ICD-10-CM 2024
New Codes, List of Diseases and Injuries
No Change Chapter 1
No Change Certain infectious and parasitic diseases (A00-B99)
No Change Other bacterial diseases (A30-A49)
No Change A40 Streptococcal sepsis
No Change Code first
Delete postprocedural streptococcal sepsis (T81.4-)
Add , if applicable, postprocedural sepsis (T81.44-)
Add sepsis due to central venous catheter (T80.211-)
Revise from streptococcal sepsis following abortion or ectopic or molar pregnancy (O03-O07, O08.0)
Revise to streptococcal sepsis following abortion or ectopic or molar pregnancy (O03.37, O03.87,
O04.87, O07.37, O08.82)
Revise from streptococcal sepsis following immunization (T88.0)
Revise to streptococcal sepsis following immunization (T88.0-)
Revise from streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.2-)
Revise to streptococcal sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)
No Change A41 Other sepsis
No Change Code first
Delete postprocedural sepsis (T81.4-)
Add , if applicable, postprocedural sepsis (T81.44-)
Add sepsis due to central venous catheter (T80.211-)
Revise from sepsis following abortion, ectopic or molar pregnancy (O03-O07, O08.0)
Revise to sepsis following abortion, ectopic or molar pregnancy (O03.37, O03.87, O04.87, O07.37,
O08.82)
Revise from sepsis following immunization (T88.0)
Revise to sepsis following immunization (T88.0-)
Revise from sepsis following infusion, transfusion or therapeutic injection (T80.2-)
Revise to sepsis following infusion, transfusion or therapeutic injection (T80.22-, T80.29-)
No Change A41.5 Sepsis due to other Gram-negative organisms
No Change A41.52 Sepsis due to Pseudomonas
Revise from Pseudomonas aeroginosa
Revise to Pseudomonas aeruginosa
Add A41.54 Sepsis due to Acinetobacter baumannii
No Change Infections with a predominantly sexual mode of transmission (A50-A64)
Delete Excludes1: human immunodeficiency virus [HIV] disease (B20)
Add Excludes2: human immunodeficiency virus [HIV] disease (B20)
No Change Bacterial and viral infectious agents (B95-B97)
No Change B96 Other bacterial agents as the cause of diseases classified elsewhere
No Change B96.8 Other specified bacterial agents as the cause of diseases classified elsewhere
Add B96.83 Acinetobacter baumannii as the cause of diseases classified elsewhere
No Change Chapter 2
No Change Neoplasms (C00-D49)
No Change Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)
No Change C92 Myeloid leukemia
Add Code also, if applicable, pancytopenia (acquired) (D61.818)
No Change C94 Other leukemias of specified cell type
No Change C94.8 Other specified leukemias
Add Code also, if applicable, eosinophilia (D72.18)
No Change Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
No Change D12 Benign neoplasm of colon, rectum, anus and anal canal
Delete Excludes1: benign carcinoid tumors of the large intestine, and rectum (D3A.02-)
Delete polyp of colon NOS (K63.5)
Add Excludes2: benign carcinoid tumors of the large intestine and rectum (D3A.02-)
Add polyp of colon NOS (K63.5)
No Change D13 Benign neoplasm of other and ill-defined parts of digestive system
No Change D13.9 Benign neoplasm of ill-defined sites within the digestive system
Delete Benign neoplasm of digestive system NOS
Delete Benign neoplasm of intestine NOS
Delete Benign neoplasm of spleen
Add D13.91 Familial adenomatous polyposis
Add Code also associated conditions, such as:
Add benign neoplasm of colon (D12.6)
Add malignant neoplasm of colon (C18.-)
Add D13.99 Benign neoplasm of ill-defined sites within the digestive system
Add Benign neoplasm of digestive system NOS
Add Benign neoplasm of intestine NOS
Add Benign neoplasm of spleen
No Change Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
No Change D37 Neoplasm of uncertain behavior of oral cavity and digestive organs
No Change Excludes1:
Revise from stromal tumors of uncertain behavior of digestive system (D48.1)
Revise to stromal tumors of uncertain behavior of digestive system (D48.1-)
No Change D48 Neoplasm of uncertain behavior of other and unspecified sites
No Change D48.0 Neoplasm of uncertain behavior of bone and articular cartilage
No Change Excludes1:
Revise from neoplasm of uncertain behavior of cartilage of ear (D48.1)
Revise to neoplasm of uncertain behavior of cartilage of ear (D48.1-)
Revise from neoplasm of uncertain behavior of connective tissue of eyelid (D48.1)
Revise to neoplasm of uncertain behavior of connective tissue of eyelid (D48.1-)
Revise from neoplasm of uncertain behavior of synovia (D48.1)
Revise to neoplasm of uncertain behavior of synovia (D48.1-)
No Change D48.1 Neoplasm of uncertain behavior of connective and other soft tissue
Add D48.11 Desmoid tumor
Add D48.110 Desmoid tumor of head and neck
Add D48.111 Desmoid tumor of chest wall
Add D48.112 Desmoid tumor, intrathoracic
Add D48.113 Desmoid tumor of abdominal wall
Add D48.114 Desmoid tumor, intraabdominal
Add Desmoid tumor of pelvic cavity
Add Desmoid tumor, peritoneal, retroperitoneal
Add D48.115 Desmoid tumor of upper extremity and shoulder girdle
Add D48.116 Desmoid tumor of lower extremity and pelvic girdle
Add Desmoid tumor of buttock
Add D48.117 Desmoid tumor of back
Add D48.118 Desmoid tumor of other site
Add D48.119 Desmoid tumor of unspecified site
Add D48.19 Other specified neoplasm of uncertain behavior of connective and other soft tissue
No Change D48.7 Neoplasm of uncertain behavior of other specified sites
No Change Excludes1:
Revise from neoplasm of uncertain behavior of connective tissue (D48.1)
Revise to neoplasm of uncertain behavior of connective tissue (D48.1-)
No Change Chapter 3
No Change Diseases of the blood and blood-forming organs and certain disorders involving the immune
mechanism (D50-D89)
No Change Hemolytic anemias (D55-D59)
No Change D56 Thalassemia
No Change D56.8 Other thalassemias
No Change Excludes1:
Revise from sickle-cell thalassemia (D57.4)
Revise to sickle-cell thalassemia (D57.4-)
No Change D57 Sickle-cell disorders
No Change D57.0 Hb-SS disease with crisis
Revise from Hb-SS disease with vasoocclusive pain
Revise to Hb-SS disease with (vaso-occlusive) pain
No Change D57.00 Hb-SS disease with crisis, unspecified
Revise from Hb-SS disease with vasoocclusive pain NOS
Revise to Hb-SS disease with (vaso-occlusive) pain NOS
Add D57.04 Hb-SS disease with dactylitis
No Change D57.2 Sickle-cell/Hb-C disease
No Change D57.21 Sickle-cell/Hb-C disease with crisis
Add D57.214 Sickle-cell/Hb-C disease with dactylitis
No Change D57.219 Sickle-cell/Hb-C disease with crisis, unspecified
Revise from Sickle-cell/Hb-C disease with vasoocclusive pain NOS
Revise to Sickle-cell/Hb-C disease with (vaso-occlusive) pain NOS
No Change D57.4 Sickle-cell thalassemia
No Change D57.41 Sickle-cell thalassemia, unspecified, with crisis
Revise from Sickle-cell thalassemia with vasoocclusive pain NOS
Revise to Sickle-cell thalassemia with (vaso-occlusive) pain NOS
Add D57.414 Sickle-cell thalassemia, unspecified, with dactylitis
No Change D57.419 Sickle-cell thalassemia, unspecified, with crisis
Revise from Sickle-cell thalassemia with vasoocclusive pain NOS
Revise to Sickle-cell thalassemia with (vaso-occlusive) pain NOS
No Change D57.43 Sickle-cell thalassemia beta zero with crisis
Add D57.434 Sickle-cell thalassemia beta zero with dactylitis
No Change D57.439 Sickle-cell thalassemia beta zero with crisis, unspecified
Revise from Sickle-cell thalassemia beta zero with vasoocclusive pain NOS
Revise to Sickle-cell thalassemia beta zero with (vaso-occlusive) pain NOS
No Change D57.45 Sickle-cell thalassemia beta plus with crisis
Add D57.454 Sickle-cell thalassemia beta plus with dactylitis
No Change D57.459 Sickle-cell thalassemia beta plus with crisis, unspecified
Revise from Sickle-cell thalassemia beta plus with vasoocclusive pain NOS
Revise to Sickle-cell thalassemia beta plus with (vaso-occlusive) pain NOS
No Change D57.8 Other sickle-cell disorders
No Change D57.81 Other sickle-cell disorders with crisis
Add D57.814 Other sickle-cell disorders with dactylitis
No Change D57.819 Other sickle-cell disorders with crisis, unspecified
Revise from Other sickle-cell disorders with vasooclusive pain NOS
Revise to Other sickle-cell disorders with (vaso-occlusive) pain NOS
No Change Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)
No Change D61 Other aplastic anemias and other bone marrow failure syndromes
No Change D61.0 Constitutional aplastic anemia
Add D61.02 Shwachman-Diamond syndrome
Add Code also, if applicable, associated conditions such as:
Add acute myeloblastic leukemia (C92.0-)
Add exocrine pancreatic insufficiency (K86.81)
Add myelodysplastic syndrome (D46.-)
Add Use Additional code, if applicable, for genetic susceptibility to other malignant neoplasm
(Z15.09)
No Change D64 Other anemias
No Change D64.2 Secondary sideroblastic anemia due to drugs and toxins
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Coagulation defects, purpura and other hemorrhagic conditions (D65-D69)
No Change D65 Disseminated intravascular coagulation [defibrination syndrome]
Add COVID-19 associated diffuse or disseminated intravascular coagulopathy
Add Code also, if applicable, associated condition
No Change D68 Other coagulation defects
