leukemia/mds - seattle cancer care alliance · leukemia/mds. 0 - not having . achieved remission. 1...

1

© Copyright 2015 Revised 8/15/15

LEUKEMIA/MDS

0 - Not having achieved remission 1 - In remission 2 - In relapse

Leukemia,

LYMPHOID 0 - Acute lymphoblastic leukemia 1- Chronic lymphocytic leukemia of B-cell type 3 - Prolymphocytic leukemia of B-cell type 4 - Hairy cell leukemia 5 - Adult T-cell lymphoma/leukemia (HTLV-1-associated) 6 - Prolymphocytic leukemia of T-cell type A - Mature B-cell leukemia Burkitt-type Z - Other lymphoid leukemia 9 - Unspecified

C91.

Unspecified Malignant Neoplasms of

LYMPHOID, HEMATO POIETIC & RELATED TISSUE

0 - Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis 2 - Malignant mast cell tumor 4 - Sarcoma of dendritic cells (accessory cells) 5 - Multifocal and unisystemic Langerhans-cell histiocytosis 6 - Unifocal Langerhans-cell histiocytosis A - Histiocytic sarcoma Z - Other specified 9 - Unspecified

C96.

0 -Not having achieved remission 1 - In remission 2 - In relapse

Leukemia,

MYELOID

0 - Acute myeloblastic leukemia 1 - Chronic myeloid leukemia, BCR/ABL- positive 2 - Atypical chronic myeloid leukemia, BCR/ABL-negative 3 - Myeloid sarcoma 4 - Acute promyelocytic leukemia 5 - Acute myelomonocytic leukemia 6 -Acute myeloid leukemia with 11q23- abnormality A - Acute myeloid leukemia with multilineage dysplasia Z - Other myeloid leukemia 9 - Unspecified

C92.

0 - Acute monoblastic/monocytic leukemia 1 - Chronic myelomonocytic leukemia 3 - Juvenile myelomonocytic leukemia Z - Other monocytic leukemia 9 - Unspecified

0 - Not having achieved remission 1- In remission 2– In relapse

Leukemia,

MONOCYTIC C93.

0 - Not having achieved remission 1 - In remission 2 - In relapse

Other Leukemias of

SPECIFIED CELL TYPE 0 - Acute erythroid leukemia 2 - Acute megakaryoblastic leukemia 3 - Mast cell leukemia 4 - Acute panmyelosis with myelofibrosis 8 - Other specified leukemias

STOP 6 - Myelodysplastic disease, not classified

C94.

0 - Not having achieved remission 1- In remission 2– In relapse

C95. Leukemia of UNSPECIFIED CELL TYPE

0 - Acute 1 - Chronic 9 - Unspecified

MYELODYSPLASTIC SYNDROME (MDS)

0 - Not having achieved remission 1- 1 2– 2

2 - Refractory anemia with excess of blasts

STOP

Use T45.1X code for adverse effect, if applicable

D46.

0 - Refractory anemia without ring sideroblasts, so stated 1 - Refractory anemia with ring sideroblasts A - Refractory cytopenia with multilineage dysplasia B - Refractory cytopenia with multilineage dysplasia and ring sideroblasts C - Myelodysplastic syndrome with isolated del(5q) chromosomal abnormality 4 - Refractory anemia, unspecified Z - Other myelodysplastic syndromes 9 - Unspecified

0 - Not having achieved remission 1 - In remission 2 – In relapse

Multiple Myeloma & Malignant

PLASMA CELL NEOPLASM

C90.

0 - Multiple Myeloma 1 - Plasma cell leukemia 2 - Extramedullary plasmacytoma 3 - Solitary plasmacytoma

2


B-CELL LYMPHOMA

Lymphoma,

FOLLICULAR

0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site

0 - Grade I 1 - Grade II 2 - Grade III unspecified 3 - Grade IIIa 4 - Grade IIIb 5 - Diffuse follicle center lymphoma 6 - Cutaneous follicle center lymphoma 8 - Other types lymphoma 9 - Unspecified

C82.

Lymphomas, MALIGNANT IMMUNOPROLIFERATIVE & OTHER B-CELLS

0 - Waldenstrom macroglobulinemia 2 - Heavy chain disease 3 - Immunoproliferative small intestinal disease 4 - Extranodal marginal zone B-cell lymphoma of mucosa-

associated lymphoid tissue [MALT-lymphoma] 8 - Other malignant immunoproliferative diseases 9 - Unspecified.

C88.

Lymphoma,

HODGKIN 0 - Nodular lymphocyte predominant 1 - Nodular sclerosis classical 2 - Mixed cellularity classical 3 - Lymphocyte-depleted classical 4 - Lymphocyte-rich classical 7 - Other classical 9 - Unspecified


C81.

Lymphoma,

NON-FOLLICULAR 0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site

0 - Small cell B-cell Lymphoma 1 - Mantle cell Lymphoma 3 - Diffuse Large B-cell lymphoma 5 - Lymphoblastic (diffuse lymphoma) 7 - Burkitt lymphoma 8 - Other non-follicular Lymphoma (includes PEL/ intravascular) 9 - Unspecified

C83.

Lymphoma,

OTHER NON-HODGKIN 0 - Unspecified site

1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site

1 - Unspecified B-cell lymphoma 2 - Mediastinal (thymic) large B-cell 8 - Other specified types of non-Hodgkin’s 9 - Unspecified

C85.

