reasons of belief or group pressure, Immunization not carried out because of Z28.1 Immunization not carried out because of patient decision for unspecified reason Z28.20 Immunization not carried out because of patient refusal Z28.21 Immunization not carried out because of patient decision for other reason Z28.29 Allergy status, other than to drugs and EXCLUDES 2: Allergy status to drugs, medicaments, and biological substances biological substances, allergy to peanuts Z91.010 (Z88.‐) food additives allergy status (Z91.02) Allergy status, other than to drugs and biological substances, allergy to milk products Z91.011 EXCLUDES 1: lactose intolerance (E73.‐) Allergy status, other than to drugs and biological substances, allergy to eggs Z91.012 biological substances, allergy to seafood, allergy to shellfish allergy to octopus or squid ink Z91.013 Allergy status, other than to drugs and biological substances, allergy to other foods, allergy to nuts other than peanuts Z91.018 biological substances, food additives allergy status Z91.02 Allergy status, other than to drugs and biological substances, bee allergy status Z91.030 Allergy status, other than to drugs and biological substances, other insect allergy Z91.038 Allergy status, other than to drugs and biological substances, latex allergy status, latex Z91.040 Allergy status, other than to drugs and biological substances, Radiographic dye allergy status, allergy status to contrast media used for diagnostic X‐ray procedure Z91.041 Allergy status, other than to drugs and biological substances, other nonmedicinal substance allergy status Z91.048 Other allergy status, other than to drugs and biological substances Z91.09 Allergy status to penicillin Z88.0 Allergy status to other antibiotic agents status Z88..1 Allergy status to sulfonamides status Z88.2 Allergy status to other anti‐infective agents Z88.3 Allergy status to anesthetic agent status Z88.4 Allergy status to narcotic agent status Z88.5 Allergy status to analgesic agent status Z88.6 Allergy status to serum and vaccine status Z88.7 Allergy status to other drugs, medicaments and biological substances status Z88.8 Allergy status to unspecified drugs, medicaments and biological substances status Z88.9 Adverse Effects Other allergy T78.49Xx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela (K52.2) allergic gastroenteritis and colitis (K52.2) dermatitis (L23‐L25, L27.‐) hay fever (J30.1) Adverse Effects Other adverse effects, not elsewhere classified T78..8Xx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela (NOS) 995.0 Code also allergy status such as: allergy status to drugs, medicaments and biological substances (Z88.‐) allergy status, other than to drugs and biological Personal history of anaphylaxis Z87.892 substances (Z91.0‐) Anaphylactic reaction due to of correct drug or medicament properly T88.6XXx allergy status to drugs, medicaments and biological substances (Z88.‐) allergy status, other than to drugs and biological substances (Z91.0‐) EXCLUDES 1: anaphylactic reaction due to serum (T80.5‐) anaphylactic shock or reaction due to adverse food reaction (T78.0‐) Anaphylactic shock, unspecified T78.2XXx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Anaphylaxis, unspecified food 995.60 T78.00Xx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Anaphylactic reaction due to peanuts 995.61 T78.01Xx Anaphylactic reaction due to shellfish (crustaceans) T78.02Xx Anaphylactic reaction due to other fish T78.03Xx Anaphylactic reaction due to fruits and vegetables T78.04Xx Anaphylactic reaction due to tree nuts and seeds T78.05Xx EXCLUDES 1: anaphylactic reaction to peanuts (T78.01‐) Anaphylactic reaction due to food additives T78.06Xx Anaphylactic reaction due to milk and dairy products T78.07Xx Anaphylactic reaction due to eggs T78.08Xx Anaphylactic reaction due to other food products T78.09Xx Other adverse food reactions, not otherwise classified T78.1XXx Adverse effect of other drugs, medicaments and biological substances T50.995x 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Adverse effect of unspecified drugs, medicaments and biological substances T50.905x 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Allergic alveolitis (extrinsic) NOS, pneumonitis NOS J67.9 EXCLUDES 2: asthma (J45.