icd-10 code clarification list - cigna · 2019-03-13 · icd-10 code clarification list . all cigna...

33
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna INT_19_74271_C 03122019 These codes have been identified as potentially causing confusion. They may be misapplied in physician office and other outpatient settings, or based on gender, geography, or Medicare Advantage member demographics. Please review any use of these codes, using all available coding resources, including the educational materials available on this website. Cigna Healthspring is committed to helping its providers submit accurate and complete codes that correctly reflect the health status and conditions of our members. Description MYOCARDIAL INFARCTION DIAGNOSES (HCC 86) I2101 ST elevation (STEMI) myocardial infarction involving left main coronary artery I2102 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery I2109 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall I2111 ST elevation (STEMI) myocardial infarction involving right coronary artery I2119 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall I2121 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery I2129 ST elevation (STEMI) myocardial infarction involving other sites I213 ST elevation (STEMI) myocardial infarction of unspecified site I214 Non-ST elevation (NSTEMI) myocardial infarction I219 Acute myocardial infarction, unspecified I21A1 Myocardial infarction type 2 I21A9 Other myocardial infarction type I220 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall I221 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall I222 Subsequent non-ST elevation (NSTEMI) myocardial infarction I228 Subsequent ST elevation (STEMI) myocardial infarction of other sites I229 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site I234 Rupture of chordae tendineae as current complication following acute myocardial infarction I235 Rupture of papillary muscle as current complication following acute myocardial infarction CYSTIC FIBROSIS DIAGNOSES (HCC 110) E849 Cystic fibrosis, unspecified E840 Cystic fibrosis with pulmonary manifestations E8411 Meconium ileus in cystic fibrosis E8419 Cystic fibrosis with other intestinal manifestations E848 Cystic fibrosis with other manifestations CEREBRAL HEMORRHAGE DIAGNOSES (HCC 99) I6000 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation I6001 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation I6002 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation I6010 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery I6011 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery ICD-10 Code Clarification List

Upload: others

Post on 20-Mar-2020

7 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

These codes have been identified as potentially causing confusion. They may be misapplied in physician office and other outpatient settings, or based on gender, geography, or Medicare Advantage member demographics. Please review any use of these codes, using all available coding resources, including the educational materials available on this website. Cigna Healthspring is committed to helping its providers submit accurate and complete codes that correctly reflect the health status and conditions of our members.

Description

MYOCARDIAL INFARCTION DIAGNOSES (HCC 86)

I2101 ST elevation (STEMI) myocardial infarction involving left main coronary artery

I2102 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery

I2109 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall

I2111 ST elevation (STEMI) myocardial infarction involving right coronary artery

I2119 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall

I2121 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery

I2129 ST elevation (STEMI) myocardial infarction involving other sites

I213 ST elevation (STEMI) myocardial infarction of unspecified site

I214 Non-ST elevation (NSTEMI) myocardial infarction

I219 Acute myocardial infarction, unspecified

I21A1 Myocardial infarction type 2

I21A9 Other myocardial infarction type

I220 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall

I221 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall

I222 Subsequent non-ST elevation (NSTEMI) myocardial infarction

I228 Subsequent ST elevation (STEMI) myocardial infarction of other sites

I229 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site

I234 Rupture of chordae tendineae as current complication following acute myocardial infarction

I235 Rupture of papillary muscle as current complication following acute myocardial infarction

CYSTIC FIBROSIS DIAGNOSES (HCC 110)

E849 Cystic fibrosis, unspecified

E840 Cystic fibrosis with pulmonary manifestations

E8411 Meconium ileus in cystic fibrosis

E8419 Cystic fibrosis with other intestinal manifestations

E848 Cystic fibrosis with other manifestations

CEREBRAL HEMORRHAGE DIAGNOSES (HCC 99)

I6000 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation

I6001 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation

I6002 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation

I6010 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery

I6011 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery

ICD-10 Code Clarification List

Page 2: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

I6012 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery

I602 Nontraumatic subarachnoid hemorrhage from anterior communicating artery

I6030 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery

I6031 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery

I6032 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery

I604 Nontraumatic subarachnoid hemorrhage from basilar artery

I6050 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery

I6051 Nontraumatic subarachnoid hemorrhage from right vertebral artery

I6052 Nontraumatic subarachnoid hemorrhage from left vertebral artery

I606 Nontraumatic subarachnoid hemorrhage from other intracranial arteries

I607 Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery

I608 Other nontraumatic subarachnoid hemorrhage

I609 Nontraumatic subarachnoid hemorrhage, unspecified

I610 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical

I611 Nontraumatic intracerebral hemorrhage in hemisphere, cortical

I612 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified

I613 Nontraumatic intracerebral hemorrhage in brain stem

I614 Nontraumatic intracerebral hemorrhage in cerebellum

I615 Nontraumatic intracerebral hemorrhage, intraventricular

I616 Nontraumatic intracerebral hemorrhage, multiple localized

I618 Other nontraumatic intracerebral hemorrhage

I619 Nontraumatic intracerebral hemorrhage, unspecified

I6200 Nontraumatic subdural hemorrhage, unspecified

I6201 Nontraumatic acute subdural hemorrhage

I6202 Nontraumatic subacute subdural hemorrhage

I6203 Nontraumatic chronic subdural hemorrhage

I621 Nontraumatic extradural hemorrhage

I629 Nontraumatic intracranial hemorrhage, unspecified

SEVERE SKIN BURN DIAGNOSES (HCC 162)

