Long-Term Care
Common ICD-10 Codes
DESCRIPTION
CODE
BLOOD, OCCULT; FECES SCREENING
Long-term (current) use of other meds
Z79.899
Encounter for therapeutic drug monitor Z51.81
GLUCOSE (GLU), unspecified
Malaise
R53.81
Abnormal loss of weight
R63.4
Diarrhea, unspecified
R19.7
Anemia, unspecified
D64.9
GI bleed
K92.2
Hypoglycemia, unspecified
E16.2
Abnormal loss of weight
R63.4
Malnutrition (calorie), NOS
E46
Malnutrition (calorie), NOS
E46
Diarrhea, unspecified
R19.7
Dizziness and giddiness
R42
Anemia, iron deficient, unspecified
D50.9
Abdominal pain, unspecified
R10.9
Abnormal weight gain
R63.5
Anemia, nutritional, unspecified
D53.9
Long-term (current) use of anticoags
Z79.01
Glycosuria
R81
Anemia, unspecified
D64.9
Long-term (current) use of other meds
Z79.899
Diabetes mellitus, unspecified
E11.9
Renal failure, unspecified
N19
Urinary tract infection (UTI)
N39.0
Other abnormal blood chemistry
R79.9
Coma, unspecified
R40.20
Viral hepatitis, NOS
B19.9
Encounter for therapeutic drug monitor Z51.81
BMPA (BASIC METABOLIC PROFILE)
IRON and FERRITIN
Hyponatremia
E87.1
Seizures, not otherwise specified
R56.9
Diabetes mellitus, unspecified
E11.9
Hypokalemia
E87.6
Fatigue
R53.83
Atrial fibrillation
I48.91
Renal insufficiency, Acute
N28.9
Malaise
R52.81
Diabetes mellitis, unspecified
E11.9
Abnormal loss of weight
R63.4
Congestive heart failure (CHF),
unspecified
I50.9
Congestive heart failure (CHF),
unspecified
I50.9
Chest pain, unspecified
R07.9
Hyperglycemia, unspecified
R73.9
Proteinuria, unspecified
R80.9
Long-term (current) use of other meds
Z79.899
B-TYPE NATRIURETIC PEPTIC (BNP)
Congestive heart failure (CHF),
unspecified
I50.9
Shortness of breath
R06.02
CMPA (COMPLETE METABOLIC PROFILE)
Malnutrition (calorie), NOS
E46
Dysphasia, unspecified
R13.10
Abnormal loss of weight
R63.4
COMPLETE BLOOD COUNT (CBC)
MRSA
A49.02
Unspecified Infectious Disease
B99.9
Unspecified Parasitic Disease
B89
Anemia, iron deficiency, unspecified
D50.9
Anemia, nutritional, unspecified
D53.9
Anemia, unspecified
D64.9
Abnormal loss of weight
R63.4
Abdominal pain, unspecified
R10.9
Long-term (current) use of anticoags
Z79.01
Long-term (current) use of other meds
Z79.899
Encounter for therapeutic drug monitor Z51.81
DIGOXIN
Hypothyroidism, unspecified
Cardiac dysrhythmias
Cardiovascular disease, unspecified
E03.9
I49.9
I25.10
Renal failure, unspecified
N19
Atrial Fibrillation
I48.91
Congestive heart failure (CHF),
unspecified
I50.9
Fatigue
R53.83
Malaise
R53.81
Long-term (current) use of other meds
Z79.899
FOLATE
Malnutrition (calorie), NOS
E46
Anemia, nutritional, unspecified
D53.9
Anemia, unspecified
D64.9
Fatigue
R53.83
Malaise
R53.81
Other general symptoms
R68.89
Nausea with vomiting
R11.2
GLYCOLATED HEMOGLOBIN (GLHGB)
Hypoglycemia, unspecified
E16.2
Diabetes mellitis, unspecified
E11.9
Hemochromatosis, unspecified
E83.119
Hyperglycemia, unspecified
R73.9
Long-term (current) use of other meds
Z79.899
HEPATIC FUNCTION (HFPA, LFTs)
LIPID and CHOLESTEROL
Hypothyroidism, unspecified
E03.9
Diabetes mellitus, unspecified
E11.9
Malnutrition (calorie), NOS
E46
Hyperlipidemia, unspecified
E78.5
Obesity
E66.9
Hypertension, essential, unspecified
I10
Coronary atherosclerosis (CAD)
I25.10
Congestive heart failure (CHF),
unspecified
I50.9
Chronic kidney disease, unspecified
N18.9
Long-term (current) use of other meds
Z79.899
Hepatitis B, acute, NOS
B16.9
Hepatitis C, acute, NOS
B17.10
Congestive heart failure (CHF),
unspecified
I50.9
Schizophrenia, unspecified
F20.9
Fever, unspecified
R50.9
Bipolar disorder, unspecified
F31.9
Fatigue
R53.83
Depression
F32.9
Malaise
R53.81
Edema
R60.9
Abnormal loss of weight
R63.4
Abdominal pain, unspecified
R10.9
Abnormal liver serum enzyme
R74.0
Long-term (current) use of antibiotics
Z79.2
