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Page 1: CRHF ECONOMICS & HEALTH POLICY - Medtronic · ICD-9-CM to ICD-10-CM Diagnosis Code Crosswalk for CRHF services CRHF ECONOMICS & HEALTH POLICY

ICD-9-CM to ICD-10-CM Diagnosis Code Crosswalk for CRHF services

CRHF ECONOMICS & HEALTH POLICY

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This information does not replace seeking coding advice from the payer and/or your coding staff. The ultimate responsibility for correct coding lies with the provider of services. Please contact your local payer for their interpretation of the appropriate codes to use for specific procedures.  Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare or other third party payers as to the correct form of billing or the amount that will be paid to providers of service.

Sources for coding in this document are:ICD-10-CM 2016: The Complete Official Codebook, American Medical Association.International Classification of Diseases, 10th Revision, Clinical Modification, General Equivalence Mappings https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html.

This is the last update of this material.

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ARRHYTHMIA & CONDUCTION DISORDERS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

ARRHYTHMIAS426.7 Anomalous atrioventricular

axcitation (Wolff-Parkinson-White Syndrome)

I45.6 Pre-excitation syndrome (WPW) (LGL)

427.0 Paroxysmal supraventricular tachycardia

I47.1 Supraventricular tachycardia (includes AVNRT)

I49.2 Junctional premature depolarization

427.1 Paroxysmal ventricular tachycardia

I47.0 Re-entry ventricular arrhythmia

I47.2 Ventricular tachycardia

427.2 Paroxysmal tachycardia, unspecified

I47.9 Paroxysmal tachycardia, unspecified

427.31 Atrial fibrillation I48.0 Paroxysmal atrial fibrillation

I48.1 Persistent atrial fibrillation

I48.2 Chronic atrial fibrillation

I48.91 Unspecified atrial fibrillation

427.32 Atrial flutter I48.3 Typical atrial flutter (Type I)

I48.4 Atypical atrial flutter (Type II)

I48.92 Unspecified atrial flutter

427.41 Ventricular fibrillation I49.01 Ventricular fibrillation

427.42 Ventricular flutter I49.02 Ventricular flutter

427.5 Cardiac arrest I46.2 Cardiac arrest due to underlying cardiac condition

I46.8 Cardiac arrest due to other underlying condition

I46.9 Cardiac arrest , cause unspecified

427.60 Premature beats, unspecified I49.40 Unspecified premature depolarization

427.61 Supraventricular premature beats

I49.1 Atrial premature depolarization

427.69 Other premature beats (ventricular premature beats, contractions, or systoles)

I49.3 Ventricular premature depolarization

I49.49 Other premature depolarization

427.81 Sinoatrial node dysfunction (sinus bradycardia, sick sinus syndrome, tachycardia-bradycardia) (sinoatrial node dysfunction - SSS)

I49.5 Sick sinus syndrome (Tachy-brady syndrome)

R00.1 Bradycardia, unspecified

427.89 Other specified cardiac dysrhythmias (Rhythm disorder: coronary sinus, ectopic, nodal; wandering (atrial) pacemaker)