T3111 Burns involving 10-19% of body surface with 10-19% third degree burns

T3121 Burns involving 20-29% of body surface with 10-19% third degree burns

T3122 Burns involving 20-29% of body surface with 20-29% third degree burns

T3131 Burns involving 30-39% of body surface with 10-19% third degree burns

T3132 Burns involving 30-39% of body surface with 20-29% third degree burns

T3133 Burns involving 30-39% of body surface with 30-39% third degree burns

T3141 Burns involving 40-49% of body surface with 10-19% third degree burns

T3142 Burns involving 40-49% of body surface with 20-29% third degree burns

T3143 Burns involving 40-49% of body surface with 30-39% third degree burns

T3144 Burns involving 40-49% of body surface with 40-49% third degree burns

T3151 Burns involving 50-59% of body surface with 10-19% third degree burns

Page 3: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

T3152 Burns involving 50-59% of body surface with 20-29% third degree burns

T3153 Burns involving 50-59% of body surface with 30-39% third degree burns

T3154 Burns involving 50-59% of body surface with 40-49% third degree burns

T3155 Burns involving 50-59% of body surface with 50-59% third degree burns

T3161 Burns involving 60-69% of body surface with 10-19% third degree burns

T3162 Burns involving 60-69% of body surface with 20-29% third degree burns

T3163 Burns involving 60-69% of body surface with 30-39% third degree burns

T3164 Burns involving 60-69% of body surface with 40-49% third degree burns

T3165 Burns involving 60-69% of body surface with 50-59% third degree burns

T3166 Burns involving 60-69% of body surface with 60-69% third degree burns

T3171 Burns involving 70-79% of body surface with 10-19% third degree burns

T3172 Burns involving 70-79% of body surface with 20-29% third degree burns

T3173 Burns involving 70-79% of body surface with 30-39% third degree burns

T3174 Burns involving 70-79% of body surface with 40-49% third degree burns

T3175 Burns involving 70-79% of body surface with 50-59% third degree burns

T3176 Burns involving 70-79% of body surface with 60-69% third degree burns

T3177 Burns involving 70-79% of body surface with 70-79% third degree burns

T3181 Burns involving 80-89% of body surface with 10-19% third degree burns

T3182 Burns involving 80-89% of body surface with 20-29% third degree burns

T3183 Burns involving 80-89% of body surface with 30-39% third degree burns

T3184 Burns involving 80-89% of body surface with 40-49% third degree burns

T3185 Burns involving 80-89% of body surface with 50-59% third degree burns

T3186 Burns involving 80-89% of body surface with 60-69% third degree burns

T3187 Burns involving 80-89% of body surface with 70-79% third degree burns

T3188 Burns involving 80-89% of body surface with 80-89% third degree burns

T3191 Burns involving 90% or more of body surface with 10-19% third degree burns

T3192 Burns involving 90% or more of body surface with 20-29% third degree burns

T3193 Burns involving 90% or more of body surface with 30-39% third degree burns

T3194 Burns involving 90% or more of body surface with 40-49% third degree burns

T3195 Burns involving 90% or more of body surface with 50-59% third degree burns

T3196 Burns involving 90% or more of body surface with 60-69% third degree burns

T3197 Burns involving 90% or more of body surface with 70-79% third degree burns

T3198 Burns involving 90% or more of body surface with 80-89% third degree burns

T3199 Burns involving 90% or more of body surface with 90% or more third degree burns

T3211 Corrosions involving 10-19% of body surface with 10-19% third degree corrosion

T3221 Corrosions involving 20-29% of body surface with 10-19% third degree corrosion

T3222 Corrosions involving 20-29% of body surface with 20-29% third degree corrosion

T3231 Corrosions involving 30-39% of body surface with 10-19% third degree corrosion

T3232 Corrosions involving 30-39% of body surface with 20-29% third degree corrosion

T3233 Corrosions involving 30-39% of body surface with 30-39% third degree corrosion

T3241 Corrosions involving 40-49% of body surface with 10-19% third degree corrosion

Page 4: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

T3242 Corrosions involving 40-49% of body surface with 20-29% third degree corrosion

T3243 Corrosions involving 40-49% of body surface with 30-39% third degree corrosion

T3244 Corrosions involving 40-49% of body surface with 40-49% third degree corrosion

T3251 Corrosions involving 50-59% of body surface with 10-19% third degree corrosion

T3252 Corrosions involving 50-59% of body surface with 20-29% third degree corrosion

T3253 Corrosions involving 50-59% of body surface with 30-39% third degree corrosion

T3254 Corrosions involving 50-59% of body surface with 40-49% third degree corrosion

T3255 Corrosions involving 50-59% of body surface with 50-59% third degree corrosion

T3261 Corrosions involving 60-69% of body surface with 10-19% third degree corrosion

T3262 Corrosions involving 60-69% of body surface with 20-29% third degree corrosion

T3263 Corrosions involving 60-69% of body surface with 30-39% third degree corrosion

T3264 Corrosions involving 60-69% of body surface with 40-49% third degree corrosion

T3265 Corrosions involving 60-69% of body surface with 50-59% third degree corrosion

T3266 Corrosions involving 60-69% of body surface with 60-69% third degree corrosion

T3271 Corrosions involving 70-79% of body surface with 10-19% third degree corrosion

T3272 Corrosions involving 70-79% of body surface with 20-29% third degree corrosion

T3273 Corrosions involving 70-79% of body surface with 30-39% third degree corrosion

T3274 Corrosions involving 70-79% of body surface with 40-49% third degree corrosion

T3275 Corrosions involving 70-79% of body surface with 50-59% third degree corrosion

T3276 Corrosions involving 70-79% of body surface with 60-69% third degree corrosion

T3277 Corrosions involving 70-79% of body surface with 70-79% third degree corrosion

T3281 Corrosions involving 80-89% of body surface with 10-19% third degree corrosion

T3282 Corrosions involving 80-89% of body surface with 20-29% third degree corrosion

T3283 Corrosions involving 80-89% of body surface with 30-39% third degree corrosion

T3284 Corrosions involving 80-89% of body surface with 40-49% third degree corrosion

T3285 Corrosions involving 80-89% of body surface with 50-59% third degree corrosion

T3286 Corrosions involving 80-89% of body surface with 60-69% third degree corrosion

T3287 Corrosions involving 80-89% of body surface with 70-79% third degree corrosion

T3288 Corrosions involving 80-89% of body surface with 80-89% third degree corrosion

T3291 Corrosions involving 90% or more of body surface with 10-19% third degree corrosion

T3292 Corrosions involving 90% or more of body surface with 20-29% third degree corrosion

T3293 Corrosions involving 90% or more of body surface with 30-39% third degree corrosion

T3294 Corrosions involving 90% or more of body surface with 40-49% third degree corrosion

T3295 Corrosions involving 90% or more of body surface with 50-59% third degree corrosion

T3296 Corrosions involving 90% or more of body surface with 60-69% third degree corrosion

T3297 Corrosions involving 90% or more of body surface with 70-79% third degree corrosion

T3298 Corrosions involving 90% or more of body surface with 80-89% third degree corrosion

T3299 Corrosions involving 90% or more of body surface with 90% or more third degree corrosion

SEVERE HEAD INJURY DIAGNOSES (HCC 166)

Page 5: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S061X3A Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S061X4A Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, initial encounter

S061X5A Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S061X6A Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S062X3A Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S062X4A Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S062X5A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, initial encounter

S062X6A Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06303A Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06304A Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S06305A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06306A Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06313A Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06314A Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06315A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06316A Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06323A Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06324A Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06325A Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06326A Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

Page 6: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06333A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06334A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter

S06335A Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06336A Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06343A Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

S06344A Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06345A Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06346A Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06353A Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

S06354A Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06355A Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06356A Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06363A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, initial encounter

S06364A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, initial encounter

S06365A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06366A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06373A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06374A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, initial encounter

S06375A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Page 7: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06376A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06383A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06384A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, initial encounter

S06385A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06386A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S064X3A Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S064X4A Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter

S064X5A Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S064X6A Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S065X3A Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S065X4A Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter

S065X5A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S065X6A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S066X3A Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S066X4A Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter

S066X5A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S066X6A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06813A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06814A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter

S06815A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

Page 8: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06816A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06823A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06824A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, initial encounter

S06825A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06826A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S06893A Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S06894A Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S06895A Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S06896A Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

S069X3A Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter

S069X4A Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, initial encounter

S069X5A Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter

S069X6A Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter

MAJOR HEAD INJURY DIAGNOSES (HCC 167)

S020XXA Fracture of vault of skull, initial encounter for closed fracture

S020XXB Fracture of vault of skull, initial encounter for open fracture

S020XXS Fracture of vault of skull, sequela

S02101A Fracture of base of skull, right side, initial encounter for closed fracture

S02101B Fracture of base of skull, right side, initial encounter for open fracture

S02101S Fracture of base of skull, right side, sequela

S02102A Fracture of base of skull, left side, initial encounter for closed fracture

S02102B Fracture of base of skull, left side, initial encounter for open fracture

S02102S Fracture of base of skull, left side, sequela

S02109A Fracture of base of skull, unspecified side, initial encounter for closed fracture

S02109B Fracture of base of skull, unspecified side, initial encounter for open fracture

S02109S Fracture of base of skull, unspecified side, sequela

Page 9: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S02110A Type I occipital condyle fracture, unspecified side, initial encounter for closed fracture

S02110B Type I occipital condyle fracture, unspecified side, initial encounter for open fracture

S02110S Type I occipital condyle fracture, unspecified side, sequela

S02111A Type II occipital condyle fracture, unspecified side, initial encounter for closed fracture

S02111B Type II occipital condyle fracture, unspecified side, initial encounter for open fracture

