EXPERT 2019 ICD-10-CM Expert for SNF, IRF, and LTCH The complete official code set Codes valid from October 1, 2018 through September 30, 2019 Power up your coding optum360coding.com ITSN_ITSN19_CVR.indd 1 12/4/17 2:54 PM Contents Preface ................................................................................ iii ICD-10-CM Index to Diseases and Injuries .......................... 1 ICD-10-CM Official Preface ........................................................................iii Characteristics of ICD-10-CM ....................................................................iii ICD-10-CM Neoplasm Table ............................................ 331 What’s New for 2019 .......................................................... iv ICD-10-CM Table of Drugs and Chemicals ...................... 349 Official Updates ............................................................................................iv Proprietary Updates ...................................................................................vii ICD-10-CM Index to External Causes ............................... 397 Introduction ....................................................................... ix ICD-10-CM Tabular List of Diseases and Injuries ............ 433 History of ICD-10-CM .................................................................................ix Chapter 1. Certain Infectious and Parasitic Diseases (A00-B99) .........................................................................433 How to Use ICD-10-CM Expert for Skilled Nursing Chapter 2. Neoplasms (C00-D49) ...................................................457 Facilities, Inpatient Rehabilitation Services, and Inpatient Hospice 2019 ....................................................... x Chapter 3. Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Use of Official Sources ................................................................................. x Immune Mechanism (D50-D89) .................................495 Steps to Correct Coding ............................................................................. x Chapter 4. Endocrine, Nutritional and Metabolic Diseases Organization .................................................................................................. x (E00-E89) ..........................................................................505 Introduction ........................................................................................... x Chapter 5. Mental, Behavioral, and Neurodevelopmental Official ICD-10-CM Conventions and Guidelines........................... x Disorders (F01-F99) .......................................................525 Alphabetic Index to Diseases ............................................................. x Neoplasm Table..................................................................................... x Chapter 6. Diseases of the Nervous System (G00-G99) ............549 Table of Drugs and Chemicals ........................................................... x Chapter 7. Diseases of the Eye and Adnexa (H00-H59) ............569 Index to External Causes .................................................................... xi Chapter 8. Diseases of the Ear and Mastoid Process Tabular List of Diseases ......................................................................xi (H60-H95) ........................................................................605 Appendixes............................................................................................ xi Chapter 9. Diseases of the Circulatory System (I00-I99) ...........617 Illustrations............................................................................................ xi Chapter 10. Diseases of the Respiratory System (J00-J99) .........657 Overview of ICD-10-CM Official Conventions ................... xii Chapter 11. Diseases of the Digestive System (K00-K95) ...........673 Format ................................................................................................ xii Chapter 12. Diseases of the Skin and Subcutaneous Tissue Punctuation .................................................................................................xii (L00-L99) ..........................................................................695 Abbreviations ..............................................................................................xii Chapter 13. Diseases of the Musculoskeletal System and NEC ........................................................................................................xii Connective Tissue (M00-M99) ....................................715 NOS ........................................................................................................xii Chapter 14. Diseases of the Genitourinary System Typeface .................................................................................................xii (N00-N99) ........................................................................803 General Notes .............................................................................................xii Chapter 15. Pregnancy, Childbirth and the Puerperium Includes Notes .....................................................................................xii (O00-O9A) ........................................................................821 Inclusion Terms....................................................................................xii Chapter 16. Certain Conditions Originating in the Perinatal Excludes Notes.....................................................................................xii Period (P00-P96) ............................................................857 Note.......................................................................................................xiii Default Codes......................................................................................xiii Chapter 17. Congenital Malformations, Deformations and Syndromes...........................................................................................xiii Chromosomal Abnormalities (Q00-Q99) .................869 And .......................................................................................................xiii Chapter 18. Symptoms, Signs and Abnormal Clinical and With .......................................................................................................xiii Laboratory Findings, Not Elsewhere See and See Also ................................................................................xiii Classified (R00-R99) .......................................................887 Instructional Notes Used in the Tabular List ...............................xiii Chapter 19. Injury, Poisoning and Certain Other Consequences Code Assignment and Clinical Criteria .........................................xiii of External Causes (S00-T88) .......................................907 Chapter 20. External Causes of Morbidity (V00-Y99)................. 1115 Additional AnnotationsSample .................................................... xiv Page Chapter 21. Factors Influencing Health Status and Contact Code-Level Notations ...............................................................................xiv With Health Services (Z00-Z99) ............................... 1177 Italics .....................................................................................................xiv Color Coding/Symbols......................................................................xiv Appendixes .....................................................Appendixes–1 Footnotes.............................................................................................xvi Appendix A: 10 Steps to Correct Coding ......................Appendixes–1 Chapter-Level Notations ..........................................................................xvi Appendix B: Valid 3-character ICD-10-CM Chapter-Specific Guidelines with Coding Examples.................xvi Codes ............................................................Appendixes–3 Muscle Tendon Table .......................................................................xvi Appendix C: Pharmacology List 2018............................Appendixes–5 Index Notations..........................................................................................xvi Appendix D: Z Codes for Long-Term Drug Use Following References.........................................................................xvi with Associated Drugs............................ Appendixes–21 Appendix E: Z Codes Only as Principal/First-Listed ICD-10-CM Official Guidelines for Coding Diagnosis ................................................... Appendixes–24 and Reporting 2017 .............................Coding Guidelines–1 Appendix F: Hospice Criteria for Medicare Coverage of Noncancer Hospice Care .................. Appendixes–25 ICD-10-CM 2019 ICD-10-CM 2019 Madness Lymphangitis — continued Lymphogranulomatosis (malignant) (see also Lym- Lymphoma — continued Index acute — continued phoma, Hodgkin) non-leukemic variant of B-CLL C83.0- S hip — see Lymphangitis, acute, lower limb benign (Boeck's sarcoid) (Schaumann's) D86.1 peripheral T-cell, not classified C84.4- S jaw (region) L03.212 Lymphohistiocytosis, hemophagocytic(familial) D76.1 primary cutaneous knee — see Lymphangitis, acute, lower limb Lymphoid — see condition anaplastic large cell C86.6 leg — see Lymphangitis, acute, lower limb Lymphoma (of) (malignant) C85.90 CD30-positive large T-cell C86.6 lower limb L03.12- S adult