Transcription of X-Ray Chart - Diagnostic Laboratories & Radiology
1 1 For more information visit X-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM) codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and symptoms for ordered Diagnostic tests( ) Abdominal pain, unspecified site; Cramps, abdominal, unspecified site ( ) Abnormal chest sounds; Abnormal percussion, chest; Friction sounds, chest; Rales; Tympany, chest ( ) Abnormal sputum; Abnormal: amount (of) sputum, color (of) sputum, odor (of) sputum; Excessive sputum( ) Altered mental status; Change in mental status ( ) Cervicalgia; Pain in neck( ) Chest pain, unspecified( ) Constipation, unspecified( ) Cough( ) Diarrhea; Diarrhea NOS( ) Edema; Localized Edema NOS; Anasarca; Dropsy ( ) Unspecified essential hypertension; high blood pressure; hyperpiesia; hyperpiesis; hypertension (arterial) (essential) (primary) (systemic), hyperten-sive vascular: degeneration, disease( ) Fever, unspecified; Chills with fever; Fever NOS; Fever of unknown origin (FUO); Hyperpyrexia NOS; Pyrexia NOS; Pyrexia of unknown origin ( ) Fitting and adjustment of non-vascular catheter NEC; Removal or placement of catheter; Toilet or cleansing ( ) Fitting and adjustment of vascular catheter; Removal or replacement of catheter; Toilet or cleansing( ) Acute abdomen; Severe abdominal pain (general-ized) (with abdominal rigidity) ( ) Unspecified abdominal pain ( ) Other specified symptoms and signs involving the circulatory and respiratory systems; Bruit (arterial).
2 Abnormal chest percussion; Feeling of foreign body in throat; Friction sounds in chest; Chest tympany; Choking sensation; Rales; Weak pulse( ) Abnormal sputum; Abnormal amount of sputum; Abnormal color of sputum; Abnormal odor of sputum; Excessive sputum( ) Disorientation, unspecified; Confusion NOS; Delirium NOS( ) Altered mental status, unspecified; Change in mental status NOS( ) Cervicalgia ( ) Chest pain, unspecified( ) Constipation, unspecified(R05) Cough( ) Diarrhea, unspecified; Diarrhea NOS( ) Localized edema( ) Generalized edema( ) Edema, unspecified; Fluid retention NOS(I10) Essential (primary) hypertension; High blood pressure; hypertension (arterial) (benign) (essential) (malignant) (primary) (systemic) ( ) Drug induced fever( ) Fever, unspecified; Fever NOS; Fever of unknown origin (FUO); Fever with chills; Fever with rigors; Hyperpyrexia NOS; Persistent fever; Pyrexia NOS( ) Encounter for adjustment and management of infusion pump( ) Encounter for fitting and adjustment of non-vascular catheter ( ) Encounter for adjustment and management of vascular access device; Encounter for adjustment and management of vascular cathetersICD-9-CM Code w/DescriptionICD-10-CM Code(s) Mapping w/Description October, 2015( ) Abdominal distension (gaseous); bloating ; Tympanites (abdominal) (intestinal) ( ) Gas pain( ) Eructation( ) flatulence (Z08) Encounter for follow-up examination after complet-ed treatment for malignant neoplasm.
3 Medical surveillance following completed treatment(Z09) Encounter for follow-up examination after complet-ed treatment for conditions other than malignant neoplasm; Medical surveillance following complet-ed treatment(Z09) Encounter for follow-up examination after complet-ed treatment for conditions other than malignant neoplasm; Medical surveillance following complet-ed treatment(Z09) Encounter for follow-up examination after complet-ed treatment for conditions other than malignant neoplasm; Medical surveillance following complet-ed treatment(R52) Pain, unspecified; Acute pain NOS; Generalized pain NOS; Pain NOS( ) Vascular headache, not elsewhere classified(R51) Headache; Facial pain NOS( ) History of falling; At risk for falling( ) Hypoxemia( ) Elevated white blood cell count, unspecified; Elevated leukocytes, unspecified; Leukocytosis, unspecified( ) Low back pain; Loin pain; Lumbago NOS ( ) Nausea with vomiting, unspecified; Persistent nausea with vomiting NOS( ) Nonspecific reaction to tuberculin skin test without active tuberculosis; Abnormal result of Mantoux test; PPD positive; Tuberculin (skin test) positive; Tuberculin (skin test) reactor( ) Encounter for examination and observation following transport accident( ) Encounter for examination and observation following other accident( ) flatulence , eructation, and gas pain; Abdominal distention (gaseous); bloating ; Tympanites (abdominal) (intestinal) ( ) Following other treatment, Other ( ) Following surgery, unspecified ( ) Following treatment of healed fracture ( ) Generalized pain; Pain NOS ( ) Headache.