No Change D68.6 Other thrombophilia
No Change D68.69 Other thrombophilia
Add COVID-19 associated hypercoagulability
Add Code also, if applicable, associated condition
No Change D68.8 Other specified coagulation defects
Add COVID-19 associated coagulopathy
Add Code also, if applicable, associated condition
No Change Other disorders of blood and blood-forming organs (D70-D77)
No Change D70 Neutropenia
Delete Use Additional mucositis (J34.81, K12.3-, K92.81, N76.81)
Add Code also, if applicable, mucositis (J34.81, K12.3-, K92.81, N76.81)
No Change D77 Other disorders of blood and blood-forming organs in diseases classified elsewhere
No Change Code first
Revise from congenital early syphilis (A50.0)
Revise to congenital early syphilis (A50.0-)
No Change Certain disorders involving the immune mechanism (D80-D89)
No Change D89 Other disorders involving the immune mechanism, not elsewhere classified
No Change D89.8 Other specified disorders involving the immune mechanism, not elsewhere classified
Add D89.84 IgG4-related disease
Add Immunoglobulin G4-related disease
No Change Chapter 4
No Change Endocrine, nutritional and metabolic diseases (E00-E89)
No Change Disorders of thyroid gland (E00-E07)
No Change E03 Other hypothyroidism
No Change E03.2 Hypothyroidism due to medicaments and other exogenous substances
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Diabetes mellitus (E08-E13)
No Change E09 Drug or chemical induced diabetes mellitus
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change E13 Other specified diabetes mellitus
No Change E13.0 Other specified diabetes mellitus with hyperosmolarity
No Change E13.00 Other specified diabetes mellitus with hyperosmolarity without nonketotic
hyperglycemic-hyperosmolar coma (NKHHC)
Delete Excludes2: type 2 diabetes mellitus (E11.-)
No Change Disorders of other endocrine glands (E20-E35)
No Change E20 Hypoparathyroidism
No Change E20.8 Other hypoparathyroidism
Add E20.81 Hypoparathyroidism due to impaired parathyroid hormone secretion
Add E20.810 Autosomal dominant hypocalcemia
Add Autosomal dominant hypocalcemia type 1 (ADH1)
Add Autosomal dominant hypocalcemia type 2 (ADH2)
Add Code also, if applicable, any associated conditions, such as:
Add calculus of kidney (N20.0)
Add chronic kidney disease (N18.-)
Add respiratory distress (J80, R06.-)
Add seizure disorder (G40.-, R56.9)
Add E20.811 Secondary hypoparathyroidism in diseases classified elsewhere
Add Code first underlying condition, if known
Add E20.812 Autoimmune hypoparathyroidism
Add Code first, if applicable, underlying condition such as:
Add autoimmune polyglandular failure (E31.0)
Add Schmidt’s syndrome (E31.0)
Add E20.818 Other specified hypoparathyroidism due to impaired parathyroid hormone
secretion
Add Familial isolated hypoparathyroidism
Add E20.819 Hypoparathyroidism due to impaired parathyroid hormone secretion,
unspecified
Add E20.89 Other specified hypoparathyroidism
Add Familial hypoparathyroidism
No Change E35 Disorders of endocrine glands in diseases classified elsewhere
No Change Code first
Revise from late congenital syphilis of thymus gland [Dubois disease] (A50.5)
Revise to late congenital syphilis of thymus gland [Dubois disease] (A50.9)
No Change Metabolic disorders (E70-E88)
No Change Excludes1:
Delete Marfan’s syndrome (Q87.4)
Add Marfan syndrome (Q87.4-)
No Change E71 Disorders of branched-chain amino-acid metabolism and fatty-acid metabolism
No Change E71.3 Disorders of fatty-acid metabolism
No Change E71.31 Disorders of fatty-acid oxidation
No Change E71.310 Long chain/very long chain acyl CoA dehydrogenase deficiency
Revise from LCAD
Revise to LCAD deficiency
Revise from VLCAD
Revise to VLCAD deficiency
No Change E71.311 Medium chain acyl CoA dehydrogenase deficiency
Revise from MCAD
Revise to MCAD deficiency
No Change E71.312 Short chain acyl CoA dehydrogenase deficiency
Revise from SCAD
Revise to SCAD deficiency
No Change E74 Other disorders of carbohydrate metabolism
No Change E74.0 Glycogen storage disease
Add E74.05 Lysosome-associated membrane protein 2 [LAMP2] deficiency
Add Danon disease
Add Code also, if applicable, associated manifestations such as:
Add dilated cardiomyopathy (I42.0)
Add obstructive hypertrophic cardiomyopathy (I42.1)
No Change E74.09 Other glycogen storage disease
No Change Andersen disease
Delete Hers disease
Delete Tauri disease
No Change Glycogen storage disease, types 0, IV, VI-XI
Add Hers disease
No Change Liver phosphorylase deficiency
No Change Muscle phosphofructokinase deficiency
Add Tauri disease
No Change E75 Disorders of sphingolipid metabolism and other lipid storage disorders
No Change E75.2 Other sphingolipidosis
Add E75.27 Pelizaeus-Merzbacher disease
Add E75.28 Canavan disease
No Change E79 Disorders of purine and pyrimidine metabolism
No Change E79.8 Other disorders of purine and pyrimidine metabolism
Delete Hereditary xanthinuria
Add E79.81 Aicardi-Goutières syndrome
Add E79.82 Hereditary xanthinuria
Add E79.89 Other specified disorders of purine and pyrimidine metabolism
No Change E83 Disorders of mineral metabolism
No Change E83.5 Disorders of calcium metabolism
Add Excludes1: autoimmune hypoparathyroidism (E20.812)
Add autosomal dominant hypocalcemia (E20.810)
Add secondary hypoparathyroidism in diseases classified elsewhere (E20.811)
No Change E87 Other disorders of fluid, electrolyte and acid-base balance
Add Excludes1: metabolic acidemia in newborn, unspecified (P19.9)
No Change E87.0 Hyperosmolality and hypernatremia
Add Excludes1: diabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)
No Change E88 Other and unspecified metabolic disorders
No Change E88.4 Mitochondrial metabolism disorders
Add E88.43 Disorders of mitochondrial tRNA synthetases
No Change E88.8 Other specified metabolic disorders
Revise from E88.81 Metabolic syndrome
Revise to E88.81 Metabolic syndrome and other insulin resistance
Delete Dysmetabolic syndrome X
Add E88.810 Metabolic syndrome
Add Dysmetabolic syndrome
Add E88.811 Insulin resistance syndrome, Type A
Add E88.818 Other insulin resistance
Add Insulin resistance syndrome, Type B
Add E88.819 Insulin resistance, unspecified
Add E88.A Wasting disease (syndrome) due to underlying condition
Add Cachexia due to underlying condition
Add Code first underlying condition
Add Excludes1: cachexia NOS (R64)
Add nutritional marasmus (E41)
Add Excludes2: failure to thrive (R62.51, R62.7)
No Change Chapter 5
No Change Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
No Change Mental disorders due to known physiological conditions (F01-F09)
No Change F02 Dementia in other diseases classified elsewhere
No Change Code first
Revise from hepatolenticular degeneration (E83.0)
Revise to hepatolenticular degeneration (E83.01)
Revise from Parkinson’s disease (G20)
Revise to Parkinson’s disease (G20.-)
No Change F05 Delirium due to known physiological condition
No Change Code first
Revise from the underlying physiological condition
Revise to the underlying physiological condition, such as:
Add dementia (F03.9-)
No Change F06 Other mental disorders due to known physiological condition
No Change F06.7 Mild neurocognitive disorder due to known physiological condition
No Change Code first
Revise from Parkinson’s disease (G20)
Revise to Parkinson’s disease (G20.-)
No Change Mental and behavioral disorders due to psychoactive substance use (F10-F19)
No Change F11 Opioid related disorders
No Change F11.1 Opioid abuse
No Change F11.18 Opioid abuse with other opioid-induced disorder
No Change F11.188 Opioid abuse with other opioid-induced disorder
Add Opioid-associated amnestic syndrome with opioid abuse
No Change F11.2 Opioid dependence
No Change F11.28 Opioid dependence with other opioid-induced disorder
No Change F11.288 Opioid dependence with other opioid-induced disorder
Add Opioid-associated amnestic syndrome with opioid dependence
No Change F11.9 Opioid use, unspecified
No Change F11.98 Opioid use, unspecified with other specified opioid-induced disorder
No Change F11.988 Opioid use, unspecified with other opioid-induced disorder
Add Opioid-associated amnestic syndrome without use disorder
No Change Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
No Change F50 Eating disorders
No Change Excludes2:
Revise from feeding difficulties (R63.3)
Revise to feeding difficulties (R63.3-)
No Change Disorders of adult personality and behavior (F60-F69)
No Change F64 Gender identity disorders
No Change F64.0 Transsexualism
Add Gender incongruence in adolescents and adults
Add Transgender
Add Excludes1: gender identity disorder of childhood (F64.2)
No Change F64.2 Gender identity disorder of childhood
Add Gender incongruence of childhood
No Change F64.9 Gender identity disorder, unspecified
Add Gender incongruence, unspecified
No Change Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-
F98)
No Change F98 Other behavioral and emotional disorders with onset usually occurring in childhood and
adolescence
No Change F98.2 Other feeding disorders of infancy and childhood
No Change Excludes2:
Revise from feeding difficulties (R63.3)
Revise to feeding difficulties (R63.3-)
No Change Chapter 6
No Change Diseases of the nervous system (G00-G99)
