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EXPERT ICD-10-CM Expert for Physicians The complete official code set Codes valid from October 1, 2019 through September 30, 2020 Sample Page Power up your coding 2020 optum360coding.com ITPS_GITPS20_CVR.indd 1 11/20/18 12:05 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 20 ........................................................... iv 20 ICD-10-CM Table of Drugs and Chemicals ...................... 349 Official Updates ............................................................................................iv Proprietary Updates ....................................................................................vi ICD-10-CM Index to External Causes ............................... 397 Introduction ...................................................................... vii History of ICD-10-CM ................................................................................vii ICD-10-CM Tabular List of Diseases and Injuries ............ 433 Chapter 1. Certain Infectious and Parasitic Diseases (A00-B99) .........................................................................433 How to Use ICD-10-CM Expert for Physicians 2020 .......... viii Use of Official Sources ..............................................................................viii Chapter 2. Neoplasms (C00-D49) ...................................................457 Steps to Correct Coding ..........................................................................viii Chapter 3. Diseases of the Blood and Blood-forming Organs Organization ...............................................................................................viii and Certain Disorders Involving the Immune Mechanism (D50-D89) ..................................................495 Introduction ........................................................................................viii Official ICD-10-CM Conventions and Guidelines........................viii Chapter 4. Endocrine, Nutritional and Metabolic Diseases Alphabetic Index to Diseases ..........................................................viii (E00-E89) ..........................................................................505 Neoplasm Table..................................................................................viii Chapter 5. Mental, Behavioral, and Neurodevelopmental Table of Drugs and Chemicals ........................................................viii Disorders (F01-F99) .......................................................525 Index to External Causes ..................................................................viii Chapter 6. Diseases of the Nervous System (G00-G99) ............549 Tabular List of Diseases ....................................................................viii Chapter 7. Diseases of the Eye and Adnexa (H00-H59) ............569 Appendixes............................................................................................ ix Illustrations............................................................................................ ix Chapter 8. Diseases of the Ear and Mastoid Process (H60-H95) ........................................................................605 Chapter 9. Diseases of the Circulatory System (I00-I99) ...........617 Overview of ICD-10-CM Official Conventions ..................... x Format ................................................................................................... x Chapter 10. Diseases of the Respiratory System (J00-J99) .........657 Punctuation ................................................................................................... x Chapter 11. Diseases of the Digestive System (K00-K95) ...........671 Abbreviations ................................................................................................ x Chapter 12. Diseases of the Skin and Subcutaneous Tissue NEC ........................................................................................................... x (L00-L99) ..........................................................................693 NOS........................................................................................................... x Chapter 13. Diseases of the Musculoskeletal System and Typeface ................................................................................................... x Connective Tissue (M00-M99) ....................................713 General Notes ............................................................................................... x Chapter 14. Diseases of the Genitourinary System Includes Notes ....................................................................................... x (N00-N99) ........................................................................801 Inclusion Terms...................................................................................... x Chapter 15. Pregnancy, Childbirth, and the Puerperium Excludes Notes....................................................................................... x (O00-O9A) ........................................................................819 Note.........................................................................................................xi Chapter 16. Certain Conditions Originating in the Perinatal Default Codes........................................................................................xi Period (P00-P96) ............................................................857 Syndromes.............................................................................................xi And .......................................................................................................... xi Chapter 17. Congenital Malformations, Deformations and With .........................................................................................................xi Chromosomal Abnormalities (Q00-Q99) .................869 See and See Also .................................................................................. xi Chapter 18. Symptoms, Signs and Abnormal Clinical and Instructional Notes Used in the Tabular List ................................. xi Laboratory Findings, Not Elsewhere Code Assignment and Clinical Criteria ........................................... xi Classified (R00-R99) .......................................................887 Chapter 19. Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) .......................................907 Additional Annotations ..................................................... xii Code-Level Notations ................................................................................xii Chapter 20. External Causes of Morbidity (V00-Y99)................. 1113 Italics ..................................................................................................... xii Chapter 21. Factors Influencing Health Status and Contact Color Coding/SymbolsSample ......................................................................xii PageWith Health Services (Z00-Z99) ............................... 1175 Other Code-Level Notations............................................................xiii Chapter-Level Notations ..........................................................................xiii Appendixes .....................................................Appendixes–1 Chapter-Specific Guidelines with Coding Examples.................xiii Appendix A: 10 Steps to Correct Coding ......................Appendixes–1 Muscle and Tendon Table................................................................xiii Appendix B: Valid 3-character ICD-10-CM Codes.......Appendixes–3 Index Notations .........................................................................................xiv Appendix C: Pharmacology List 2018............................Appendixes–5 Following References ........................................................................xiv Appendix D: Z Codes for Long-Term Drug Use with Associated Drugs ..................................... Appendixes–23 ICD-10-CM Official Guidelines for Coding Appendix E: Z Codes Only as Principal/First-Listed and Reporting ......................................Coding Guidelines–1 Diagnosis .................................................. Appendixes–27 ICD-10-CM 2019 i ICD-10-CM 2020 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 T-cell (HTLV-1-associated)