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) 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.

2 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. 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.

3 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) 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.

4 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) 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) - 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)

5 - 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. - 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.

6 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) , unspecified Presence, Artifical limb, complete/partial (spec site) Osteomyelitis, Other chronic (sp site) - dementia w/behavioral disturbance disorders (type & severity) F20.

7 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) Dizziness / Vertigo, unspecified R42 Opioid abuse (sp stage & related disorder) Intervertebral disc disorders, back , current Tremors (specify type) G25.

8 Opioid dependence (sp stage&rel disorder) Radiculopathy (specify site) Tracheostomy, current Myoclonus {also adverse effect,drug T36-50} GASTROINTESTINAL ICD-10 Neck pain/ Cervicalgia Cystostomy, current (specify type) Epilepsy, unspecified w/o status epileticus Gastro-esophageal reflux disease / GERD Cervicalgia Nephr-/Ureter-/Urethr- ostomy, current Insomnia, unspecified Esophageal reflux with esophagitis Sciatica (specify laterality) Long-term (current) - drug therapy , unspecified Barrett s esophagus (specify type & manifest) Low back pain/Lumbago - anticoagulants gravis w/o acute exacerbation Acute gastritis Joint pain (specify site) - antiplatelets/antithrombolitics lateral sclerosis Nausea (specify with or w/o vomiting) R11. Chronic pain -when added to any pain dx - aspirin 's disease G10 Irritable bowel syndrome (specify type) K58.

9 HEMATOLOGY ICD-10 - non-steroidal anti-inflamatory drugs / NSAIDs sclerosis G35 Constipation, unspecified Pernicious anemia - systemic steroids deficiency anemia - bisphosphonates Chronic pain syndrome Diarrhea, unspecified Polycythemia vera D45 Wheelchair, dependence on : Neuropathy in presence of diabetes, see front Diverticular dis, large intestine w/o abscess SENSORY ORGANS ICD-10 Coronary angioplasty status , unspecified Crohn s disease, unspecified Macular degeneration (specify type) Coronary artery bypass graft, presence of , Hereditary/Idiopathic Celiac disease {also associated disorders} Open-angle glaucoma, stage unsp Coronary angioplasty implant/graft, presence of , Idiopathic progressive Ulcerative colitis (specify complications) Cataract, unspecified Prosthetic heart valve, presence of of stroke or TIA w/o residual effect Alcoholic cirrhosis of liver(indicate ascites) Cataract, senile, unspecified Cardiac pacemaker,excludes AICD, presence of of cerebral infarction - unspecified cirrhosis of liver Hearing loss, unsp (spec laterality)

10 Automatic implantable cardiac defibrillator /AICD - cognitive deficit (specify type) Pancreatitis, chronic - , vision/sensation {also type} MALIGNANT NEOPLASM ICD-10 HISTORY OF MALIGNANT NEOPLASM ICD-10 Intraocular lens / pseudophakia, presence of - aphasia indicates cancer has not been eradicated. Use History (right) if cancer has been eradicated. Primary cancer codes listed, metastases coded separately. Personal history,malignant neoplasm Z85. Colon polyps, history of - ataxia history, thyroid cancer status (specify organ) Z94. - dysphagia { code also type - } - ,small intestine non-carcinoid embolism, history of - dysphasia neoplasm, colon (specify site) C18. - ,colon cancer, non-carcinoid thrombosis / embolism, history of - dysarthria - , breast (specify site and laterality) C50. - ,breast cancer joint implant, presence of (spec site) - fluency disorder / stuttering - , bronchus and lung (specify site) - ,lung cancer, unspecified , history of / at risk of falling - hemiplegia/hemiparesis (sp laterality) - , prostate C61 - ,prostate cancer with dietary regimen - monoplegia, lower limb (sp laterality) - , skin (specifiy site) C44.