No Change Inflammatory diseases of the central nervous system (G00-G09)
No Change G04 Encephalitis, myelitis and encephalomyelitis
No Change Excludes2:
Revise from acute transverse myelitis (G37.3-)
Revise to acute transverse myelitis (G37.3)
No Change G05 Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere
Add Code first systemic lupus erythematosus (M32.19)
No Change G05.3 Encephalitis and encephalomyelitis in diseases classified elsewhere
Add Code first underlying disease
No Change Systemic atrophies primarily affecting the central nervous system (G10-G14)
No Change G11 Hereditary ataxia
Add G11.5 Hypomyelination – hypogonadotropic hypogonadism – hypodontia
Add 4H syndrome
Add Pol III-related leukodystrophy
Add G11.6 Leukodystrophy with vanishing white matter disease
No Change Extrapyramidal and movement disorders (G20-G26)
No Change G20 Parkinson’s disease
Delete Parkinsonism or Parkinson’s disease NOS
Add G20.A Parkinson’s disease without dyskinesia
Add G20.A1 Parkinson’s disease without dyskinesia, without mention of fluctuations
Add Parkinson’s disease NOS
Add Parkinson’s disease without dyskinesia, without mention of OFF episodes
Add G20.A2 Parkinson’s disease without dyskinesia, with fluctuations
Add Parkinson’s disease without dyskinesia, with OFF episodes
Add G20.B Parkinson’s disease with dyskinesia
Add Excludes1: drug induced dystonia (G24.0-)
Add G20.B1 Parkinson’s disease with dyskinesia, without mention of fluctuations
Add Parkinson’s disease with dyskinesia, without mention of OFF episodes
Add G20.B2 Parkinson’s disease with dyskinesia, with fluctuations
Add Parkinson’s disease with dyskinesia, with OFF episodes
Add G20.C Parkinsonism, unspecified
Add Parkinsonism, NOS
Add Excludes1: Parkinson’s disease NOS (G20.A1)
Add Parkinson’s disease with dyskinesia (G20.B-)
Add Parkinson’s disease without dyskinesia (G20.A-)
Add secondary parkinsonism (G21-)
No Change G23 Other degenerative diseases of basal ganglia
Add G23.3 Hypomyelination with atrophy of the basal ganglia and cerebellum
Add H-ABC
No Change Other degenerative diseases of the nervous system (G30-G32)
No Change G31 Other degenerative diseases of nervous system, not elsewhere classified
No Change Use Additional
Delete For codes G31.0-G31.83, G31.85-G31.9, use additional code, if applicable, to identify:
Add code, if applicable, for codes G31.0-G31.83, G31.85-G31.9, to identify:
No Change G31.8 Other specified degenerative diseases of nervous system
Add G31.80 Leukodystrophy, unspecified
No Change G31.84 Mild cognitive impairment of uncertain or unknown etiology
No Change Use Additional
Revise from hypertension (I10-I16)
Revise to hypertension (I10-I1A)
Add G31.86 Alexander disease
No Change G32 Other degenerative disorders of nervous system in diseases classified elsewhere
No Change G32.0 Subacute combined degeneration of spinal cord in diseases classified elsewhere
No Change Code first
Delete anemia (D51.9)
Revise from dietary (D51.3)
Revise to other dietary vitamin B12 deficiency anemia (D51.3)
Revise from pernicious (D51.0)
Revise to vitamin B12 deficiency anemia due to intrinsic factor deficiency (D51.0)
Add vitamin B12 deficiency anemia, unspecified (D51.8)
No Change Demyelinating diseases of the central nervous system (G35-G37)
No Change G37 Other demyelinating diseases of central nervous system
No Change G37.8 Other specified demyelinating diseases of central nervous system
Add G37.81 Myelin oligodendrocyte glycoprotein antibody disease
Add MOG antibody disease
Add Code also associated manifestations, if known, such as:
Add noninfectious acute disseminated encephalomyelitis (G04.81)
Add neuromyelitis optica (G36.0)
Add G37.89 Other specified demyelinating diseases of central nervous system
No Change Episodic and paroxysmal disorders (G40-G47)
No Change G40 Epilepsy and recurrent seizures
Add G40.C Lafora progressive myoclonus epilepsy
Add Lafora body disease
Add Code also, if applicable, associated conditions such as dementia (F02.8-)
Add G40.C0 Lafora progressive myoclonus epilepsy, not intractable
Add G40.C01 Lafora progressive myoclonus epilepsy, not intractable, with status
epilepticus
Add G40.C09 Lafora progressive myoclonus epilepsy, not intractable, without status
epilepticus
Add Lafora progressive myoclonus epilepsy NOS
Add G40.C1 Lafora progressive myoclonus epilepsy, intractable
Add G40.C11 Lafora progressive myoclonus epilepsy, intractable, with status
epilepticus
Add G40.C19 Lafora progressive myoclonus epilepsy, intractable, without status
epilepticus
No Change G43 Migraine
No Change G43.1 Migraine with aura
Add Excludes1: chronic migraine with aura (G43.E-)
Add G43.E Chronic migraine with aura
Add Excludes1: migraine with aura (G43.1-)
Add G43.E0 Chronic migraine with aura, not intractable
Add Chronic migraine with aura, without refractory migraine
Add G43.E01 Chronic migraine with aura, not intractable, with status migrainosus
Add G43.E09 Chronic migraine with aura, not intractable, without status migrainosus
Add Chronic migraine with aura NOS
Add G43.E1 Chronic migraine with aura, intractable
Add Chronic migraine with aura, with refractory migraine
Add G43.E11 Chronic migraine with aura, intractable, with status migrainosus
Add G43.E19 Chronic migraine with aura, intractable, without status migrainosus
No Change Diseases of myoneural junction and muscle (G70-G73)
No Change G73 Disorders of myoneural junction and muscle in diseases classified elsewhere
No Change G73.7 Myopathy in diseases classified elsewhere
No Change Code first
Add glycogen storage disease (E74.0-)
Delete glycogen storage disease (E74.0)
No Change Other disorders of the nervous system (G89-G99)
No Change G90 Disorders of autonomic nervous system
Add G90.B LMNB1-related autosomal dominant leukodystrophy
No Change G92 Toxic encephalopathy
No Change G92.0 Immune effector cell-associated neurotoxicity syndrome
Delete Code also associated signs and symptoms, such as seizures and cerebral edema
No Change Code also
Revise from , if applicable:
Revise to , if applicable, associated signs and symptoms, such as:
No Change G92.8 Other toxic encephalopathy
No Change Code first
Revise from poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)
No Change G92.9 Unspecified toxic encephalopathy
No Change Code first
Revise from poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable, (T36-T65 with fifth or sixth character 1-4)
No Change G93 Other disorders of brain
No Change G93.3 Postviral and related fatigue syndromes
No Change Excludes1:
Revise from chronic fatigue syndrome NOS (R53.82)
Revise to chronic fatigue NOS (R53.82)
No Change G93.4 Other and unspecified encephalopathy
Delete Excludes1: alcoholic encephalopathy (G31.2)
Delete encephalopathy in diseases classified elsewhere (G94)
Delete hypertensive encephalopathy (I67.4)
Add Excludes2: alcoholic encephalopathy (G31.2)
Add encephalopathy in diseases classified elsewhere (G94)
Add hypertensive encephalopathy (I67.4)
Add G93.42 Megaloencephalic leukoencephalopathy with subcortical cysts
Add G93.43 Leukoencephalopathy with calcifications and cysts
Add G93.44 Adult-onset leukodystrophy with axonal spheroids
Add Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia
No Change G96 Other disorders of central nervous system
No Change G96.0 Cerebrospinal fluid leak
No Change G96.08 Other cranial cerebrospinal fluid leak
No Change Code also
Revise from head injury (S00.- to S09.-)
Revise to head injury (S00 – S09)
No Change G96.09 Other spinal cerebrospinal fluid leak
No Change Code also
Revise from head injury (S00.- to S09.-)
Revise to head injury (S00 – S09)
No Change G99 Other disorders of nervous system in diseases classified elsewhere
No Change G99.8 Other specified disorders of nervous system in diseases classified elsewhere
No Change Code first
Revise from avitaminosis (E56.9)
Revise to avitaminosis (E56.-)
No Change Chapter 7
No Change Diseases of the eye and adnexa (H00-H59)
No Change Disorders of lens (H25-H28)
No Change H26 Other cataract
No Change H26.2 Complicated cataract
No Change H26.21 Cataract with neovascularization
No Change Code also
Revise from associated condition, such as:
Revise to , if applicable, associated condition, such as:
No Change Disorders of choroid and retina (H30-H36)
No Change H35 Other retinal disorders
No Change H35.2 Other non-diabetic proliferative retinopathy
Add Thaslassemia proliferative retinopathy
Add Excludes2: proliferative sickle-cell retinopathy (H36.82-)
No Change H35.3 Degeneration of macula and posterior pole
No Change H35.38 Toxic maculopathy
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth
character 1-4 or 6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth
character 1-4)
No Change H36 Retinal disorders in diseases classified elsewhere
Add H36.8 Other retinal disorders in diseases classified elsewhere
Add H36.81 Nonproliferative sickle-cell retinopathy
Add H36.811 Nonproliferative sickle-cell retinopathy, right eye
Add H36.812 Nonproliferative sickle-cell retinopathy, left eye
Add H36.813 Nonproliferative sickle-cell retinopathy, bilateral
Add H36.819 Nonproliferative sickle-cell retinopathy, unspecified eye
Add H36.82 Proliferative sickle-cell retinopathy
