ICD-10 coding guide

1 AAA AAA w/o Abdominal/pelvic swelling, mass unspecified Abdominal/pelvic swelling, mass right upper Abdominal/pelvic swelling, mass left upper Abdominal/pelvic swelling, mass right lower Abdominal/pelvic swelling, mass left lower Abdominal/pelvic swelling, mass Abdominal/pelvic swelling, mass Abdominal/pelvic swelling, mass Abdominal/pelvic swelling, mass other specified Abnormal chest Acute abdomen Acute MI unspecifiedB20 AIDS/symptomatic HIV Altered mental status (AMS) Angina, Angina, AphasiaJ80 ARD Arthropathy/arthritis unspecified Arthropathy/arthritis Arthropathy/arthritis Arthropathy/arthritis Arthropathy/arthritis Arthropathy/arthritis Arthropathy/arthritis Arthropathy/arthritis ankle and Arthropathy/arthritis Arthropathy/arthritis multiple Arthropathy/arthritis unspecified Ascites, Ascites, Asthma unspecified with.

2 (acute) Asthma status Asthma uncomplicated, asthma Atrial fibrillation Backache Blurred Bone spur Brain lesionN63 Breast mass/lump, Breast pain , Breast other specified Breast Breast Breast denseJ40 Bronchitis acuteJ42 Bronchitis Bursitis Bursitis elbow, olecranonFor additional codes and when prompted by - or . following an ICD-10 code, consult the ICD-10 coding book. ICD-10 coding Bursitis elbow Bursitis knee, Bursitis knee Bursitis hip, Bursitis hip Bursitis unspecified site, Bursitis Bursitis Calcaneal Cancer, breast female (unspecified site) Cancer, breast male (unspecified site) Cardiomegaly, Carotid Carotid stenosis with cerebral Carotid stenosis Catheter check.

3 Catheter check Cerebrovascular Cervical sprain/strain joints and ligaments Cervical sprain/strain muscle, fascia, CHF Chills (without fever) Cholecystitis Cholecystitis Cholelithiasis, Cholelithiasis, gallbladder with Cholelithiasis, gallbladder/bile Cholelithiasis, gallbladder/bile duct - with Chondromalacia Chronic kidney disease (CKD) Chronic pain Confusion Contusion; Contusion; NOS Contusion; NOS Contusion; NOS low Contusion; NOS Contusion; NOS arm ( upper ) Contusion; NOS arm (lower) Contusion; NOS Contusion; NOS Coronary atherosclerosis (ASHD)R05 Cyst Cyst bone Cyst kidney (acquired) Cyst breast (solitary) Cyst Degeneration, cervical Degeneration, cervical disc with Degeneration, lumbar Degeneration, lumbar disc with Degeneration, thoracic Degeneration, thoracic disc with Derangement, Derangement, knee Derangement, knee due to old Deviated nasal Displacement, cervical Displacement, cervical disc with Displacement, lumbar Displacement, lumbar disc with Displacement, thoracic Displacement, thoracic disc with Diverticulitis with Diverticulosis with hemorrhageR42 DJD.

4 DJD shoulder DJD DJD DJD ankle and footM16- DJD hipM17- DJD knee, DVT, leg, Dysphagia, Edema leg(s) Edema localizedFor additional codes and when prompted by - or . following an ICD-10 code, consult the ICD-10 coding book. Edema Edema Effusion, joint, unspecified Effusion, joint Effusion, joint Effusion, joint Effusion, joint Effusion, joint Effusion, joint Effusion, joint ankle and Effusion, joint other Embolism, pulmonary (acute) Enlarged Family history breast Family history other cardiovascular Family history Fatty Fever (with chills) Findings, abnormal solitary lung Findings, abnormal other lung field Findings, abnormal Findings, abnormal biliary Findings, abnormal GI Findings, abnormal Fracture vertebral, - R51 Gait abnormality (unspecified) GERD reflux GERD reflux with esophagitis Goiter uninodular (nontoxic) Goiter multinodular (nontoxic)

5 Hallux valgus acquired Hallux valgus congenital Hallux varus acquired Hallux varus congenital Headache/facial pain Hearing loss central NOS Hearing loss perceptive NOS Hearing loss sensory NOSH ematuria, unspecified Hemorrhage gastrointestinal NOS Hemorrhage intracerebral (non-traumatic) Hemorrhage subdural (non-traumatic) Hernia inguinal NOS Hernia umbilical Hernia History of HydronephrosisI10 Hypertension Inconclusive test due to excess body Infertility, female Infiltrate, Injury, unspecified type Injury, unspecified type Injury, unspecified type Injury, unspecified type shoulder/arm ( upper ) Injury, unspecified type Injury, unspecified type Injury, unspecified type Injury, unspecified type Injury, unspecified type Injury, unspecified type knee/leg (lower) Injury, unspecified type footT07 Injury, unspecified type multiple Injury, unspecified type unspecified type, unspecified Interstitial lung disease NOSD25- Leiomyoma, Long-term drug therapy; Loss of vision, Lung Malacia, bone (adult) Mammogram, Mass Mass Mass Mass Mass Mass Menorrhagia Memory Migraine Mild cognitive Muscle Muscle weakness (generalized) Nausea w/o Nodule, lung, Observation following accident; For additional codes and when prompted by - or.

