The below list is intended to assist ordering physicians/practitioners in providing ICD-­‐10 Diagnosis codes as required by Medicare and other insurers. This list includes examples of diagnoses based on 2014 TridentUSA ordering data, but it does not represent a complete list of lab related diagnoses. The list was compiled from the ICD-­‐10-­‐CM 2015, as well as the Medicare Regulations and Manuals issued or authorized by the Centers for Medicare and Medicaid Services. An ICD-­‐10-­‐CM book should be used for complete reference. The ultimate responsibility for correct coding lies with the ordering physician/practitioner. Description
ICD10 Code
Description
ICD10 Code
Description
ICD10 Code
Abdominal pain, unspec site Abnormal blood chemistry, other specified
Abnormal clinical findings (other general symptoms & signs)
Abnormal glucose tolerance test, other
Abnormality of gait and mobility, unsp
R10.9
R79.89
R31.9
N40.1
Coagulation defect, unspecified
Colitis/Gastroenteritis, noninfective, unsp
Common cold (acute nasopharyngitis)
D68.9
K52.9
R73.09
Blood in urine (hematuria, unsp)
BPH (enlarged prostate) w/ urinary obst lower urinary tract system
BPH (enlarged prostate) w/o urinary obst lower urinary tract system
Bradycardia, unsp
R26.9
Bronchitis, acute, unsp
J20.9
Congestion, pulmonary (chronic, passive)
Congestive heart failure (CHF), unsp
Acute and chronic respiratory failure, unsp w/ hypoxia or hypercapnia
Acute embolism/thrombosis other spec veins
Acute pain, unspecified
Acute posthemorrhagic anemia J96.20
Bronchitis, not specified as acute or chronic
Cancer, bladder, malignant, unsp
J40
C67.9
R68.89
I82.890
N40.0
R00.1
R52
D62
Cancer, brain, malignant, unsp
Cancer, breast, malignant, unsp
C71.9
C50.919
T50.905A
Cancer, colon, malignant, unsp C18.9
Adverse effect of unsp drugs, init
Agitation/Restlessness
R45.1
Cancer, esophageal, malignant, unsp
C15.9
Alcohol cirrhosis liver w/o ascites
K70.30
C34.90
Alcohol dependence, uncomplicated
F10.20
Cancer, lung or bronchus, malignant, unsp part
Cancer, prostate, malignant
Altered mental status, unsp
R41.82
Cancer, rectum, malignant
C20
Alzheimer’s disease, unsp
Anemia in chronic kidney disease Anemia in other chronic diseases
G30.9
D63.1
D63.8
Cardiac dysrhythmia, unspec Cardio pulmonary disease, unsp
Cardiomyopathy, unsp
I49.9
I27.9
I42.9
Anemia, unspec
D64.9
Aneurysm, unsp site
I72.9
Angina pectoris, unsp
Annual PSA (screening for malignant neoplasm of prostate)
Anorexia
I20.9
Z12.5
Cardiovascular disease (athscl heart dis native coronary art w/o ang pct)
C-­‐diff positive (enterocolitis due to Clostridium difficile)
Cellulitis, unsp
Cellulitis of unsp part of limb R63.0
Anxiety disorder, generalized
Anxiety disorder, unspec
Aortic stenosis, nonrheumatic
Arrhythmia, cardiac, unsp
C61
E11.65
I50.9
DM II w/ hypoglycemia w/o coma
E11.649
Conjunctivitis, unsp
H10.9
DM II w/ diabetic neuropathy, unsp
E11.40
Constipation, unsp
K59.00
DM II w/ other diabetic arthropathy
E11.618
Convulsions, unsp
Coronary artery disease (chronic ischemic heart disease, unsp)
Coronary atherosclerosis (ASCVD), w/o angina pectoris