I49.8 Other specified cardiac dysrhythmias

R00.1 Bradycardia, unspecified

427.9 Cardiac dysrhythmia, unspecified

I49.9 Cardiac arrhythmia, unspecified

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

CONDUCTION DISORDERS426.0 Atrioventricular block,

complete I44.2 Atrioventricular block, complete

426.10 Atrioventricular block, unspecified

I44.30 Unspecified atrioventricular block

426.11 First degree atrioventricular block

I44.0 Atrioventricular block, first degree

426.2 Left bundle branch hemiblock (LAFB/LPFB)

I44.4 Left anterior fascicular block

I44.5 Left posterior fascicular block

I44.60 Unspecified fascicular block

I44.69 Other fascicular block

426.3 Other left bundle branch block (LBBB/Other)

I44.7 Left bundle-branch block, unspecified

426.4 Right bundle branch block (RBBB)

I45.0 Right fascicular block

I45.10 Unspecified right bundle-branch block

I45.19 Other right bundle-branch block

426.50 Bundle branch-block, unspecified (BBB)

I45.4 Nonspecific intraventricular block

I44.39 Other atrioventricular block

I44.30 Unspecified atrioventricular block

426.54 Trifascicular block I45.3 Trifascicular block

426.82 Long QT syndrome (Romano-Ward)

I45.81 Long QT syndrome

429.3 Cardiomegaly I51.7 Cardiomegaly

426.12 Mobitz (type) II atrioventricular block

I44.1 Atrioventricular block, second degree

426.13 Other second degree atrioventricular block (Mobitz I/Wenckebach)

I44.1 Atrioventricular block, second degree

426.51 RBBB/LPFB (RBBB & Left Posterior Fascicular Block)

I45.2 Bifascicular block

426.52 RBBB/LAFB (RBBB & Left Anterior Fascicular Block)

426.53 Other bilateral bundle branch block

746.86 Congenital heart block Q24.6 Congenital heart block

ARRHYTHMIA & CONDUCTION DISORDERS, continued

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CONDITIONS, SYMPTOMS & STATUS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

337.01 Carotid sinus syndrome G90.01 Carotid sinus syndrome

785.1 Palpitations R00.2 Palpitations

780.2 Syncope and collapse R55 Syncope and collapse

780.4 Dizziness and giddiness R42 Dizziness and giddiness

780.57 Unspecified sleep apnea G47.30 Sleep apnea, unspecified

780.71 Chronic fatigue syndrome R53.82 Chronic fatigue, unspecified

785.0 Tachycardia, unspecified R00.0 Tachycardia, unspecified

785.3 Other abnormal heart sounds R00.8 Other abnormalities of heart beat

R00.9 Unspecified abnormalities of heart beat

R01.2 Other cardiac sounds

785.51 Cardiogenic shock R57.0 Cardiogenic shock

785.59 Other shock without mention of trauma

R57.1 Hypovolemic shock

R57.8 Other shock

780.71 Chronic fatigue syndrome R53.82 Chronic fatigue, unspecified

786.09 Other dyspnea and respiratory abnormalities

R06.00 Dyspnea, unspecified

R06.09 Other forms of dyspnea

R06.3 Periodic breathing

R06.83 Snoring

R06.89 Other abnormalities of breathing

786.50 Chest pain, unspecified R07.9 Chest pain, unspecified

786.05 Shortness of breath R06.02 Shortness of breath

786.50 Chest pain, unspecified R07.9 Chest pain, unspecified

786.51 Precordial pain R07.2 Precordial pain

786.52 Painful Respiration (pleuritic pain)

R07.1 Chest pain on breathing

R07.81 Pleurodynia

786.59 Other chest pain R07.89 Other chest pain

R07.82 Intercostal pain

794.31 Nonspecific abnormal electrocardiogram [ECG] [EKG]

R94.31 Abnormal electrocardiogram [ECG] [EKG]

796.2 Elevated blood pressure reading without diagnosis of hypertension

R03.0 Elevated blood-pressure reading, without diagnosis of hypertension

799.29 Other signs and symptoms involving emotional state

R45.89 Other symptoms and signs involving emotional state

V12.53 Personal history of sudden cardic arrest (SCD) (successfully resuscitated)

Z86.74 Personal history of sudden cardic arrest (SCA) (successfully resuscitated)

V12.54 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

V17.41 Family history of sudden cardiac death (SCD)

Z82.41 Family history of sudden cardiac death (SCA)

V45.01 Cardiac pacemaker in situ Z95.0 Presence of cardiac pacemaker

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

V45.02 Automatic implantable cardiac defibrillator in situ

Z95.810 Presence of automatic (implantable) cardiac defibrillator

V45.09 Other specified cardiac device in situ

Z95.818 Presence of other cardiac implants and grafts

V45.81 Aortocoronary bypass status Z95.1 Presence of aortocoronary bypass graft

V53.31 Fitting and adjustment of cardiac pacemaker

Z45.010 Encounter for checking and testing of cardiac pacemaker pulse generator [battery]

