Pediatric ICD-10-CM 2018

Transcription

1 Pediatric ICD-10-CM 2018 A MANUAL FOR PROVIDER-BASED CODING 3rd Edition A02.9 A15.8 A50.59 B B69.0 B65.8 C40.01 C81.92 C93.32 D23.39 D7 E03.2 E E10.10 F F F G G G83.9 G60 H H40.33X4 H H I05.1 I36.9 I I J01.00 J04 J10.8 J30.89 J36 J K04.7 K K13.79 K29.91 K78.89 L02.93 L0 L23.0 L L98.9 M00.89 M20.12 M M N01.9 N20.9 N N O10.03 O31.8X3 O36.5 O40.1XX P00.0 P P07.2 P23 P24.81 P91.63 Q07.03 Q38.1 Q Q87.43 R04.2 R11.14 R R40.21 R55 R68.8 R81 S00.24 S00.50 S S06.0X S40.0 T37.0 T38.3X6 T42.0X6 T44.5 T50 T58.14X T81.33X T88.9XX V00.14 V01.09X V11.1XX V32.3XX W06 W16.0 W17.3 W21.2 W22.03X W51.XXX X11 X31.XXX X95.02X Y92.0 Y Y93.3 Y93.B9 Z01.0 Z02.89 Z09 Z13.89 Z21 Z83.6 A09 A18.3 A25 A50.51 B00.2 B18.9 B37.81 B8 C80.0 C82.41 C93.92 D17.24 D47.Z1 D49.0 D52.0 D E05.90 E E1 E22.9 E F07.8 F15.1 F32.4 F50.8 F63.2 F71 F68 G03.9 G80.3 G H H H55.09 H72.2X I02.9 I27 I33.0 I67 J05.11 J12.0 J20 J34.89 J K05.00 K11.23 K K65 L LL L20.89 L40.5 L65.8 L72.12 M0 M M33.00 M M M90.5 N04.1 N18.5 N28 N48.89 N70.03 O0 O O35.3XX O75.4 P12.89 P29.89 P52.22 P74.9 P83.5 Q25.79 Q42.9 Q Q85.9 R09.8 R19.09 R33.9 R52 S S S S50.02X T17.22 T20.04 From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. The latest ICD-10-CM code set streamlined for pediatric coding. Features index and tabular lists in an easy-to-use format with relevant guidelines alongside the codes.

2 Pediatric ICD-10-CM 2018 A MANUAL FOR PROVIDER-BASED CODING 3rd Edition American Academy of Pediatrics Cindy Hughes CPC CFPC Consulting Editor Becky Dolan MPH CPC CPEDC Staff Editor From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved.

3 American Academy of Pediatrics Publishing Staff Mark Grimes Director Department of Publishing Barrett Winston Senior Editor Professional and Clinical Publishing Carrie Peters Editor Professional and Clinical Publishing Leesa Levin-Doroba Production Manager Practice Management Jason Crase Manager Editorial Services Peg Mulcahy Manager Art Direction and Production Mary Lou White Chief Product and Services Officer/SVP Membership Marketing and Publishing Mary Jo Reynolds Marketing Manager Practice Publications American Academy of Pediatrics Coding Staff Becky Dolan MPH CPC CPEDC Teri Salus MPA CPC CPEDC Linda Walsh MAB Published by the American Academy of Pediatrics 141 Northwest Point Blvd Elk Grove Village IL Telephone: 847/ Facsimile: 847/ The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations taking into account individual circumstances may be appropriate. Products are included for informational purposes only. Inclusion in this publication does not imply endorsement by the American Academy of Pediatrics. Quantity prices on request. Address all inquiries to American Academy of Pediatrics Department of Marketing and Sales 141 Northwest Point Blvd Elk Grove Village IL American Academy of Pediatrics All rights reserved. No part of this publication may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical photocopying recording or otherwise without prior written permission from the publisher (locate title at and click on Get Permissions; you may also fax the permissions editor at 847/ or permissions@aap.org). Printed in the United States of America B MA0831 ISBN: ebook: ISSN From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved.

4 Disclaimer Every effort has been made to include all pediatric-relevant International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM ) codes and their respective guidelines. It is the responsibility of the reader to use this manual as a companion to the official ICD-10-CM publication. Do not report new or revised ICD-10-CM codes until its published implementation date at time of publication set for October Further it is the reader s responsibility to access the American Academy of Pediatrics (AAP) Coding at the AAP Web site ( routinely to find any corrections due to errata in the published version. From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. iii

