RHEUMATOLOGY ICD-10 CROSSWALK

1 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization. All rights reserved ICD-10 CROSSWALKICD is revised periodically and is currently in its tenth edition and will be implemented in the United States on October 1, 2015. There is an annual minor update and three-yearly major updates are published by the WHO. A list of top commonly used diagnosis codes in RHEUMATOLOGY are listed below as a supplementary tool to the official ICD-10 manual and should not be used Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Beh et's Beh et s Gouty arthropathy, Acute gouty arthropathy Idiopathic gout, multiple (1,2,9) Idiopathic gout, (1,2,9) Idiopathic gout, elbow (1,2,9) Idiopathic gout, wrist (1,2,9) Idiopathic gout, (1,2,9) Idiopathic gout, hip (1,2,9) Idiopathic gout, knee (1,2,9) Idiopathic gout, ankle and foot Idiopathic gout, vertebrae Excludes 1: Chronic gout ( ) ICD-10 rules for Excludes 1 codes indicates that this is a mutually exclusive code; two conditions that cannot be reported together.

2 Chronic gouty arthropathy w/o mention of tophus Chronic gouty arthropathy with Idiopathic chronic gout, multiple sites, w/o tophus Idiopathic chronic gout, multiple sites, with (1,2,9) Idiopathic chronic gout, shoulder (1,2,9) Idiopathic chronic gout, elbow (1,2,9) Idiopathic chronic gout, wrist (1,2,9) Idiopathic chronic gout, hand (1,2,9) Idiopathic chronic gout, hip (1,2,9) Idiopathic chronic gout, knee (1,2,9) Idiopathic chronic gout, ankle and foot Idiopathic chronic gout, vertebrae Excludes 1: Acute gout ( ) The appropriate 7th character is to be added to each code from category M1A ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.

3 All rights reserved Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Raynaud s Raynaud s syndrome without gangrene Raynaud s syndrome with Unspecified Arteritis, unspecifiedExcludes 1: Arteritis or Psoriatic Psoriatic Systemic lupus Systemic lupus erythematosus, organ or system involvement un-specified Systemic lupus e r y t h e m a t o s u s , u n s p e c i fi e d SLE NOS Systemic lupus erythematosus NOS Systemic lupus erythematosus without organ Systemic Systemic sclerosis with lung involevment Systemic sclerosis with Systemic with polyneuropathy Other systemic sclerosisExcludes 1: Circumscribed scleroderma ( ) Sicca Sicca syndrome Sicca syndrome with lung involvement Sicca syndrome, with myopathy Sicca syndrome with other organ Rheumatoid Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systens involvement Other rheumatoid arthritis with rheumatoid fac-tor of multiple sites Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee - 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.

4 All rights reserved Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Rheumatoid Rheumatoid arthritis without rheumatoid factor, multiple Other specified rheumatoid arthritis, multiple sitesAnatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 Polyarticular juvenile RA chronic or Unspecified juvenile rheumatoid arthritis of multiple sites Juvenile rheumatoid polyarthritis (seronegative) Juvenile rheumatoid arthritis with systemic onset, multiple Other juvenile arthritis, multiple sites Juvenile arthritis, unspecified, multiple sitesExcludes 1: Arthropathy in Whipple s disease ( ) Felty s syndrome ( ) Juvenile dermatomyositis ( ) Psoriatic juvenile arthropathy ( ) Anatomical site.

5 Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 Unspecified inflam-matory polyarthropathies Inflammatory polyarthropathyExcludes 1: Polyarthritis NOS ( ) - Osteoarthritis of Unilateral primary osteoarthritis of hip Unilateral resulting from hip dysplasia Unilateral post-trau-matic osteoarthritis of hip Other unilateral secondary osteoarthritis of hip Bilateral primary osteoarthritis of hip Bilateral post-traumatic of hip Other bilateral secondary osteoarthritis of hip Excludes 1: Bilateral involvement of single joint (M16-M19)ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.

