ICD-10-CM Quick Reference Code Guide - Cigna

1 ICD-10-CM Quick Reference Code Guide 2019 Update Additional codes indicated by {italics}.Codes with _ or .-require additional digits to complete - explantory notes in (parentheses). ENDOCRINE & NUTRITIONAL ICD-10 DIABETES MELLITUS TYPES AND COMPLICATIONS ICD-10 Hyperlipidemia, unspecified Pre-diabetes Hyperthyroidism w/o crisis/storm Long-term use of insulin RESPIRATORY ICD-10 CARDIAC/CEREBRO- & CARDIOVASCULAR ICD-10 Hypothyroidism, unspecified Long-term use oral antidiabetic drugs Upper respiratory infection, unspecified Late effect - cerebrovascular dis-(NOT CVA) Post-procedural hypothyroidism Insulin pump, presence of, internal or external Rhinitis, allergic (specify type)

2 Disease, other Autoimmune thyroiditis/Hashimoto s DM due to underlying condition E08. Obstructive sleep apnea {for } Carotid artery stenosis (specify laterality) Goiter, unspecified DM due to drugs or chemicals E09. Interstitial lung disease Abdominal aortic aneurysm w/o rupture Hemochromatosis (specify type) DM - Type 1 due to asbestos/Asbestosis J61 PVD, unspecified Amyloidosis (specify type) E85. DM - Type 2 or unspecified type E11. Pneumonia,unsp organism{Flu 1st if applicable} Old MI - > 4 weeks from acute episode Vitamin B-12 Deficiency Other specified DM / Post-procedural diabetes E13.

3 Pneumonia,viral {Flu 1st if applicable} Angina,post-infarction-<4 weeks from AMI Vitamin D Deficiency, unspecified NOTE: First 3 digits [E_ _.] indicate type, per list above. Listed complications indicated by digits after decimal [._ -] are the same for all DM types. {Some conditions require additional codes} Smoker s cough Unstable angina/Intermed coronary synd Malnutrition, protein calorie/unsp E46 Bronchitis, acute, unspecified Angina pectoris, unspecified Obesity, unspecified Bronchitis, chronic (specify type) J41.

4 CAD,native artery w/o angina {type,if known} Morbid/Severe obesity due to calories DM 2 with -(document all that apply to patient currently) Bronchitis, chronic, unspecified J42 CAD,native artery w/angina {type,if known} Abnormal BMI requires underlying diagnosis - diabetic nephropathy Chronic respiratory failure (specify type) J96. CAD,bypass graft {identify type,if known} BMI 19 or less - diabetic CKD {use addn'l code for stage - N18} Dependence on supplemental oxygen Ischemic cardiomyopathy BMI 20-29 (5th character needed) - other diabetic kidney complication {use add l} Emphysema (specify type) , idiopathic/familial/unsp BMI 30-39 (5th character needed) - retinopathy w/o macular edema (spec laterality) COPD, unspecified Atrial fibrillation, unspecified BMI - - diabetic retinopathies (specify type & laterality)

5 COPD with exacerbation Atrial fibrillation, chronic BMI - - other diabetic opthalmic compl {use addn'l code} COPD w/acute bronchitis/LRI {type B96-B97} Atrial fibrillation, paroxysmal RENAL/GENITOURINARY ICD-10 - diabetic neuropathy, unspecified Note: For COPD w/Emphysema use , for other COPD combinations use {Also asthma type PRN} Sick sinus syndrome CKD Stage 1 GFR >90 - diabetic mononeuropathy Heart failure unsp/Congestive heart disease CKD Stage 2 Mild GFR 60 - 89 - diabetic polyneuropathy / neuralgia Asthma, unspecified, uncomplicated Heart failure, systolic, unspecified CKD Stage 3 Moderate GFR 30 - 59 - diabetic autonomic neuropathy (gastroparesis)