Cough
R56.9
I25.9
DM II w/ other diabetic ophthalmic
DM II w/ diabetic peripheral angiopath w/o gangrene
DM II w/ retinopathy w/ macular edema, unsp
DM II w/ retinopathy w/o macular edema, unsp
DM II w/o complications E11.39
E11.51
Coumadin therapy (long term (current) use of anticoagulants)
Crohn's disease, unsp, w/o complications
CVA (other cerebrovascular disease)
I25.10
R05
Z79.01
E11.319
E11.9
A04.7
Deep vein thrombosis, unsp vein
I82.91
Edema, unsp
R60.9
L03.90
L03.119
Deep vessel embolism/throm, unsp
Deficiency anemia (nutritional), unsp
I82.4Y9
D53.9
Electrolyte imbalance
Elevated PSA
E87.8
R97.2
I61.9
Degenerative joint disease (DJD) (primary generalized (osteo) arthritis)
Dehydration
Delerium (somnolence)
Delerium (stupor)
Dementia in other diseases w/ behavioral disturbance Dementia in other diseases w/o behavioral disturbance Dementia, unspec, w/o behavioral disturbance Dementia, unspec, w/ behavioral disturbance Depression, single episode, unsp
Diarrhea, unsp
Difficulty in walking, NEC M15.0
Elevated WBC count, other
D72.828
E86.0
R40.0
R40.1
F02.81
Emphysema, unsp
Encephalopathy, unsp
Epilepsy w/ status epilepticus
Epilepsy w/o status epilepticus
J43.9
G93.40
G40.901
G40.909
F02.80
F03.90
Episodic mood (affective) disorder, unsp
End stage renal disease (ESRD)
N18.6
F03.91
Failure to thrive, adult
R62.7
F32.9
R19.7
R26.2
Fatigue, other
Fever, unsp
Folate-­‐deficiency anemia, unsp
R53.83
R50.9
D52.9
Disorders of magnesium metabolism, unsp Disorders of phosphorus metabolism, unsp Diverticulitis
E83.40
Gastritis, unsp, w/o bleeding
K29.70
E83.30
K52.9
K57.92
Gastroenteritis and colitis, noninfective, unsp
General osteoarthrosis, primary
M15.0
Diverticulosis
Dizziness/Giddiness
DM I insulin dependent, w/o complications
K57.90
R42
E10.9
GERD
GI bleeding, unsp
Gout, unsp
K21.9
K92.2
M10.9
ASHD (athscl heart disease of native coronary artery w/o ang pctrs)
Arthralgia (pain in unspec joint)
I25.10
Chronic fatigue syndrome, unsp
R53.82
M25.50
Chronic viral hepatitis C
B18.2
Arthritis, unsp
Asthma, unsp, uncomplicated
Atrial fibrillation, unsp
M12.9
J45.909
I48.91
N18.1
N18.2
N18.3
Atrial flutter, unsp
I48.92
Backache
M54.9
Bacteremia
R78.81
Bipolar depressive disorder, unspec Bipolar disorder, unspec
Blood in stool (melena)
F31.30
F31.9
K92.1
Chronic kidney disease, Stage 1 Chronic kidney disease, Stage 2 (mild)
Chronic kidney disease, Stage 3 (moderate)
Chronic kidney disease, Stage 4 (severe)
Chronic lymphocytic leukemia (B-­‐cell type not achieve remission)
Chronic obstructive lung disease (COPD), unsp
Chronic pain, other
Chronic renal failure, unsp
Cirrhosis of liver, unsp
N18.4
C91.10
J44.9
G89.29
N18.9
K74.60
ICD10 DIAGNOSIS CODE REFERENCE CHART UPDATED 10-­‐1-­‐2015 K50.90
E11.311
R23.3
R68.83
DM II w/ hyperglycemia
Ecchymoses, spontaneous
Chills, w/o fever
J81.1
I80.209
I70.90
E11.621
I25.10
Arteriosclerosis, unsp
DM II w/ foot ulcer
J00
N30.90
N30.91
L89.90
I67.9
I67.89
R41.82
R07.9
E11.8
E11.620
Cystitis w/o hematuria, unsp
Cystitis with hematuria, unsp
Decubitus (pressure) ulcer, unsp site, unsp stage (bed sore)