‐) malignant neoplasm of bronchus and lung (C34.‐) Angioderma 995.1 T78.3XXx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Heriditary (other immunodeficiencies: defecdts in the complement system: C1 esterase inhibitor [C1‐ D84.1 Extrinsic bronchial Asthma w/exacerbaton (bronchial asthma cough variant ) 493.02 J45.901 Extrinsic bronchial Asthma w/status J45.902 Extrinsic bronchial Asthma unspecified 493.00 J45.909 Intrinsic bronchial Asthma w/acute 493.10 J45.901 Intrinsic bronchial asthma with status asthmitcu 493.12 J45.902 Intrinsic bronchial Asthma, unspecified 493.10 J45.909 Bronchial asthma exercise‐induced 493.81 J45.990 Other asthma J45.998 Bronchial asthma unspecified 493.90 J45.909 Bronchial asthma with acute exacerbation 493.92 J45.901 INCLUDES: acute and subacute broncitis withh bronchospasm, with tracheitis, with tracheobronchitis, acute, acute and subacute fibrinous bronchitis, acute and subacute membranous bronchitis, acute and subacute Bronchitis, acute 466.0 purulent bronchitis, acute and subacute septic bronchitis EXCLUDES 2: chronic obstructive pulmonary with acute lower respiratory infection (J44.0) acute bronchitis with bronchietasis (47.0) acute bronchitis with chronic obstructive asthma (J44.0) acute bronchitis with COPD (J44.0) allergic bronchitis NOS (J45.909) bronchitis due to chemicals funes and vapors (J68.0) bronchitis NOS (J40) chronic bronchitis NOS (J42) chronic mucopurulent bronchitis (J41.1) chronic obstructive bronchitis (J44.‐) Acute bronchitis due to Mycoplasma pneumoniae J20.0 chronic simple bronchitis (J41.0) chronic tracheobronchitis (J42) Acute bronchitis due to Hemophilus influenzae J20.1 Acute bronchitis due to streptococcus J20.2 Acute bronchitis due to coxsackievirus J20.3 Acute bronchitis due to parainfluenza virus J20.4 Acute bronchitis due to respiratory syncytial virus J20.5 Acute bronchitis due to rhinovirus J20.6 Acute bronchitis due to echovirus J20.7 Acute bronchitis due to other specified organisms J20.8 Acute bronchitis, unspecified J20.9 Acute bronchitis with bronchietasis J47.0 Acute bronchitis with COPD J44.0 Use additional code to identify the infection Acute bronchitis with chronic obstructive asthma J44.0 Use additional code to identify the infection COPD 493.20 Use additional code to identify the infection INCLUDES: asthma with COPD, chronic asthmatic (obstructive) bronchitis, chronic bronchitis with emphysema, chronic emphysematous bronchitis, chronic obstructive asthma, chronic obstructive bronchitis, chronic obstructive tracheobronchitis. Code also type of asthma, if applicable (J45.‐) Use additional code to identify: exposure to environmental tobacco smoke Chronic obstructive pulmonary disease with (Z77.22) history of tobacco use Z87.891) occupational to environmental acute lower respiratory infection J44.0 tobacco smoke (Z57.31) tobacco dependence (F17.‐) tobacco use (Z72.0) Chronic obstructive pulmonary disease with (acute) exacerbation (Decompensated COPD EXCLUDES 2: chronic obstructive pulmonory disease (COPD) with acute Decompensated COPD with (acute) J44.1 bronchitis (J44.0) Chronic obstructive pulmonary disease, unspecified (Chronic obstructive airway disease NOS, Chronic obstructive lung disease NOS) J44.9 with bronchospasm (J20.‐) asthma (J45.‐) exercise induced bronchospasm Bronchospasm, acute 519.11 J98.01 (J45.990) Chest tightness/discompfort 786.59 EXCLUDES 2: abnormal findings on antenatal screening of mother (O28.