Lymphoma, Other

SPECIFIED T/NK-CELL 0 - Extranodal NK/T-cell lymphoma, nasal type 1 - Hepatosplenic T-cell lymphoma 2 - Enteropathy-type (intestinal) T-cell lymphoma 3 - Subcutaneous panniculitis-like-T-cell lymphoma 4 - Blastic NK-cell lymphoma 5 - Angiommunoblastic T-cell lymphoma 6 - Primary cutaneous CD-30-positive T-cell proliferations

C86.

LYMPHOMA,

MATURE T/NK CELL


0 - Mycosis Fungoides 1 - Sezary Disease 4 - Peripheral T-cell, not classified 6 - Anaplastic Large cell AKL-positive 7 - Anaplastic Large cell AKL-negative A - Cutaneous T-cell, unspecified Z- Other 9 - Unspecified

C84.

3


Other Diseases W/Participation of

LYMPHORETICULAR/ RETICULOHISTIOCYTIC TISSUE 1 - Hemophagocytic lymphohistiocytosis 2 - Hemophagocytic syndrome, infection-associated (Use additional code to identify infectious agent or disease) 3 - Other histiocytosis syndromes

D76.

0 - Histiocytic and mast cell tumors of uncertain behavior 1 - Chronic myeloproliferative disease 2 - Monoclonal gammopathy 3 - Essential (hemorrhagic) thrombocythemia 4 - Osteomyelofibrosis 9 - Unspecified

Neoplasms of Uncertain Behavior of

LYMPHOID, HEMA-TOPOIETIC & RELATED TISSUE

Z - Other specified neoplasms

1- Post-transplant lymphoproliferative disorder (PTLD) 9 - Other specified neoplasms

For MYELOFIBROSIS, use D75.81

D47.

STOP

Other & Unspecified Diseases of

BLOOD & BLOOD-FORMING ORGANS (MYELOFIBROSIS)

0 - Familial erythrocytosis 1 - Secondary polycythemia 9 - Unspecified

8 - Other specified diseases of blood and blood- forming organs

1- MYELOFIBROSIS (Code first underlying disorder such as neoplasm. If applicable, code for associated therapy-related MDS and for adverse effects to identify drug)

2 - Heparin induced thrombocytopenia (HIT) 9 - Other specified diseases of blood and blood-forming organs

STOP

D75.

MYELOFIBROSIS D75.81

MYELOPROLIF/MGUS

Malignant Neoplasm of

ADRENAL GLAND 0 - Unspecified 1 - Right 2 - Left

0 - Cortex 1- Medulla 9 -Unspecified

C74. Malignant Neoplasm of

KIDNEY, EXCEPT RENAL PELVIS 1 - Right kidney 2 - Left kidney 9 - Unspecified

C64.

MALIGNANT NEOPLASMS OF BONE & ARTICULAR CARTILAGE

0 - Unspecified 1 - Right 2 - Left

0 - Scapula & long bones of upper limb 1- Short bones of upper limb 2 - Long bones of lower limb 3 - Short bones of lower limb 8 - Overlapping 9 - Unspecified

Use additional code to identify major osseous defect, if applicable (M89.7)


BONE & CARTILAGE OF LIMBS


BONE & ARTICULAR CARTILAGE OF OTHER & UNSPECIFIED SITES 0 - Bones of skull and face 1 - Mandible 2 - Vertebral column 3 - Ribs, sternum and clavicle 4 - Pelvic bones, sacrum and coccyx 9 - Unspecified

C41.

4


MALIGNANT NEOPLASMS OF PERIPHERAL NERVES & AUTONOMIC NERVOUS SYSTEM


RETROPERITONEUM & PERITONEUM 0 - Retroperitoneum 1 - Specified parts of peritoneum 2 - Unspecified peritoneum 8 - Overlapping sites of retroperitoneum & peritoneum

C48.

Malignant Neoplasm of Other

CONNECTIVE & SOFT TISSUE

1 - Upper limb, including shoulder 2 - Lower limb, including hip


0 - Head, face & neck 3 - Thorax 4 - Abdomen 5 - Pelvis 6 - Trunk, unspecified 8 - Overlapping sites 9 - Unspecified

C49.

STOP

1 - Upper limb, including shoulder 2 - Lower limb, including hip



PERIPHERAL NERVES 0 - Head, face & neck 3 - Thorax 4 - Abdomen 5 - Pelvis 6 - Trunk, unspecified 8 - Overlapping sites 9 - Unspecified

STOP

FUNCTIONAL DISORDERS OF POLYMORPHONUCLEAR NEUTROPHILS

D71

5


SECONDARY & UNSPECIFIED SITES

Malignant

NEUROENDOCRINE TUMORS

0– Duodenum 1- Jejunum 2- Ileum 9– Unspecified

0- Appendix 1- Cecum 2- Ascending

colon 3- Transverse

colon

4- Descending colon

5- Sigmoid colon 6- Rectum 9- Large intestine, unspecified

0- Bronchus/Lung 1- Thymus 2- Stomach 3- Kidney

4- Foregut NOS 5- Midgut NOS 6- Hindgut NOS 8- Other sites

STOP 0- Unspecified

site

9- Other sites

1- Small intestine

2- Appendix, large

intestine, and rectum

STOP 1 - Malignant poorly differentiated neuroendocrine tumors 8 - Other malignant neuroendocrine tumors

0- Malignant

Carcinoid Tumors

C7A. Secondary Malignant Neoplasm of

OTHER & UNSPECIFIED SITES

0 - Unspecified urinary organs 1 - Bladder 9 - Other urinary organs

1- Bladder and other and unspecified urinary organs

0 - Kidney & Renal Pelvis 6 - Ovary 7 - Adrenal gland

2 - Skin 9 - Unspecified

1 - Breast 2 - Genital organs 9 - Other


3– Brain and cerebral meninges

4– Other & unspecified parts of nervous system

0 - Unspecified 9 - Other

5– Bone and bone marrow 1 - Bone 2 -Bone marrow

8– Other specified sites

STOP

C79.

