Obstetrics/Gynecology ICD-10-CM VIRAL / STD ICD-10 5th digit Site of Infection: 0 = lower GU tract 1 = cystitis/urethritis 2 = vulvovaginitis 9 = Other Chlamydial infection Condyloma acuminatum Exposure to STD Herpesviral infection of GU system, unsp. Anogenital herpesviral infection, unsp. Gonorrhea, acute Herpetic ulceration of vulva Herpetic vulvovaginitis HIV, type II HPV Mulluscum contagiosum Screening exam for Venereal disease Syphilis, unsp Unspecified enterovirus as the cause of Viral syndrome, unsp A56.0_ A63.0 Z20.2 A60.00 A60.9 A54.0_ A60.04 A60.04 B97.35 B97.7 B08.1 Z11.3 A53.9 B97.10 B97.89 MEDICAL DIAGNOSIS MEDICAL DIAGNOSIS A08.8 Unspecified viral intestinal infection A08.4 Vomiting R11.10 Vomiting without nausea R11.11 Projectile vomiting R11.12 MEDICAL DIAGNOSIS ICD-10 4th Digit indicates type: 0 = vulgaris 1 = conglobata 3 = tropica 4 = infantile 5 = Picker's 8 = other 9 = unspecified Acne, NOS L70._ Abnormal weight loss R63.4 Anemia (iron deficiency) NOS D50.9 Anemia NOS D64.9 Anemia, d/t inadequate diet D50.8 6th Digit indicates stage of dependence: 0 = uncomplicated 1 = remission 3 = withdrawal 8 = other 9 = unspecified Smoking cessation, Tobacco abuse F17.21_ STDs Z71.89 Substance abuse Z71.51 Alcohol abuse counseling and surveillance of Z71.41 Tobacco abuse counseling Z71.6 Edema, localized R60.0 Edema, generalized R60.1 Family Hx: Osteoporosis Z82.62 MENTAL DISORDERS MISCELLANEOUS / SYMPTOMS Anxiety State, unspecified F41.9 Hyperthyroidism, no crisis E05.90 Anxiety disorder, generalized F41.1 Elevated BP reading w/o HTN Chronic fatigue syndrome Constipation; unsp Depression w/anxiety - Dysthymia Depression, NOS Diabetes, type I w/o compl. Diabetes, type II w/o compl. Edema, unspecified GASTROINTESTINAL Anal fissure Acute anal fissure Chronic anal fissure Anal fistula Rectal fistula Anorectal fistula Bleeding, rectal or anal Cholecystitis R53.82 K59.00 F34.1 F32.9 E10.9 E11.9 R60.9 Hyperthyroidism, crisis or storm Hypertriglyceridemia, essential Hypothyroidism, unspc IBS, with diarrhea IBS, without diarrhea Insomnia, unspecified Lupus, unspecified Lupus, Drug-induced Lupus, organ/system inv. unsp Lupus, other organ/system inv. Lupus, other forms Appendicitis, acute Fatigue, other Oth nonspec findings of X-ray & other exam Retained foreign body E05.91 E78.1 E03.9 K58.0 K58.9 G47.00 M32.9 M32.0 M32.10 M32.19 M32.8 K35.2 R53.83 R93.8 N94.89 T19.2XX_ R45.7 F43.21 F10.10 F10.12 F10.12 F50.00 R53.81 F50.02 F50.2 F02.80 F02.81 F41.1 F34.1 F42 F43.0 F22 BRCA:Genetic Counseling Z31.5 Breast CA, family history Z80.3 Breast CA, personal history Z85.3 Breast CA, unspecified C50.919 Breast CA, unspecified site, R Breast C50.911 Breast CA, unspecified site, L Breast C50.912 Colon CA, family history Z80.0 Colon CA, personal history Z85.038 Acute stress reaction, unspecified F43.0 EXAMINATIONS / ENCOUNTERS Exam w/ pap, routine GYN, abnormal Z01.411 Exam w/ pap, routine GYN, normal Z01.419 F/u pap (normal after abnormal) Z01.42 F/u Surgery Z09 High risk, (personal hx) Z91.89 Anorexia nervosa, restricting type F50.01 Tetanus vaccine Z23 State of shock and stress, unsp. Adjustment disorder with grief Alcohol abuse, uncomplicated Alcohol abuse with intoxication, Alcohol abuse with intoxication, unsp. Anorexia nervosa, unsp Malaise, other Anorexia nervosa, binge/purge type Bulimia nervosa Dementia w/o behavior disturbance Dementia with behavior disturbance Generalized anxiety disorder Depression w/ anxiety OCD Panic attack Delusions disorder *See ICD-10 manual for more specific code PMDD K60.2 K60.0 K60.1 K60.3 K60.4 K60.5 K62.5 K81.9 4th Digit specifies Degree: 0 = 1st 1 = 2nd 2 = 3rd Constipation unspecified K59.00 3 = 4th 9 = unspecified 6th Digit complication: 1 = rectal bleeding 2 = obstruction 3 = fistula 4 = abscess 8 = other 9 = Hemorrhoids K64._ IBS with diarrhea K58.0 unspecified IBS without diarrhea K58.9 Crohn’s disease NOS K50.90 Ileus, paralytic K56.0 Crohn's disease with complications K50.91_ Ileus, unspecified K56.7 Diarrhea NOS R19.7 U/L Inguinal Hernia, non-recurrent K40.90 Diverticulitis NOS K57.92 U/L Inguinal Hernia, recurrent K40.91 Diverticulosis NOS K57.90 B/L inguinal Hernia, non-recurrent K40.20 Ulcerative colitis unpsecified K50.91_ B/L inguinal Hernia, recurrent K40.21 GERD K21.0 Nausea R11.0 Heartburn R12 Nausea w/ vomiting R11.2 Hemorrhoids external w/o complic K64.4 Thrombosed Hemorrhoid NEC K64._ Metabolic Syndrome E88.81 Ventral Hernia unspecified K43.9 Osteopenia M85.9 Viral gastroenteritis NEC 1 Oth spec disorders female genital organs R03.0 Laboratory, part of routine exam Osteopenia, disorder of bone M89.9 Osteoporosis, special screening Z13.820 Medicare pap only (low risk) Z12.4 Other Laboratory exam Z01.89 Reactive dysthymic F34.1 Preg. Exam / test, negative Z32.02 Tobacco abuse F17.20 Preg. Exam / test, positive Z32.01 *See ICD-10 manual for tobacco abuse by type Major depressive disorder F32.9* Pre-op exam Z01.818 *Use additional code for infectious agent Routine annual exam, normal Z00.00 Allergic contact dermatitis, plants L23.7 Routine annual exam, abnormal Z00.01 Screening, pelvic only (low risk) Z12.79 Vag. Pap, Post hysterectomy Z12.72 Uterine CA, family history Z80.49 Moderate dysplasia of vulva (VIN II) N90.89 Uterine CA, personal history Z85.42 POST OPERATIVE CONDITIONS Perirectal abcess K61.0 Anal abscess K61.1 7th digit indicates episode of care: A = initial D = subsequent S = sequela Anorectal abscess K61.2 Osteopenia, disorder of cartilage Osteoporosis NOS Hypercholesterolemia Hyperlipidemia NOS Hypertension, essential, unsp M94.9 M81.0 E78.0 E78.5 I10 Irritant contact dermatitis, plants Unspecified contact dermatitis, plants Folliculitis Perifolliculitis capitis abscedens Pseudofolliculitis barbae L24.7 L25.5 L73.8 L66.3 L73.1 Ischiorectal abscess Intrasphincteric abscess Perianal itch Personal Hx of vulvar dysplasia Rash, nonspecific skin eruption K61.3 DVT NOS Hematoma/hemorrhage of GU K61.4 system following GU procedure L29.0 Hematoma/hemorrhage of GU Z87.412Non-healing surgical wound R21 Other post-op infection I82.40_ N99.820 N99.821 T81.89X_ T81.4XX_ Hair Loss L65.9 Skin Tag L91.9 Seroma T88.8XX_ Hirsutism L68.0 Epidermal thickening, unspecified Transepidermal elimination disorder, L85.9 L87.9 Seroma, infected Disruption ext operation surg wound Disruption inter opera surg wound HIV Preg. Exam / test, unconfirmed T81.4XX_ T81.31X_ T81.32X_ Z71.7 Z32.00 MEDICAL DIAGNOSIS Overweight Pharyngitis, acute -due to other organism Screening for Diabetes Mellitus Screening for Iron deficiency anemia E66.3 J02.9 J02.8 Z13.1 Z13.0 Sinusitis, acute, NOS J01.90 Acute -recurrent-sinusitis, unspecified Vitamin B 12 Deficiency B Vitamin deficiency, other B Vitamin deficiency, unspecified Vitamin D deficiency NOS Atrophic disorder of skin, unspecified Localized connective tissue disorder Urticaria J01.91 E53.8 D81.818 D81.819 E55.9 L90.9 L94.9 L50.9 RESPIRATORY TRACT Bronchitis, acute Common cold Epistaxis Influenza NOS Pharyngitis, acute -due to other organisms(code also organism) Rhinitis, chronic Sinusitis, unsp, chronic URI, unsp acute SKIN Furuncle, unspecified* Carbuncle, unspecified* Osteoporosis, postmenopausal J20.9 J00 R04.0 J11.1 J02.9 J02.8 J31.0 J32.9 J06.9 L02.92 L02.93 Premenstrual Tension Syndrome (PMS) N94.3 Laboratory exam, unspecified Z00.00
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