Z45.018 Encounter for adjustment and management of other part of cardiac pacemaker

V53.32 Fitting and adjustment of automatic implantable cardiac defibrillator

Z45.02 Encounter for adjustment and management of automatic implantable cardiac defibrillator

V53.39 Fitting and adjustment of other cardiac device

Z45.09 Encounter for adjustment and management of other cardiac device

V58.61 Long term (current) use of anticoagulants

Z79.01 Long term (current) use of anticoagulants

V58.69 Long term (current) use of other medications

Z79.3 Long term use of hormonal contraceptives

Z79.891 Long term use of opiate analgesics

Z79.899 Other long term current drug therapy

CONDITIONS, SYMPTOMS & STATUS, continued

For hospital inpatients with an acute (cryptogenic) stroke admission, the principal diagnosis code should be the applicable acute stroke diagnosis. For outpatients with late effects or residual deficits from the stroke, a code from the I69 (sequela of cerebrovascular disease) series should be reviewed to determine the applicable diagnosis code.

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HEART FAILURE & MYOCARDIAL INFARCTION ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

HEART FAILURE398.90 Rheumatic heart failure,

unspecifiedI09.9 Rheumatic heart disease, unspecified

398.91 Rheumatic heart failure (congestive)

I09.81 Rheumatic heart failure

428.0 Congestive heart failure, unspecified

I50.9 Heart failure, unspecified

428.1 Left heart failure I50.1 Left ventricular failure

428.20 Systolic heart failure, unspecified I50.20 Unspecified systolic (congestive) heart failure

428.21 Acute, systolic heart failure I50.21 Acute systolic (congestive) heart failure

428.22 Chronic, systolic heart failure I50.22 Chronic systolic (congestive) heart failure

428.23 Acute on chronic, systolic heart failure

I50.23 Acute on chronic systolic (congestive) heart failure

428.30 Diastolic heart failure, unspecified

I50.30 Unspecified diastolic (congestive) heart failure

428.31 Acute diastolic heart failure I50.31 Acute diastolic (congestive) heart failure

428.32 Chronic diastolic heart failure I50.32 Chronic diastolic (congestive) heart failure

428.33 Acute on chronic diastolic heart failure

I50.33 Acute on chronic diastolic (congestive) heart failure

428.40 Combined systolic and diastolic heart failure

I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

428.41 Acute combined systolic and diastolic heart failure

I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure

428.42 Chronic combined systolic and diastolic heart failure

I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure

428.43 Acute on chronic combined systolic and diastolic heart failure

I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

428.9 Heart failure, unspecified I50.9 Heart failure, unspecified

The hypertensive heart disease with and without heart failure diagnosis codes are included in the Hypertension & Valve Disorders section.

MYOCARDIAL INFARCTION410 .00 Acute myocardial infarction of

anterolateral wall, episode of care unspecified

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

410.01 Acute myocardial infarction of anterolateral wall, initial episode of care

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

410.02 Acute myocardial infarction of anterolateral wall, subsequent episode of care

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

410.10 Acute myocardial infarction of other anterior wall, episode of care unspecified

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

410.11 Acute myocardial infarction of other anterior wall, initial episode of care

I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery

I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

410.12 Acute myocardial infarction of other anterior wall, subsequent episode of care

I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

410.20 Acute myocardial infarction of inferolateral wall, episode of care unspecified

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

410.21 Acute myocardial infarction of inferolateral wall, initial episode of care

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

410.22 Acute myocardial infarction of inferolateral wall, subsequent episode of care

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

410.30 Acute myocardial infarction of inferoposterior wall, episode unspecified

I22.11 ST elevation (STEMI) myocardial infarction involving right coronary artery