1 –Brain 2– Cerebral meninges


OTHER & ILL-DEFINED SITES


0 - Head, face & neck 1- Thorax 2 - Abdomen 3 - Pelvis 8 -Other specified ill-defined sites

4 - Upper limb 5- Lower limb

STOP

C76.

6

© Copyright 2015; Revised 8/15/15

DRUG-INDUCED PHENOMENON

D70.1 AGRANULOCYTOSIS SECONDARY TO CANCER CHEMOTHERAPY

OTHER SECONDARY THROMBOCYTOPENIA

D69.59

* Due to drugs, EtOH, alloimmunization; NOT ITP

DRUG (OPIATE) INDUCED CONSTIPATION

K59.09

ANEMIA DUE TO ANTINEOPLASTIC CHEMOTHERAPY

D64.81

DRUG-INDUCED CUSHING'S SYNDROME

E24.2 DRUG-INDUCED ADRENOCORTICAL INSUFFICIENCY

E27.3

STOP 0 - With cholestasis 2 - With acute hepatitis

TOXIC LIVER DISEASE

0 - Without coma 1 -With coma

1 - With hepatic necrosis

This is for toxic effects due to drug; Does Not include ETOH

K71.

0 - Drug-induced 1 - Alcoholic 2 - Due to other toxic agents 9 - Unspecified (as used for AIDS)

Other & Unspecified POLYNEUROPATHIES

1 -Critical illness 2 - Radiation-induced 9 - Other

8 - Other specified

STOP

G62.

ORAL MUCOSITIS, ULCERATIVE

0 -Unspecified 1 - Due to antineoplastic therapy 2 - Due to other drugs 3 - Due to radiation 9 - Other

K12.3

POLYNEUROPATHY IN DISEASES CLASSIFIED ELSEWHERE (Includes myeloma induced neuropathy)

G63

DRUG-INDUCED PHENOMENON

DRUG (OPIATE) INDUCED CONSTIPATION

K59.09

AGRANULOCYTOSIS DUE TO NON-CHEMOTHERAPY DRUG

D70.2

7


METABOLISM

OBESITY

E66.01: MORBID (SEVERE) OBESITY

DUE TO EXCESS CALORIES

E66.3: OVERWEIGHT

Disorders of ADRENAL GLAND

1 - Primary adrenocortical insufficiency 2 - Addisonian crisis 3 - Drug-induced adrenocortical insufficiency

E27. 0 - Rickets, active 9 - Unspecified

E55. VIT. D DEFICIENCY

BONE HEALTH: OSTEOPOROSIS W/O CURRENT FRACTURE

0 - Age-Related 8 - Other (includes drug induced/Steroids)

M81.

HYPERLIPEDMIA 0 - Pure hypercholesterolemia 1 - Pure hyperglyceridemia 2 - Mixed hyperlipidemia 5 - Unspecified

E78.

E76.01 HURLER’S SYNDROME

Disorders of FATTY-ACID METABOLISM 0 - Unspecified 2 - Disorders of ketone metabolism 9 - Other Disorders

1 - Disorders of fatty-acid oxidation

0 - Long chain/very long chain acyl CoA dehydrogenase deficiency

1 - Medium chain acyl CoA dehydrogenase deficiency

2 - Short chain acyl CoA dehydrogenase deficiency

3 - Glutaric aciduria type II 4 - Muscle carnitine palmitoyltransferase

deficiency 8 - Other

E71.3

STOP

PEROXISOMAL DISORDERS 0 - Unspecified 3 - Other group 2 peroxisomal disorders

1 - Disorders of peroxisome biogenesis

0 - Zellweger syndrome 1 - Neonatal adrenoleukodystrophy 8 - Other

E71.5

STOP

0 - Childhood cerebral X-linked adrenoleu-kodystrophy

1 - Adolescent X-linked adrenoleu-kodystrophy

2 - Adrenomyeloneuropathy 8 - Other 9 - Unspecified

2 - X-linked adrenoleu-kodystrophy

4 - Other peroxisomal

disorders

0 - Rhizomelic chondrodysplasia punctata 1 - Zellweger-like syndrome 2 - Other group 3 peroxisomal disorders 8 - Other peroxisomal disor-

E77.1 DEFECTS IN GLYCOPROTEIN DEGRADATION

D83.1 COMMON VARIABLE IMMUNODEFICIENCY WITH PREDOMINANT IMMUNOREGULATORY T-CELL DISORDERS (IPEX)

8


TYPE 2 DM

E11.65: W/ HYPERGLYCEMIA

E11.42: W/ DIABETIC POLYNEUROPATHY

E11.9: W/O COMPLICATIONS

DIABETES MELLITUS

Diabetic complications are complex and can be added electronically by using the follow-ing key words: kidney, ophthalmic, or neuro-logic complications

TYPE 2 DIABETES MELLITUS

E10: TYPE 1

E08: DUE TO UNDERLYING CONDITION

E09: DRUG OR CHEMICAL INDUCED

E11: TYPE 2

E13: OTHER SPECIFIED

*Diabetes codes are complex; Need to look up; Key words: kidney, ophthalmic, neurological, circulatory, skin

TYPE 2 DM WITH DIABETIC POLYNEUROPATHY

E11.42

TYPE 1 DM WITH DIABETIC POLYNEUROPATHY

E10.42

POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME

I67.83

POLYNEUROPATHY IN DISEASES CLASSIFIED ELSEWHERE

G63

*Code malignancy elsewhere

0 - Drug-induced 1 - Alcoholic 2 - Due to other toxic agents 9 - Unspecified (Myeloma/Amyloid)

Other & Unspecified POLYNEUROPATHIES

G62.