Deep phlebitis-­‐lower extremity, unsp
F41.1
F41.9
I35.0
I49.9
ICD10 Code
DM II w/ oth diabetic kidney complication
Drug/chemical induced DM w/o complications
Dysphagia, unsp
Dyspnea, unsp
Dysuria
Cerebral hemorrhage (nontraumatic), unsp
Cerebrovascular disease, unsp
Cerebrovascular disease (CVA), other
Change in mental status, unsp
Chest pain, unsp
Description
DM II unsp complications
DM II w/ diabetic dermatitis
I67.89
E11.29
E09.9
R13.10
R06.00
R30.0
F39
ICD10 Code
Description
ICD10 Code
Headache Hematuria, unsp
Description
R51
R31.9
R27.9
I69.90
Painful urination (dysuria)
Pancreatitis, acute, unsp
R30.0
K85.9
Septicemia
Shortness of Breath
A41.9
R06.02
Hepatic failure, w/ coma, unsp
Hepatic failure, w/o coma, unsp
Hepatitis (inflammatory liver disease), unsp
Hepatitis (toxic liver disease w hepatitis), NEC
Hereditary/idopathic peripheral neuropathy, unsp
High blood pressure (essential (primary) hypertension)
High cholesterol
K72.91
K72.90
K75.9
Lack of coordination, unsp Late effect cerebrovascular disease, unsp Leukemia, unsp, no remission
Leukocytopenia
Leukocytosis
C95.90
D72.819
D72.89
Pancreatitis, chronic, other
Paranoid schizophrenia
Parasitic infection, unsp
K86.1
F20.0
B89
Sore throat (acute pharyngitis, unsp)
Stroke
Substance abuse
J02.9
I63.9
F18.10
K71.6
Lipoid metabolism disorder, unsp.
E78.9
Parkinson's disease
G60.9
Liver disease, unsp
K76.9
Low back pain
M54.5
Low blood pressure, unsp
I95.9
High risk med (other long term (current) drug therapy)
Human immunodeficiency virus [HIV] disease
Hypercalcemia
Z79.899
Lupus erythematosus, oth local
L93.2
Lymphoma, unsp
E83.52
Hypercholesterolemia, pure
Hyperglycemia
Hyperkalemia
E78.0
R73.9
E87.5
Hyperlipidemia, unsp
E78.5
Hyperosmolality & hypernatremia
E87.0
Hypertension, essential (primary)
Hyperthyroidism NOS
I10
E05.90
Hypocalcemia
E83.51
Hypoglycemia, unsp
E16.2
Hypokalemia
E87.6
Multiple sclerosis
Hyponatremia & hypo-­‐osmolality
E87.1
Muscle spasm, other
Hypotension, unsp
I95.9
Hypothyroidism, unsp
I10
E78.0
B20
Description
ICD10 Code
Description
ICD10 Code
G20
Syncope & collapse
R55
Peptic ulcer, site unsp, unsp as acute or chronic, w/o hemor or perf
Peripheral vascular disease, unspec K27.9
Tachycardia, unsp
R00.0
I73.9
Therapeutic drug monitor Z51.81
D51.0
Thrombocytopenia, unsp
D69.6
Malaise
R53.81
Pleurisy, NOS
J91.8
Malnutrition, unsp
Metabolic encephalopathy Mitral valve prolapse (nonrheumatic mitral valve insufficiency)
Mixed hyperlipidemia E46
G93.41
I34.0
Pneumonia, unsp organism
Polydipsia
Polyuria, other
J18.9
R63.1
R35.8
Thrombophlebitis & phlebitis of unsp site
Thrombosis & chronic embolism, unsp vein
Thyroid disorder (atrophy of thyroid) (acquired)
Thyroid disorder, other spec disorders
Thyroid disorder, unspec
TIA, unsp
I80.9
C85.80
Pernicious anemia (vitamin B12 def anemia due to intrinsic factor def)
Personal hx of venous thrombosis & embolism Pharyngitis, acute, unsp
E07.89
E07.9
G45.9
Transient alteration of awareness
R40.4
Mood disorder due to known phys condition, unsp
Morbid (severe) obesity MRSA (methicillin resistant staphylococcus aureus)