‐) certain conditions originating in the perinatal period (P04‐P96) signs and Intercostal pain R07.82 symptoms classified in the body system chapters signs and symptoms of Other chest pain (anterior chest wall pain NOS) R07.89 Conjunctivits, acute, unspecified 372.00 Unspecified acute conjunctivitis, unspecified eye H10.30 EXCLUDES 1: ophthalmia neonatorum NOS (P39.1) Unspecified acute conjunctivitis, right eye H10.31 Unspecified acute conjunctivitis, left eye H10.32 Unspecified acute conjunctivitis, bilateral H10.33 Acute atopic conjunctivitis, unspecified eye H10.10 EXCLUDES 1: keratoconjunctivitis (H16.2‐) Acute atopic conjunctivitis, right eye H10.11 Acute atopic conjunctivitis, left eye H10.12 Acute atopic conjunctivitis, bilateral H10.13 Conjunctivits, allergic (other chronic) 372.14 Unspecified chronic conjunctivitis, right eye H10.401 Unspecified chronic conjunctivitis, left eye H10.402 Unspecified chronic conjunctivitis, bilateral H10.403 Unspecified chronic conjunctivitis, unspecified eye H10.409 Other chronic allergic conjunctivitis H10.45 Chronic serous otitis media 381.10 Chronic Serous otitis media unspecified ear H65.20 Chronic Serous otitis media right ear H65.21 Chronic Serous otitis media left ear H65.22 Chronic Serous otitis media bilateral H65.23 Chronic mucoid otitis media unspecified ear H65.30 EXCLUDES 1: adhesive middle ear disease (H74.1) Chronic mucoid otitis media right ear H65.31 Chronic mucoid otitis media left ear H65.32 Chronic mucoid otitis media bilateral H65.33 Chronic allergic otitis media, right ear H65.411 Chronic allergic otitis media, left ear H65.412 Chronic allergic otitis media, bilateral H65.413 Chronic allergic otitis media, unspecified ear H65.419 Other chronic non suppurative otits media right ear H65.491 Other chronic non suppurative otits media left ear H65.492 Other chronic non suppurative otits media bilateral H65.493 Other chronic non suppurative otits media unspecified H65.494 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) unspecified ear H65.90 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) right ear H65.91 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) left ear H65.92 Unspecified nonsuppurative otitis media (Allergic otitis media NOS) bilateral H65.93 Contact Dermatitis, plant 692.6 L23.7 /L25.5 Contact Dermatitis 692.84 L23.81 Allergic contact dermatitis due to metals EXC LUDES 1: allergy NOS (T78.40) contact dermatitis, NOS (L25.9) dermatitis (Chromium, Nickel) L23.0 NOS (L30.9) EXCLUDES 2: dermatitis due to substances taken internally (L27.‐) dermatitis of eyelid (H01.1‐) diaper dermatitis (L22) ecema of external ear (H60.5‐) irritant contact dermatitis (L24.‐) perioral dermatitis (L71.0) radiation related Allergic contact dermatitis due to adhesives L23.1 disorders of the skin and subcutaneous tissue (L55‐L59) EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation Allergic contact dermatitis due to cosmetics L23.2 related disorders of the skin and subcutaneous tissue (L55‐L59) stasis Allergic contact dermatitis due to drugs in Use additional code for the adverse effect, if applicable, to identify drug (T36‐ contact with skin L23.4 T50 with fifth or sizth charachhter 5) [see "Adverse Reaction" above] Allergic contaact dermatitis due to dyes L23.4 Allergic contact dermatitis due to other chemical products (cement, insectiside, plastic L23.5 Allergic contact dermatitis due to food in contact with the skin L23.6 Allergic contact dermatitis due to plants except food L23.7 Allergic contact dermatitis due to animal (cat)(dog) dander and hair L23.81 Allergic contact dermatitis due to other agents L23.89 Allergic contact dermatitis, unspecified cause (Allergic contact eczema, NOS) L23.9 Unspecified contact dermatitis, due to cosmetics L25.0 Unspecified contact dermatitis, due to drugs in Use additional code for adverse effect if applicable. To identify drug (T36‐ contact with skin L25.1 T50) with fifth or sixth character 5) [see "Adverse Reaction" above] Unspecified contact dermatitis, due to dyes L25.2 Unspecified contact dermatitis due to other chemicals (cement and insecticide) L25.3 Unspecified contact dermatis due to food in contact with skin L25.4 Unspecified contact dermatitis due to plants, EXCLUDES 1: nettle rash (L50.9) EXCLUDES 2: allergy NOS due to pollen