S02111S Type II occipital condyle fracture, unspecified side, sequela

S02112A Type III occipital condyle fracture, unspecified side, initial encounter for closed fracture

S02112B Type III occipital condyle fracture, unspecified side, initial encounter for open fracture

S02112S Type III occipital condyle fracture, unspecified side, sequela

S02113A Unspecified occipital condyle fracture, initial encounter for closed fracture

S02113B Unspecified occipital condyle fracture, initial encounter for open fracture

S02113S Unspecified occipital condyle fracture, sequela

S02118A Other fracture of occiput, unspecified side, initial encounter for closed fracture

S02118B Other fracture of occiput, unspecified side, initial encounter for open fracture

S02118S Other fracture of occiput, unspecified side, sequela

S02119A Unspecified fracture of occiput, initial encounter for closed fracture

S02119B Unspecified fracture of occiput, initial encounter for open fracture

S02119S Unspecified fracture of occiput, sequela

S0211AA Type I occipital condyle fracture, right side, initial encounter for closed fracture

S0211AB Type I occipital condyle fracture, right side, initial encounter for open fracture

S0211AS Type I occipital condyle fracture, right side, sequela

S0211BA Type I occipital condyle fracture, left side, initial encounter for closed fracture

S0211BB Type I occipital condyle fracture, left side, initial encounter for open fracture

S0211BS Type I occipital condyle fracture, left side, sequela

S0211CA Type II occipital condyle fracture, right side, initial encounter for closed fracture

S0211CB Type II occipital condyle fracture, right side, initial encounter for open fracture

S0211CS Type II occipital condyle fracture, right side, sequela

S0211DA Type II occipital condyle fracture, left side, initial encounter for closed fracture

S0211DB Type II occipital condyle fracture, left side, initial encounter for open fracture

S0211DS Type II occipital condyle fracture, left side, sequela

S0211EA Type III occipital condyle fracture, right side, initial encounter for closed fracture

S0211EB Type III occipital condyle fracture, right side, initial encounter for open fracture

S0211ES Type III occipital condyle fracture, right side, sequela

S0211FA Type III occipital condyle fracture, left side, initial encounter for closed fracture

S0211FB Type III occipital condyle fracture, left side, initial encounter for open fracture

S0211FS Type III occipital condyle fracture, left side, sequela

S0211GA Other fracture of occiput, right side, initial encounter for closed fracture

S0211GB Other fracture of occiput, right side, initial encounter for open fracture

S0211GS Other fracture of occiput, right side, sequela

S0211HA Other fracture of occiput, left side, initial encounter for closed fracture

S0211HB Other fracture of occiput, left side, initial encounter for open fracture

Page 10: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S0211HS Other fracture of occiput, left side, sequela

S0219XA Other fracture of base of skull, initial encounter for closed fracture

S0219XB Other fracture of base of skull, initial encounter for open fracture

S0219XS Other fracture of base of skull, sequela

S0230XA Fracture of orbital floor, unspecified side, initial encounter for closed fracture

S0230XB Fracture of orbital floor, unspecified side, initial encounter for open fracture

S0230XS Fracture of orbital floor, unspecified side, sequela

S0231XA Fracture of orbital floor, right side, initial encounter for closed fracture

S0231XB Fracture of orbital floor, right side, initial encounter for open fracture

S0231XS Fracture of orbital floor, right side, sequela

S0232XA Fracture of orbital floor, left side, initial encounter for closed fracture

S0232XB Fracture of orbital floor, left side, initial encounter for open fracture

S0232XS Fracture of orbital floor, left side, sequela

S02400A Malar fracture, unspecified side, initial encounter for closed fracture

S02400B Malar fracture, unspecified side, initial encounter for open fracture

S02400S Malar fracture, unspecified side, sequela

S02401A Maxillary fracture, unspecified side, initial encounter for closed fracture

S02401B Maxillary fracture, unspecified side, initial encounter for open fracture

S02401S Maxillary fracture, unspecified side, sequela

S02402A Zygomatic fracture, unspecified side, initial encounter for closed fracture

S02402B Zygomatic fracture, unspecified side, initial encounter for open fracture

S02402S Zygomatic fracture, unspecified side, sequela

S0240AA Malar fracture, right side, initial encounter for closed fracture

S0240AB Malar fracture, right side, initial encounter for open fracture

S0240AS Malar fracture, right side, sequela

S0240BA Malar fracture, left side, initial encounter for closed fracture

S0240BB Malar fracture, left side, initial encounter for open fracture

S0240BS Malar fracture, left side, sequela

S0240CA Maxillary fracture, right side, initial encounter for closed fracture

S0240CB Maxillary fracture, right side, initial encounter for open fracture

S0240CS Maxillary fracture, right side, sequela

S0240DA Maxillary fracture, left side, initial encounter for closed fracture

S0240DB Maxillary fracture, left side, initial encounter for open fracture

S0240DS Maxillary fracture, left side, sequela

S0240EA Zygomatic fracture, right side, initial encounter for closed fracture

S0240EB Zygomatic fracture, right side, initial encounter for open fracture

S0240ES Zygomatic fracture, right side, sequela

S0240FA Zygomatic fracture, left side, initial encounter for closed fracture

S0240FB Zygomatic fracture, left side, initial encounter for open fracture

S0240FS Zygomatic fracture, left side, sequela

S02411A LeFort I fracture, initial encounter for closed fracture

Page 11: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S02411B LeFort I fracture, initial encounter for open fracture

S02411S LeFort I fracture, sequela

S02412A LeFort II fracture, initial encounter for closed fracture

S02412B LeFort II fracture, initial encounter for open fracture

S02412S LeFort II fracture, sequela

S02413A LeFort III fracture, initial encounter for closed fracture

S02413B LeFort III fracture, initial encounter for open fracture

S02413S LeFort III fracture, sequela

S0242XA Fracture of alveolus of maxilla, initial encounter for closed fracture

S0242XB Fracture of alveolus of maxilla, initial encounter for open fracture

S0242XS Fracture of alveolus of maxilla, sequela

S02600A Fracture of unspecified part of body of mandible, unspecified side, initial encounter for closed fracture

S02600B Fracture of unspecified part of body of mandible, unspecified side, initial encounter for open fracture

S02600S Fracture of unspecified part of body of mandible, unspecified side, sequela

S02601A Fracture of unspecified part of body of right mandible, initial encounter for closed fracture

S02601B Fracture of unspecified part of body of right mandible, initial encounter for open fracture

S02601S Fracture of unspecified part of body of right mandible, sequela

S02602A Fracture of unspecified part of body of left mandible, initial encounter for closed fracture

S02602B Fracture of unspecified part of body of left mandible, initial encounter for open fracture

S02602S Fracture of unspecified part of body of left mandible, sequela

S02609A Fracture of mandible, unspecified, initial encounter for closed fracture

S02609B Fracture of mandible, unspecified, initial encounter for open fracture

S02609S Fracture of mandible, unspecified, sequela

S02610A Fracture of condylar process of mandible, unspecified side, initial encounter for closed fracture

S02610B Fracture of condylar process of mandible, unspecified side, initial encounter for open fracture

S02610S Fracture of condylar process of mandible, unspecified side, sequela

S02611A Fracture of condylar process of right mandible, initial encounter for closed fracture

S02611B Fracture of condylar process of right mandible, initial encounter for open fracture

S02611S Fracture of condylar process of right mandible, sequela

S02612A Fracture of condylar process of left mandible, initial encounter for closed fracture

S02612B Fracture of condylar process of left mandible, initial encounter for open fracture

S02612S Fracture of condylar process of left mandible, sequela

S02620A Fracture of subcondylar process of mandible, unspecified side, initial encounter for closed fracture