410.31 Acute myocardial infarction of inferoposterior wall, initial episode of care

I21.11 ST Elevation (STEMI) myocardial infarction involving right coronary artery

I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

410.32 Acute myocardial infarction of inferoposterior wall, subsequent episode

I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery

410.40 Acute myocardial infarction of other inferior wall, episode of care unspecified

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

410.41 Acute myocardial infarction of other inferior wall, initial episode of care

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

410.42 Acute myocardial infarction of other inferior wall, subsequent episode of care

I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

410.50 Acute myocardial infarction of other lateral wall, episode of care unspecified

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.51 Acute myocardial infarction of other lateral wall, initial episode of care

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites

410.52 Acute myocardial infarction of other lateral wall, subsequent episode of care

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.60 True posterior wall infarction, episode of care unspecified

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.61 True posterior wall infarction, initial episode of care

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites

410.62 True posterior wall infarction, subsequent episode of care

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.70 Subendocardial infarction, episode of care unspecified

I21.4 Non-ST elevation (NSTEMI) myocardial infarction

410.71 Subendocardial infarction, initial episode of care

I21.4 Non-ST elevation (NSTEMI) myocardial infarction

I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction

410.72 Subendocardial infarction, subsequent episode of care

I21.4 Non-ST elevation (NSTEMI) myocardial infarction

HEART FAILURE & MYOCARDIAL INFARCTION, continued

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HEART FAILURE & MYOCARDIAL INFARCTION, continued

ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

410.80 Acute myocardial infarction of other specified sites, episode of care unspecified

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.81 Acute myocardial infarction of other specified sites, initial episode of care

I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites

410.82 Acute myocardial infarction of other specified sites, subsequent episode of care

I21.29 ST elevation (STEMI) myocardial infarction involving other sites

410.90 Acute myocardial infarction of unspecified site, episode of care unspecified

I21.3 ST elevation (STEMI) myocardial infarction of unspecified site

410.91 Acute myocardial infarction of unspecified site, initial episode of care

I21.3 ST elevation (STEMI) myocardial infarction of unspecified site

I22.9 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

410.92 Acute myocardial infarction of unspecified site, subsequent episode of care

I21.3 ST elevation (STEMI) myocardial infarction of unspecified site

411.0 Post MI syndrome I24.1 Dressler's Syndrome

412.00 Old myocardial infarction I25.2 Old myocardial infarction

When coding acute myocardial infarction in ICD-10, note that AMI is differentiated between initial AMI (I21) and subsequent AMI (I22).

§ For encounters that occur while the MI is equal to or less than 4 weeks old and where the patient requires continued care for the MI, report codes from the initial AMI (I21) category.

§ For encounters beyond the 4 week timeframe where the patient is still receiving treatment for the MI, assign the appropriate aftercare code rather than a code from the I21 category.

§ A subsequent AMI is one occurring within 4 weeks (28 days) of a previous AMI. For these instances, assign a code from the I22 category. Note that codes from I22 cannot be assigned alone. They must be assigned along with a code from the I21 category.

§ For old or healed MI not requiring aftercare I25.2, Old MI, may be used.

Source: Centers for Medicare and Medicaid Services MLN ConnectsTM Video Transcript, Coding for ICD-10-CM: More of the Basics. https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-01-ICD-10-Video-Transcript.pdf. ICD-10-CM 2016: The Complete Official Codebook, American Medical Association.