except food L25.5 (J30.1) Unspecified contact dermatitis due to other agents L25.8 Unspecified contact dermatitis due to unspecified cause (contact dermatitis (occupational) NOS Contact eczema L25.9 Cough 786.2 R05 Dermatitis, atopic 691.0 L20.9 Besnier's prurigo L20.0 Eczema and Dermatitis is used interchangeably (L20‐L30) EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation Atopic neurodermatitis (Diffuse neurodermatitis) L20.81 related disorders of the skin and subcutaneous tissue (L55‐L59) stasis Flexural excema L20.82 Infantile (acute)(chronic) eczema L20.83 Intrinsic (allergic) eczema L20.84 Other atopic dermatitis L20.89 Atopic dermatitis unspecified L20.9 EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation Dermatitis cause unspec 692.9 related disorders of the skin and subcutaneous tissue (L55‐L59) stasis Allergic contact dermatitis unspecified cause (allergic contact eczema NOS) L23.9 Irritant contact dermatitis, unspecified cause (irritant contact eczema) L24.9 Unspecified contact dermatitis, unspecified cause (Contact dermatitis (occupational) NOS Contact eczema (occupational) NOS) L25.9 Other specified dermatitis L30.8 Dermatitis unspecified (eczema NOS) L30.9 NOS 995.20 T78.40Xx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela EXCLUDES 1: acdute respiratory distress syndrom (J80) respiratory arrest (R09.2) respiratory arrest of newborn (P28.81) respiratory distress syndrome of newborn (P22.‐) respiratory failure (J96.‐) respiratory failure of newborn Dyspnea 786.05 (P28.5) tachypnea NOS (R06.82) transient tachypnea of newborn (P22.1) Dyspnea Unspecified R06.00 Orthopnea R06.01 Shortness of Breath R06.02 Other forms of dyspnea R06.09 Eosinophillic Esophagitis 530.13 K20.0 use addisitionl code to identify alcolol abuse and dependence (F10.‐) EXCLUDES 1: erosion of esophogus (K22.1‐) esophagitis with gastro‐ Other esophagitis (abscess of esophagus) K20.8 esophageal reflux disease (K21.0) reflux esophagitis (K21.0) ulcerative Esophagitis unspecified (esophogitis NOS) K20.9 EXCLUDES 2: eosonophilic gastritis or gastroenteritis (K52.81) Family history of asthma and other chronic EXCLUDES 2: family history of other of the respiratory system lower respiratory diseases (Conditions (Z83.6) classifiable to J40‐J47) Z82.5 respiratory system. (Conditions classifiable to EXCLUDES 2: family history of asthma and other chronic lower respiratory J00‐J39, J60‐J99) Z83.6 diseases (Z82.5) Food adverse reaction, NOS 995.7 See Anaphylactic Reaction Food, adverse reaction, peanuts 995.61 See Anaphylactic Reaction Food adverse reaction, milk 995.67 See Anaphylactic Reaction GERD/Gastroesophageal Reflux Disease 530.81 Gastro‐esophageal reflux disease with esophagitis (Reflux esophagitis) K21.0 Gastro‐esophageal reflux disease without esophagitis (esophageal reflux, NOS) K21.9 EXCLUDES 1: atypical face pain (G50.1) migraine and other headache Headache (Facial Pain NOS) 784.0 R51 syndromes (G43‐G44) trigeminal neuralgia (G50.0) Hymenpttera sensitivity 999.5 JCAAI Truncated Other serum reaction due to vaccination T80.62Xx 7th digit for this code: A ‐ Initial Visit D ‐ Subsequent Visit or S for Sequela Hypogammaglobulinemia, NOS 279.00 D80.1 Immunodeficiency 279.00 D84.8 Other specified immunodeficiencies D84.9 Immunodefeciency unspecified IGA Immunodeficiency 279.01 D80.2 Selective deficiency of immunoglogulin A (IgA) Immunodeficiency CD ID 279.06 D83.8 Other Common variable immunodeficiencies D83.9 Common variable immunodeficiency, unspecified Use additional code to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco Laryngeal spasticity/VCD 478.75 J38.5 smoke (Z57.31) tobacco use (Z72.0) Laryngeal edema J38.4 Allergic contact dermatitis due to metals EXC LUDES 1: allergy NOS (T78.40) contact dermatitis, NOS (L25.9) dermatitis (Chromium, Nickel) L23.0 NOS (L30.9) EXCLUDES 2: dermatitis due to substances taken internally (L27.‐) dermatitis of eyelid (H01.1‐) diaper dermatitis (L22) ecema of external ear (H60.5‐) irritant contact dermatitis (L24.