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Internal Medicine

Diagnoses

Abdominal Pain
Acute Coronary Syndrome (ACS)
Acute Myocardial Infarction
Alzheimer's Disease
Anemia
Angioplasty / PCI of Coronary Vessels / Percutaneous Coronary Intervention
Angioplasty of Non-Coronary Vessels
Ankle Fractures & Sprains
Arrhythmia / Dysrhythmia / Rhythm and Conduction Disorders
Asthma
Atherosclerosis / Arteriosclerosis of Extremity
Atherosclerotic Heart Disease (ASHD) / Angina
Atrial Fibrillation (AFib)
Atrial Flutter
Breast Cancer / Breast Disorders
Burns
Cardiac Arrest
Cardiomyopathy
Cerebrovascular Accident (CVA) / Cerebral or Subarachnoid Hemorrhage Non-Traumatic
Chest Pain
Chronic Obstructive Pulmonary Disease (COPD)
Coma
Complications of Surgery
Cystitis
Dementia
Diabetic Mellitus
Diabetic Neuropathy
Dysphagia
Encephalopathy
Epilepsy
Fractures
Functional Quadriplegia
Glomerulonephritis
Gout
Growth Plate (Physeal) Fractures
Heart Failure / Congestive Heart Failure (CHF)
Heart Valves
Hematuria
Hepatic Failure
Hypertension
Influenza
Injuries
Inpatient Rehabilitation
Intracranial Injury / Traumatic Brain Injury
Major Depressive Disorder
Nephrotic Syndrome
Osteoarthritis
Otitis Media
Pancreatitis
Paresis / Paraplegia / Quadriplegia
Parkinson's Disease
Peripheral Vascular Disease (PVD)
Phlebitis / Thrombophlebitis
Pneumonia and Pneumonitis
Pneumothorax
Poisonings
Pulmonary Embolism
Pyelonephritis
Renal Failure / Renal Insufficiency
Respiratory Failure / Respiratory Insufficiency / Distress
Rheumatoid Arthritis (RA)
Sacral Fractures
Schizophrenia
Sepsis
Sinusitis
Spinal Cord Injury
Spondylosis
Transient Ischemic Attack (TIA)
Traumatic Brain Hemorrhage
Traumatic Vertebral Fractures
Ulcers / Non-Pressure Ulcer / Pressure Ulcer
Ureter and Urethral Stricture
Upper Respiratory Tract Infection (URI)
Urinary Tract Infection (UTI)
Vesicoureteral Reflux

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
401.9 Essential hypertension, unspecified
I10 Essential (primary) hypertension
250.00 Diabetes mellitus without mention of complications type II or unspecified type, not stated as uncontrolled
E11.9 Type 2 diabetes mellitus without complications
272.4 Other and unspecified hyperlipidemia
E78.4 Other hyperlipidemia
E78.5 Hyperlipidemia, unspecified
E78.0
Pure hypercholesterolemia
E78.1
Pure hyperglyceridemia
E78.2
Mixed hyperlipidemia
E78.3
Hyperchylomicronemia
E78.6
Lipoprotein deficiency
V70.0 Routine general medical examination at a health care facility
Z00.00 Encounter for general adult medical examination without abnormal findings
Z00.01 Encounter for general adult medical examination with abnormal findings

** Use additional code to identify abnormal findings
724.5 Backache, unspecified
M54.9 Dorsalgia, unspecified
M54.89 Other dorsalgia
M54.6
Pain in thoracic spine
M54.5
Low back pain
M53.3
Sacrococcygeal disorders, not elsewhere classified
414.00 Coronary atherosclerosis of unspecified type of vessel, native or graft
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
V72.81 Preoperative cardiovascular examination
Z01.810 Encounter for preprocedural cardiovascular examination
780.79 Other malaise and fatigue
R53.1 Weakness
R53.81
Other malaise
R53.83
Other fatigue
G93.3 Postviral fatigue syndrome
R53.0
Neoplastic (malignant) related fatigue

* Code first associated neoplasm
496 Chronic airway obstruction, not elsewhere classified
J44.9 Chronic obstructive pulmonary disease, unspecified
J44.0 Chronic obstructive pulmonary disease with acute lower respiratory infection
J44.1
Chronic obstructive pulmonary disease with (acute) exacerbation