Add H36.821 Proliferative sickle-cell retinopathy, right eye
Add H36.822 Proliferative sickle-cell retinopathy, left eye
Add H36.823 Proliferative sickle-cell retinopathy, bilateral
Add H36.829 Proliferative sickle-cell retinopathy, unspecified eye
Add H36.89 Other retinal disorders in diseases classified elsewhere
Add Retinal dystrophy in lipid storage disorders
No Change Disorders of ocular muscles, binocular movement, accommodation and refraction (H49-H52)
No Change H49 Paralytic strabismus
No Change H49.8 Other paralytic strabismus
No Change H49.81 Kearns-Sayre syndrome
Delete Use Additional code for other manifestation, such as:
Delete heart block (I45.9)
Add Code also, if applicable, other manifestations, such as:
Add heart block (I45.9)
No Change H50 Other strabismus
No Change H50.6 Mechanical strabismus
Add H50.62 Inferior oblique muscle entrapment
Add H50.621 Inferior oblique muscle entrapment, right eye
Add H50.622 Inferior oblique muscle entrapment, left eye
Add H50.629 Inferior oblique muscle entrapment, unspecified eye
Add H50.63 Inferior rectus muscle entrapment
Add H50.631 Inferior rectus muscle entrapment, right eye
Add H50.632 Inferior rectus muscle entrapment, left eye
Add H50.639 Inferior rectus muscle entrapment, unspecified eye
Add H50.64 Lateral rectus muscle entrapment
Add H50.641 Lateral rectus muscle entrapment, right eye
Add H50.642 Lateral rectus muscle entrapment, left eye
Add H50.649 Lateral rectus muscle entrapment, unspecified eye
Add H50.65 Medial rectus muscle entrapment
Add H50.651 Medial rectus muscle entrapment, right eye
Add H50.652 Medial rectus muscle entrapment, left eye
Add H50.659 Medial rectus muscle entrapment, unspecified eye
Add H50.66 Superior oblique muscle entrapment
Add H50.661 Superior oblique muscle entrapment, right eye
Add H50.662 Superior oblique muscle entrapment, left eye
Add H50.669 Superior oblique muscle entrapment, unspecified eye
Add H50.67 Superior rectus muscle entrapment
Add H50.671 Superior rectus muscle entrapment, right eye
Add H50.672 Superior rectus muscle entrapment, left eye
Add H50.679 Superior rectus muscle entrapment, unspecified eye
Add H50.68 Extraocular muscle entrapment, unspecified
Add H50.681 Extraocular muscle entrapment, unspecified, right eye
Add H50.682 Extraocular muscle entrapment, unspecified, left eye
Add H50.689 Extraocular muscle entrapment, unspecified, unspecified eye
No Change Visual disturbances and blindness (H53-H54)
No Change H54 Blindness and low vision
No Change H54.5 Low vision, one eye
No Change H54.51 Low vision, right eye, normal vision left eye
Revise from H54.511 Low vision, right eye, category 1-2
Revise to H54.511 Low vision, right eye, category 1
Delete H54.512A Low vision right eye category 2, normal vision left eye
Add H54.512 Low vision, right eye, category 2
Add H54.512A Low vision right eye category 2, normal vision left eye
No Change Other disorders of eye and adnexa (H55-H57)
No Change H57 Other disorders of eye and adnexa
No Change H57.8 Other specified disorders of eye and adnexa
Add H57.8A Foreign body sensation eye (ocular)
Add H57.8A1 Foreign body sensation, right eye
Add H57.8A2 Foreign body sensation, left eye
Add H57.8A3 Foreign body sensation, bilateral eyes
Add H57.8A9 Foreign body sensation, unspecified eye
No Change Chapter 8
No Change Diseases of the ear and mastoid process (H60-H95)
No Change Diseases of external ear (H60-H62)
No Change H62 Disorders of external ear in diseases classified elsewhere
No Change H62.4 Otitis externa in other diseases classified elsewhere
No Change Code first
Revise from impetigo (L01.0)
Revise to impetigo (L01.0-)
No Change Other disorders of ear (H90-H94)
No Change H91 Other and unspecified hearing loss
No Change H91.0 Ototoxic hearing loss
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Chapter 9
No Change Diseases of the circulatory system (I00-I99)
No Change This chapter contains the following blocks:
Revise from I10-I16 Hypertensive diseases
Revise to I10-I1A Hypertensive diseases
Revise from
Revise to
Hypertensive diseases (I10-I16)
Hypertensive diseases (I10-I1A)
No Change I16 Hypertensive crisis
No Change Code also
Revise from any identified hypertensive disease (I10-I15)
Revise to any identified hypertensive disease (I10-I15, I1A)
Add I1A Other hypertension
Add I1A.0 Resistant hypertension
Add Apparent treatment resistant hypertension
Add Treatment resistant hypertension
Add True resistant hypertension
Add Code first specific type of existing hypertension, if known, such as:
Add essential hypertension (I10)
Add secondary hypertension (I15.-)
No Change Ischemic heart diseases (I20-I25)
No Change Code also
Revise from the presence of hypertension (I10-I16)
Revise to the presence of hypertension (I10-I1A)
No Change I20 Angina pectoris
No Change I20.8 Other forms of angina pectoris
Delete Angina equivalent
Delete Angina of effort
Delete Coronary slow flow syndrome
Delete Stenocardia
Delete Stable angina
Add I20.81 Angina pectoris with coronary microvascular dysfunction
Add Angina pectoris with coronary microvascular disease
Add I20.89 Other forms of angina pectoris
Add Angina equivalent
Add Angina of effort
Add Coronary slow flow syndrome
Add Stable angina
Add Stenocardia
No Change I21 Acute myocardial infarction
Add I21.B Myocardial infarction with coronary microvascular dysfunction
Add Myocardial infarction with coronary microvascular disease
Add Myocardial infarction with nonobstructive coronary arteries [MINOCA] with microvascular disease
No Change I24 Other acute ischemic heart diseases
No Change I24.8 Other forms of acute ischemic heart disease
Add I24.81 Acute coronary microvascular dysfunction
Add Acute (presentation of) coronary microvascular disease
Add I24.89 Other forms of acute ischemic heart disease
No Change I25 Chronic ischemic heart disease
No Change I25.1 Atherosclerotic heart disease of native coronary artery
No Change I25.11 Atherosclerotic heart disease of native coronary artery with angina pectoris
Revise from I25.112 Atherosclerosic heart disease of native coronary artery with refractory angina
pectoris
Revise to I25.112 Atherosclerotic heart disease of native coronary artery with refractory angina
pectoris
No Change I25.118 Atherosclerotic heart disease of native coronary artery with other forms of
angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerotic heart disease
(I20.8)
Revise to other forms of angina pectoris without atherosclerotic heart disease
(I20.8-)
No Change I25.7 Atherosclerosis of coronary artery bypass graft(s) and coronary artery of transplanted heart
with angina pectoris
No Change I25.70 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris
No Change I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other
forms of angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerosis of coronary artery
bypass graft (I20.8)
Revise to other forms of angina pectoris without atherosclerosis of coronary artery
bypass graft (I20.8-)
No Change I25.71 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina
pectoris
No Change I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other
forms of angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerosis of autologous vein
coronary artery bypass graft(s) (I20.8)
Revise to other forms of angina pectoris without atherosclerosis of autologous vein
coronary artery bypass graft(s) (I20.8-)
No Change I25.72 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina
pectoris
No Change I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other
forms of angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerosis of autologous
artery coronary artery bypass graft(s) (I20.8)
Revise to other forms of angina pectoris without atherosclerosis of autologous
artery coronary artery bypass graft(s) (I20.8-)
No Change I25.73 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with
angina pectoris
No Change I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s)
with other forms of angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerosis of nonautologous
biological coronary artery bypass graft(s) (I20.8)
Revise to other forms of angina pectoris without atherosclerosis of nonautologous
biological coronary artery bypass graft(s) (I20.8-)
No Change I25.79 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris
No Change I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of
angina pectoris
No Change Excludes1:
Revise from other forms of angina pectoris without atherosclerosis of other coronary
artery bypass graft(s) (I20.8)
Revise to other forms of angina pectoris without atherosclerosis of other coronary
artery bypass graft(s) (I20.8-)
No Change I25.8 Other forms of chronic ischemic heart disease
No Change I25.82 Chronic total occlusion of coronary artery
No Change Excludes1:
Revise from acute coronary occlusion with myocardial infarction (I21.0-I21.9, I22.-)
Revise to acute coronary occlusion with myocardial infarction (I21.0-I21.B, I22.-)
Add I25.85 Chronic coronary microvascular dysfunction
Add Chronic (presentation of) coronary microvascular disease
Add Coronary microvascular dysfunction NOS
No Change Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)
No Change I26 Pulmonary embolism
Add Excludes1: cor pulmonale without embolism (I27.81)