‐) perioral dermatitis (L71.0) radiation related Allergic contact dermatitis due to adhesives L23.1 disorders of the skin and subcutaneous tissue (L55‐L59) EXCLUDES 2: chronic (childhood) granulomatous disease (D71) der,atotos gamgenosa (L08.0) dermatitis herpetiformis (L13.0) dry skin dermatitis (L85.3) factitial dermatitis (L98.1) perioral dermatitis (L71.0) radiation Allergic contact dermatitis due to cosmetics L23.2 related disorders of the skin and subcutaneous tissue (L55‐L59) stasis Allergic contact dermatitis due to drugs in Use additional code for the adverse effect, if applicable, to identify drug (T36‐ contact with skin L23.4 T50 with fifth or sizth charachhter 5) [see "Adverse Reaction" above] Allergic contaact dermatitis due to dyes L23.4 Allergic contact dermatitis due to other chemical products L23.5 Allergic dermatitis due to cement, insectiside, plastic and rubber Allergic contact dermatitis due to food in contact with the skin L23.6 Allergic contact dermatitis due to plants except food L23.7 Allergic contact dermatitis due to animal (cat)(dog) dander and hair L23.81 Latex allergy (Allergic contact dermatitis due to other agents) V15.07 L23.89 Allergic contact dermatitis, unspecified cause (Allergic contact eczema, NOS) L23.9 Use additional code to identify: exposure to enviromental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history Nasal polyps, Cavity (Choanal polyp, of tobacco use (Z87.891) occupational exposure to environmental tobacco Nasopharyngeal polyp) 471.0 J33.0 smoke (Z57.31) tobacco dependence (F17.‐) tobacco use (Z72.0) Polypoid sinus degeneration (Woakes' syndrome or ethmoiditis) J33.1 EXCLUDES 1: adenomatous polyps (D14.0) Other polyps of sinus J33.8 Accessory polyp of sinus, Ethmoid polyp of sinus, Maxillary polyp o Nasal polyp, unspecified J33.9 Patient's noncompliance with dietary regimen Z91.11 Patient's intentional underdosing of medication regimen due to financial hardship Z91.120 Patient's intentional underdosing of medication regimen for other reason Z91.128 Patient's unintentional underdosing of medication regimen due to age‐related debility Z91.130 Patient's unintentional underdosing of medication regimen for other reason Z91.138 Patient's other noncompliance with medication regimen, patient's underdosing of medication Z91.14 Patient's noncompliance with other medical treatment and regimen Z91.19 Pruritis, other 698.9 L29.8 Pruritus unspecified (itch NOS) L29.9 Rhinitis, vasomotor J30.0 INCLUDES: spasmodic rhinorrhea Rhinitis, allergic pollen 477.0 J30.1 EXCLUDES 1: allergic rhinitis with asthma (bronchial) (J45.909) rhinitis, NOS (J3 Other seasonal allergic rhinitis J30.2 Allergic rhinitis due to food J30.5 Allergic rhinits due to animal (cat) (dog) hair and dander J30.81 Other Allergic rhinitis (Perennial allergic J30.89 Allergic rhinitis, unpecified J30.9 Rhinitis allergic, other 477.8 J30.9 Rhinitis, Chronic J31.0 Excludes1: allergic rhinitis (J30.1‐J30.9) vasomotor rhinitis (J30.0) Nasopharyngitis, Chronic J31.1 Excludes2: acute nasopharyngitis (J00) Pharyngitis, Chronic J31.2 Excludes2: acute pharyngitis (J02.9) EXCLUDES 1: allergic contact dermatitis (L23.‐) angioneurotic edema (T78.3) giant urticaria (T78.3) heriditary angio‐edema (D84.1) Quincke's edema (T78.3) serum urticaria (T80.6‐) solar urticaria (L56.3) urticaria neonatroum Urticaria, allergic 708.0 L50.0 (P83.8) urticaria papulosa (L28.2) urticaria pigmentosa (Q82.2) Urticaria, idiopathic 708.1 L50.1 Urticaria secondary to cold/heat 708.2 L50.2 Urticaria, dermographia 708.3 L50.3 Urticaria, Vibratory L50.4 Uriticaria Cholinergic L50.5 Urticaria, contact L50.6 Other urticaria L50.8 Urticaria, unspecified (Chronic Uriticaria / Recurrent periodic uriticaria) L50.9 Wheezing 786.07 R06.2 EXC LUDES 2: asthma (J45.‐) Acute rhinitis, Acute Coryza, Infective nasopharyngitis, NOS, Infective Upper respiratory Infection/common cold 460 rhinitis, Acute nasal catarrh, Nasopharyngitis, NOS EXCLUDES 1: acute pharyngitis (J02.