MSSA (methicillin susceptible staphylococcus aureus)
Multi-­‐Infarc dementia (vascular dementia w/o behavioral disturbance)
F06.30
F43.10
Upper resp infection (URI), unsp
J06.9
Z01.812
L89.90
Urinary frequency
Urinary incontinence
R35.0
N39.41
D69.49
Urinary tract infection (UTI), site not spec
Urine retention, unsp
N39.0
R82.90
E78.2
E66.01
B95.62
Post-­‐op (f/u exam aft trtmt for condition other than malig neoplasm)
Post traumatic stress disorder, unsp
Z86.718
J02.9
Z09
I82.91
E03.4
B95.61
Pre-­‐op
Pressure ulcer, unspecified site, unsp stage
Primary thrombocytopenia, other
F01.50
Prostate cancer
D07.5
G35
Proteinuria, unsp
R80.9
M62.838
Pulmonary edema, chronic
J81.1
Muscle weakness (generalized)
M62.81
I26.99
E03.9
Myalgia
M79.1
Pulmonary embolism, other, w/o acute cor pulmonale
Rash & other nonspec skin eruption
Ileitis (chronic) (noninfectious)
Incontinence, urinary, unsp
Increased blood sugar
Increased confusion
K52.9
R32
R79.89
F41.0
Myocardial Infarction (MI), unsp site
Nausea Nausea with vomiting, unsp
Neurological disorder, unsp
I21.3
R11.0
R11.2
R29.90
K62.5
N19
N17.9
N28.9
Increased potassium (hyperkalemia)
E87.5
Neuropathy, unsp
G58.9
R06.89
Vitamin B12 deficiency, oth spec
E53.8
R04.0
E63.9
Rectal bleeding
Renal failure, unsp
Renal failure, acute, unsp
Renal Insufficiency (disorder of kidney & ureter, unsp)
Resp sys/chest symp (other abnormalities of breathing)
Respiratory failure, unsp
Rhabdomyolysis Urine, cloudy or foul odor (abnormal findings in urine)
Vaginal discharge (oth spec noninflammatory disorders of vagina)
Venous insufficiency (chronic) (peripheral)
Venous embolism and thrombosis of unsp vein, acute
Ventricular tachycardia
Vertigo
Viral infection NOS
Vitamin B deficiency, unsp
J96.90
M62.82
Vitamin B12 deficiency anemia Vitamin D deficiency, unspec
D51.9
E55.9
R21
R33.9
N89.8
I87.2
I82.90
I47.2
R42
B34.9
E53.9
Insomnia, unsp
Iron deficiency anemia 2ndary to blood loss (chronic)
Iron deficiency anemia, unspec Iron deficiency dietary, other Irritable bowel syndrome w/o diarrhea
Jaundice, unsp
G47.00
D50.0
Nose bleed (epistaxis)
Nutrition deficiency, unsp
D50.9
D50.8
K58.9
Obesity, unsp
Osteoarthritis, unsp site
Osteomyelitis, unsp
E66.9
M19.90
M86.9
Rheumatoid arthritis, unsp
Schizoaffective disorder, unspec Schizophrenia, unsp
M06.9
F25.9
F20.9
Volume depletion, unsp
Vomiting, unsp
Weakness
E86.9
R11.10
R53.1
Osteoporosis
M81.0
E08.9
Weight gain, abnormal
R63.5
Joint inflammation, unsp
Joint pain, unsp
M12.9
M25.50
Other abnormal findings in urine
Pain, unspecified
R82.99
R52
Secondary DM w/o mention of complications due to underlying condition
Seizures (unsp convulsions)
Senile delusion (delerium due to known psych condition)
Senile dementia (w/o behavioral disturbance), unsp
Sepsis, unsp organism
R56.9
F05
Weight loss, abnormal
Wheezing
R63.4
R06.2
F03.90
Yeast infection (Candidiasis), unsp
B37.9
R17
Kidney & Ureter disorder, unsp
N28.9
Pain, abdominal, unspec
R10.9
Kidney Stone (calculus of kidney)
N20.0
Pain, epigastric
R10.13
ICD10 DIAGNOSIS CODE REFERENCE CHART UPDATED 10-­‐1-­‐2015 A41.9