Draft 2012 Clinical Modification

ICD~10~CM Complete Draft Code Set Table of Contents

Introduction to ICD-10-CM...... ii Chapter 6 — Diseases of the Nervous System Development of ICD-10-CM ...... ii G00-G99...... 90 The ICD-9-CM Coordination and Maintenance Committee. . . . ii Chapter 7 — Diseases of the Eye and Adnexa H00-H59...... 106 General Equivalency Mapping – ICD-9-CM to ICD-10-CM. . . . . ii Chapter 8 — Diseases of the Ear and Mastoid The ICD-10-CM Code Set Improvements...... ii Process H60-H95...... 137

How to Use the ICD-10-CM...... iii Chapter 9 — Diseases of the Circulatory System I00-I99...... 147 Structure of ICD-10-CM...... iii Chapter 10 — Diseases of the Respiratory System Alphabetic Index of Diseases and Injuries...... iii J00-J99...... 177 Tabular List of Diseases and Injuries...... iii Chapter 11 — Diseases of the Digestive System K00-K94...... 188 ICD-10-CM Official Guidelines and Reporting Draft. . . . iv Chapter 12 — Diseases of the Skin and Subcutaneous Section I: ICD-10-CM Conventions, General Coding Tissue L00-L99...... 206 Guidelines and Chapter Specific Guidelines. . . . iv Chapter 13 — Diseases of the Musculoskeletal System Section II: Selection of Principle Diagnosis...... 24 and Connective Tissue M00-M99...... 221 Section III: Reporting Additional Diagnosis...... 25 Chapter 14 — Diseases of the genitourinary system Section IV: Diagnostic Coding and Reporting N00-N99...... 293 Guidelines for Outpatient Services ...... 25 Chapter 15 — Pregnancy, Childbirth and the Puerperium O00-O9A...... 307 Alphabetic Index...... 27 Chapter 16 — Certain Conditions Originating in the Neoplasms Table...... 239 Perinatal Period P00-P96...... 334 Table of Drugs and Chemicals ...... 347 Chapter 17 — Congenital Malformations, Deformations External Causes Index...... 397 and Chromosomal Abnormalities Q00-Q99. . 343 Tabular List of Diseases and Injuries...... 1 Chapter 18 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Chapter 1 — Certain Infectious and Parasitic Diseases Classified R00-R99...... 358 A00-B99...... 1 Chapter 19 — Injury, Poisoning and Certain Other Chapter 2 — Neoplasms C00-D49...... 20 Consequences of External Causes Chapter 3 — Diseases of the Blood and Blood-Forming S00-T88 ...... 372 Organs and Certain Disorders Involving Chapter 20 — External causes of morbidity V00-Y99. . . . . 570 the Immune Mechanism D50-D89...... 50 Chapter 21 — Factors Influencing Health Status and Chapter 4 — Endocrine, Nutritional and Metabolic Contact with Health Services Z00-Z99. . . . . 645 Diseases E00-E89...... 57 Chapter 5 — Mental and Behavioral Disorders F01-F99. . 74 How to Use the ICD-10-CM

Structure of ICD-10-CM Tabular List of Diseases and Injuries The new structure will allow further expansion than was possible with The Tabular List consists of categories, subcategories, and valid codes. Valid ICD-9-CM as more positions in more chapters are left open and available ICD-10-CM codes contain letters (alpha) and numbers (numeric) and may for future modifications. This is the updated draft version of ICD-10-CM. be 3-7 digits long. The following describes the content of the specific digits: However, the codes in this ICD-10-CM are not currently valid for any • First Digit – alpha. The only letter not used is the letter ‘U’, which purpose or use. There is now an anticipated implementation date for is reserved for newly discovered diseases of unknown etiology. the ICD-10-CM of October 1, 2013 and implementation will be based • Second Digit – numeric on the process for adoption of standard under the Health Insurance • Third Digit – numeric or alpha (not case sensitive) Portability and Accountability Act of 1996. • Fourth through Seventh Digits – numeric or alpha (not case ICD-10-CM has an index and tabular list similar to ICD-9-CM; however, sensitive). Note: For some ICD-10-CM codes, an ‘x’ is used as a the alphabetic index is more in-dept