‐) acute sore throat, NOS (J02.9) Upper respiratory infection J06.9 pharyngitis, NOS (J02.9) rhinitis, NOS (J31.0) sore throat NOS (J31.0) Upper respiratory tract hypersensitivity EXCLUDES 1: hypersensitivity reaction of upper respiratory tract, such as: reaction, site unspecified J39.3 extrinsic allergic alveolitis (J67.9) pneumoconiosis (J60‐J67.9) EXCLUDES 2: allergic rhinitis (J30.1‐J30.9) chronic pharyngitis (J31.2) chronic rhinitis (J31.0) chronic sore throat (J31.2) nasopharyngitis, chronic (J31.1) Acute Nasopharyngitis (common Cold) J00 vasomotor rhinitis (J30.0) INCLUDES: Acute abscess of sinus, acute empyema of sinus, acute infectiion Sinusitis, acute NOS 461.9 of sinus, acute inflamation of sinus and acute suppuration of sinus Acute Maxillary sinusitus unspecified J01.00 Use additional code (B5‐B97) to identify infectious agent Acute Recurrent Maxillary sinusitis J01.01 EXCLUDES 1: sinusitis NOS (J32.9) Acute Frontal sinusitis unspecified J01.10 EXCLUDES 2: chronic sinusitis (J32.0‐J32.9) Acute Recurrent Frontal sinusitis J01.11 Acute Ethmoidal sinusitis unspecified J01.20 Acute Recurrent Ethmoidal sinusitis J01.21 Acute Sphenoidal sinusitis unspecified J01.30 Acute Recurrent Sphenoidal sinusitis J01.31 Acute Panusitis unspecified J01.40 Acute Recurrent Pansusitis J01.41 Other Acute sinusitis J01.80 Acute sinusitis involving more than one sinus but not pansinusitis Other Acute Recurrent Sinusitis J01.81 Acute sinusitis involving more than one sinus but not pansinusitis Acute Sinusitis Unspecified J01.90 Acute Recurrent Sinusitis Unspecified J01.91 Sinusitis, chronic 473.9 Chronic Maxillary sinusitis J32.0 Chronic Frontal sinusitis J32.1 Chronic Ethmoidal sinusitis J32.2 Chronic Sphenoidal sinusitis J32.3 Chronic Panusitis J32.4 Other Chronic sinusitis J32.8 Chronic sinusitis involving more than one sinus but not pansinusiti Chronic sinusitis NOS J32.9 Toxic effect of venom of centipedes and venomous millipedes, accidental T63.411x 7th digit required for these codes Toxic effect of venom of centipedes and venomous millipedes, intentional self harm T63.412x A ‐ Initial Encunter Toxic effect of venom of centipedes and venomous millipedes, assault T63.413x D ‐ Subsequent Encounter Toxic effect of venom of centipedes and venomous millipedes, undetermined T63.414x S ‐ Sequela Toxic effect of venom of ants, accidental (unintentional) , T63.421x harm T63.422x Toxic effect of venom of ants, assault T63.423x Toxic effect of venom of ants, undertermined T63.424x Toxic effect of venom of caterpillars, accidental (unintentional) T63.431x Toxic effect of venom of caterpillars, intentional self harm T63.432x Toxic effect of venom of caterpillars, assault T63.433x Toxic effect of venom of caterpillars, undetermined T63.434x Toxic effect of venom of bees, accidental (unintentional) T63.441x Toxic effect of venom of bees, intentional self harm T63.442x Toxic effect of venom of bees, assault T63.443x Toxic effect of venom of bees, undertermined T63.444x Toxic effect of venom of hornets, accidental (unintentional) T63.451x Toxic effect of venom of hornets, intentional self harm T63.452x Toxic effect of venom of hornets, assault T63.453x Toxic effect of venom of hornets, T63.454x Toxic effect of venom of wasps, accidental (unintentional) T63.461x Toxic effect of venom of wasps, intentional self harm T63.462x Toxic effect of venom of wasps assault T63.463x Toxic effect of venom of wasps, undertermined T63.464x Toxic effects of venom of other arthropod accidental (unintentional) T63.481x Toxic effects of venom of other arthropod intentional self harm T63.482x Toxic effects of venom of other arthropod accidental assault T63.483x Toxic effects of venom of other arthropod accidental undetermined T63.484x