No Change I27 Other pulmonary heart diseases
No Change I27.8 Other specified pulmonary heart diseases
No Change I27.81 Cor pulmonale (chronic)
Add Code also, if applicable, right heart failure (I50.81-)
No Change Other forms of heart disease (I30-I5A)
No Change I42 Cardiomyopathy
No Change I42.7 Cardiomyopathy due to drug and external agent
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change I43 Cardiomyopathy in diseases classified elsewhere
No Change Code first
Revise from glycogen storage disease (E74.0)
Revise to glycogen storage disease (E74.0-)
No Change I47 Paroxysmal tachycardia
No Change I47.1 Supraventricular tachycardia
Delete Atrial (paroxysmal) tachycardia
Delete Atrioventricular [AV] (paroxysmal) tachycardia
Delete Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
Delete Junctional (paroxysmal) tachycardia
Delete Nodal (paroxysmal) tachycardia
Add I47.10 Supraventricular tachycardia, unspecified
Add I47.11 Inappropriate sinus tachycardia, so stated
Add IST
Add I47.19 Other supraventricular tachycardia
Add Atrial (paroxysmal) tachycardia
Add Atrioventricular [AV] (paroxysmal) tachycardia
Add Atrioventricular re-entrant (nodal) tachycardia [AVNRT] [AVRT]
Add Junctional (paroxysmal) tachycardia
Add Nodal (paroxysmal) tachycardia
No Change Cerebrovascular diseases (I60-I69)
No Change Use Additional
Revise from hypertension (I10-I16)
Revise to hypertension (I10-I1A)
No Change I60 Nontraumatic subarachnoid hemorrhage
Add Use Additional code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score
(R29.7-)
No Change I61 Nontraumatic intracerebral hemorrhage
Add Use Additional code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score
(R29.7-)
No Change I62 Other and unspecified nontraumatic intracranial hemorrhage
Add Use Additional code, if known, to indicate National Institutes of Health Stroke Scale (NIHSS) score
(R29.7-)
No Change I63 Cerebral infarction
Add Excludes2: chronic, without residual deficits (sequelae) (Z86.73)
No Change I67 Other cerebrovascular diseases
Add Excludes1: Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5-)
Add Occlusion and stenosis of precerebral artery causing cerebral infarction (I63.2-)
No Change I67.4 Hypertensive encephalopathy
Add Code also, if applicable, associated hypertensive conditions such as:
Add essential (primary) hypertension (I10)
Add hypertensive chronic kidney disease (I12.-)
Add hypertensive heart and chronic kidney disease (I13.-)
Add hypertensive heart disease (I11.-)
No Change Diseases of arteries, arterioles and capillaries (I70-I79)
No Change I71 Aortic aneurysm and dissection
No Change I71.5 Thoracoabdominal aortic aneurysm, ruptured
Revise from I71.51 Supraceliac aneurysm of the abdominal aorta, ruptured
Revise to I71.51 Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
Revise from I71.52 Paravisceral aneurysm of the abdominal aorta, ruptured
Revise to I71.52 Paravisceral aneurysm of the thoracoabdominal aorta, ruptured
No Change I71.6 Thoracoabdominal aortic aneurysm, without rupture
Revise from I71.61 Supraceliac aneurysm of the abdominal aorta, without rupture
Revise to I71.61 Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
Revise from I71.62 Paravisceral aneurysm of the abdominal aorta, without rupture
Revise to I71.62 Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
No Change Diseases of veins, lymphatic vessels and lymph nodes, not elsewhere classified (I80-I89)
No Change I87 Other disorders of veins
No Change I87.2 Venous insufficiency (chronic) (peripheral)
Add Use Additional code, if applicable, to specify site and severity of ulcer (L97.-)
Add Code also, if applicable, associated hypertensive conditions such as:
Add essential (primary) hypertension (I10)
Add hypertensive chronic kidney disease (I12.-)
Add hypertensive heart and chronic kidney disease (I13.-)
Add hypertensive heart disease (I11.-)
No Change Chapter 10
No Change Diseases of the respiratory system (J00-J99)
No Change This chapter contains the following blocks:
Revise from J40-J47 Chronic lower respiratory diseases
Revise to J40-J4A Chronic lower respiratory diseases
No Change Influenza and pneumonia (J09-J18)
Add Use Additional code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
No Change J15 Bacterial pneumonia, not elsewhere classified
No Change J15.6 Pneumonia due to other Gram-negative bacteria
Delete Pneumonia due to other aerobic Gram-negative bacteria
Delete Pneumonia due to Serratia marcescens
Add J15.61 Pneumonia due to Acinetobacter baumannii
Add J15.69 Pneumonia due to other Gram-negative bacteria
Add Pneumonia due to other aerobic Gram-negative bacteria
Add Pneumonia due to Serratia marcescens
No Change Other diseases of upper respiratory tract (J30-J39)
No Change J31 Chronic rhinitis, nasopharyngitis and pharyngitis
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete exposure to tobacco smoke in the perinatal period (P96.81)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
No Change J32 Chronic sinusitis
Delete Use Additional exposure to environmental tobacco smoke (Z77.22)
Delete exposure to tobacco smoke in the perinatal period (P96.81)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
No Change J33 Nasal polyp
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete exposure to tobacco smoke in the perinatal period (P96.81)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
No Change J35 Chronic diseases of tonsils and adenoids
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete exposure to tobacco smoke in the perinatal period (P96.81)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
No Change J38 Diseases of vocal cords and larynx, not elsewhere classified
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete exposure to tobacco smoke in the perinatal period (P96.81)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
Revise from
Revise to
Chronic lower respiratory diseases (J40-J47)
Chronic lower respiratory diseases (J40-J4A)
No Change J41 Simple and mucopurulent chronic bronchitis
Delete Excludes1: chronic bronchitis NOS (J42)
Delete chronic obstructive bronchitis (J44.-)
Add Excludes2: chronic bronchitis NOS (J42)
Add chronic obstructive bronchitis (J44.-)
No Change J42 Unspecified chronic bronchitis
Add Excludes1: bronchiolitis obliterans and bronchiolitis obliterans syndrome (J44.81)
No Change J43 Emphysema
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
Delete Excludes1: emphysema with chronic (obstructive) bronchitis (J44.-)
Delete emphysematous (obstructive) bronchitis (J44.-)
Add Excludes2: emphysema with chronic (obstructive) bronchitis (J44.-)
Add emphysematous (obstructive) bronchitis (J44.-)
No Change J44 Other chronic obstructive pulmonary disease
Delete Use Additional code to identify:
Delete exposure to environmental tobacco smoke (Z77.22)
Delete history of tobacco dependence (Z87.891)
Delete occupational exposure to environmental tobacco smoke (Z57.31)
Delete tobacco dependence (F17.-)
Delete tobacco use (Z72.0)
Delete Excludes1: bronchiectasis (J47.-)
Delete emphysema without chronic bronchitis (J43.-)
Add Excludes2: bronchiectasis (J47.-)
Add emphysema without chronic bronchitis (J43.-)
Add J44.8 Other specified chronic obstructive pulmonary disease
Add J44.81 Bronchiolitis obliterans and bronchiolitis obliterans syndrome
Add Obliterative bronchiolitis
Add Code first, if applicable:
Add complication of bone marrow transplant (T86.09)
Add complication of stem cell transplant (T86.5)
Add heart-lung transplant rejection (T86.31)
Add lung transplant rejection (T86.810)
Add other complications of heart-lung transplant (T86.39)
Add other complications of lung transplant (T86.818)
Add Code also, if applicable, associated conditions, such as:
Add chronic graft-versus-host disease (D89.811)
Add chronic lung allograft dysfunction (J4A.-)
Add chronic respiratory conditions due to chemicals, gases, fumes and vapors (J68.4)
Add J44.89 Other specified chronic obstructive pulmonary disease
Add Chronic asthmatic (obstructive) bronchitis
Add Chronic emphysematous bronchitis
Add J4A Chronic lung allograft dysfunction
Add Code first, if applicable:
Add heart-lung transplant rejection (T86.31)
Add lung transplant rejection (T86.810)
Add other complications of heart-lung transplant (T86.39)
Add other complications of lung transplant (T86.818)
Add Code also, if applicable, bronchiolitis obliterans syndrome (J44.81)
Add J4A.0 Restrictive allograft syndrome
Add Code also, if applicable, for mixed chronic lung allograft dysfunction, bronchiolitis obliterans
syndrome (J44.81)
Add J4A.8 Other chronic lung allograft dysfunction
Add J4A.9 Chronic lung allograft dysfunction, unspecified
No Change Lung diseases due to external agents (J60-J70)
No Change J68 Respiratory conditions due to inhalation of chemicals, gases, fumes and vapors
No Change J68.4 Chronic respiratory conditions due to chemicals, gases, fumes and vapors
Delete Emphysema (diffuse) (chronic) due to inhalation of chemicals, gases, fumes and vapors
Delete Obliterative bronchiolitis (chronic) (subacute) due to inhalation of chemicals, gases, fumes and
vapors
Delete Pulmonary fibrosis (chronic) due to inhalation of chemicals, gases, fumes and vapors