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6 Contents Foreword... VII Acknowledgments... VIII How to Use This Manual... IX ICD-10-CM Official Guidelines for Coding and Reporting FY X Alphabetic Index... 1 Tabular List Chapter 1. Chapter 2. Chapter 3. Chapter 4. Chapter 5. Chapter 6. Chapter 7. Chapter 8. Chapter 9. Chapter 10. Chapter 11. Chapter 12. Chapter 13. Chapter 14. Chapter 15. Chapter 16. Chapter 17. Chapter 18. Certain infectious and parasitic diseases (A00 B99) Neoplasms (C00 D49) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50 D89) Endocrine nutritional and metabolic diseases (E00 E89) Mental behavioral and neurodevelopmental disorders (F01 F99) Diseases of the nervous system (G00 G99) Diseases of the eye and adnexa (H00 H59) Diseases of the ear and mastoid process (H60 H95) Diseases of the circulatory system (I00 I99) Diseases of the respiratory system (J00 J99) Diseases of the digestive system (K00 K95) Diseases of the skin and subcutaneous tissue (L00 L99) Diseases of the musculoskeletal system and connective tissue (M00 M99) Diseases of the genitourinary system (N00 N99) Pregnancy childbirth and the puerperium (O00 O9A) Certain conditions originating in the perinatal period (P00 P99) Congenital malformations deformations and chromosomal abnormalities (Q00 Q99) Symptoms signs and abnormal clinical and laboratory findings not elsewhere classified (R00 R99) From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. v

7 Contents Chapter 19. Chapter 20. Chapter 21. Injury poisoning and certain other consequences of external causes (S00 T88) External causes of morbidity (V00 Y99) Factors influencing health status and contact with health services (Z00 Z99) ICD-10-CM External Cause of Injuries Table ICD-10-CM External Cause of Injuries Index Table of Drugs and Chemicals From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. vi

8 Foreword The American Academy of Pediatrics (AAP) is pleased to publish this third edition of Pediatric ICD-10-CM: A Manual for Provider- Based Coding a pediatric version of the International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM) manual. As we continue this new chapter in diagnostic coding the AAP believed it was vital to publish an ICD-10-CM manual that is more manageable for pediatric providers. The expansive nature of the code set from International Classification of Diseases Ninth Revision Clinical Modification to ICD-10-CM overwhelmed many physicians providers and coders so we condensed the code set by only providing pediatric-relevant diagnoses and their corresponding codes. However as we move forward we want members to have access to more codes and those that are less common in pediatrics but still need to be included. We reduced the guidelines so that only those applicable to the physician or provider are included while those only relevant to facilities are removed. When needed they can be located in the larger ICD-10-CM manual. Lastly guidelines that exist for topic-specific chapters or specific codes can now be found in their respective tabular chapter or right where the specific code is listed. This will aid the user in identifying any chapter- or codespecific guidelines right where they are needed most. This should assist in reducing any coding errors caused by reporting services that go against the guidelines that were once solely kept in the front of the manual away from applicable codes. In addition tips are included throughout to aid in your coding. These are unique to this manual. The AAP is committed to the clinical modification of the ICD code set and for the past several years sent an AAP liaison Jeffrey F. Linzer Sr MD FACEP FAAP to the ICD Coordination and Maintenance Committee Meeting. This is the semiannual meeting where all new ICD codes are presented as well as revisions to the tabular list index and guidelines. Having a dedicated expert liaison aids in presenting pediatric issues at the meeting. The AAP is also very pleased to continue its work with the ICD Editorial Advisory Board for Coding Clinic for ICD-10-CM and ICD-10-PCS. Coding Clinic is responsible for publishing ICD coding guidance and clarifications to supplement the ICD-10-CM manual. Dr Linzer sits on the Editorial Advisory Board to represent pediatric issues and is an expert on all ICD-10-CM matters. The AAP will continue to support its members on issues regarding coding and the Division of Health Care Finance at the AAP headquarters stands ready to assist with problem areas not adequately covered in this manual. The AAP Coding Hotline can be accessed through at aapcodinghotline@aap.org. From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. vii

9 Acknowledgments Pediatric ICD-10-CM: A Manual for Provider-Based Coding is the product of the efforts of many dedicated individuals. First and foremost we must thank Cindy Hughes CPC CFPC consulting editor for her professional input and particularly for her ongoing work to make this manual more user-friendly. We would also like to thank members of the American Academy of Pediatrics (AAP) Committee on Coding and Nomenclature past and present and the AAP Coding Publications Editorial Advisory Board. They support all coding efforts here at the AAP. These members contribute extensive time reviewing and editing various coding content for the AAP. We would also like to extend a very special thank-you to members of various subspecialty sections of the AAP who contributed their expertise and knowledge to the development of the original manual. Lastly we would like to acknowledge the tireless work of Jeffrey F. Linzer Sr MD FACEP FAAP. Dr Linzer is the official AAP liaison to the ICD Coordination and Maintenance Committee and member of the Editorial Advisory Board for Coding Clinic for ICD-10-CM and ICD- 10-PCS. Dr Linzer is an advocate for pediatrics and pediatric conditions and ensures that our issues are heard. He is an advocate for all pediatric patients in helping codes get established for conditions that need to be tracked for purposes of research and quality. Dr Linzer keeps the AAP and pediatric issues at the forefront of diagnostic coding and we are very grateful for his time and expertise! From Pediatric ICD-10-CM 2018: A Manual for Provider-Based Coding Third Edition: Downloaded on Jun :42 PM at Published by AAP All rights reserved. viii