2013ICD10CMDiagnosisCodes RelatedtoSpeech,Language,andSwallowingDisorders ThecodesinICD10arenotvalidforanypurposeoruseintheUnitedStatesuntil October1,2014. GeneralInformation ThisASHAdocumentprovidesalistingofthe2013InternationalClassificationofDiseases, TenthRevision,ClinicalModification(ICD10CM)codesrelatedtospeech,language,and swallowingdisorders.Thisdocumentisnotacomprehensivelistandanumberofcodesare includedforinformationpurposesonly.Entrieswithonlythreeorfourdigitsmayrequire codingtoahigherdegreeofspecificitythanindicatedhere.However,ingeneral,speech languagepathologyrelateddiagnoseswillbelistedtotheirhighestlevelofspecificity. ThecodesinICD10arenotvalidforanypurposeoruseintheUnitedStatesuntilOctober1, 2014.Formoreinformationonthetransition,see www.asha.org/Practice/reimbursement/coding/ICD10/. ForthemostuptodateinformationonICDcoding,gotoASHA’sBillingandReimbursement websiteatwww.asha.org/practice/reimbursement/coding/. Foradditionalinformation,contactthehealthcareeconomicsandadvocacyteambyemailat [email protected]. TableofContents ICD10CMDIAGNOSTICCODES 4 Overview.............................................................................................................................................4 Scope.................................................................................................................................................4 Purpose...............................................................................................................................................4 RelationtoProfessionalScopeofPractice..........................................................................................4 OfficialICD10CMWebsites...............................................................................................................4 ASHAResources..................................................................................................................................4 ICD10CMTabularListofDiseasesandInjuries.............................................................................5 Ch.2 Neoplasms(C00D49)..............................................................................................................5 Ch.5 Mental,behavioral,andneurodevelopmentaldisorders(F01F99).......................................6 Ch.6 Diseasesofthenervoussystem(G00G99)...........................................................................11 Ch.9 Diseasesofthecirculatorysystem(I00I99)..........................................................................14 Ch.10Diseasesoftherespiratorysystem(J00J99).........................................................................17 Ch.11Diseasesofthedigestivesystem(K00K95)..........................................................................20 Ch.13Diseasesofthemusculoskeletalsystemandconnectivetissue(M00M99)........................21 Ch.16Certainconditionsoriginatingintheperinatalperiod(P00P96).........................................23 Ch.17Congenitalmalformations,deformationsandchromosomalabnormalities(Q00Q99)......23 Ch.18Symptoms,signsandabnormalclinicalandlaboratoryfindings,notelsewhereclassified (R00R99)...........................................................................................................................................27 Ch.19Injury,poisoningandcertainotherconsequencesofexternalcauses(S00T88).................31 Ch.21FactorsInfluencingHealthStatusandContactwithHealthServices(Z00Z99)...................33 INSTRUCTIONALNOTATIONS 38 4|Page2013 ICD 10 CM for SLPs ICD10CMDiagnosticCodes Overview OnOctober1,2014,theInternationalClassificationofDiseases,10thRevision(ICD10)willreplaceICD9(9th Revision) as the official system of assigning codes to diagnoses and procedures associated with hospital utilizationintheUnitedStates.TheICDisalsousedtocodeandclassifymortalitydatafromdeathcertificates. ThenewICD10willincludetheICD10CM(clinicalmodification)andICD10PCS(procedurecodingsystem). TheICD10isownedbytheWorldHealthOrganization(WHO).Theclinicalmodificationwasdevelopedbythe CentersforDiseaseControlandPreventionforuseinallU.S.healthcaretreatmentsettings.Theprocedure coding system (i.e., ICD9PCS and ICD10PCS) was developed by the Centers for Medicare and Medicaid ServicesforuseintheU.S.forinpatienthospitalsettingsonly.Thisproductonlyincludesspeechlanguage pathologyrelatedICD10CMcodes. Scope TheintentofICD10CMistostandardizediseaseandprocedureclassificationthroughouttheUnitedStates andtogatherdataaboutbasichealthstatistics. Purpose HIPAAlegislationrequirestheICD10CMtobeusedforhealthservicesbillingandrecordkeeping.Asnoted above,theeffectiveimplementationdateforICD10CM(andICD10PCS)isOctober1,2014.Updatestothis versionofICD10CMareanticipatedpriortoitsimplementation. RelationtoProfessionalScopeofPractice