Add Code also, if applicable, chronic conditions, such as:
Add emphysema (J43.-)
Add obliterative bronchiolitis (J44.81)
Add pulmonary fibrosis (J84.10)
No Change Other respiratory diseases principally affecting the interstitium (J80-J84)
No Change J84 Other interstitial pulmonary diseases
No Change J84.1 Other interstitial pulmonary diseases with fibrosis
No Change J84.17 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
No Change J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases
classified elsewhere
No Change Code first
Revise from sarcoidosis (D86)
Revise to sarcoidosis (D86.-)
No Change Other diseases of the pleura (J90-J94)
No Change J93 Pneumothorax and air leak
No Change J93.1 Other spontaneous pneumothorax
No Change J93.12 Secondary spontaneous pneumothorax
No Change Code first
Revise from eosinophilic pneumonia (J82)
Revise to eosinophilic pneumonia (J82.81-J82.82)
Delete Marfan’s syndrome (Q87.4)
Add Marfan syndrome (Q87.4-)
No Change Other diseases of the respiratory system (J96-J99)
No Change J99 Respiratory disorders in diseases classified elsewhere
No Change Code first
Revise from ankylosing spondylitis (M45)
Revise to ankylosing spondylitis (M45.-)
Revise from congenital syphilis (A50.5)
Revise to congenital syphilis (A50.-)
Revise from early congenital syphilis (A50.0)
Revise to early congenital syphilis (A50.0-)
No Change Chapter 11
No Change Diseases of the digestive system (K00-K95)
No Change Diseases of esophagus, stomach and duodenum (K20-K31)
No Change K22 Other diseases of esophagus
No Change K22.1 Ulcer of esophagus
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Diseases of appendix (K35-K38)
No Change K35 Acute appendicitis
No Change K35.2 Acute appendicitis with generalized peritonitis
Delete Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or perforation of
appendix
No Change K35.20 Acute appendicitis with generalized peritonitis, without abscess
Delete (Acute) appendicitis with generalized peritonitis NOS
Add K35.200 Acute appendicitis with generalized peritonitis, without perforation or
abscess
Add (Acute) appendicitis with generalized peritonitis without rupture or perforation of
appendix NOS
Add K35.201 Acute appendicitis with generalized peritonitis, with perforation, without
abscess
Add Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or
perforation of appendix NOS
Add K35.209 Acute appendicitis with generalized peritonitis, without abscess,
unspecified as to perforation
Add (Acute) appendicitis with generalized peritonitis NOS
No Change K35.21 Acute appendicitis with generalized peritonitis, with abscess
Add K35.210 Acute appendicitis with generalized peritonitis, without perforation, with
abscess
Add (Acute) appendicitis with generalized peritonitis without rupture or perforation of
appendix, with abscess
Add K35.211 Acute appendicitis with generalized peritonitis, with perforation and
abscess
Add Appendicitis (acute) with generalized (diffuse) peritonitis following rupture or
perforation of appendix, with abscess
Add K35.219 Acute appendicitis with generalized peritonitis, with abscess, unspecified
as to perforation
Add (Acute) appendicitis with generalized peritonitis and abscess NOS
No Change Noninfective enteritis and colitis (K50-K52)
No Change K51 Ulcerative colitis
No Change K51.4 Inflammatory polyps of colon
Delete Excludes1: adenomatous polyp of colon (D12.6)
Delete polyposis of colon (D12.6)
Delete polyps of colon NOS (K63.5)
Add Excludes2: adenomatous polyp of colon (D12.6)
Add polyposis of colon (D12.6)
Add polyps of colon NOS (K63.5)
No Change Other diseases of intestines (K55-K64)
No Change K55 Vascular disorders of intestine
Add Excludes2: angioectasia (angiodysplasia) duodenum (K31.81-)
No Change K56 Paralytic ileus and intestinal obstruction without hernia
No Change K56.4 Other impaction of intestine
No Change K56.41 Fecal impaction
Delete Excludes1: incomplete defecation (R15.0)
Add Excludes2: incomplete defecation (R15.0)
No Change K56.6 Other and unspecified intestinal obstruction
No Change K56.69 Other intestinal obstruction
Delete Excludes1: intestinal obstruction due to specified condition-code to condition
No Change K59 Other functional intestinal disorders
No Change K59.0 Constipation
Delete Excludes1: incomplete defecation (R15.0)
Add Excludes2: incomplete defecation (R15.0)
No Change K63 Other diseases of intestine
No Change K63.5 Polyp of colon
Delete Excludes1: adenomatous polyp of colon (D12.-)
Delete inflammatory polyp of colon (K51.4-)
Delete polyposis of colon (D12.6)
Add Excludes2: adenomatous polyp of colon (D12.-)
Add inflammatory polyp of colon (K51.4-)
Add polyposis of colon (D12.6)
No Change K63.8 Other specified diseases of intestine
Add K63.82 Intestinal microbial overgrowth
Add K63.821 Small intestinal bacterial overgrowth
Add K63.8211 Small intestinal bacterial overgrowth, hydrogen-subtype
Add K63.8212 Small intestinal bacterial overgrowth, hydrogen sulfide-subtype
Add K63.8219 Small intestinal bacterial overgrowth, unspecified
Add K63.822 Small intestinal fungal overgrowth
Add K63.829 Intestinal methanogen overgrowth, unspecified
No Change Diseases of peritoneum and retroperitoneum (K65-K68)
No Change K66 Other disorders of peritoneum
No Change K66.1 Hemoperitoneum
Add Peritoneal hematoma
Add Peritoneal hemorrhage
Add Excludes2: retroperitoneal hematoma (K68.3)
Add retroperitoneal hemorrhage (K68.3)
No Change K68 Disorders of retroperitoneum
Add K68.2 Retroperitoneal fibrosis
Add Code also, if applicable, associated obstruction of ureter (N13.5)
Add K68.3 Retroperitoneal hematoma
Add Retroperitoneal hemorrhage
No Change Diseases of liver (K70-K77)
No Change Excludes2:
Revise from Wilson’s disease (E83.0)
Revise to Wilson’s disease (E83.01)
No Change K71 Toxic liver disease
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change K76 Other diseases of liver
No Change K76.7 Hepatorenal syndrome
No Change Excludes1:
Revise from hepatorenal syndrome following labor and delivery (O90.4)
Revise to hepatorenal syndrome following labor and delivery (O90.41)
No Change Disorders of gallbladder, biliary tract and pancreas (K80-K87)
No Change K80 Cholelithiasis
No Change K80.4 Calculus of bile duct with cholecystitis
No Change Code also
Revise from fistula of bile duct (K83.3)
Revise to , if applicable, fistula of bile duct (K83.3)
No Change Other diseases of the digestive system (K90-K95)
No Change K90 Intestinal malabsorption
No Change K90.8 Other intestinal malabsorption
Add K90.82 Short bowel syndrome
Add Short gut syndrome
Add K90.821 Short bowel syndrome with colon in continuity
Add Short bowel syndrome with colonic continuity
Add K90.822 Short bowel syndrome without colon in continuity
Add Short bowel syndrome without colonic continuity
Add K90.829 Short bowel syndrome, unspecified
Add K90.83 Intestinal failure
No Change Chapter 12
No Change Diseases of the skin and subcutaneous tissue (L00-L99)
No Change Urticaria and erythema (L49-L54)
No Change L53 Other erythematous conditions
No Change L53.0 Toxic erythema
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Chapter 13
No Change Diseases of the musculoskeletal system and connective tissue (M00-M99)
No Change Other joint disorders (M20-M25)
No Change M24 Other specific joint derangements
No Change M24.1 Other articular cartilage disorders
No Change Excludes2:
Revise from chondrocalcinosis (M11.1, M11.2-)
Revise to chondrocalcinosis (M11.1-, M11.2-)
Revise from metastatic calcification (E83.5)
Revise to metastatic calcification (E83.59)
Revise from ochronosis (E70.2)
Revise to ochronosis (E70.29)
No Change Systemic connective tissue disorders (M30-M36)
No Change M32 Systemic lupus erythematosus (SLE)
No Change M32.1 Systemic lupus erythematosus with organ or system involvement
No Change M32.19 Other organ or system involvement in systemic lupus erythematosus
Add Use Additional code(s) to identify organ or system involvement, such as encephalitis
(G05.3)
No Change M34 Systemic sclerosis [scleroderma]
No Change M34.2 Systemic sclerosis induced by drug and chemical
No Change Code first
Revise from poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or
6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change M36 Systemic disorders of connective tissue in diseases classified elsewhere
No Change M36.8 Systemic disorders of connective tissue in other diseases classified elsewhere
No Change Code first
Revise from alkaptonuria (E70.2)
Revise to alkaptonuria (E70.29)
Revise from ochronosis (E70.2)
Revise to ochronosis (E70.29)
No Change Deforming dorsopathies (M40-M43)
No Change M41 Scoliosis
No Change Excludes2:
Revise from postprocedural scoliosis (M96.-)
Revise to postprocedural scoliosis (M96.89)
Add postradiation scoliosis (M96.5)
No Change M41.1 Juvenile and adolescent idiopathic scoliosis
Revise from M41.12 Adolescent scoliosis
Revise to M41.12 Adolescent idiopathic scoliosis
No Change Disorders of muscles (M60-M63)
No Change M63 Disorders of muscle in diseases classified elsewhere
No Change Code first
Revise from neoplasm (C49.-, C79.89, D21.-, D48.1)
Revise to neoplasm (C49.-, C79.89, D21.-, D48.1-)
No Change Disorders of bone density and structure (M80-M85)