S02620B Fracture of subcondylar process of mandible, unspecified side, initial encounter for open fracture

Page 12: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S02620S Fracture of subcondylar process of mandible, unspecified side, sequela

S02621A Fracture of subcondylar process of right mandible, initial encounter for closed fracture

S02621B Fracture of subcondylar process of right mandible, initial encounter for open fracture

S02621S Fracture of subcondylar process of right mandible, sequela

S02622A Fracture of subcondylar process of left mandible, initial encounter for closed fracture

S02622B Fracture of subcondylar process of left mandible, initial encounter for open fracture

S02622S Fracture of subcondylar process of left mandible, sequela

S02630A Fracture of coronoid process of mandible, unspecified side, initial encounter for closed fracture

S02630B Fracture of coronoid process of mandible, unspecified side, initial encounter for open fracture

S02630S Fracture of coronoid process of mandible, unspecified side, sequela

S02631A Fracture of coronoid process of right mandible, initial encounter for closed fracture

S02631B Fracture of coronoid process of right mandible, initial encounter for open fracture

S02631S Fracture of coronoid process of right mandible, sequela

S02632A Fracture of coronoid process of left mandible, initial encounter for closed fracture

S02632B Fracture of coronoid process of left mandible, initial encounter for open fracture

S02632S Fracture of coronoid process of left mandible, sequela

S02640A Fracture of ramus of mandible, unspecified side, initial encounter for closed fracture

S02640B Fracture of ramus of mandible, unspecified side, initial encounter for open fracture

S02640S Fracture of ramus of mandible, unspecified side, sequela

S02641A Fracture of ramus of right mandible, initial encounter for closed fracture

S02641B Fracture of ramus of right mandible, initial encounter for open fracture

S02641S Fracture of ramus of right mandible, sequela

S02642A Fracture of ramus of left mandible, initial encounter for closed fracture

S02642B Fracture of ramus of left mandible, initial encounter for open fracture

S02642S Fracture of ramus of left mandible, sequela

S02650A Fracture of angle of mandible, unspecified side, initial encounter for closed fracture

S02650B Fracture of angle of mandible, unspecified side, initial encounter for open fracture

S02650S Fracture of angle of mandible, unspecified side, sequela

S02651A Fracture of angle of right mandible, initial encounter for closed fracture

S02651B Fracture of angle of right mandible, initial encounter for open fracture

S02651S Fracture of angle of right mandible, sequela

S02652A Fracture of angle of left mandible, initial encounter for closed fracture

S02652B Fracture of angle of left mandible, initial encounter for open fracture

S02652S Fracture of angle of left mandible, sequela

S0266XA Fracture of symphysis of mandible, initial encounter for closed fracture

S0266XB Fracture of symphysis of mandible, initial encounter for open fracture

S0266XS Fracture of symphysis of mandible, sequela

S02670A Fracture of alveolus of mandible, unspecified side, initial encounter for closed fracture

S02670B Fracture of alveolus of mandible, unspecified side, initial encounter for open fracture

Page 13: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S02670S Fracture of alveolus of mandible, unspecified side, sequela

S02671A Fracture of alveolus of right mandible, initial encounter for closed fracture

S02671B Fracture of alveolus of right mandible, initial encounter for open fracture

S02671S Fracture of alveolus of right mandible, sequela

S02672A Fracture of alveolus of left mandible, initial encounter for closed fracture

S02672B Fracture of alveolus of left mandible, initial encounter for open fracture

S02672S Fracture of alveolus of left mandible, sequela

S0269XA Fracture of mandible of other specified site, initial encounter for closed fracture

S0269XB Fracture of mandible of other specified site, initial encounter for open fracture

S0269XS Fracture of mandible of other specified site, sequela

S0280XA Fracture of other specified skull and facial bones, unspecified side, initial encounter for closed fracture

S0280XB Fracture of other specified skull and facial bones, unspecified side, initial encounter for open fracture

S0280XS Fracture of other specified skull and facial bones, unspecified side, sequela

S0281XA Fracture of other specified skull and facial bones, right side, initial encounter for closed fracture

S0281XB Fracture of other specified skull and facial bones, right side, initial encounter for open fracture

S0281XS Fracture of other specified skull and facial bones, right side, sequela

S0282XA Fracture of other specified skull and facial bones, left side, initial encounter for closed fracture

S0282XB Fracture of other specified skull and facial bones, left side, initial encounter for open fracture

S0282XS Fracture of other specified skull and facial bones, left side, sequela

S0291XA Unspecified fracture of skull, initial encounter for closed fracture

S0291XB Unspecified fracture of skull, initial encounter for open fracture

S0291XS Unspecified fracture of skull, sequela

S0292XA Unspecified fracture of facial bones, initial encounter for closed fracture

S0292XB Unspecified fracture of facial bones, initial encounter for open fracture

S0292XS Unspecified fracture of facial bones, sequela

S060X0S Concussion without loss of consciousness, sequela

S060X1S Concussion with loss of consciousness of 30 minutes or less, sequela

S060X9S Concussion with loss of consciousness of unspecified duration, sequela

S061X0A Traumatic cerebral edema without loss of consciousness, initial encounter

S061X0S Traumatic cerebral edema without loss of consciousness, sequela

S061X1A Traumatic cerebral edema with loss of consciousness of 30 minutes or less, initial encounter

S061X1S Traumatic cerebral edema with loss of consciousness of 30 minutes or less, sequela

S061X2A Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, initial encounter

Page 14: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S061X2S Traumatic cerebral edema with loss of consciousness of 31 minutes to 59 minutes, sequela

S061X3S Traumatic cerebral edema with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S061X4S Traumatic cerebral edema with loss of consciousness of 6 hours to 24 hours, sequela

S061X5S Traumatic cerebral edema with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S061X6S Traumatic cerebral edema with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S061X9A Traumatic cerebral edema with loss of consciousness of unspecified duration, initial encounter

S061X9S Traumatic cerebral edema with loss of consciousness of unspecified duration, sequela

S062X0A Diffuse traumatic brain injury without loss of consciousness, initial encounter

S062X0S Diffuse traumatic brain injury without loss of consciousness, sequela

S062X1A Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter

S062X1S Diffuse traumatic brain injury with loss of consciousness of 30 minutes or less, sequela

S062X2A Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S062X2S Diffuse traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela

S062X3S Diffuse traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S062X4S Diffuse traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela

S062X5S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious levels, sequela

S062X6S Diffuse traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S062X9A Diffuse traumatic brain injury with loss of consciousness of unspecified duration, initial encounter

S062X9S Diffuse traumatic brain injury with loss of consciousness of unspecified duration, sequela

S06300A Unspecified focal traumatic brain injury without loss of consciousness, initial encounter

S06300S Unspecified focal traumatic brain injury without loss of consciousness, sequela

S06301A Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, initial encounter

S06301S Unspecified focal traumatic brain injury with loss of consciousness of 30 minutes or less, sequela

S06302A Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06302S Unspecified focal traumatic brain injury with loss of consciousness of 31 minutes to 59 minutes, sequela

Page 15: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06303S Unspecified focal traumatic brain injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06304S Unspecified focal traumatic brain injury with loss of consciousness of 6 hours to 24 hours, sequela

S06305S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06306S Unspecified focal traumatic brain injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06309A Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, initial encounter

S06309S Unspecified focal traumatic brain injury with loss of consciousness of unspecified duration, sequela

S06310A Contusion and laceration of right cerebrum without loss of consciousness, initial encounter

S06310S Contusion and laceration of right cerebrum without loss of consciousness, sequela

S06311A Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter

S06311S Contusion and laceration of right cerebrum with loss of consciousness of 30 minutes or less, sequela