NEUROLOGY

Disorders of MAGNESIUM & CALCIUM METABOLISM

E83.51: HYPO-CALCEMIA

E83.42: HYPO-MAGNESEMIA

E83.52: HYPER-CALCEMIA

FLUIDS & ELECTROLYTES

0 - Hyperosmolality & Hypernatremia 1 - Hypoosmolality and hyponatremia 2 - Acidosis 3 - Alkalosis 4 - Mixed disorder of acid-base balance 5 - Hyperkalemia 6 - Hypokalemia 8 - Other electrolyte & acid/base disorder

Disorders of FLUID, ELECTROLYTE & ACID/BASE BALANCE

0 - Unspecified 1- Transfusion associated circulatory overload 9 - Other

7 - Fluid Overload

STOP

E87.

9


0 - With cholestasis 2 - With acute hepatitis

TOXIC LIVER DISEASE

0 - Without coma 1 -With coma

1 - With hepatic necrosis

STOP

* This code is for toxic effects due to drug; Does Not include ETOH

K71.

0 - Fatty (change of) liver, not elsewhere classified 1 - Chronic passive congestion of liver 2 - Central hemorrhagic necrosis of liver 3 - Infarction of liver 4 - Peliosis hepatis 5 - Hepatic veno-occlusive disease 6 - Portal hypertension 7 - Hepatorenal syndrome

Other Diseases of LIVER

K76.

Other non-infective GASTROENTERITIS & COLITIS

0 - Gastroenteritis and colitis due to radiation 1 - Toxic gastroenteritis and colitis 2 - Allergic and dietetic gastroenteritis and colitis

K52.

0 - With esophagitis 9 - Without esophagitis

GASTRO-ESOPHAGEAL REFLUX DISEASE

K21.

DYSPHAGIA 0 - Unspecified 1– Oral phase 2 - Oropharyngeal phase 3 - Pharyngeal phase 4 - Pharyngoesophageal phase 9 - Other

R13.1

0 - First degree 1 - Second degree 2 - Third degree 3 - Fourth degree

HEMORRHOIDS K64.

0 - Malignant 8 - Other

ASCITES R18.

GI

ANOREXIA R63.0

ENTERCOLITIS DUE TO COLOSTRIDIUM DIFFICILE

A04.7

K92.81 GASTROINTESTINAL MUCOSITIS (ULCERATIVE)

ORAL MUCOSITIS (ULCERATIVE)

0 - Unspecified 1– Due to antineoplastic therapy 2 - Due to other drugs 3 - Due to radiation 9 - Other oral mucositis (ulcerative)

K12.3

1 - Fecal 9 - Other

4 - Other impaction of intestine

STOP

K56. PARALYTIC ILEUS & INTESTINAL OBSTRUTION W/O HERNIA

0 - Paralytic Ileus 1 - Intussusception 2 - Volvulus 3 - Gallstone Ileus 5 - Intestinal adhesions [bands] w/obstruction (post- procedural & post-infection) 7 - Illeus, unspecified

0 - Unspecified 9 - Other

6 - Other & unspecified intestinal obstruction

10


PAIN IN THROAT R07.0

ABDOMINAL & PELVIC PAIN

0 - Upper abdomen unspecified 1– Right upper quadrant 2 - Left upper quadrant 3 - Epigastric pain

STOP

0 - Lower abdomen unspecified 1– Right lower quadrant 2 - Left lower quadrant 3 - Periumbilical pain

R10.

3 - Pain localized to lower abdomen

1 - Pain localized to Upper Abdomen

0 - Acute abdomen 2 - Pelvic and Perineal pain

PAIN

G89.3: NEOPLASM RELATED

PAIN (ACUTE) (CHRONIC)

G89.29: OTHER CHRONIC PAIN

LIMB PAIN

0 - Pain in limb, unspecified

2 - Upper arm 3 - Forearm 5 - Thigh 6 - Lower leg

4 - Hand & fingers 7 - Foot & toes

1 - Right arm 2 - Left arm 3 - Arm unspecified 4 - Right leg 5 - Left leg 6 - Leg unspecified 9 - Unspecified limb

1 - Right 2 - Left 9 - Unspecified limb

1 - Right hand or foot 2 - Left hand or foot 3 - Unspecified hand or foot 4 - Right finger or toe 5 - Left finger or toes 6 - Unspecified finger or toe

M79.6

JOINT PAIN 0 - Unspecified joint

1 - Shoulder 2 - Elbow 3 - Wrist 5 - Hip 6 - Knee 7 - Ankle & foot joints

1 - Right 2 - Left 9 - Unspecified

STOP

M25.5

DORSALGIA 0 - Unspecified side 1– Right side 2 - Left side

STOP

M54.

3 - Sciatica 4- Lumbago with sciatica

5- Low back pain

PAIN

HEADACHE R51

This code excludes atypical face pain, migraine and other

headache syndromes, trigeminal neuralgia.

GI (continued

CONSTIPATION 1 – Slow transit 9 - Other (including Opiate-induced constipation in therapeutic use)

K59.0

0 - Nausea 2 - Nausea with vomiting, unspecified

NAUSEA & VOMITING

0 - Unspecified 1 -Without nausea 2 - Projectile vomiting

1 - Vomiting

STOP

R11.