No Change M80 Osteoporosis with current pathological fracture
No Change M80.0 Age-related osteoporosis with current pathological fracture
Add M80.0B Age-related osteoporosis with current pathological fracture, pelvis
Add M80.0B1 Age-related osteoporosis with current pathological fracture, right pelvis
Add M80.0B2 Age-related osteoporosis with current pathological fracture, left pelvis
Add M80.0B9 Age-related osteoporosis with current pathological fracture, unspecified
pelvis
No Change M80.8 Other osteoporosis with current pathological fracture
Add M80.8B Other osteoporosis with current pathological fracture, pelvis
Add M80.8B1 Other osteoporosis with current pathological fracture, right pelvis
Add M80.8B2 Other osteoporosis with current pathological fracture, left pelvis
Add M80.8B9 Other osteoporosis with current pathological fracture, unspecified pelvis
No Change M83 Adult osteomalacia
No Change Excludes1:
Revise from vitamin D-resistant osteomalacia (E83.3)
Revise to vitamin D-resistant osteomalacia (E83.31)
Revise from vitamin D-resistant rickets (active) (E83.3)
Revise to vitamin D-resistant rickets (active) (E83.31)
No Change Other osteopathies (M86-M90)
No Change M89 Other disorders of bone
No Change M89.7 Major osseous defect
No Change Code first
Revise from osteolysis (M89.5)
Revise to osteolysis (M89.5-)
No Change M90 Osteopathies in diseases classified elsewhere
No Change M90.8 Osteopathy in diseases classified elsewhere
No Change Code first
Revise from vitamin-D-resistant rickets (E83.3)
Revise to vitamin-D-resistant rickets (E83.31)
No Change Periprosthetic fracture around internal prosthetic joint (M97)
No Change M97 Periprosthetic fracture around internal prosthetic joint
Add Code first, if known, the specific type and cause of fracture, such as traumatic or pathological
No Change Chapter 14
No Change Diseases of the genitourinary system (N00-N99)
No Change Glomerular diseases (N00-N08)
No Change N02 Recurrent and persistent hematuria
Add N02.B Recurrent and persistent immunoglobulin A nephropathy
Add N02.B1 Recurrent and persistent immunoglobulin A nephropathy with glomerular lesion
Add N02.B2 Recurrent and persistent immunoglobulin A nephropathy with focal and segmental
glomerular lesion
Add Recurrent and persistent immunoglobulin A nephropathy with focal and segmental
hyalinosis or sclerosis
Add N02.B3 Recurrent and persistent immunoglobulin A nephropathy with diffuse
membranoproliferative glomerulonephritis
Add N02.B4 Recurrent and persistent immunoglobulin A nephropathy with diffuse membranous
glomerulonephritis
Add N02.B5 Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial
proliferative glomerulonephritis
Add N02.B6 Recurrent and persistent immunoglobulin A nephropathy with diffuse
mesangiocapillary glomerulonephritis
Add N02.B9 Other recurrent and persistent immunoglobulin A nephropathy
No Change N04 Nephrotic syndrome
No Change N04.2 Nephrotic syndrome with diffuse membranous glomerulonephritis
Add N04.20 Nephrotic syndrome with diffuse membranous glomerulonephritis, unspecified
Add Membranous nephropathy NOS with nephrotic syndrome
Add N04.21 Primary membranous nephropathy with nephrotic syndrome
Add Idiopathic membranous nephropathy with nephrotic syndrome
Add N04.22 Secondary membranous nephropathy with nephrotic syndrome
Add Code first, if applicable, other disease or disorder or poisoning causing membranous
nephropathy
Add Use Additional code, if applicable, for adverse effect of drug causing membranous
nephropathy
Add N6)
Revise to poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
No Change Other disorders originating in the perinatal period (P90-P96)
No Change P92 Feeding problems of newborn
No Change Excludes2:
Revise from feeding problems in child over 28 days old (R63.3)
Revise to feeding problems in child over 28 days old (R63.3-)
No Change Chapter 17
No Change Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
No Change Congenital malformations of the circulatory system (Q20-Q28)
No Change Q21 Congenital malformations of cardiac septa
No Change Q21.1 Atrial septal defect
Delete Excludes 2: ostium primum atrial septal defect (type I) (Q21.20)
Add Excludes2: ostium primum atrial septal defect (type I) (Q21.20)
No Change Other congenital malformations of the digestive system (Q38-Q45)
No Change Q44 Congenital malformations of gallbladder, bile ducts and liver
No Change Q44.7 Other congenital malformations of liver
Delete Accessory liver
Delete Alagille’s syndrome
Delete Congenital absence of liver
Delete Congenital hepatomegaly
Delete Congenital malformation of liver NOS
Add Code also, if applicable, associated malformations affecting other systems
Add Q44.70 Other congenital malformation of liver, unspecified
Add Congenital malformation of liver, NOS
Add Q44.71 Alagille syndrome
Add Alagille-Watson syndrome
Add Q44.79 Other congenital malformations of liver
Add Accessory liver
Add Congenital absence of liver
Add Congenital hepatomegaly
No Change Congenital malformations and deformations of the musculoskeletal system (Q65-Q79)
No Change Q67 Congenital musculoskeletal deformities of head, face, spine and chest
No Change Q67.2 Dolichocephaly
Add Excludes1: sagittal craniosynostosis (Q75.01)
No Change Q67.3 Plagiocephaly
Add Excludes1: coronal craniosynostosis (Q75.02-)
Add lambdoid craniosynostosis (Q75.04-)
No Change Q75 Other congenital malformations of skull and face bones
No Change Q75.0 Craniosynostosis
Delete Acrocephaly
Delete Imperfect fusion of skull
Delete Oxycephaly
Delete Trigonocephaly
Add Q75.00 Craniosynostosis unspecified
Add Craniosynostosis NOS
Add Q75.001 Craniosynostosis unspecified, unilateral
Add Q75.002 Craniosynostosis unspecified, bilateral
Add Q75.009 Craniosynostosis unspecified
Add Imperfect fusion of skull
Add Q75.01 Sagittal craniosynostosis
Add Non-deformational dolichocephaly
Add Non-deformational scaphocephaly
Add Excludes1: plagiocephaly (Q67.3)
Add Q75.02 Coronal craniosynostosis
Add Non-deformational anterior plagiocephaly
Add Excludes1: dolichocephaly (Q67.2)
Add Q75.021 Coronal craniosynostosis unilateral
Add Non-deformational anterior plagiocephaly
Add Q75.022 Coronal craniosynostosis bilateral
Add Non-deformational brachycephaly
Add Q75.029 Coronal craniosynostosis unspecified
Add Q75.03 Metopic craniosynostosis
Add Trigonocephaly
Add Q75.04 Lambdoid craniosynostosis
Add Non-deformational posterior plagiocephaly
Add Excludes1: dolichocephaly (Q67.2)
Add Q75.041 Lambdoid craniosynostosis, unilateral
Add Q75.042 Lambdoid craniosynostosis, bilateral
Add Q75.049 Lambdoid craniosynostosis, unspecified
Add Q75.05 Multi-suture craniosynostosis
Add Q75.051 Cloverleaf skull
Add Kleeblattschaedel skull
Add Q75.052 Pansynostosis
Add Q75.058 Other multi-suture craniosynostosis
Add Excludes1: coronal craniosynostosis, bilateral (Q75.022)
Add lambdoid craniosynostosis, bilateral (Q75.042)
Add Q75.08 Other single-suture craniosynostosis
No Change Other congenital malformations (Q80-Q89)
No Change Q84 Other congenital malformations of integument
No Change Q84.1 Congenital morphological disturbances of hair, not elsewhere classified
No Change Excludes1:
Revise from Menkes’ kinky hair syndrome (E83.0)
Revise to Menkes’ kinky hair syndrome (E83.09)
No Change Q85 Phakomatoses, not elsewhere classified
No Change Q85.8 Other phakomatoses, not elsewhere classified
Revise from Q85.81 PTEN tumor syndrome
Revise to Q85.81 PTEN hamartoma tumor syndrome
Delete PTEN hamartoma tumor syndrome
No Change Q87 Other specified congenital malformation syndromes affecting multiple systems
Revise from Q87.4 Marfan’s syndrome
Revise to Q87.4 Marfan syndrome
Revise from Q87.40 Marfan’s syndrome, unspecified
Revise to Q87.40 Marfan syndrome, unspecified
Revise from Q87.41 Marfan’s syndrome with cardiovascular manifestations
Revise to Q87.41 Marfan syndrome with cardiovascular manifestations
Revise from Q87.410 Marfan’s syndrome with aortic dilation
Revise to Q87.410 Marfan syndrome with aortic dilation
Revise from Q87.418 Marfan’s syndrome with other cardiovascular manifestations
Revise to Q87.418 Marfan syndrome with other cardiovascular manifestations
Revise from Q87.42 Marfan’s syndrome with ocular manifestations
Revise to Q87.42 Marfan syndrome with ocular manifestations
Revise from Q87.43 Marfan’s syndrome with skeletal manifestation
Revise to Q87.43 Marfan syndrome with skeletal manifestation
No Change Q87.8 Other specified congenital malformation syndromes, not elsewhere classified
Add Q87.83 Bardet-Biedl syndrome
Add Q87.84 Laurence-Moon syndrome
Add Q87.85 MED13L syndrome
Add Asadollahi-Rauch syndrome
Add Mediator complex subunit 13L syndrome
Add Code also, if applicable, any associated manifestations such as:
Add autism spectrum disorder (F84.0-)
Add congenital malformations of cardiac septa (Q21-)
Add epilepsy and recurrent seizures (G40.-)
Add intellectual disability (F70-F79)
No Change Q87.89 Other specified congenital malformation syndromes, not elsewhere classified
Delete Laurence-Moon (-Bardet)-Biedl syndrome
No Change Chromosomal abnormalities, not elsewhere classified (Q90-Q99)
No Change Q90 Down syndrome
Add Code also associated physical condition(s), such as atrioventricular septal defect (Q21.2-)