INCLUDES: Allergic (predominately) asthma, Allergic bronchitis, NOS, Allergic See Asthma Severity rhinitis with asthma, Atopic asthma, Extrinsic allergic asthma, Hay fever with ASTHMA Chart Sheet 2 asthma, Idiosyncratic asthma, Intrinsic nonallergic asthma, Nonallergic Use additional code to identify: exposure to enviromental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco Mild intermittent asthma, uncomplicated J45.20 smoke (Z57.31) tobacco dependence (F17.‐) tobacco use (Z72.0) EXCLUDES 1: detergent asthma (J69.8) eosinophillic asthma (J82) lung diseases due to External agents (J60‐J70) miner's asthma (J60) wheezing NOS Mild intermittent asthma with (acute) exacerbation J45.21 (R06.2) wood asthma (J67.8) EXCLUDES 2: asthma with COPD (J44.9) chronic asthmatic (obstructive) Mild intermittent asthma with status asthmaticus J45.22 bronchitis (J44.9) chronic obstructive asthma (J44.9) Mild persistent asthma, uncomplicated J45.30 Mild persistent asthma with (acute) exacerbation J45.31 Mild persistent asthma with status asthmaticus J45.32 Moderate persistent asthma, uncomplicated J45.40 Moderate persistent asthma with (acute) exacerbation J45.41 Moderate persistent asthma with status asthmaticus J45.42 Severe persistent asthma, uncomplicated J45.50 Severe persistent asthma with (acute) exacerbation J45.51 Severe persistent asthma with status asthmaticus J45.52 Unspecified asthma with (acute) exacerbation (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,Intrinsic asthma, Extrinsic asthma) J45.901 Unspecified asthma with status asthmaticus (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,Intrinsic asthma, Extrinsic asthma) J45.902 Unspecified asthma, uncomplicated (asthmatic bronchitis NOS, Childhood asthma, NOS, Late onset asthma,Intrinsic asthma, Extrinsic J45.909 Exercise induced bronchospasm J45.990 Cough variant asthma J45.991 Other asthma J45.998 Asthma Serverity Moderat Severe Intermittent Mild Persistent Persistent Persistent 2 or less days More than 2 Daily Throughout Symptoms per week days per week the day 2x's per 3‐4 X's per more than once Nightly Nighttime month or month per week but Awakenings less not nightly More than 2 Daily Several times Rescue 2 or less days days per week, per day Inhaler Use per week but not daily Interference None Minor Some limitation Extremely with Normal limitation limited Activity Lung Function FEVI >80% FEVI > 80% FEVI 60‐80% FEVI less than predicted Predicted predicted 60% predicted and normal between exacerbation Section Notes

Diseases of the respiratory system (J00‐J99) Note: When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40). Use additional code, where applicable, to identify: exposure to environmental tobacco smoke (Z77.22) exposure to tobacco smoke in the perinatal period (P96.81) history of tobacco use (Z87.891) occupational exposure to environmental tobacco smoke (Z57.31) tobacco dependence (F17.‐) tobacco use (Z72.0) Excludes2: certain conditions originating in the perinatal period (P04‐P96) certain infectious and parasitic diseases (A00‐B99) complications of pregnancy, childbirth and the puerperium (O00‐O9A) (Q00‐Q99) endocrine, nutritional and metabolic diseases (E00‐E88) , poisoning and certain other consequences of external causes (S00‐T88) neoplasms (C00‐D49) smoke inhalation (T59.81‐) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00‐R94) poisoning by wrong substance given or taken in error underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed Note: The drug giving rise to the adverse effect should be identified by use of codes from categories T36‐T50 with fifth or sixth character 5. Use additional code(s) to specify: manifestations of poisoning underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8‐Y63.9) Other and unspecified effects of external causes (T66‐T78)

Complications of surgical and medical care, not elsewhere classified (T80‐ Use additional code for adverse effect, if applicable, to identify drug (T36‐T50 with fifth or sixth character 5) code(s) to identify the specified condition resulting from the complication code to identify devices involved and details of circumstances (Y62‐Y82)