S06312A Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06312S Contusion and laceration of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela

S06313S Contusion and laceration of right cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06314S Contusion and laceration of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela

S06315S Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06316S Contusion and laceration of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06319A Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, initial encounter

S06319S Contusion and laceration of right cerebrum with loss of consciousness of unspecified duration, sequela

S06320A Contusion and laceration of left cerebrum without loss of consciousness, initial encounter

S06320S Contusion and laceration of left cerebrum without loss of consciousness, sequela

S06321A Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter

S06321S Contusion and laceration of left cerebrum with loss of consciousness of 30 minutes or less, sequela

Page 16: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06322A Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06322S Contusion and laceration of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela

S06323S Contusion and laceration of left cerebrum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06324S Contusion and laceration of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela

S06325S Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06326S Contusion and laceration of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06329A Contusion and laceration of left cerebrum with loss of consciousness of unspecified duration, initial encounter

S06329S Contusion and laceration of left cerebrum with loss of consciousness of unspecified duration, sequela

S06330A Contusion and laceration of cerebrum, unspecified, without loss of consciousness, initial encounter

S06330S Contusion and laceration of cerebrum, unspecified, without loss of consciousness, sequela

S06331A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter

S06331S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, sequela

S06332A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06332S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, sequela

S06333S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06334S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, sequela

S06335S Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06336S Contusion and laceration of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06339A Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter

S06339S Contusion and laceration of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela

S06340A Traumatic hemorrhage of right cerebrum without loss of consciousness, initial encounter

Page 17: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06340S Traumatic hemorrhage of right cerebrum without loss of consciousness, sequela

S06341A Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, initial encounter

S06341S Traumatic hemorrhage of right cerebrum with loss of consciousness of 30 minutes or less, sequela

S06342A Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06342S Traumatic hemorrhage of right cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela

S06343S Traumatic hemorrhage of right cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela

S06344S Traumatic hemorrhage of right cerebrum with loss of consciousness of 6 hours to 24 hours, sequela

S06345S Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06346S Traumatic hemorrhage of right cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06349A Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, initial encounter

S06349S Traumatic hemorrhage of right cerebrum with loss of consciousness of unspecified duration, sequela

S06350A Traumatic hemorrhage of left cerebrum without loss of consciousness, initial encounter

S06350S Traumatic hemorrhage of left cerebrum without loss of consciousness, sequela

S06351A Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, initial encounter

S06351S Traumatic hemorrhage of left cerebrum with loss of consciousness of 30 minutes or less, sequela

S06352A Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06352S Traumatic hemorrhage of left cerebrum with loss of consciousness of 31 minutes to 59 minutes, sequela

S06353S Traumatic hemorrhage of left cerebrum with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela

S06354S Traumatic hemorrhage of left cerebrum with loss of consciousness of 6 hours to 24 hours, sequela

S06355S Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06356S Traumatic hemorrhage of left cerebrum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06359A Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, initial encounter

Page 18: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06359S Traumatic hemorrhage of left cerebrum with loss of consciousness of unspecified duration, sequela

S06360A Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, initial encounter

S06360S Traumatic hemorrhage of cerebrum, unspecified, without loss of consciousness, sequela

S06361A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, initial encounter

S06361S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 30 minutes or less, sequela

S06362A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06362S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 31 minutes to 59 minutes, sequela

S06363S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 1 hours to 5 hours 59 minutes, sequela

S06364S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of 6 hours to 24 hours, sequela

S06365S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06366S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06369A Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, initial encounter

S06369S Traumatic hemorrhage of cerebrum, unspecified, with loss of consciousness of unspecified duration, sequela

S06370A Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, initial encounter

S06370S Contusion, laceration, and hemorrhage of cerebellum without loss of consciousness, sequela

S06371A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, initial encounter

S06371S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 30 minutes or less, sequela

S06372A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06372S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 31 minutes to 59 minutes, sequela

S06373S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06374S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of 6 hours to 24 hours, sequela

Page 19: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06375S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06376S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06379A Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, initial encounter

S06379S Contusion, laceration, and hemorrhage of cerebellum with loss of consciousness of unspecified duration, sequela

S06380A Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, initial encounter

S06380S Contusion, laceration, and hemorrhage of brainstem without loss of consciousness, sequela

S06381A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, initial encounter

S06381S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 30 minutes or less, sequela

S06382A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06382S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 31 minutes to 59 minutes, sequela

S06383S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06384S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of 6 hours to 24 hours, sequela

S06385S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06386S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06389A Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, initial encounter

S06389S Contusion, laceration, and hemorrhage of brainstem with loss of consciousness of unspecified duration, sequela

S064X0A Epidural hemorrhage without loss of consciousness, initial encounter

S064X0S Epidural hemorrhage without loss of consciousness, sequela

S064X1A Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

S064X1S Epidural hemorrhage with loss of consciousness of 30 minutes or less, sequela

S064X2A Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S064X2S Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela

S064X3S Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

Page 20: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S064X4S Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela

S064X5S Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S064X6S Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S064X9A Epidural hemorrhage with loss of consciousness of unspecified duration, initial encounter

S064X9S Epidural hemorrhage with loss of consciousness of unspecified duration, sequela

S065X0A Traumatic subdural hemorrhage without loss of consciousness, initial encounter

S065X0S Traumatic subdural hemorrhage without loss of consciousness, sequela

S065X1A Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

S065X1S Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, sequela

S065X2A Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S065X2S Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela

S065X3S Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S065X4S Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela

S065X5S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S065X6S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S065X9A Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter

S065X9S Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, sequela

S066X0A Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter

S066X0S Traumatic subarachnoid hemorrhage without loss of consciousness, sequela

S066X1A Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter

S066X1S Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, sequela

S066X2A Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S066X2S Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela

S066X3S Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S066X4S Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela

Page 21: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S066X5S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S066X6S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S066X9A Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter

S066X9S Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, sequela

S06810A Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter

S06810S Injury of right internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela

S06811A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter

S06811S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela

S06812A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06812S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela

S06813S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06814S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela

S06815S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06816S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06819A Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter

S06819S Injury of right internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela

S06820A Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, initial encounter

S06820S Injury of left internal carotid artery, intracranial portion, not elsewhere classified without loss of consciousness, sequela

S06821A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, initial encounter

S06821S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 30 minutes or less, sequela

Page 22: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S06822A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06822S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 31 minutes to 59 minutes, sequela

S06823S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06824S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of 6 hours to 24 hours, sequela

S06825S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06826S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06829A Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, initial encounter

S06829S Injury of left internal carotid artery, intracranial portion, not elsewhere classified with loss of consciousness of unspecified duration, sequela

S06890A Other specified intracranial injury without loss of consciousness, initial encounter

S06890S Other specified intracranial injury without loss of consciousness, sequela

S06891A Other specified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter

S06891S Other specified intracranial injury with loss of consciousness of 30 minutes or less, sequela

S06892A Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S06892S Other specified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela

S06893S Other specified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S06894S Other specified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela

S06895S Other specified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S06896S Other specified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S06899A Other specified intracranial injury with loss of consciousness of unspecified duration, initial encounter

S06899S Other specified intracranial injury with loss of consciousness of unspecified duration, sequela

S069X0A Unspecified intracranial injury without loss of consciousness, initial encounter

S069X0S Unspecified intracranial injury without loss of consciousness, sequela

Page 23: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S069X1A Unspecified intracranial injury with loss of consciousness of 30 minutes or less, initial encounter

S069X1S Unspecified intracranial injury with loss of consciousness of 30 minutes or less, sequela