Thespeechlanguagepathologistpracticinginahealthcaresetting,especiallyahospital,mayhavetocode deliveryofservicesaccordingtotheICD10CM. OfficialICD10CMWebsites NationalCenterforHealthStatistics:www.cdc.gov/nchs/icd/icd10.htm CentersforMedicareandMedicaidServices:www.cms.gov/ICD10/ ICD10CMOfficialGuidelinesforCodingandReporting: www.cdc.gov/nchs/data/icd10/10cmguidelines_2013_final.pdf ASHAResources ICD9toICD10MappingToolforAudiologistsandSpeechLanguagePathologists: www.asha.org/icdmapping.aspx ICD10CMDiagnosisCodesforAudiologyandSpeechLanguagePathology: www.asha.org/Practice/reimbursement/coding/ICD10/ ICD9CMDiagnosisCodesforSpeechLanguagePathology: www.asha.org/practice/reimbursement/coding/icd9SLP/ CodingNormalResults:www.asha.org/practice/reimbursement/coding/normalresults/ CodingtotheHighestDegreeofSpecificity: www.asha.org/practice/reimbursement/coding/codespecificity/ 2013 ICD 10 CM for SLPs Page|5 ICD10CMTabularListofDiseasesandInjuries Relatedtospeech,language,andswallowingdisorders Note:Thisisnotacomprehensivelistandanumberofcodesareincludedforinformationpurposesonly. Somecategoriesofcodes(e.g.,neoplasms)maybemoreextensive,containadditionalinstructionalnotes,and mayalsorequirecodingtoahigherdegreeofspecificitythanindicatedhere.However,ingeneral,speech languagepathologyrelateddiagnoseswillbelistedtotheirhighestlevelofspecificity.ForafulllistofICD10 CMcodes,descriptors,andinstructions,seetheofficialICD10CMpublicationat ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Publications/ICD10CM/2013/ICD10CM_FY2013_Full_PDF.zip. Ch.2 Neoplasms(C00D49) Malignantneoplasmsoflip,oralcavity,andpharynx(C00C14) C00 Malignantneoplasmoflip C00.0 Malignantneoplasmofexternalupperlip C00.1 Malignantneoplasmofexternallowerlip C00.2 Malignantneoplasmofexternallip,unspecified C00.3 Malignantneoplasmofupperlip,inneraspect C00.4 Malignantneoplasmoflowerlip,inneraspect C00.5 Malignantneoplasmoflip,unspecified,inneraspect C00.6 Malignantneoplasmofcommissureoflip,unspecified C00.8 Malignantneoplasmofoverlappingsitesoflip C00.9 Malignantneoplasmoflip,unspecified C01 Malignantneoplasmofbaseoftongue C02 Malignantneoplasmofotherandunspecifiedpartsoftongue C02.0 Malignantneoplasmofdorsalsurfaceoftongue C02.1 Malignantneoplasmofborderoftongue C02.2 Malignantneoplasmofventralsurfaceoftongue C02.3 Malignantneoplasmofanteriortwothirdsoftongue,partunspecified C02.4 Malignantneoplasmoflingualtonsil C02.8 Malignantneoplasmofoverlappingsitesoftongue C02.9 Malignantneoplasmoftongue,unspecified C03 Malignantneoplasmofgum C04 Malignantneoplasmoffloorofmouth C05 Malignantneoplasmofpalate C05.0 Malignantneoplasmofhardpalate C05.1 Malignantneoplasmofsoftpalate C05.2 Malignantneoplasmofuvula C06 Malignantneoplasmofotherandunspecifiedpartsofmouth C08 Malignantneoplasmofotherandunspecifiedmajorsalivaryglands C09 Malignantneoplasmoftonsil C10 Malignantneoplasmoforopharynx C10.1 Malignantneoplasmofanteriorsurfaceofepiglottis C10.2 Malignantneoplasmoflateralwalloforopharynx C10.3 Malignantneoplasmofposteriorwalloforopharynx C11 Malignantneoplasmofnasopharynx C11.0 Malignantneoplasmofsuperiorwallofnasopharynx CodetypicallyusedbySLPsAdditionaldigitsnotlistedhere 6|Page2013 ICD 10 CM for SLPs C11.1 Malignantneoplasmofposteriorwallofnasopharynx C11.2 Malignantneoplasmoflateralwallofnasopharynx C11.3 Malignantneoplasmofanteriorwallofnasopharynx C11.8 Malignantneoplasmofoverlappingsitesofnasopharynx C14 Malignantneoplasmofotherandilldefinedsitesinthelip,oralcavityandpharynx C14.0 Malignantneoplasmofpharynx,unspecified C15 Malignantneoplasmofesophagus Malignantneoplasmsofdigestiveorgans(C15C26) Malignantneoplasmsofrespiratoryandintrathoracicorgans(C30C39) C30 Malignantneoplasmofnasalcavityandmiddleear C32 Malignantneoplasmoflarynx C32.0 Malignantneoplasmofglottis C32.1 Malignantneoplasmofsupraglottis C32.2 Malignantneoplasmofsubglottis C32.3 Malignantneoplasmoflaryngealcartilage C32.8 Malignantneoplasmofoverlappingsitesoflarynx C32.9 Malignantneoplasmoflarynx,unspecified C33 Malignantneoplasmoftrachea Malignantneoplasmsofeye,brainandotherpartsofcentralnervoussystem(C69C72) C71 Malignantneoplasmofbrain Insituneoplasms(D00D09) D00 Carcinomainsituoforalcavity,esophagusandstomach D00.07 Carcinomainsituoftongue D02 Carcinomainsituofmiddleearandrespiratorysystem D02.1 Carcinomainsituoftrachea Benignneoplasms,exceptbenignneuroendocrinetumors(D10D36) D10 Benignneoplasmofmouthandpharynx D14 Benignneoplasmofmiddleearandrespiratorysystem D14.1 Benignneoplasmoflarynx D14.2 Benignneoplasmoftrachea D33 Benignneoplasmofbrainandotherpartsofcentralnervoussystem D38 Neoplasmofuncertainbehaviorofmiddleearandrespiratoryandintrathoracicorgans Ch.5 Mental,behavioral,andneurodevelopmentaldisorders(F01F99) Mentaldisordersduetoknownphysiologicalconditions(F01F09) F01 Vasculardementia