** Code also type of asthma, if applicable (J45.-)

** Use additional code to identify:

- Exposure to environmental tobacco smoke (Z77.22)

- History of tobacco use (Z87.891)

- Occupational exposure to environmental tobacco smoke (Z57.31)

- Tobacco dependence (F17.-)

- Tobacco use (Z72.0)
427.31 Atrial fibrillation
I48.0 Paroxysmal atrial fibrillation
I48.1
Persistent atrial fibrillation
I48.2
Chronic atrial fibrillation
I48.91
Unspecified atrial fibrillation
V04.81 Need for prophylactic vaccination and inoculation, influenza
Z23 Encounter for immunization
786.2 Cough
R05 Cough
311 Depressive disorder, not elsewhere classified
F32.9 Major depressive disorder, single episode, unspecified
F32.0 Major depressive disorder, single episode, mild
F32.1
Major depressive disorder, single episode, moderate
F32.2
Major depressive disorder, single episode, severe without psychotic features
F32.3
Major depressive disorder, single episode, severe with psychotic features
F32.4
Major depressive disorder, single episode, in partial remission
F32.5
Major depressive disorder, single episode, in full remission
F32.8
Other depressive episodes
250.02 Diabetes mellitus without mention of complications type II or unspecified type, uncontrolled
E11.65 Type 2 diabetes mellitus with hyperglycemia
428.0 Congestive heart failure, unspecified
I50.9 Heart failure, unspecified
I50.1
Left ventricular failure
I50.21
Acute systolic (congestive) heart failure
I50.22
Chronic systolic (congestive) heart failure
I50.23
Acute on chronic systolic (congestive) heart failure
I50.31
Acute diastolic (congestive) heart failure
I50.32
Chronic diastolic (congestive) heart failure
I50.33
Acute on chronic diastolic (congestive) heart failure
I50.41
Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42
Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43
Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
729.5 Pain in limb
M79.609 Pain in unspecified limb
M79.601 Pain in right arm
M79.602
Pain in left arm
M79.603
Pain in arm, unspecified
M79.604
Pain in right leg
M79.605
Pain in left leg
M79.606
Pain in leg, unspecified
M79.621
Pain in right upper arm
M79.622
Pain in left upper arm
M79.629
Pain in unspecified upper arm
M79.631
Pain in right forearm
M79.632
Pain in left forearm
M79.639
Pain in unspecified forearm
M79.641
Pain in right hand
M79.642
Pain in left hand
M79.643
Pain in unspecified hand
M79.644
Pain in right finger(s)
M79.645
Pain in left finger(s)
M79.646
Pain in unspecified finger(s)
M79.671
Pain in right foot
M79.672
Pain in left foot
M79.673
Pain in unspecified foot
M79.674
Pain in right toe(s)
M79.675
Pain in left toe(s)
M79.676
Pain in unspecified toe(s)
M79.651
Pain in right thigh
M79.652
Pain in left thigh
M79.659
Pain in unspecified thigh
M79.661
Pain in right lower leg
M79.662
Pain in left lower leg
M79.669
Pain in unspecified lower leg
782.1 Rash and other nonspecific skin eruption
R21 Rash and other nonspecific skin changes
786.50 Chest pain, unspecified
R07.9 Chest pain, unspecified
R07.1 Chest pain on breathing
R07.81
Pleurodynia
R07.89
Other chest pain
789.00 Abdominal pain, unspecified site
R10.9 Unspecified abdominal pain
R10.0 Acute abdomen
R10.10
Upper abdominal pain, unspecified
R10.11
Right upper quadrant pain
R10.12
Left upper quadrant pain
R10.13
Epigastric pain
R10.2
Pelvic and perineal pain
R10.30
Lower abdominal pain, unspecified
R10.31
Right lower quadrant pain
R10.32
Left lower quadrant pain
R10.33
Periumbilical pain
R10.84
Generalized abdominal pain
300.00 Anxiety state, unspecified
F41.1 Generalized anxiety disorder
F41.8
Other specified anxiety disorders
F41.9
Anxiety disorder, unspecified
782.3 Edema
R60.0 Localized edema
R60.1 Generalized edema
R60.9
Edema, unspecified
719.46 Pain in joint, lower leg
M25.561 Pain in right knee
M25.562 Pain in left knee
M25.569
Pain in unspecified knee
V72.83 Other specified preoperative examination
Z01.818 Encounter for other preprocedural examination
780.4 Dizziness and giddiness
R42 Dizziness and giddiness
786.05 Shortness of breath
R06.02 Shortness of breath
466.0 Acute bronchitis
J20.9 Acute bronchitis, unspecified
J20.0 Acute bronchitis due to Mycoplasma pneumoniae
J20.1
Acute bronchitis due to Hemophilus influenzae
J20.2
Acute bronchitis due to streptococcus
J20.3
Acute bronchitis due to coxsackievirus
J20.4
Acute bronchitis due to parainfluenza virus
J20.5
Acute bronchitis due to respiratory syncytial virus
J20.6
Acute bronchitis due to rhinovirus
J20.7
Acute bronchitis due to echovirus
J20.8
Acute bronchitis due to other specified organisms
465.9 Acute upper respiratory infections of unspecified site
J06.9 Acute upper respiratory infection, unspecified
J39.8 Other specified diseases of upper respiratory tract
530.81 Esophageal reflux
K21.9 Gastro-esophageal reflux disease without esophagitis
K21.0 Gastro-esophageal reflux disease with esophagitis
724.4 Thoracic or lumbosacral neuritis or radiculitis, unspecified
M54.14 Radiculopathy, thoracic region
M54.15
Radiculopathy, thoracolumbar region
M54.16
Radiculopathy, lumbar region
M54.17
Radiculopathy, lumbosacral region
599.0 Urinary tract infection, site not specified
N39.0 Urinary tract infection, site not specified