S069X2A Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, initial encounter

S069X2S Unspecified intracranial injury with loss of consciousness of 31 minutes to 59 minutes, sequela

S069X3S Unspecified intracranial injury with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela

S069X4S Unspecified intracranial injury with loss of consciousness of 6 hours to 24 hours, sequela

S069X5S Unspecified intracranial injury with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela

S069X6S Unspecified intracranial injury with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela

S069X9A Unspecified intracranial injury with loss of consciousness of unspecified duration, initial encounter

S069X9S Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela

TRAUMATIC AMPUTATIONS AND COMPLICATIONS DIAGNOSES (HCC 173)

S48011A Complete traumatic amputation at right shoulder joint, initial encounter

S48012A Complete traumatic amputation at left shoulder joint, initial encounter

S48019A Complete traumatic amputation at unspecified shoulder joint, initial encounter

S48021A Partial traumatic amputation at right shoulder joint, initial encounter

S48022A Partial traumatic amputation at left shoulder joint, initial encounter

S48029A Partial traumatic amputation at unspecified shoulder joint, initial encounter

S48111A Complete traumatic amputation at level between right shoulder and elbow, initial encounter

S48112A Complete traumatic amputation at level between left shoulder and elbow, initial encounter

S48119A Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter

S48121A Partial traumatic amputation at level between right shoulder and elbow, initial encounter

S48122A Partial traumatic amputation at level between left shoulder and elbow, initial encounter

S48129A Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter

S48911A Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter

S48912A Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter

S48919A Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter

Page 24: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S48921A Partial traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter

S48922A Partial traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter

S48929A Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter

S58011A Complete traumatic amputation at elbow level, right arm, initial encounter

S58012A Complete traumatic amputation at elbow level, left arm, initial encounter

S58019A Complete traumatic amputation at elbow level, unspecified arm, initial encounter

S58021A Partial traumatic amputation at elbow level, right arm, initial encounter

S58022A Partial traumatic amputation at elbow level, left arm, initial encounter

S58029A Partial traumatic amputation at elbow level, unspecified arm, initial encounter

S58111A Complete traumatic amputation at level between elbow and wrist, right arm, initial encounter

S58112A Complete traumatic amputation at level between elbow and wrist, left arm, initial encounter

S58119A Complete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter

S58121A Partial traumatic amputation at level between elbow and wrist, right arm, initial encounter

S58122A Partial traumatic amputation at level between elbow and wrist, left arm, initial encounter

S58129A Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter

S58911A Complete traumatic amputation of right forearm, level unspecified, initial encounter

S58912A Complete traumatic amputation of left forearm, level unspecified, initial encounter

S58919A Complete traumatic amputation of unspecified forearm, level unspecified, initial encounter

S58921A Partial traumatic amputation of right forearm, level unspecified, initial encounter

S58922A Partial traumatic amputation of left forearm, level unspecified, initial encounter

S58929A Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter

S68411A Complete traumatic amputation of right hand at wrist level, initial encounter

S68412A Complete traumatic amputation of left hand at wrist level, initial encounter

S68419A Complete traumatic amputation of unspecified hand at wrist level, initial encounter

S68421A Partial traumatic amputation of right hand at wrist level, initial encounter

S68422A Partial traumatic amputation of left hand at wrist level, initial encounter

S68429A Partial traumatic amputation of unspecified hand at wrist level, initial encounter

S68711A Complete traumatic transmetacarpal amputation of right hand, initial encounter

S68712A Complete traumatic transmetacarpal amputation of left hand, initial encounter

S68719A Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter

S68721A Partial traumatic transmetacarpal amputation of right hand, initial encounter

S68722A Partial traumatic transmetacarpal amputation of left hand, initial encounter

Page 25: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S68729A Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter

S78011A Complete traumatic amputation at right hip joint, initial encounter

S78012A Complete traumatic amputation at left hip joint, initial encounter

S78019A Complete traumatic amputation at unspecified hip joint, initial encounter

S78021A Partial traumatic amputation at right hip joint, initial encounter

S78022A Partial traumatic amputation at left hip joint, initial encounter

S78029A Partial traumatic amputation at unspecified hip joint, initial encounter

S78111A Complete traumatic amputation at level between right hip and knee, initial encounter

S78112A Complete traumatic amputation at level between left hip and knee, initial encounter

S78119A Complete traumatic amputation at level between unspecified hip and knee, initial encounter

S78121A Partial traumatic amputation at level between right hip and knee, initial encounter

S78122A Partial traumatic amputation at level between left hip and knee, initial encounter

S78129A Partial traumatic amputation at level between unspecified hip and knee, initial encounter

S78911A Complete traumatic amputation of right hip and thigh, level unspecified, initial encounter

S78912A Complete traumatic amputation of left hip and thigh, level unspecified, initial encounter

S78919A Complete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter

S78921A Partial traumatic amputation of right hip and thigh, level unspecified, initial encounter

S78922A Partial traumatic amputation of left hip and thigh, level unspecified, initial encounter

S78929A Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter

S88011A Complete traumatic amputation at knee level, right lower leg, initial encounter

S88012A Complete traumatic amputation at knee level, left lower leg, initial encounter

S88019A Complete traumatic amputation at knee level, unspecified lower leg, initial encounter

S88021A Partial traumatic amputation at knee level, right lower leg, initial encounter

S88022A Partial traumatic amputation at knee level, left lower leg, initial encounter

S88029A Partial traumatic amputation at knee level, unspecified lower leg, initial encounter

S88111A Complete traumatic amputation at level between knee and ankle, right lower leg, initial encounter

S88112A Complete traumatic amputation at level between knee and ankle, left lower leg, initial encounter

S88119A Complete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter

S88121A Partial traumatic amputation at level between knee and ankle, right lower leg, initial encounter

S88122A Partial traumatic amputation at level between knee and ankle, left lower leg, initial encounter

Page 26: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S88129A Partial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter

S88911A Complete traumatic amputation of right lower leg, level unspecified, initial encounter

S88912A Complete traumatic amputation of left lower leg, level unspecified, initial encounter

S88919A Complete traumatic amputation of unspecified lower leg, level unspecified, initial encounter

S88921A Partial traumatic amputation of right lower leg, level unspecified, initial encounter

S88922A Partial traumatic amputation of left lower leg, level unspecified, initial encounter

S88929A Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter

S98011A Complete traumatic amputation of right foot at ankle level, initial encounter

S98012A Complete traumatic amputation of left foot at ankle level, initial encounter

S98019A Complete traumatic amputation of unspecified foot at ankle level, initial encounter

S98021A Partial traumatic amputation of right foot at ankle level, initial encounter

S98022A Partial traumatic amputation of left foot at ankle level, initial encounter

S98029A Partial traumatic amputation of unspecified foot at ankle level, initial encounter

S98111A Complete traumatic amputation of right great toe, initial encounter

S98112A Complete traumatic amputation of left great toe, initial encounter

S98119A Complete traumatic amputation of unspecified great toe, initial encounter

S98121A Partial traumatic amputation of right great toe, initial encounter

S98122A Partial traumatic amputation of left great toe, initial encounter

S98129A Partial traumatic amputation of unspecified great toe, initial encounter

S98131A Complete traumatic amputation of one right lesser toe, initial encounter

S98132A Complete traumatic amputation of one left lesser toe, initial encounter

S98139A Complete traumatic amputation of one unspecified lesser toe, initial encounter

S98141A Partial traumatic amputation of one right lesser toe, initial encounter

S98142A Partial traumatic amputation of one left lesser toe, initial encounter

S98149A Partial traumatic amputation of one unspecified lesser toe, initial encounter

S98211A Complete traumatic amputation of two or more right lesser toes, initial encounter