Long-term (current) use of other meds
Z79.899
Encounter for therapeutic drug monitor Z51.81
HEPATITIS PANEL, ACUTE
Viral hepatitis, NOS
B19.9
Cirrhosis of liver, w/o Alcohol, NOS
K74.60
Hepatitis, unspecified
K75.9
Fatigue
R53.83
Malaise
R53.81
Nausea and vomiting
R11.2
Abdominal pain, unspecified
R10.9
Abnormal liver function studies
R94.5
HIV
Viral hepatitis, NOS
B19.9
Malnutrition (calorie), NOS
E46
Anemia, unspecified
Encounter for therapeutic drug monitor Z51.81
LITHIUM
Long-term (current) use of other meds
Z79.899
MAGNESIUM (MAG)
Hyperparathyroidism
E21.3
Malnutrition (calorie), NOS
E46
Acute MI,unspecified site
I21.3
Pulmonary embolism, NOS
I26.99
Atrial fibrillation
I48.91
Syncope and collapse
R55
Seizures, not otherwise specified
R56.9
Fatigue
R53.83
Malaise
R53.81
Abnormal loss of weight
R63.4
Tachycardia, unspecified
R00.0
Other abnormal blood chemistry
R79.9
Long-term (current) use of inhaled
steroids
Z79.51
Long-term (current) use of other meds
Z79.899
Encounter for therapeutic drug monitor Z51.81
PARTIAL THROMBOPLASTIN TIME (PTT)
Atrial fibrillation
I48.91
D64.9
Congestive heart failure (CHF),
unspecified
I50.9
Cellulitis, unspecified site
L03.90
Chronic kidney disease, unspecified
N18.9
Fever, unspecified
R50.9
Hematuria, unspecified
R31.9
Fatigue
R53.83
CONTINUED ON OTHER SIDE
Long-Term Care Common ICD-10 Codes
DESCRIPTION
CODE
PARTIAL THROMBOPLASTIN TIME (PTT)
Continued from other side
Syncope and collapse
R55
Shortness of breath
R06.02
Fracture, hip
S72.009A
Long-term (current) use of anticoags
Z79.01
CONTINUED FROM OTHER SIDE
Fever, unspecified
R50.9
Dysuria
R30.0
Fatigue
R53.83
Retention of urine, unspecified
R33.9
Malaise
R53.81
Urinary incontinence, unspecified
R32
Headache
R51
Urinary frequency
R35.0
Elevated sedimentation rate
R70.0
Nocturia
R35.1
Other symptoms involving urinary sys
R39.9
Abdominal pain, unspecified
R10.9
Nonspecific findings on exam of urine
R82.99
Long-term (current) use of other meds
Z79.899
Unspecified adverse effect of drug,
initial encounter
PROSTATE SPECIFIC ANTIGEN (PSA)
T88.7XXA
THEOPHYLLINE
Malignant neoplasm of prostate
C61
Bronchitis, acute
J20.9
Urinary obstruction, unspecified
N13.9
Emphysema, unspecified
J43.9
Hematuria, unspecified
R31.9
Asthma, unspecified
J45.909
Unspecified prostatitis
N41.9
COPD
J44.9
Unspecified disorder of prostate
N42.9
Long-term (current) use of other meds
Z79.899
Retention of urine, unspecified
R33.9
THYROID TESTING (TSH)
Urinary incontinence, unspecified
R32
Goiter, unspecified
E04.9
Urinary frequency
R35.0
Hyperthyroidism, unspecified
E05.90
Nocturia
R35.1
Hypothyroidism, unspecified
E03.9
Urgency of urination
R39.15
Diabetes mellitus, unspecified
E11.9
Elevated prostate specific antigen
R97.2
Hyperlipidemia, unspecified
E78.5
Personal history of prostate cancer
Z85.46
Anemia, unspecified
D64.9
Screening for malignant neoplasm,
prostrate
Z12.5
Senile dementia, uncomplicated
F03.90
Dementia, unspecified
F03.90
Anxiety, unspecified
F41.9
Depression
F32.9
Alzheimer's disease, unspecified
G30.9
Hypertension, essential, unspecified
I10
Atrial fibrillation
I48.91
PROTHROMBIN TIME (PT)
Anemia, nutritional, unspecified
D53.9
Coagulation defect, unspecified
D68.9
Coronary atherosclerosis (CAD)
I25.10
Atrial fibrillation
I48.91
Congestive heart failure (CHF),
unspecified
I50.9
Cerebral Vascular Accident (CVA)
I63.50
Cerebrovascular disease
I67.89
Peripheral vascular disease, unspecified I73.9
Thrombosis of, unspecified (vein)
I82.90
Chronic kidney disease, unspecified
N18.9
Renal failure, unspecified
N19
Hematuria, unspecified
R31.9
Syncope and collapse
R55
Edema
R60.9
Shortness of breath
R06.02
Abnormal coagulation profile
R79.1
Circulatory disease, unspecified,
(personal history of)
Z86.79
Heart valve replaced by other means
Z95.2