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COMPLICATIONS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

996.01 Mechanical complication due to cardiac pacemaker (electrode)

T82.110A Breakdown (mechanical) of cardiac electrode, initial encounter

T82.111A Breakdown (mechanical) of cardiac pulse generator (battery), initial encounter

996.04 Mechanical complication of automatic implantable cardiac defibrillator

T82.120A Displacement of cardiac electrode, initial encounter

T82.121A Displacement of cardiac pulse generator (battery), initial encounter

T82.190A Other mechanical complication of cardiac electrode, initial encounter

T82.191A Other mechanical complication of cardiac pulse generator (battery), initial encounter

996.61 Infection and inflammatory reaction due to cardiac device, implant, and graft

T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter (A)

T82.6XXA Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter (A)

996.72 Other complications due to other cardiac device, implant, and graft

T82.817A Embolism of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.827A Fibrosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.837A Hemorrhage of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.847A Pain from cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.857A Stenosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.867A Thrombosis of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.897A Other specified complication of cardiac prosthetic devices, implants grafts, initial encounter (A)

T82.9XXA Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter

997.1 Cardiac complication NEC I97.110 Postprocedural cardiac insufficiency following cardiac surgery

I97.111 Postprocedural cardiac insufficiency following other surgery

I97.120 Postprocedural cardiac arrest following cardiac surgery

I97.121 Postprocedural cardiac arrest following other surgery

I97.130 Postprocedural heart failure following cardiac surgery

I97.131 Postprocedural heart failure following other surgery

I97.190 Other postprocedural cardiac functional disturbances following cardiac surgery

I97.191 Other postprocedural cardiac functional disturbances following other surgery

I97.710 Intraoperative cardiac arrest during cardiac surgery

I97.711 Intraoperative cardiac arrest during other surgery

I97.790 Other intraoperative cardiac functional disturbances during cardiac surgery

I97.791 Other intraoperative cardiac functional disturbances during other surgery

I97.88 Other intraoperative complications of the circulatory system, not elsewhere classified

I97.89 Other postprocedural complications and disorders of the circulatory system, not elsewhere classified

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

998.12 Hematoma complicating a procedure NEC

I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization

I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass

I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure

I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure

I97.610 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following a cardiac catheterization

I97.611 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following cardiac bypass

I97.618 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedure

I97.62 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other procedure

L76.02 Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating other procedure

L76.22 Postprocedural hemorrhage and hematoma of skin and subcutaneous tissue following other procedure

998.83 Non-healing surgical wound T81.89xA Other complications of procedures, not elsewhere classified, initial encounter (A)

995.29 Unspecified adverse effect of other drug, medicinal and biological substance

T45.515A Adverse effect of anticoagulants, initial encounter (A)

415.11 Iatrogenic pulmonary embolism & infarction

I26.90 Septic pulmonary embolism without acute cor pulmonale

I26.99 Other pulmonary embolism without acute cor pulmonale

T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter (A)

T81.718A Complication of other artery following a procedure, not elsewhere classified, initial encounter (A)

T81.72XA Complication of vein following a procedure, not elsewhere classified, initial encounter (A)

T82.817A Embolism of cardiac prosthetic devices, implants and grafts, initial encounter (A)

T82.818A Embolism of vascular prosthetic devices, implants and grafts, initial encounter (A)

Coding for initial, subsequent, or sequela encounters: use seventh (7th) character; if a character is not required in 5-6 “x” is used as placeholder to allow for encounter indicator in place 7.

The 7th character for an initial encounter (“A”) is used while the patient is receiving active treatment for the condition. Example: surgical treatment, Emergency room encounter, and evaluating and continuing treatment by the same or a different physician.

The 7th character for “subsequent encounter” (“D”) is to be used for all encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Examples: cast change or removal, x-ray to check healing status of a fracture, removal of external or internal fixation device, medication adjustments, and other aftercare and follow-up visits following active treatment of the injury or condition.

The 7th character for sequela (or late effect) (“S”) is used for complications or conditions that arise as a direct result of a condition. A sequela is the residual effect, or condition produced, after the acute phase of an illness or injury has terminated. An example of sequela is scar formation after a burn.

Note that when using 7th character “S” for sequela, it is necessary to use both the injury code that precipitated the sequela (i.e. the burn) as well as the code for the sequela itself (i.e. the scarring). The 7th character “S” is only added to the injury code, not the sequela code. “S” identifies the injury responsible for the sequela.