S98212A Complete traumatic amputation of two or more left lesser toes, initial encounter

S98219A Complete traumatic amputation of two or more unspecified lesser toes, initial encounter

S98221A Partial traumatic amputation of two or more right lesser toes, initial encounter

S98222A Partial traumatic amputation of two or more left lesser toes, initial encounter

S98229A Partial traumatic amputation of two or more unspecified lesser toes, initial encounter

S98311A Complete traumatic amputation of right midfoot, initial encounter

S98312A Complete traumatic amputation of left midfoot, initial encounter

S98319A Complete traumatic amputation of unspecified midfoot, initial encounter

S98321A Partial traumatic amputation of right midfoot, initial encounter

S98322A Partial traumatic amputation of left midfoot, initial encounter

S98329A Partial traumatic amputation of unspecified midfoot, initial encounter

S98911A Complete traumatic amputation of right foot, level unspecified, initial encounter

Page 27: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

S98912A Complete traumatic amputation of left foot, level unspecified, initial encounter

S98919A Complete traumatic amputation of unspecified foot, level unspecified, initial encounter

S98921A Partial traumatic amputation of right foot, level unspecified, initial encounter

S98922A Partial traumatic amputation of left foot, level unspecified, initial encounter

S98929A Partial traumatic amputation of unspecified foot, level unspecified, initial encounter

T790XXA Air embolism (traumatic), initial encounter

T791XXA Fat embolism (traumatic), initial encounter

T792XXA Traumatic secondary and recurrent hemorrhage and seroma, initial encounter

T794XXA Traumatic shock, initial encounter

T795XXA Traumatic anuria, initial encounter

T796XXA Traumatic ischemia of muscle, initial encounter

T797XXA Traumatic subcutaneous emphysema, initial encounter

T798XXA Other early complications of trauma, initial encounter

T799XXA Unspecified early complication of trauma, initial encounter

T79A0XA Compartment syndrome, unspecified, initial encounter

T79A11A Traumatic compartment syndrome of right upper extremity, initial encounter

T79A12A Traumatic compartment syndrome of left upper extremity, initial encounter

T79A19A Traumatic compartment syndrome of unspecified upper extremity, initial encounter

T79A21A Traumatic compartment syndrome of right lower extremity, initial encounter

T79A22A Traumatic compartment syndrome of left lower extremity, initial encounter

T79A29A Traumatic compartment syndrome of unspecified lower extremity, initial encounter

T79A3XA Traumatic compartment syndrome of abdomen, initial encounter

T79A9XA Traumatic compartment syndrome of other sites, initial encounter

T870X1 Complications of reattached (part of) right upper extremity

T870X2 Complications of reattached (part of) left upper extremity

T870X9 Complications of reattached (part of) unspecified upper extremity

T871X1 Complications of reattached (part of) right lower extremity

T871X2 Complications of reattached (part of) left lower extremity

T871X9 Complications of reattached (part of) unspecified lower extremity

T872 Complications of other reattached body part

STROKE DIAGNOSES (HCC 100)

I6300 Cerebral infarction due to thrombosis of unspecified precerebral artery

I63011 Cerebral infarction due to thrombosis of right vertebral artery

I63012 Cerebral infarction due to thrombosis of left vertebral artery

I63013 Cerebral infarction due to thrombosis of bilateral vertebral arteries

I63019 Cerebral infarction due to thrombosis of unspecified vertebral artery

I6302 Cerebral infarction due to thrombosis of basilar artery

I63031 Cerebral infarction due to thrombosis of right carotid artery

I63032 Cerebral infarction due to thrombosis of left carotid artery

I63033 Cerebral infarction due to thrombosis of bilateral carotid arteries

I63039 Cerebral infarction due to thrombosis of unspecified carotid artery

Page 28: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

I6309 Cerebral infarction due to thrombosis of other precerebral artery

I6310 Cerebral infarction due to embolism of unspecified precerebral artery

I63111 Cerebral infarction due to embolism of right vertebral artery

I63112 Cerebral infarction due to embolism of left vertebral artery

I63113 Cerebral infarction due to embolism of bilateral vertebral arteries

I63119 Cerebral infarction due to embolism of unspecified vertebral artery

I6312 Cerebral infarction due to embolism of basilar artery

I63131 Cerebral infarction due to embolism of right carotid artery

I63132 Cerebral infarction due to embolism of left carotid artery

I63133 Cerebral infarction due to embolism of bilateral carotid arteries

I63139 Cerebral infarction due to embolism of unspecified carotid artery

I6319 Cerebral infarction due to embolism of other precerebral artery

I6320 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries

I63211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery

I63212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery

I63213 Cerebral infarction due to unspecified occlusion or stenosis of bilateral vertebral arteries

I63219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral arteries

I6322 Cerebral infarction due to unspecified occlusion or stenosis of basilar artery

I63231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries

I63232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries

I63233 Cerebral infarction due to unspecified occlusion or stenosis of bilateral carotid arteries

I63239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid arteries

I6329 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries

I6330 Cerebral infarction due to thrombosis of unspecified cerebral artery

I63311 Cerebral infarction due to thrombosis of right middle cerebral artery

I63312 Cerebral infarction due to thrombosis of left middle cerebral artery

I63313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries

I63319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery

I63321 Cerebral infarction due to thrombosis of right anterior cerebral artery

I63322 Cerebral infarction due to thrombosis of left anterior cerebral artery

I63323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries

I63329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery

I63331 Cerebral infarction due to thrombosis of right posterior cerebral artery

I63332 Cerebral infarction due to thrombosis of left posterior cerebral artery

I63333 Cerebral infarction to thrombosis of bilateral posterior cerebral arteries

I63339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery

I63341 Cerebral infarction due to thrombosis of right cerebellar artery

I63342 Cerebral infarction due to thrombosis of left cerebellar artery

Page 29: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

I63343 Cerebral infarction to thrombosis of bilateral cerebellar arteries

I63349 Cerebral infarction due to thrombosis of unspecified cerebellar artery

I6339 Cerebral infarction due to thrombosis of other cerebral artery

I6340 Cerebral infarction due to embolism of unspecified cerebral artery

I63411 Cerebral infarction due to embolism of right middle cerebral artery

I63412 Cerebral infarction due to embolism of left middle cerebral artery

I63413 Cerebral infarction due to embolism of bilateral middle cerebral arteries

I63419 Cerebral infarction due to embolism of unspecified middle cerebral artery

I63421 Cerebral infarction due to embolism of right anterior cerebral artery

I63422 Cerebral infarction due to embolism of left anterior cerebral artery

I63423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries

I63429 Cerebral infarction due to embolism of unspecified anterior cerebral artery

I63431 Cerebral infarction due to embolism of right posterior cerebral artery

I63432 Cerebral infarction due to embolism of left posterior cerebral artery

I63433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries

I63439 Cerebral infarction due to embolism of unspecified posterior cerebral artery

I63441 Cerebral infarction due to embolism of right cerebellar artery

I63442 Cerebral infarction due to embolism of left cerebellar artery

I63443 Cerebral infarction due to embolism of bilateral cerebellar arteries

I63449 Cerebral infarction due to embolism of unspecified cerebellar artery

I6349 Cerebral infarction due to embolism of other cerebral artery

I6350 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery

I63511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery

I63512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery

I63513 Cerebral infarction due to unspecified occlusion or stenosis of bilateral middle cerebral arteries

I63519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery

I63521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery

I63522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery

I63523 Cerebral infarction due to unspecified occlusion or stenosis of bilateral anterior cerebral arteries