DIARRHEA UNSPECIFIED

R19.7

11


COUGH RO5

BREATHING ABNORMALITIES

R06.2: WHEEZING

RO6.01: ORTHOPNEA

RO6.02: SHORTNESS OF BREATH

R06.4: HYPERVENTILATION

R06.6: HICCOUGH

R06.81: APNEA (Sleep apnea)

MALIGNANT PLEURAL EFFUSION

J91.0

OBSTRUCTIVE SLEEP APNEA (ADULT & PEDIATRIC)

G47.33

0 - With acute lower respiratory infection 1 - With (acute) exacerbation 9 - Unspecified

Other COPD J44.

ASTHMA 0– Uncomplicated 1 - With acute exacerbation 2 - With status asthmaticus

2 - Mild intermittent 3 - Mild persistent 4 - Moderate persistent 5 - Severe persistent

J45.

0 - Unilateral pulmonary emphysema [MacLeod's syndrome] 1 - Panlobular 2 - Centrilobular 8 - Other 9 - Unspecified

EMPHYSEMA J43.

ASPERGILLOSIS 0 - Invasive pulmonary 1 - Other pulmonary 2 - Tonsillar 7 - Disseminated 9 - Unspecified

8 - Other

B44.

STOP

1- Allergic bronchopulmonary 9 - Other forms

LUNG/RESPIRATORY

ACUTE RESPIRATORY DISTRESS SYNDROME

J80

J06. ACUTE UPPER RESPIRATORY INFECTIONS OF MULTIPLE/UNSPECIFIED SITES 0 - Acute laryngopharyngitis 9 - Unspecified

PULMONARY EMBOLISM W/O ACUTE COR PULMONALE

0 - Septic pulmonary embolism 2 – Saddle embolus of pulmonary artery 9 - Other

I26.9

1 - Solitary pulmonary nodule 8 - Other nonspecific abnormal finding of lung field Including multiple pulmonary nodules

Abnormal Findings on DIAGNOSTIC

IMAGING OF LUNG R91. IDIOPATHIC

INTERSTITIAL PNEUMONIA 1 - Not otherwise specified 2 - Idiopathic pulmonary fibrosis 3 - Idiopathic non-specific interstitial pneumonitis 4 - Acute interstitial pneumonitis 5 - Respiratory bronchiolitis interstitial lung disease 6 - Cryptogenic organizing pneumonia

J84.11

12


OTHER SECONDARY THROMBOCYTOPENIA

D69.59

* Due to drugs, EtOH, alloimmunization; NOT ITP

LYMPHO- CYTOPENIA

D72.810

LEUKEMOID REACTION

D72.823

BLOOD

PULMONARY EMBOLISM W/O ACUTE COR PULMONALE

0 - Septic pulmonary embolism 2 - Saddle embolus of pulmonary artery 9 - Other

I26.9

HEPATIC THROMBOSIS

I81: PORTAL VEIN THROMBOSIS

I82.0: BUDD-CHIARI SYNDROME

Other

COAGULATION DEFECTS 0 - Von Willebrand's disease 1- Hereditary factor XI deficiency 2 -Hereditary deficiency of other clotting factors 4 - Acquired coagulation factor deficiency 8 - Other specified coagulation defects 9 - Unspecified

D68. Hemorrhagic Disorders due to

CIRCULATING ANTI-COAGULANTS

3 - Hemorrhagic

disorder due to circulating anticoagulants

1- Hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors

2 - Hemorrhagic disorder due to extrinsic

circulating anticoagulants

1 - Acquired hemophilia 2 - Antiphospholipid

antibody with hem-orrhagic disorder

8 - Other Hemorrhagic disorder due to intrinsic circulating anticoagulants, antibodies, or inhibitors

STOP

D68.

1- Activated protein C resistance 2 - Prothrombin gene mutation 9 - Other primary thrombophilia

5 - Primary thrombophilia

6 - Other thrombophilia

1- Antiphospholipid syndrome 2 - Lupus anticoagulant syndrome 9 - Other thrombophilia

D68. Other Coagulation Defects,

THROMBOPHILIA

D72.810: LYMPHOCYTOPENIA

D72.823: LEUKEMOID REACTION

D70.1: AGRANULOCYTOSIS SECONDARY TO CANCER CHEMOTHERAPY

D70.9: NEUTROPENIA,UNSPECIFIED

WHITE BLOOD CELL DISORDERS

D70.2: AGRANULOCYTOSIS DUE TO NON- CHEMOTHERAPY DRUG

0 – Congenital agranulocytosis 1 - Agranulocytosis secondary to cancer chemotherapy (Code also underlying neoplasm. Use additional code for adverse effect, if applicable, to identify drug.) 2 - Other drug-induced agranulocytosis (Use additional code for adverse effect, if applicable, to identify drug) 3 - Neutropenia due to infection 4 - Cyclic neutropenia 8 - Other 9 - Unspecified

NEUTROPENIA

Use additional code for any associated fever & mucositis

D70.

Functional Disorders of

POLYMORPHONUCLEAR NEUTROPHILS

D71

13


Other specified diseases with

PARTICIPATION OF LYMPHORETICULAR AND RETICULOHISTIOCYTIC TISSUE

1 - Hemophagocytic lymphohistiocytosis 2 - Hemophagocytic syndrome, infection-associated 3 - Other histiocytosis syndromes

D76.

