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. 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.

9 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) 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.

10 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.