** Use additional code (B95-B97)to identify infectious agent
N30.00
Acute cystitis without hematuria
N30.01
Acute cystitis with hematuria
N30.10
Interstitial cystitis (chronic) without hematuria
N30.11
Interstitial cystitis (chronic) with hematuria
N30.20
Other chronic cystitis without hematuria
N30.21
Other chronic cystitis with hematuria
N30.30
Trigonitis without hematuria
N30.31
Trigonitis with hematuria
N30.40
Irradiation cystitis without hematuria
N30.41
Irradiation cystitis with hematuria
N30.80
Other cystitis without hematuria
N30.81
Other cystitis with hematuria
N30.90
Cystitis, unspecified without hematuria
N30.91
Cystitis, unspecified with hematuria
N15.9
Renal tubule-interstitial disease, unspecified
N34.1
Nonspecific urethritis
N34.2
Other urethritis
244.9 Unspecified hypothyroidism
E03.9 Hypothyroidism, unspecified
E03.0 Congenital hypothyroidism with diffuse goiter
E03.1
Congenital hypothyroidism without goiter
E03.2
Hypothyroidism due to medicaments and other exogenous substances

** Code first poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4 or 6)

* Use additional code for adverse effect, if applicable, to identify drug (T36-T5O with fifth or sixth character 5)
E03.3
Postinfectious hypothyroidism
E03.4
Atrophy of thyroid (acquired)
E03.5
Myxedema coma
E03.8
Other specified hypothyroidism
380.4 Impacted cerumen
H61.21 Impacted cerumen, right ear
H61.22 Impacted cerumen, left ear
H61.23
Impacted cerumen, bilateral
H61.20
Impacted cerumen, unspecified ear
719.41 Pain in joint, shoulder region
M25.511 Pain in right shoulder
M25.512 Pain in left shoulder
M25.519
Pain in unspecified shoulder
290.0 Senile dementia, uncomplicated
F03.9 Unspecified dementia
723.1 Cervicalgia
M54.2 Cervicalgia
787.91 Diarrhea
R19.7 Diarrhea, unspecified
285.9 Anemia, unspecified
D64.9 Anemia, unspecified
D64.0
Hereditary sideroblastic anemia
D64.1
Secondary sideroblastic anemia due to disease