6 Following an ICD-10 code, consult the ICD-10 coding book. Observation following accident other Osteoporosis age related, with current pathological Osteoporosis screeningR52 pain pain , pain , abdominal right upper pain , abdominal left upper pain , abdominal pain , abdominal right lower pain , abdominal left lower pain , abdominal pain , abdominal pain , pain , pain , pain , chest pain , chest pain , chest pain , pain , pain , joint Personal history transient ischemic attackJ90 Pleural effusion Pneumonia, Pneumothorax Pneumothorax tension (spontaneous) Pneumothorax Popliteal cyst/Baker s Positive Postmenopausal state (NOS) Pulmonary edema Pulmonary edema NOS Pulmonary Radiculopathy cervical Radiculopathy thoracic Radiculopathy thoracolumbar Radiculopathy lumbar Radiculopathy lumbosacral Renal artery stenosisN19 Renal failure Renal failure Renal failure Respiratory Respiratory failure Respiratory failure Respiratory failure Seizure Shortness of Shoulder Sinusitis.

7 Sinusitis Sinusitis Slurred Spondylolithesis (non traumatic) Spondylolithesis (non traumatic) Spondylolithesis (non traumatic) Spondylolithesis (non traumatic) Spondylolithesis (non traumatic) Spondylolithesis (non traumatic) multiple Spondylosis, Spondylosis, cervical with radiculopathyFor additional codes and when prompted by - or . following an ICD-10 code, consult the ICD-10 coding book. pain , joint pain , joint pain , joint pain , pain , joint hand/finger pain , joint knee pain , joint ankle/foot pain , pain , hand/fingerPain, foot/toe pain , low back/lumbar pain , neck NECPain, neoplasm-relatedPain, pelvic (female) pain , thoracic spine Palpitations Paresthesia Peripheral vascular disease (PVD) NOS Personal history - bladder cancer Personal history - breast cancer Personal history - DVT Personal history - lung cancer NEC Personal history - prostate cancer Spondylosis, Spondylosis, lumbar with Spondylosis, Spondylosis, thoracic with Sprain Sprain Sprain Sprain Sprain Status post Status post Stenosis aortic Stenosis mitral Stenosis pyloric (acquired)

8 Stenosis urethra Stenosis, spinal Stenosis, spinal Stenosis, spinal Swelling, localized (skin) Swelling, localized (skin) Swelling, localized (skin) Swelling, localized (skin) Swelling, localized (skin) upper Swelling, localized (skin) lower limbR55 Tear (current) D25- Tear (current) meniscus lateral bucket-handle Tear (current) meniscus medial bucket-handle Tinnitus unspecified Transient ischemic attack OB screening OB screening, uncertain dates + OB screening, unspecified Urinary tract infection Uterine enlargement Uterine fibroid Vaginal bleeding Vomiting Vomiting with nausea Weakness (generalized) Weakness (generalized) facial NOS Weakness (generalized) muscle (generalized) Weight loss For additional codes and when prompted by - or.

9 Following an ICD-10 code, consult the ICD-10 coding book. 09/2019 Abdomen 74150 Abdomen w/o contrast74160 Abdomen w/contrast74170 Abdomen w/wo contrast74175 CTA abdomen w/wo contrast (renal arteries)74176 Abdomen and pelvis w/o contrast74177 Abdomen and pelvis w/contrast74178 Abdomen and pelvis w/wo contrast74174 CTA abdomen and pelvis w/contrast (aortic aneurysm)Aorta w/run off75635 CTA run off studyCervical spine72125 Cervical spine w/o contrast72126 Cervical spine w/contrastChest71250 Chest w/o contrast71260 Chest w/contrast71275 CTA chest (PE) (aortic aneurysm)Head70450 Head w/o contrast70470 Head w/wo contrast70496 CTA head w/contrastLower extremity73700 Lower extremity w/o contrast73701 Lower extremity w/contrastLumbar spine72131 Lumbar spine w/o contrast72132 Lumbar spine w/contrastMaxillofacial/Sinus70486 Maxillofacial w/o contrast (sinus)

10 70487 Maxillofacial w/contrastNeck/Soft tissue70490 Neck w/o contrast70491 Neck w/contrast70498 CTA neck w/contrastOrbits/IAC/Inner ear70480 Orbits w/o contrast70481 Orbits w/contrastPelvis72192 Pelvis w/o contrast72193 Pelvis w/contrast72194 Pelvis w/wo contrastStone protocol74176 Abdomen and pelvis w/o contrastThoracic spine72128 Thoracic spine w/o contrast72129 Thoracic spine w/contrastUpper extremity73200 upper extremity w/o contrast73201 upper extremity w/contrastUrogram74178 Abdomen and pelvis w/wo contrastCT/CTA CPT coding CPT coding guide SC South Carolina 19/18/19 3:18 PMAbdomen 74181 Kidney, liver and pancreas w/o contrast74183 Abdomen w/wo contrast74183 Kidney, liver and pancreas w/wo contrast74185 MRA abdomen w/ or w/o contrastBrain/Head (IAC/pituitary)70551 70553 70544 Breast77046 77047 Brain/head w/o contrastBrain/head w/wo contrastMRA/MRV w/o contrastMRI Breast, without contract, unilateral MRI Breast, without contrast, bilateral MRI Breast, without and with contrast, unilateralMRI Breast, without and with contrast, bilateral Cervical spine72141 Cervical spine w/o contrast72156 Cervical spine w/wo contrastLumbar spine72148 Lumbar spine w/o contrast72158 Lumbar spine w/wo contrastLower extremity joint (hip, knee, ankle)73721 Lower extremity joint w/o contrast73723 Lower extremity joint w/wo contrastLower extremity non joint (femur, lower leg, foot)