6 All rights reserved Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Osteoarthrosis unspecified whether generalized or localized [0-8] Primary osteoarthritis of other joints Post-traumatic osteoarthritis of other joints Secondary osteoarthritis of other jointsExcludes 1: Polyarthritis ( ) Excludes 2: Arthrosis of spine ( ) Hallux rigidus ( ) Osteoarthritis of spine ( ) Laterality: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Ankle and foot - - Osteoarthrosis of Unilateral primary osteoarthritis of knee Unilateral post- traumatic osteoarthritis of knee Other unilateral secondary osteoarthritis of knee Bilateral primary osteoarthritis of knee Bilateral post- traumatic osteoarthritis of knee Other bilateral secondary osteoarthritis of knee Excludes 1.

7 Bilateral involvement of single joint (M16-M19) - of Unilateral primary osteoarthritis of first carpometacarpal joint Unilateral post- traumatic osteoarthritis of first carpometacarpal joint Other unilateral secondary osteoarthritis of first carpometacarpal Bilateral primary of fi r s t c a r p o m e t a c a r p a l j o i n t s Bilateral post- traumatic osteoarthritis of fi r s t c a r p o m e t a c a r p a l j o i n t s Other bilateral secondary osteoarthritis of first carpometacarpal jointsExcludes 1: Bilateral involvement of single joint (M16-M19) - Osteoarthrosis [1,-4,7] Primary osteoarthritis of other joints Post-traumatic osteoarthritis of other joints Secondary osteoarthritis of other jointsExcludes 1:Polyarthritis ( ) Excludes 2: Arthrosis of spine ( ) Hallux rigidus ( ) Osteoarthritis of spine ( ) Laterality: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Ankle and foot - 7 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.

8 All rights reserved Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Ankylosing Ankylosing spondylitis of multiple sites in Ankylosing spondy-litis of occipito-atlanto-axial region Ankylosing spondy-litis of cervical region Ankylosing spon-dylitis of cervicothoracic Ankylosing spondy-litis of throracic region Ankylosing spon-dylitis of thoracolumbar Ankylosing spondy-litis of lumbar region Ankylosing spondy-litis of lumbrosacral region Anklosing spondy-litis of sacral and sacrococ-cygeal region Excludes 1: Arthropathy in Reiter s disease ( ) Juvenile (ankylosing) spondylitis ( ) Excludes 2: Beh et s disease ( )725 Polymyalgia Polymyalgia rheumaticaExcludes 1: Polymyalgia rheumatica with giant cell arteritis ( ) Other Other bursitis, not elsewhere classified, unspecified siteExcludes 1: Bursitis NOS (M719_) Excludes 2: Bursitis of shoulder ( ) Anatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Multiple sites - 9 Laterality: Right - 1 Left - Myalgia and myositis, FibromyalgiaExcludes 2: Pain in joint ( )ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.

9 All rights reserved Code and DescriptionICD-10 Code MappingRelated ICD-10 CodesICD-10 Unspecified osteomyelitis [0-9] Other acute ostemyelitis Other chronic Other osteomyelitis, unspecifiedAnatomical site: Shoulder - 1 Elbow - 2 Wrist - 3 Hand - 4 Hip - 5 Knee- 6 Ankle and foot - 7 Vertebrae - 8 Multiple sites - 9 Laterality: Right - 1 Left - 2 Osteoporosis Senile Osteoporosis Idiopathic osteoporosis Disuse Age-related osteoporosis without current pathological Localized osteoporosis [Lequesne] Other osteoporosis without current pathological fracture Drug induced, idiopathic, post-traumaticUse additional code to identify: Personal history of (healed) osteoporosis fracture, if applicable ( ) Excludes 1.

10 Osteoporosis with current pathological fracture ( ) Sudeck s atrophy ( ) Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) Pathological fracture unspecified Age-related osteoporosis with current pathological fracture, unspecified siteExcludes 1: Pathological fracture NOS ( ) Excludes 2: Personal history of (healed) osteoporosis fracture ( ) The appropriate 7th character is to be added to each code from M80. A - initial encounter for fracture D - subsequent encounter for fracture with routine healing S - sequela Anatomical site: Shoulder - 1 Humerus - 2 Forearm - 3 Hand - 4 Femur - 5 Lower leg- 6 Ankle and foot - 7 Vertebrae - 8 Laterality: Right - 1 Left - 2 ICD-9 and ICD-10 numeric codes and description are copyrighted by the World Health Organization.