Sources: Centers for Medicare and Medicaid Services MLN Connects™ Video Transcript, Coding for ICD-10-CM: More of the Basics. https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-01-ICD-10-Video-Transcript.pdf.

ICD-10-CM Official Codebook 2016, American Medical Association.

COMPLICATIONS, continued

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CARDIAC DISEASE ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

411.0 Postmyocardial infarction syndrome

I24.1 Dressler's syndrome

411.1 Intermediate coronary syndrome

I20.0 Unstable angina

I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris

I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris

I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris

I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris

I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina

I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina

I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris

411.81 Acute coronary occlusion without myocardial infarction

I24.0 Acute coronary thrombosis not resulting in myocardial infarction

413.1 Prinzmetal angina I20.1 Angina pectoris with documented spasm

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

413.9 Other and unspecified angina pectoris

I20.8 Other forms of angina pectoris

I20.9 Angina pectoris, unspecified

I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm

I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris

I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris

I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris

I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris

I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris

I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris

I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris

I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris

I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm

I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris

I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris

I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm

I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris

I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris

I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris

I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris

CARDIAC DISEASE, continued

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ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft

I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris

414.01 Coronary atherosclerosis of native coronary artery

I25.10 Atherosclerotic heart disease of native coronary artery without anginapectoris

I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris

I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

414.04 Coronary atherosclerosis of artery bypass graft

I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris

I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris

I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris

I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris

I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris

I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris

I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris

414.8 Other specified forms of chronic ischemic heart disease

I25.5 Ischemic cardiomyopathy

I25.6 Silent myocardial ischemia

I25.89 Other forms of chronic ischemic heart disease

I25.9 Chronic ischemic heart disease, unspecified

414.9 Chronic ischemic heart disease, unspecified

I25.9 Chronic ischemic heart disease, unspecified

423.1 Adhesive pericarditis I31.0 Chronic adhesive pericarditis

423.2 Constrictive pericarditis I31.1 Chronic constrictive pericarditis

423.3 Cardiac tamponade I31.4 Cardiac tamponade

425.5 Alcoholic cardiomyopathy I42.6 Alcoholic cardiomyopathy

425.11 Hypertrophic obstructive cardiomyopathy

I42.1 Obstructive hypertrophic cardiomyopathy

425.18 Other hypertrophic cardiomyopathy (Non-obstructive)

I42.2 Other hypertrophic cardiomyopathy

425.4 Other primary cardiomyopathies

I42.0 Dilated cardiomyopathy

I42.5 Other restrictive cardiomyopathy

I42.8 Other cardiomyopathies

I42.9 Cardiomyopathy, unspecified

CARDIAC DISEASE, continued

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CARDIAC DISEASE, continued

ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

429.3 Cardiomegaly (left ventricular hypertrophy)

I51.7 Cardiomegaly

453.50 Chronic venous embolism and thrombosis of unspecified deep vessels of lower extremity

I82.501 Chronic embolism and thrombosis of unspecified deep veins of right lower extremity

I82.502 Chronic embolism and thrombosis of unspecified deep veins of left lower extremity

I82.503 Chronic embolism and thrombosis of unspecified deep veins of lower extremity, bilateral

I82.509 Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity

I82.591 Chronic embolism and thrombosis of other specified deep vein of right lower extremity

I82.592 Chronic embolism and thrombosis of other specified deep vein of left lower extremity

I82.593 Chronic embolism and thrombosis of other specified deep vein of lower extremity, bilateral

I82.599 Chronic embolism and thrombosis of other specified deep vein of unspecified lower extremity

453.83 Acute venous embolism and thrombosis of upper extremity, unspecified

I82.601 Acute embolism and thrombosis of unspecified veins of right upper extremity

I82.602 Acute embolism and thrombosis of unspecified veins of left upper extremity

I82.603 Acute embolism and thrombosis of unspecified veins of upper extremity, bilateral