Long-term (current) use of anticoags
Z79.01
PSA, FREE (FPSA)
Elevated prostate specific antigen
R97.2
SEDIMENTATION RATE (SED or ESR)
Streptococcal septicemia, unspecified
A40.9
Anemia, unspecified
D64.9
Cerebral Vascular Accident (CVA)
I63.50
Cerebrovascular disease, Acute
I67.89
Arteritis, unspecified
I77.6
Acute pancreatitis
Congestive heart failure (CHF),
unspecified
I50.9
Constipation, unspecified
K59.00
Fever, unspecified
R50.9
Fatigue
R53.83
Malaise
R53.81
Memory loss
R41.3
Numbness, skin
R20.0
Edema
R60.9
Abnormal weight gain
R63.5
Abnormal loss of weight
R63.4
Palpitations
R00.2
Long-term (current) use of other meds
Z79.899
TROPONIN
Acute MI, unspecified site
I21.3
Atrial fibrillation
Congestive heart failure (CHF),
unspecified
URINE CULTURE
Septicemia, unspecified
A41.9
Urinary tract infection (UTI)
N39.0
Hematuria, unspecified
R31.9
Backache, unspecified
M54.9
Fever, unspecified
R50.9
Fatigue
R53.83
Malaise
R53.81
Memory loss
R41.3
Altered Mental Status
R41.0
Other general symptoms
R68.89
Abdominal pain, unspecified
R10.9
Bacteremia
R78.81
Nonspecific findings on exam of urine
R82.99
Long-term (current) use of other meds
Z79.899
VITAMIN B12
Vitamin B deficiency, unspecified
E53.9
Other B-complex deficiencies, ex B12
E53.8
Unspecified nutritional deficiency
E63.9
Pernicious anemia
D51.0
Anemia, nutritional, unspecified
D53.9
Senile dementia, uncomplicated
F03.90
Dementia, unspecified
F03.90
Peripheral neuropathy, unspecified
G62.9
Fatigue
R53.83
Malaise
R53.81
Memory loss
R41.3
Abnormal gait, unspecified
R26.9
Lack of coordination, unspecified
R27.9
Numbness, skin
R20.0
Encounter for therapeutic drug monitor Z51.81
VITAMIN D; 25 Hydroxy
I48.91
Other severe protein-calorie
malnutrition
E43
I50.9
Unspecified Vitamin D deficiency
E55.9
Chest pain, unspecified
R07.9
N18.3
Abnormal ECG/EKG
R94.31
Chronic kidney disease, Stage III
(moderate)
Chronic kidney disease, Stage IV,
(severe)
N18.4
URINALYSIS (UA)
Malignant neoplasm of prostate
C61
Chronic kidney disease, Stage V
N18.5
Diabetes mellitus, unspecified
E11.9
End Stage Renal Disease
N18.6
Hypertension, essential, unspecified
I10
Osteoporosis, unspecified
M81.0
Other osteoporosis
M81.8
K85.9
Congestive heart failure (CHF),
unspecified
I50.9
Chronic kidney disease, unspecified
N18.9
Chronic kidney disease, unspecified
N18.9
Systemic lupus erythematosus
M32.9
Renal insufficiency, Acute
N28.9
Rheumatoid arthritis, unspecified
M06.9
Urinary tract infection (UTI)
N39.0
Arthropathy, unspecified
M12.9
Hematuria, unspecified
R31.9
Myalgia
M79.1
Rheumatoid arthritis
M06.9
Myositis, unspecified
M60.9
Fever, unspecified
R50.9
Osteomyelitis, unspecified
M86.9
Fatigue
R53.83
Osteoporosis, unspecified
M81.0
Malaise
R53.81
This list comprises only the most commonly used ICD-10 codes and is
not intended to be all-inclusive. It is provided as an “at-a glance” tool to
supplement the CMS LCD & NCD Policies. ICD-9/ICD-10 codes must
always be substantiated by patients’ medical records.
The Diagnosis codes provided are based on CMS guidelines and are for informational
purposes only. Diagnosis coding is the sole responsibility of the billing party. Please
direct any questions regarding coding to the payer being billed. This list is intended to
assist ordering providers in providing ICD-10 Diagnosis Codes as required by Medicare and other Insurers. It includes the most commonly found outpatient diagnoses
(generally without complications), but is not complete. This list was compiled from
the ICD-10-CM 2015, as well as the Medicare Regulations and Manuals issued
or authorized by the Centers for Medicaid and Medicare Services. An ICD-10-CM
book should be used as a complete reference. The ultimate responsibility for correct
coding belongs to the ordering provider.