4 Facial pain; Pain in head NOS ( ) History of fall; At risk for falling ( ) Hypoxemia( ) Leukocytosis, unspecified; Elevated leukocytes, unspecified; Elevated white blood cell count, unspecified ( ) Lumbago; Low back pain; Low back syndrome; Lumbalgia ( ) Nausea with vomiting ( ) Nonspecific reaction to tuberculin skin test without active tuberculosis; Abnormal result of Mantoux test; PPD positive; Tuberculin (skin test) positive; Tuberculin (skin test) reactor( ) Observation following other accident; Examina-tion of individual involved in motor vehicle traffic accident X-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM) codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and symptoms for ordered Diagnostic testsICD-9-CM Code w/DescriptionICD-10-CM Code(s) Mapping w/Description2 For more information visit X-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM)
5 Codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and symptoms for ordered Diagnostic testsICD-9-CM Code w/DescriptionICD-10-CM Code(s) Mapping w/Description 3 For more information visit X-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM) codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and symptoms for ordered Diagnostic testsICD-9-CM Code w/DescriptionICD-10-CM Code(s) Mapping w/DescriptionPresence of right artificial hip joint ( )Presence of left artificial hip joint ( )Presence of artifical hip joint, bilateral ( )Presence of unspecified artifical hip joint ( )( ) Postviral fatigue syndrome; Benign myalgic encephalomyelitis ( ) Neoplastic (malignant) related fatigue( ) Weakness; Asthenia NOS( ) Other malaise; Chronic debility; Debility NOS; General physical deterioration; Malaise NOS; Nervous debility( ) Other fatigue; Fatigue NOS; Lack of energy; Lethargy; Tiredness ( ) Encounter for examination for admission to educational institution; Encounter for examination for admission to preschool (education).
6 Encounter for examination for re-admission to school following illness for medical treatment ( ) Encounter for examination for admission to residen-tial institution( ) Encounter for examination for driving license( ) Encounter for examination for participation in sport( ) Encounter for examination for insurance purposes( ) Encounter for adoption services( ) Encounter for other administrative examinations; Encounter for examination for admission to summer camp; Encounter for immigration examination; Encounter for naturalization examination; Encounter for premarital examination( ) Sacrococcygeal disorders, not elsewhere classified; Coccygodynia ( ) Pain in right ankle and joints of right foot( ) Pain in left ankle and joints of left foot( ) Pain in unspecified ankle and joints of unspecified foot( ) Pain in right wrist( ) Pain in left wrist( ) Pain in unspecified wrist( ) Pain in right hand( ) Pain in left hand ( ) Pain in unspecified hand( ) Pain in right finger(s) ( ) Pain in left finger(s) ( ) Pain in unspecified finger(s) ( ) Organ or tissue replaced by other means, Hip Joint ( ) Other malaise and fatigue; Asthenia NOS; Lethargy; Postviral (asthenia) syndrome; Tiredness ( ) Other medical examination for administrative purposes.
7 General medical examination for: admission to old age home, adoption, camp, driving license, immigration and naturalization, insurance certification, marriage, prison, school admission, sports competition ( ) Other specified anomalies of spinal cord; Amyelia; Atelomyelia; Congenital anomaly of spinal meninges; Defective development of cauda equina; Hypoplasia of spinal cord; Myelatelia; Myelodysplasia ( ) Pain in joint ankle and foot; Arthralgia ankle and foot ( ) Pain in joint forearm; Arthralgia forearm ( ) Pain in joint hand; Arthralgia hand ( ) Pain in right knee joint( ) Pain in left knee joint( ) Pain in unspecified knee joint( ) Pain in right hip joint( ) Pain in left hip joint( ) Pain in unspecified hip joint( ) Pain in right shoulder joint( ) Pain in left shoulder joint( ) Pain in unspecified shoulder joint( ) Pain in unspecified joint( ) Pain in right elbow( ) Pain in left elbow( ) Pain in unspecified elbow( ) Pain in thoracic spine( ) Other pneumonia, unspecified organism( ) Pneumonia, unspecified organism( ) Precordial pain( ) Encounter for preprocedural laboratory examination( ) Encounter for other preprocedural examination; Encounter for preprocedural examination NOS.
8 Encounter for examinations prior to antineoplastic chemotherapy( ) Encounter for screening for respiratory tuberculosis( ) Encounter for general adult medical examination without abnormal findings; Encounter for adult health check-up NOS( ) Encounter for general adult medical examination with abnormal findings( ) Shortness of breath ( ) Other specified soft tissue disorders; Polyalgia ( ) Unspecified fall, initial encounter; Accidental fall, initial encounter( ) Unspecified fall, subsequent encounter; Accidental fall, subsequent encounter( ) Vomiting, unspecified; Vomiting NOS( ) Vomiting without nausea( ) Projectile vomiting( ) Wheezing ( ) Pain in joint lower leg; Arthralgia lower leg ( ) Pain in joint pelvic region and thigh; Arthralgia pelvic region and thigh ( ) Pain in joint shoulder region; Arthralgia shoulder region ( ) Pain in joint site unspecified; Arthralgia site unspecified( ) Pain in joint upper arm; Arthralgia upper arm ( ) Pain in thoracic spine(486) Pneumonia, organism unspecified ( ) Precordial pain( ) Pre-operative examination, unspecified ( ) Pulmonary tuberculosis( ) Routine general medical examination at a health care facility; Health checkup ( ) Shortness of breath ( ) Swelling of limb( ) Unspecified fall.
9 Fall NOS ( ) Vomiting alone ( ) WheezingX-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM) codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and symptoms for ordered Diagnostic testsThe above list is intended to assist ordering physicians/practitioners in providing ICD-10 Diagnosis codes as required by Medicare and other insurers. This list includes examples of diagnoses based on 2014 TridentUSA ordering data, but it does not represent a complete list of X-Ray related diagnoses. The list was compiled from the ICD-10-CM 2015, as well as the Medicare Regulations and Manuals issued or authorized by the Centers for Medicare and Medicaid Services.
10 An ICD-10-CM book should be used for complete reference. The ultimate responsibility for correct coding lies with the ordering Code w/DescriptionICD-10-CM Code(s) Mapping w/Description4 For more information visit X-Ray Chart Examples of ICD-9 Codes and Related Options under ICD-10 International Classification of Diseases 9th Revision (ICD-9-CM) codes were selected from the TridentUSA Health Services 2014 dates of service as representing the most frequently reported signs and sympto