I82.609 Acute embolism and thrombosis of unspecified veins of unspecified upper extremity

429.2 Cardiovascular disease, unspecified

I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris

429.3 Cardiomegaly I51.7 Cardiomegaly

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HYPERTENSION & VALVE DISORDERS ICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

401.0 HTN w/o HF (Malignant) I10 Essential (primary) hypertension

401.1 Benign HTN

401.9 Unspecified HTN

402.00 Malignant hypertensive heart disease without heart failure

I11.9 Hypertensive heart disease without heart failure

402.10 Benign hypertensive heart disease without heart failure

402.90 Unspecified hypertensive heart disease without heart failure

402.01 Malignant hypertensive heart disease with heart failure

I11.0 Hypertensive heart disease with heart failure

402.11 Benign hypertensive heart disease with heart failure

402.91 Unspecified hypertensive heart disease with heart failure

404.01 Chronic kidney dx Stage V or end stage; malignant w/ hypertensive heart disease chronic kidney dx

I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease

404.11 Stage V or end stage; benign w/hypertensive heart disease

404.91 Chronic kidney dx unspecified or Stage I-IV; unspecified w/hypertensive HD

404.03 HTN & CKD (Malignant), w/HF, CKD Stage V or ESRD I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease404.13 HTN & CKD (Benign), w/HF, CKD Stage V or ESRD

404.93 HTN & CKD (Unspecified), w/HF, CKD Stage V or ESRD

424.0 Mitral valve disorders I34.0 Nonrheumatic mitral (valve) insufficiency

I34.1 Nonrheumatic mitral (valve) prolapse

I34.2 Nonrheumatic mitral (valve) stenosis

I34.8 Other nonrheumatic mitral valve disorders

I34.9 Nonrheumatic mitral valve disorder, unspecified

424.1 Aortic valve disorders I35.0 Nonrheumatic aortic (valve) stenosis

I35.1 Nonrheumatic aortic (valve) insufficiency

I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency

I35.8 Other nonrheumatic aortic valve disorders

I35.9 Nonrheumatic aortic valve disorder, unspecified

396.0 Mitral valve stenosis & aortic valve stenosis I08.0 Rheumatic disorders of both mitral and aortic valves

396.1 MV stenosis & aortic valve insufficiency

396.2 MV insufficiency & aortic valve stenosis

396.3 MV insufficiency & aortic valve insufficiency

394.0 Mitral stenosis I05.1 Rheumatic mitral stenosis

394.2 Mitral stenosis with insufficiency I05.2 Rheumatic mitral stenosis with insufficiency

394.9 Other and unspecified mitral valve diseases I05.8 Other rheumatic mitral valve diseases

I05.9 Rheumatic mitral valve disease, unspecified

746.89 Other specified congenital anomalies of heart Q23.8 Other congenital malformations of aortic and mitral valves

Q23.9 Congenital malformation of aortic and mitral valves, unspecified

Q24.8 Other specified congenital malformations of heart

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OTHER MEDICAL CONDITIONSICD-9-CM ICD-9-CM Description ICD-10-CM ICD-10-CM Description

242.90 Thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm

E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm

244.9 Unspecified acquired hypothyroidism E03.9 Hypothyroidism, unspecified

250.00 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled

E11.9 Type II diabetes mellitus without complications

E13.9 Other specified diabetes mellitus without complications

496 COPD J44.1 COPD, acute, decompensated

J44.9 COPD NOS

518.81 Acute respiratory failure J96.00 Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

J96.01 Acute respiratory failure with hypoxia

J96.02 Acute respiratory failure with hypercapnia

J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia

J96.91 Respiratory failure, unspecified with hypoxia

J96.92 Respiratory failure, unspecified with hypercapnia

584.9 Acute kidney failure, unspecified N17.9 Acute kidney failure, unspecified

585.9 Chronic kidney disease, unspecified N18.9 Chronic kidney disease, unspecified

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