BLOOD (continued)

IMMUNODEFICIENCY ASSOCIATED W/OTHER MAJOR DEFECTS 0 - Wiskott-Aldrich syndrome 1 - Di George's syndrome 2 - Immunodeficiency with short-limbed stature 3 - Immunodeficiency following hereditary defective response to Epstein-Barr virus 4 - Hyperimmunoglobulin E [IgE] syndrome 8 - Other 9 - Unspecified

D82.

IMMUNODEFICIENCES

0 - SCID with reticular dysgenesis 1 - SCID with low T- and B-cell numbers 2 - SCID with low or normal B-cell numbers 3 - Adenosine deaminase [ADA] deficiency 4 - Nezelof's syndrome 5 - Purine nucleoside phosphorylase [PNP] deficiency 6 - Major histocompatibility complex class I deficiency 7 - Major histocompatibility complex class II deficiency 9 - Unspecified

1 - Biotin-dependent carboxylase deficiency

0 - Biotinidase deficiency

8 - Other 9 - Unspecified

STOP

8 - Other combined immunodefi-ciencies

9 - Other combined Immunodeficiencies

D81. COMBINED IMMUNODEFICIENCIES

STOP

ENDOCRINE

HYPOFUNCTION AND OTHER DISORDERS OF THE PITUITARY GLAND 0 - Hypopituitarism 1 - Drug-induced hypopituitarism 2 - Diabetes insipidus 3 - Hypothalamic dysfunction, not elsewhere classified 6 - Other disorders of pituitary gland 7 - Disorder of pituitary gland, unspecified

E23.

TESTICULAR DYSFUNCTION

0 - Testicular hyperfunction 1 - Testicular hypofunction 8 - Other 9 - Unspecified

E29.

0- Without crisis or storm 1- With crisis or storm

0 - With diffuse goiter 1 - With toxic single thyroid nodule 2 - With toxic multinodular goiter 3 - From ectopic thyroid tissue 4 - Thyrotoxicosis factitia 8 - Other 9 - Unspecified

E05. THYROTOXICOSIS [HYPERTHYROIDISM]

Other

HYPOTHYROIDISM 0 - Congenital hypothyroidism with diffuse goiter 1 - Congenital hypothyroidism without goiter 2 - Due to medicaments and other exogenous substances 3 - Postinfectious hypothyroidism 4 - Atrophy of thyroid (acquired) 5 - Myxedema coma 8 - Other specified hypothyroidism 9 - Unspecified

E03.

14


ANEMIAS

D59. Hemolytic Anemia,

ACQUIRED 0 -Drug-induced autoimmune (Use additional code for adverse effects, if applicable, to identify drug) 1 - Other autoimmune 2 - Drug-induced non-autoimmune (Use additional code for adverse effects, if applicable, to identify drug) 3 - Hemolytic-uremic syndrome (Use additional code to identify associated: E. coli, Pneumoncoccal pneumonia, or Shigella dysenteriae) 4 - Other non-autoimmune 5 - Paroxysmal nocturnal hemoglobinuria (Marchiafava-Micheli) 6 - Hemoglobinuria due to hemolysis from other external causes 8 - Other acquired hemolytic anemias 9 - Unspecified

0 –Alpha 1 - Beta 2 - Delta-beta 3 - Minor 4 - HPFH (Hereditary persistence of fetal hemoglobin) 5 - Hemoglobin E-beta 8 - Other 9 - Unspecified

THALASSEMIA D56.

1 - Drug-induced aplastic anemia (If applicable, use additional code for adverse effects to identify drug) 2 - Aplastic anemia due to other external agents (If applicable, code first toxic effects of substance chiefly non-medicinal as to source (T51-T65) 3 - Idiopathic aplastic anemia 9 - Unspecified

Other Aplastic Anemias & Other BONE MARROW FAILURE SYNDROMES

1 - Constitutional (pure) red blood cell aplasia 9 - Other constitutional aplastic anemia

0– Constitutional aplastic anemia

1- Pancytopenia

0 - Antineoplastic chemotherapy induced

pancytopenia 1 - Other drug-induced

pancytopenia 8 - Other pancytopenia

2 - Myelophthisis 9- Other specified aplastic anemias

& other bone marrow failure

syndrome

8 - Other specified aplastic anemias & other bone marrow failure syndromes

STOP

STOP

D61.

0 - Secondary to blood loss (chronic) 1 - Sideropenic dysphagia 8 - Other iron deficiency anemias 9 - Unspecified

Anemia,

IRON DEFICIENCY D50.

Anemia in

CHRONIC DISEASES CLASSIFIED ELSEWHERE

0 - Anemia in neoplastic disease (Code first neoplasm) 1 - Anemia in chronic kidney disease (Code first underlying CKD) 8 - Anemia in other chronic diseases classified elsewhere (Code first underlying disease such as: - Hypothyroidism - Tuberculosis)

D63.

0 - Hereditary sideroblastic anemia 1 - Secondary sideroblastic anemia due to disease 2 - Secondary sideroblastic anemia due to drugs and toxins 3 - Other sideroblastic anemias 4 - Congenital dyserythropoietic anemia 9 - Unspecified

OTHER ANEMIAS

8 –Other specified anemias

1- Anemia due to anti-neoplastic chemotherapy 9 -Other specified anemias

STOP

D64.

ANEMIA DUE TO ANTINEOPLASTIC CHEMOTHERAPY

D64.81

0 - In neoplastic disease 1 - In chronic kidney disease 8 - In other chronic diseases

ANEMIA IN CHRONIC DISEASES

D63.