Y90‐Y99 External Cause Coding Guidelines (Use with any Code in Range of A00.0‐T88.9, Z00.99 Supplementary factors related to causes of morbidity classified elsewhere Place of occurance of external cause Category Y92 Place of occurrence of the external cause The following category is for use, when relevant, to identify the place of occurrence of the external cause. Use in conjunction with an activity code. Place of occurrence should be recorded only at the initial encounter for Assign as many external cause codes as necessary guided by the Index of Index Causes which is located after the Alpha Index to diseases and by Inclusion and Exclusion notes in the Tabular list

Place of Occurance Y92 is alsways a secondary code for use after the external cause codees to identify the location of the patient at the time of the injury or other condition. Place of occurrence code is used only once, at the initial encounter for treatment. No 7th character is used. A place of occurance code should be used in conjunction with an activity code, Y93)

Activity codes Category Y93 is provided for use to indicate the activity of the person seeking healthcare for an injury or health condition, such as a heart attack while shoveling snow, which resulted from, or was contributed to, by the activity. These codes are appropriate for use for both acute , such as those from chapter 19, and conditions that are due to the long‐term, cumulative effects of an activity, such as those from chapter 13. They are also appropriate for use with external cause codes for cause and intent if identifying the activity provides additional information on the event. These codes should be used in conjunction with codes for external cause status This section contains the following broad activity categories: Y93.0 Activities involving walking and running Y93.1 Activities involving water and water craft Y93.2 Activities involving ice and snow Y93.3 Activities involving climbing, rappelling, and jumping off Y93.4 Activities involving dancing and other rhythmic movement Y93.5 Activities involving other sports and athletics played individually Y93.6 Activities involving other sports and athletics played as a team or Y93.7 Activities involving other specified sports and athletics Y93.A Activities involving other cardiorespiratory exercise Y93.B Activities involving other muscle strengthening exercises Y93.C Activities involving computer technology and electronic devices Y93.D Activities involving arts and handcrafts Y93.E Activities involving personal hygiene and interior property and clothing maintenance Y93.F Activities involving caregiving Y93.G Activities involving food preparation, cooking and grilling Y93.H Activities involving exterior property and land maintenance, building and construction Y93.I Activities involving roller coasters and other types of external motion Y93.J Activities involving playing musical instrument Y93.K Activities involving animal care Y93.8 Activities, other specified Y93.9 Activity, unspecified Codes from category Y93, Activity codes for use with external cause codes are used to identify the activity the patient was participating at the time of injury. The activity code is used only once, at the initial encounter for treatment. Only one code from Y93 should be recorded on a medical record. An activity codey should be used in conjunctiony withp a place of occurance, Y92. applicable. A code from Y93 is appropriate for use with external cause and intent ocdes if identifying the activity proivides additional information about the event

External cause status Category Y99 A single code from category Y99 should be used in conjunction with the external cause code(s) assigned to a record to indicate the status of the person at the time the event occurred.

Factors influencing health status and contact with health services (Z00‐Z99) Z codes are not procedure codes. A corresponding procedure code must accompany a Z code to desxribe the procedure performed Note: Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00‐ Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00‐Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.