No Change Use Additional
Revise from code(s) to identify any associated physical conditions and degree of intellectual
disabilities (F70-F79)
Revise to code(s) to identify any associated degree of intellectual disabilities (F70-F79)
No Change Q93 Monosomies and deletions from the autosomes, not elsewhere classified
No Change Q93.5 Other deletions of part of a chromosome
Add Q93.52 Phelan-McDermid syndrome
Add 22q13.3 deletion syndrome
Add Use Additional code(s) to identify any associated conditions, such as:
Add autism spectrum disorder (F84.0)
Add degree of intellectual disabilities (F70-F79)
Add epilepsy and recurrent seizures (G40.-)
Add lymphedema (I89.0)
No Change Chapter 18
No Change Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
No Change Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
No Change R00 Abnormalities of heart beat
No Change R00.0 Tachycardia, unspecified
Add Excludes1: inappropriate sinus tachycardia, so stated (I47.11)
No Change R09 Other symptoms and signs involving the circulatory and respiratory system
No Change R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
No Change R09.89 Other specified symptoms and signs involving the circulatory and respiratory
systems
Delete Feeling of foreign body in throat
Add R09.A Foreign body sensation of the circulatory and respiratory system
Add R09.A0 Foreign body sensation, unspecified
Add R09.A1 Foreign body sensation, nose
Add R09.A2 Foreign body sensation, throat
Add Foreign body sensation globus
Add R09.A9 Foreign body sensation, other site
No Change Symptoms and signs involving the genitourinary system (R30-R39)
No Change R34 Anuria and oliguria
No Change Excludes1:
Revise from anuria and oliguria complicating the puerperium (O90.4)
Revise to anuria and oliguria complicating the puerperium (O90.49)
No Change Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
No Change R40 Somnolence, stupor and coma
No Change R40.2 Coma
Add R40.2A Nontraumatic coma due to underlying condition
Add Secondary coma
Add Code first underlying condition
No Change R41 Other symptoms and signs involving cognitive functions and awareness
No Change Excludes1:
Revise from mild cognitive impairment, so stated (G31.84)
Revise to mild cognitive impairment of uncertain or unknown etiology (G31.84)
No Change R45 Symptoms and signs involving emotional state
No Change R45.8 Other symptoms and signs involving emotional state
No Change R45.89 Other symptoms and signs involving emotional state
Add Flat affect
Add Loneliness
No Change Symptoms and signs involving speech and voice (R47-R49)
No Change R47 Speech disturbances, not elsewhere classified
No Change R47.8 Other speech disturbances
No Change R47.82 Fluency disorder in conditions classified elsewhere
No Change Code first
Revise from Parkinson’s disease (G20)
Revise to Parkinson’s disease (G20.-)
No Change General symptoms and signs (R50-R69)
No Change R53 Malaise and fatigue
No Change R53.8 Other malaise and fatigue
No Change R53.82 Chronic fatigue, unspecified
No Change Excludes1:
Revise from post infection and related fatigue syndromes (G93.39)
Revise to other post infection and related fatigue syndromes (G93.39)
No Change R64 Cachexia
Delete Wasting syndrome
Delete Code first underlying condition, if known
Add Excludes1: cachexia due to underlying condition (E88.A)
No Change Abnormal findings on examination of blood, without diagnosis (R70-R79)
No Change R73 Elevated blood glucose level
No Change R73.0 Abnormal glucose
No Change Excludes1:
Revise from dysmetabolic syndrome X (E88.81)
Revise to dysmetabolic syndrome X (E88.81-)
No Change R78 Findings of drugs and other substances, not normally found in blood
Delete Excludes1: mental or behavioral disorders due to psychoactive substance use (F10-F19)
Add Excludes2: mental or behavioral disorders due to psychoactive substance use (F10-F19)
No Change Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)
No Change R92 Abnormal and inconclusive findings on diagnostic imaging of breast
No Change R92.2 Inconclusive mammogram
Delete Dense breasts NOS
Delete Inconclusive mammography due to dense breasts
Add R92.3 Mammographic density found on imaging of breast
Add Code also, if applicable, inconclusive mammogram (R92.2)
Add R92.30 Dense breasts, unspecified
Add Dense breasts NOS
Add Low density
Add R92.31 Mammographic fatty tissue density of breast
Add Breast Imaging Reporting and Data System (BI-RADS): A
Add Breast Imaging Reporting and Data System (BI-RADS): 1
Add R92.311 Mammographic fatty tissue density, right breast
Add R92.312 Mammographic fatty tissue density, left breast
Add R92.313 Mammographic fatty tissue density, bilateral breasts
Add R92.32 Mammographic fibroglandular density of breast
Add Breast Imaging Reporting and Data System (BI-RADS): B
Add Breast Imaging Reporting and Data System (BI-RADS): 2
Add R92.321 Mammographic fibroglandular density, right breast
Add R92.322 Mammographic fibroglandular density, left breast
Add R92.323 Mammographic fibroglandular density, bilateral breasts
Add R92.33 Mammographic heterogeneous density of breast
Add Breast Imaging Reporting and Data System (BI-RADS): C
Add Breast Imaging Reporting and Data System (BI-RADS): 3
Add R92.331 Mammographic heterogeneous density, right breast
Add R92.332 Mammographic heterogeneous density, left breast
Add R92.333 Mammographic heterogeneous density, bilateral breasts
Add R92.34 Mammographic extreme density of breast
Add Breast Imaging Reporting and Data System (BI-RADS): D
Add Breast Imaging Reporting and Data System (BI-RADS): 4
Add R92.341 Mammographic extreme density, right breast
Add R92.342 Mammographic extreme density, left breast
Add R92.343 Mammographic extreme density, bilateral breasts
No Change Chapter 19
No Change Injury, poisoning and certain other consequences of external causes (S00-T88)
No Change Injuries to the head (S00-S09)
No Change S06 Intracranial injury
No Change S06.3 Focal traumatic brain injury
Delete Excludes1: any condition classifiable to S06.4-S06.6
Add Excludes2: any condition classifiable to S06.4-S06.6
No Change Injuries to the thorax (S20-S29)
No Change S22 Fracture of rib(s), sternum and thoracic spine
Delete Code first any associated:
Delete injury of intrathoracic organ (S27.-)
Delete spinal cord injury (S24.0-, S24.1-)
Add Code also, if applicable, any associated:
Add injury of intrathoracic organ (S27.-)
Add spinal cord injury (S24.0-, S24.1-)
No Change Injuries to the shoulder and upper arm (S40-S49)
No Change S42 Fracture of shoulder and upper arm
Add Excludes2: periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
No Change Injuries to the elbow and forearm (S50-S59)
No Change S52 Fracture of forearm
Add Excludes2: periprosthetic fracture around internal prosthetic elbow joint (M97.4)
No Change Injuries to the hip and thigh (S70-S79)
No Change S72 Fracture of femur
No Change S72.0 Fracture of head and neck of femur
Add Excludes2: physeal fracture of lower end of femur (S79.1-)
No Change Injuries to the knee and lower leg (S80-S89)
No Change S82 Fracture of lower leg, including ankle
Add Excludes2: periprosthetic fracture around internal prosthetic ankle joint (M97.2)
No Change Effects of foreign body entering through natural orifice (T15-T19)
Add Use Additional code, if known, for foreign body entering into or through a natural orifice (W44.-)
No Change Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
No Change T56 Toxic effect of metals
No Change T56.8 Toxic effects of other metals
Add T56.82 Toxic effect of gadolinium
Add Excludes1: adverse effect of diagnostic agents (T50.8X5-)
Add T56.821 Toxic effect of gadolinium, accidental (unintentional)
Add Toxic effect of gadolinium NOS
Add T56.822 Toxic effect of gadolinium, intentional self-harm
Add T56.823 Toxic effect of gadolinium, assault
Add T56.824 Toxic effect of gadolinium, undetermined
No Change Other and unspecified effects of external causes (T66-T78)
No Change T75 Other and unspecified effects of other external causes
No Change T75.3 Motion sickness
No Change Use Additional
Revise from external cause code to identify vehicle or type of motion (Y92.81-, Y93.5-)
Revise to external cause code to identify vehicle or type of motion (Y92.81-)
No Change Complications of surgical and medical care, not elsewhere classified (T80-T88)
No Change T81 Complications of procedures, not elsewhere classified
No Change Excludes2:
Revise from poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4
or 6)
Revise to poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)
No Change T81.1 Postprocedural shock
Delete Excludes1: septic shock (R65.21)
No Change T81.8 Other complications of procedures, not elsewhere classified
No Change T81.83 Persistent postprocedural fistula
Add Use Additional code, if known, for site of fistula such as:
Add anal fistula (K60.3)
Add anorectal fistula (K60.5)
Add bladder fistula (N32.2)
Add other female intestinal-genital tract fistulae (N82.4)
No Change T88 Other complications of surgical and medical care, not elsewhere classified
No Change Excludes2:
Revise from poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4
or 6)
Revise to poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4)