15


ESSENTIAL (PRIMARY) HYPERTENSION

I10 NON VERERTIGINOUS DIZZINESS

R42

CACHEXIA R64

CHILLS W/O FEVER R68.83

DEHYDRATION E86.0

UNSPECIFIED PROTEIN-CALORIE MALNUTRITION

E46

0 - Idiopathic 1 - Orthostatic 2 - Due to drugs

HYPOTENSION I95.

0 - Localized 1 - Generalized 9 - Unspecified

EDEMA R60.

0 - Localized 1 - Generalized

ENLARGED LYMPH NODES

R59.

0 - Ataxic gait 1 - Paralytic gait 2 - Difficulty in walking

ABNORMALITIES OF GAIT & MOBILITY

1 - Unsteadiness on feet

8 - Other abnormalities of gait & mobility

STOP

R26.

2 - Drug Induced 9 - Unspecified

FEVER OF UNKNOWN ORIGIN

1 - Fever presenting with conditions classified elsewhere 2 - Post procedural fever 3 - Post vaccination fever 4 - Febrile nonhemolytic transfusion reaction

8 - Other specified fever

STOP

R50.

CONSTITUTIONAL

SLEEP DISORDERS

G47.33: OBSTRUCTIVE SLEEP APNEA

(ADULT) (PEDIATRIC)

G25.81: RESTLESS LEGS SYNDROME

SLEEP DISORDERS

16


ESSENTIAL (PRIMARY) HYPERTENSION

I10

ACUTE KIDNEY FAILURE

0 - With tubular necrosis 1 - With acute cortical necrosis 2 - With medullary necrosis 8 - Other 9 - Unspecified

N17.

1 - Stage 1 2 - Stage 2 (mild) 3 - Stage 3 (moderate) 4 - Stage 4 (severe) 5 - Stage 5 6 - End stage renal disease

CHRONIC KIDNEY DISEASE (CKD)

N18.

0 - Gross hematuria 1 - Benign essential microscopic hematuria

HEMATURIA

*Use code forcystitis/ glomerunephritis if present)

R31.

DYSURIA R30.0

INCONTINENCE/ UTI

0 - Urinary tract infection, site not specified 3 - Stress incontinence (female/male)

1 - Urge incontinence 2 - Incontinence without sensory awareness 3 - Post-void dribbling 4 - Nocturnal enuresis 5 - Continuous leakage 6 - Mixed incontinence

1 - Overflow incontinence

8 - Other specified urinary incontinence

STOP

4 - Other specified urinary incontinence

9 - Other incontinence

N39.

0 - Unspecified 1- Transfusion associated circulatory overload 9 - Other

0 - Hyperosmolality & Hypernatremia 1 - Hypoosmolality and hyponatremia 2 - Acidosis 3 - Alkalosis 4 - Mixed disorder of acid-base balance 5 - Hyperkalemia 6 - Hypokalemia 8 - Other electrolyte & acid/base disorder

7 - Fluid Overload

STOP

E87. Disorders of FLUID, ELECTROLYTE & ACID/BASE BALANCE

RENAL/GU

CALCULUS OF KIDNEY & URETER

0 - Calculus of kidney 1 - Calculus of ureter 2 - Calculus of kidney with calculus of ureter

N20.

0 - Localized 1 - Generalized 9 - Unspecified

EDEMA R60.

CYSTITIS

0 - Acute 1 - Interstitial cystitis (chronic) 2 - Other chronic cystitis 3 - Trigonitis 4 - Irradiation cystitis

0 - Without hematuria 1 - With hematuria

N30.

17


1 - Right 2 - Left 9 - Unspecified

L03.

A04. BACTERIAL INTESTINAL INFECTIONS

0 - Enteropathogenic Escherichia coli infection 1 - Enterotoxigenic Escherichia coli infection 2 - Enteroinvasive Escherichia coli infection 3 - Enterohemorrhagic Escherichia coli infection 4 - Other intestinal Escherichia coli infections 5 - Campylobacter enteritis 6 - Enteritis due to Yersinia enterocolitica 7 - Enterocolitis due to Clostridium difficile 8 - Other specified bacterial intestinal infections

CANDIDIASIS 0 - Candidal stomatitis 1 - Pulmonary candidiasis 2 - Candidiasis of skin and nail 3 - Candidiasis of vulva and vagina 5 - Candidal meningitis 6 - Candidal endocarditis 7 - Candidal sepsis 9 - Unspecified

1- Candidal cystitis and urethritis 2 - Candidal balanitis 9 - Other urogenital candidiasis

4 - Other urogenital sites

STOP

8 - Other sites 1- Candidal esophagitis 2 - Candidal enteritis 3 - Candidal cheilitis 4 - Candidal otitis externa 9 - Other sites

B37.

ZOSTER (HERPES) 0 - Zoster encephalitis 1 - Zoster meningitis 7 - Disseminated 8 - With other complications 9 - Without complications

1- Postherpetic geniculate ganglionitis 2 - Postherpetic trigeminal neuralgia 3 - Postherpetic polyneuropathy 4 - Postherpetic myelitis 9 - Other postherpetic nervous system involvement

2 - With other nervous system involvement

STOP

0 - Unspecified 1– Conjunctivitis 2 - Iridocyclitis 3 - Keratitis 4 - Scleritis 9 - Other herpes zoster eye

3 - Ocular disease

B02.