6 Asthma, unspecified w/acute exacerbation Heart failure, diastolic, unspecified CKD Stage 4 Severe GFR 15 - 29 - other diabetic neurological complications {add l} Asthma, mild intermittent (5th digit below) Heart failure, comb systolic/diastolic, unsp CKD Stage 5 GFR < 15 - diabetic peripheral angiopathy w/o gangrene Asthma, mild persistent (5th digit below) End-stage heart failure {HF type, if known} ESRD/Chronic Dialysis {use also } - diabetic peripheral angiopathy w/gangrene Asthma,moderate persistent (5th digit below) HYPERTENSION - please specify type with all associated conditions {note additional codes} Renal dialysis, dependence on - other circulatory complications {use add l code} Asthma, severe persistent (5th digit below) Non-compliance w/renal dialysis - diabetic neuropathic arthropathy/Charcot s joint (5th digit)

7 - uncomplicated , benign/essential/primary I10 CKD, Stage unspecified/CRF/CRI - other diabetic arthropathy {use add l code} (5th digit) - with acute exacerbation w/heart disease/LVH/diastolic dysfunction Nephropathy, unspecified - diabetic dermatitis (5th digit) - with status asthmaticus - w/heart failure {code also CHF type} Nephrosis - foot ulcer {use addn'l code for site, L97 - L98} Use additional code to indicate smoking status - with CKD {code also stage - } I12. UTI,unsp {code also infection B96-B97} - other skin ulcer {use addn'l code for site, L97-L98} Cigarette dependence (6th digit for status) - w/heart dis & CKD {code also CKD stage} BPH without LUTS - other skin complications {use add l code} Other type nicotine dependence/e-cig/vaping F17.

8 - w/CHF&CKD1-4 {also CHF & CKD stage} BPH w/LUTS {symptom codes below} - hypoglycemia, without coma Tobacco use (non-dependent) - w/CHF&5-ESRD {also CHF & CKD stage} Urinary incontinence (specfy type) N39. - hyperglycemia History of nicotine/tobacco dependence Hypertensive urgency {code also HTN type} Nocturia - unspecified complications Occupational exposure to tobacco smoke Pulmonary hypertension {also underlying} Frequency of micturition - no complications All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company.

9 The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 2018 Cigna . INT_19_72365_C Accepted 12042018 916348 a 2018 Cigna Codes with _ or .-require additional digits to complete. Required additional codes indicated by {italics}. MUSCULOSKELATAL ICD-10 FACTORS INFLUENCING HEALTH STATUS ICD-10 NEUROLOGICAL ICD-10 PSYCHIATRIC ICD-10 Primary osteoarthritis, unsp site Acquired absence of limb (specify site/laterality) Z89. Parkinson's Disease G20 Generalized anxiety disorder Rheumatoid arthritis [verify DMARD] - feet, toes, & ankle Dementia w/Lewy bodies {code also type} Anxiety depression,mild or not persistent Polymyalgia rheumatica - leg below knee amputation / BKA Alzheimer's disease {code also type} disorder, unspecified Gout, unsp {code also manifestations} - leg above knee amputation / AKA - dementia w/o behavioral disturbance disorders (specify type & severity)

10 , unspecified Presence, Artifical limb, complete/partial (spec site) Osteomyelitis, Other chronic (sp site) - dementia w/behavioral disturbance disorders (type & severity) F20. Mastectomy (specify laterality), history of Osteoporosis, Age-related,no fracture -for example, Wandering in diseases Mood / affective disorder, unspecified F39 Bilateral mastectomy, history of Osteoporosis, Age-related w/fx (site) Unsp dementia w/o behavioral disturbance Major depressive disorder,single ep(sp sev) F32. Total hysterectomy, history of Osteopenia (specify site) Unsp dementia with behavioral disturbance Major depressive disorder,recurrent(sp sev) , history of lupus erythematosus, unsp Complete immobilty 2o frailty/sev disability Alcohol abuse (sp stage & related disorder) Colostomy, current psoriasis, unspecified Muscle weakness, generalized Alcohol dependence (sp stage&rel disorder) Gastrostomy, current stenosis (specify level)