I63529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery

I63531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery

I63532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery

Page 30: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

I63533 Cerebral infarction due to unspecified occlusion or stenosis of bilateral posterior cerebral arteries

I63539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified posterior cerebral artery

I63541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery

I63542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery

I63543 Cerebral infarction due to unspecified occlusion or stenosis of bilateral cerebellar arteries

I63549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebellar artery

I6359 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery

I636 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic

I638 Other cerebral infarction

I639 Cerebral infarction, unspecified

I97810 Intraoperative cerebrovascular infarction during cardiac surgery

I97811 Intraoperative cerebrovascular infarction during other surgery

I97820 Postprocedural cerebrovascular infarction following cardiac surgery

I97821 Postprocedural cerebrovascular infarction following other surgery

KWASHIORKOR DIAGNOSES (HCC 21)

E40 Kwashiorkor

E42 Marasmic kwashiorkor

SEPSIS DIAGNOSES (HCC 2)

A021 Salmonella sepsis

A207 Septicemic plague

A227 Anthrax sepsis

A267 Erysipelothrix sepsis

A327 Listerial sepsis

A392 Acute meningococcemia

A393 Chronic meningococcemia

A394 Meningococcemia, unspecified

A400 Sepsis due to streptococcus, group A

A401 Sepsis due to streptococcus, group B

A403 Sepsis due to Streptococcus pneumoniae

A408 Other streptococcal sepsis

A409 Streptococcal sepsis, unspecified

A4101 Sepsis due to Methicillin susceptible Staphylococcus aureus

A4102 Sepsis due to Methicillin resistant Staphylococcus aureus

A411 Sepsis due to other specified staphylococcus

A412 Sepsis due to unspecified staphylococcus

A413 Sepsis due to Hemophilus influenzae

A414 Sepsis due to anaerobes

Page 31: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

A4150 Gram-negative sepsis, unspecified

A4151 Sepsis due to Escherichia coli [E. coli]

A4152 Sepsis due to Pseudomonas

A4153 Sepsis due to Serratia

A4159 Other Gram-negative sepsis

A4181 Sepsis due to Enterococcus

A4189 Other specified sepsis

A419 Sepsis, unspecified organism

A427 Actinomycotic sepsis

A483 Toxic shock syndrome

A5486 Gonococcal sepsis

B007 Disseminated herpesviral disease

B377 Candidal sepsis

P360 Sepsis of newborn due to streptococcus, group B

P3610 Sepsis of newborn due to unspecified streptococci

P3619 Sepsis of newborn due to other streptococci

P362 Sepsis of newborn due to Staphylococcus aureus

P3630 Sepsis of newborn due to unspecified staphylococci

P3639 Sepsis of newborn due to other staphylococci

P364 Sepsis of newborn due to Escherichia coli

P365 Sepsis of newborn due to anaerobes

P368 Other bacterial sepsis of newborn

P369 Bacterial sepsis of newborn, unspecified

R571 Hypovolemic shock

R578 Other shock

R6510 Systemic inflammatory response syndrome (SIRS) of non-infectious origin without acute organ dysfunction

R6511 Systemic inflammatory response syndrome (SIRS) of non-infectious origin with acute organ dysfunction

R6520 Severe sepsis without septic shock

R6521 Severe sepsis with septic shock

T8112XA Postprocedural septic shock, initial encounter

BREAST CANCER (HCC 12) DIAGNOSES (Male with Female Breast Cancer)

C50011 Malignant neoplasm of nipple and areola, right female breast

C50012 Malignant neoplasm of nipple and areola, left female breast

C50019 Malignant neoplasm of nipple and areola, unspecified female breast

C50111 Malignant neoplasm of central portion of right female breast

C50112 Malignant neoplasm of central portion of left female breast

C50119 Malignant neoplasm of central portion of unspecified female breast

C50211 Malignant neoplasm of upper-inner quadrant of right female breast

C50212 Malignant neoplasm of upper-inner quadrant of left female breast

Page 32: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

C50219 Malignant neoplasm of upper-inner quadrant of unspecified female breast

C50311 Malignant neoplasm of lower-inner quadrant of right female breast

C50312 Malignant neoplasm of lower-inner quadrant of left female breast

C50319 Malignant neoplasm of lower-inner quadrant of unspecified female breast

C50411 Malignant neoplasm of upper-outer quadrant of right female breast

C50412 Malignant neoplasm of upper-outer quadrant of left female breast

C50419 Malignant neoplasm of upper-outer quadrant of unspecified female breast

C50511 Malignant neoplasm of lower-outer quadrant of right female breast

C50512 Malignant neoplasm of lower-outer quadrant of left female breast

C50519 Malignant neoplasm of lower-outer quadrant of unspecified female breast

C50611 Malignant neoplasm of axillary tail of right female breast

C50612 Malignant neoplasm of axillary tail of left female breast

C50619 Malignant neoplasm of axillary tail of unspecified female breast

C50811 Malignant neoplasm of overlapping sites of right female breast

C50812 Malignant neoplasm of overlapping sites of left female breast

C50819 Malignant neoplasm of overlapping sites of unspecified female breast

C50911 Malignant neoplasm of unspecified site of right female breast

C50912 Malignant neoplasm of unspecified site of left female breast

C50919 Malignant neoplasm of unspecified site of unspecified female breast

BREAST CANCER (HCC 12) DIAGNOSES (Female with Male Breast Cancer)

C50021 Malignant neoplasm of nipple and areola, right male breast

C50022 Malignant neoplasm of nipple and areola, left male breast

C50029 Malignant neoplasm of nipple and areola, unspecified male breast

C50121 Malignant neoplasm of central portion of right male breast

C50122 Malignant neoplasm of central portion of left male breast

C50129 Malignant neoplasm of central portion of unspecified male breast

C50221 Malignant neoplasm of upper-inner quadrant of right male breast

C50222 Malignant neoplasm of upper-inner quadrant of left male breast

C50229 Malignant neoplasm of upper-inner quadrant of unspecified male breast

C50321 Malignant neoplasm of lower-inner quadrant of right male breast

C50322 Malignant neoplasm of lower-inner quadrant of left male breast

C50329 Malignant neoplasm of lower-inner quadrant of unspecified male breast

C50421 Malignant neoplasm of upper-outer quadrant of right male breast

C50422 Malignant neoplasm of upper-outer quadrant of left male breast

C50429 Malignant neoplasm of upper-outer quadrant of unspecified male breast

C50521 Malignant neoplasm of lower-outer quadrant of right male breast

C50522 Malignant neoplasm of lower-outer quadrant of left male breast

C50529 Malignant neoplasm of lower-outer quadrant of unspecified male breast

C50621 Malignant neoplasm of axillary tail of right male breast

C50622 Malignant neoplasm of axillary tail of left male breast

C50629 Malignant neoplasm of axillary tail of unspecified male breast

Page 33: ICD-10 Code Clarification List - Cigna · 2019-03-13 · ICD-10 Code Clarification List . All Cigna products and services are provided exclusively by or through operating subsidiaries

All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation.

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. © 2019 Cigna

INT_19_74271_C 03122019

C50821 Malignant neoplasm of overlapping sites of right male breast

C50822 Malignant neoplasm of overlapping sites of left male breast

C50829 Malignant neoplasm of overlapping sites of unspecified male breast

C50921 Malignant neoplasm of unspecified site of right male breast

C50922 Malignant neoplasm of unspecified site of left male breast

C50929 Malignant neoplasm of unspecified site of unspecified male breast

PROSTATE CANCER (HCC 12) DIAGNOSES (Female Patient)

C61 Malignant neoplasm of prostate