STOP

3 - Trunk 1 - Cellulitis 2 - Acute lymphangitis

1 - Abdominal wall 2 - Back (except

buttock) 3 - Chest wall 4 - Groin 5 - Perineum 6 - Umbilicus 7 - Buttock 9 - Unspecified part

8 - Other sites

0 - Cellulitis 1 - Acute lymphangitis

1 - Head (except face) 8 - Other sites

9 - Unspecified



1 - Right axilla 2 - Left axilla 3 - Right upper limb 4 - Left upper limb 5 - Right lower limb 6 - Left lower limb 9 - Unspecified part

2 - Face & Neck 1 - Face 2 - Neck


0 - Finger & toe 1 - Right 2 - Left 9 - Unspecified

1 - Other parts of limb

1 - Cellulitis of finger 2 - Acute lymphangitis of finger 3 - Cellulitis of toe 4 - Acute lymphangitis of finger

L03. CELLULITIS & ACUTE LYMPHANGITIS

RESPIRATORY SYNCYTIAL VIRUS PNEUMONIA

J12.1

INFECTIOUS DISEASES

ASPERGILLOSIS 0 - Invasive pulmonary 1 - Other pulmonary 2 - Tonsillar 7 - Disseminated 9 - Unspecified

8 - Other

B44.

STOP

1- Allergic bronchopulmonary 9 - Other forms

B25. CYTOMEGALOVIRAL DISEASE

0 - Cytomegaloviral pneumonitis 1 - Cytomegaloviral hepatitis 2 - Cytomegaloviral pancreatitis 8 - Other cytomegaloviral diseases 9 - Cytomegaloviral disease, unspecified

18


TOXOPLASMOSIS

0 - Oculopathy

1 - Hepatitis 2 - Meningoencephalitis 3 - Pulmonary toxoplasmosis 9 - Unspecified

STOP

8 - With other organ involvement

0 - Unspecified 1 - Chorioretinitis 9 - Other

1 - Myocarditis 2 - Myositis 3 - Tubulo-interstitial nephropathy 9 - Other organ involvement

B58.

2 - Drug Induced 9 - Unspecified

FEVER OF UNKNOWN ORIGIN

1 - Fever presenting with conditions classified elsewhere 2 - Post procedural fever 3 - Post vaccination fever 4 - Febrile nonhemolytic transfusion reaction

8 - Other specified fever

STOP

R50.

PSYCHIATRIC

0 - Mild 1 - Moderate 2 - Severe without psychotic features 3 - Severe with psychotic features 4 - In partial remission 5 - In full remission

MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE

F32.

1 - PTSD

REACTION TO SEVERE STRESS

0 - Unspecified 1 -With depressed mood 2 - With anxiety 3 - With anxiety & depressed mood 4 - With disturbance of conduct 5 - With disturbance of emotions & conduct 9 - With other symptoms

2 - Adjustment disorders

0 - Unspecified 1 -Acute 2 - Chronic

F43.

0 - Panic disorder [episodic paroxysmal anxiety] without agoraphobia 1 - Generalized anxiety disorder

ANXIETY DISORDERS F41.

CARDIOLOGY

1 - Left ventricular failure 9 - Unspecified

HEART FAILURE

0 - Unspecified 1 -Acute 2 - Chronic 3 - Acute on chronic

I50.

2 - Systolic CHF 3 - Diastolic CHF 4 - Combined systolic & diastolic CHF

STOP

ATRIAL FIBRILLATION & FLUTTER

0 - Paroxysmal atrial fibrillation 1 - Persistent atrial fibrillation 2 - Chronic atrial fibrillation

I48.

0 - Idiopathic 1 - Orthostatic 2 - Due to drugs

HYPOTENSION I95.

ABNORMALITIES OF HEART BEAT

0 - Tachycardia, unspecified 1 - Bradycardia, unspecified 2 - Palpitations

R00.

19


NONFAMILIAL HYPOGAMMAGLOBULINEMIA

D80.1

EPISTAXIS R04.0

GRAFT-VERSUS-HOST DISEASE

0 - Acute 1 - Chronic 2 - Acute on chronic 3 - Unspecified

D89.81

1 - Right lacrimal gland 2– Left lacrimal gland 3 - Bilateral lacrimal glands 9 - Unspecified lacrimal gland

DRY EYE SYNDROME H04.12

NICOTINE DEPENDENCE - CIGARETTES

0 - Uncomplicated 1 - In Remission 3 - With withdrawal 8 - With other nicotine-induced disorders 9 - Unspecified nicotine-induced disorders

F17.21

SICCA SYNDROME 0 -Unspecified 1 - With keratoconjunctivitis 2 - With lung involvement 3 - With myopathy 4 - With tubulo-interstitial nephropathy 9 - With other organ involvement

M35.0

ORAL MUCOSITIS, ULCERATIVE

0 -Unspecified 1 - Due to antineoplastic therapy 2 - Due to other drugs 3 - Due to radiation 9 - Other

K12.3

ENLARGED LYMPH NODES

0 - Localized 1 - Generalized

R59.

SHINE DIAGNOSIS CODES

LYMPHEDEMA, NOT ELSEWHERE CLASSIFIED

I89.0

0 - Ataxic gait 1 - Paralytic gait 2 - Difficulty in walking

ABNORMALITIES OF GAIT & MOBILITY

1 - Unsteadiness on feet

8 - Other abnormalities of gait & mobility

STOP

R26.

MISCELLANEOUS

L54 ERYTHEMA IN DISEASES CLASSIFIED ELSEWHERE

HEPATIC VENO- OCCLUSIVE DISEASE (SINUSOIDAL OBSTRUCTION SYNDROME –SOS)

K76.5

leukemia/mds - seattle cancer care alliance · leukemia/mds. 0 - not having . achieved remission. 1...

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