**Code first underlying disease
D64.2
Secondary sideroblastic anemia due to drugs and toxins

**Code first (T36-T65) to identify drug or toxin

**Code first poisoning due to drug or toxin, if applicable (T36- T65 with fifth or sixth character 1-4 or 6)

*Use additional code for adverse effect, if applicable, to identify drug (T36-T5O with fifth or sixth character 5)
D64.3
Other sideroblastic anemia
D64.81
Anemia due to antineoplastic chemotherapy
D64.89
Other specified anemias
461.9 Acute sinusitis, unspecified
J01.90 Acute sinusitis, unspecified
J01.00 Acute maxillary sinusitis, unspecified
J01.01
Acute recurrent maxillary sinusitis
J01.10
Acute frontal sinusitis, unspecified
J01.11
Acute recurrent frontal sinusitis
J01.20
Acute ethmoidal sinusitis, unspecified
J01.21
Acute recurrent ethmoidal sinusitis
J01.30
Acute sphenoidal sinusitis
J01.31
Acute recurrent sphenoidal sinusitis
J01.40
Acute pansinusitits, unspecified
J01.41
Acute recurrent pansinusitis
J01.80
Other acute sinusitis
J01.81
Other acute recurrent sinusitis, unspecified
J01.91
Acute recurrent sinusitis, unspecified
719.45 Pain in joint, pelvic region and thigh
M25.551 Pain in right hip
M25.552 Pain in left hip
M25.559
Pain in unspecified hip
477.9 Allergic rhinitis, cause unspecified
J30.9 Allergic rhinitis, unspecified
J30.0 Vasomotor rhinitis
J30.1
Allergic rhinitis due to pollen
J30.2
Other seasonal allergic rhinitis
J30.95
Allergic rhinitis due to food
J30.81
Allergic rhinitis due to animal (cat) (dog) hair and dander
J30.89
Other allergic rhinitis
784.0 Headache
R51 Headache
564.00 Constipation, unspecified
K59.00 Constipation, unspecified
K59.01 Slow transit constipation
K59.02
Outlet dysfunction constipation
K59.09
Other constipation
486 Pneumonia, organism unspecified
J18.9 Pneumonia, unspecified organism
J18.8 Other pneumonia, unspecified organism

** Code first associated influenza, if applicable (J09.X1, J10.0- to J11.0-)
338.4 Chronic pain syndrome
G89.4 Chronic pain syndrome
796.2 Elevated blood pressure reading without diagnosis of hypertension
R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
780.2 Syncope and collapse
R55 Syncope and collapse
724.2 Lumbago
M54.5 Low back pain
493.90 Asthma, unspecified
J45.909 Unspecified asthma, uncomplicated
J45.20 Mild intermittent asthma, uncomplicated
J45.21
Mild intermittent asthma with (acute) exacerbation
J45.22
Mild intermittent asthma with status asthmaticus
J45.30
Mild persistent asthma, uncomplicated
J45.31
Mild persistent asthma with (acute) exacerbation
J45.32
Mild persistent asthma with status asthmaticus
J45.40
Moderate persistent asthma, uncomplicated
J45.41
Moderate persistent asthma with (acute) exacerbation
J45.42
Moderate persistent asthma with status asthmaticus
J45.50
Severe persistent asthma, uncomplicated
J45.51
Severe persistent asthma with (acute) exacerbation
J45.52
Severe persistent asthma with status asthmaticus
J45.901
Unspecified asthma with (acute) exacerbation
J45.902
Unspecified asthma with status asthmaticus
J45.990
Exercise induced bronchospasm
J45.991
Cough variant asthma
J45.998
Other asthma

* Use additional code to identify:

- exposure to environmental tobacco smoke (Z77.22)

- exposure to tobacco smoke in the perinatal period (P96.81)

- history of tobacco use (Z87.891)

- occupational exposure to environmental tobacco smoke (Z57.31)

- tobacco dependence (F17-)

- tobacco use (Z72.0)
682.6 Cellulitis and abscess leg, except foot
L03.115 Cellulitis of right lower limb
L03.116 Cellulitis of left lower limb
L03.119
Cellulitis of unspecified part of limb
L03.125
Acute lymphangitis of right lower limb
L03.126
Acute lymphangitis of left lower limb
L03.129
Acute lymphangitis of unspecified part of limb
462 Acute pharyngitis
J02.8 Acute pharyngitis due to other specified organisms

**Use additional code (B95- B97) to identify infectious agent
J02.0
Streptococcal pharyngitis
J02.9
Acute pharyngitis, unspecified
401.1 Benign essential hypertension

It is important to note any of the following that are applicable. Other disorders may acompany hypertentension. These disorders should be noted.
I15.1 Hypertension secondary to other renal disorders
I15.2
Hypertension secondary to endocrine disorders
I15
Secondary hypertension
O10 Pre-existing hypertension complicating pregnancy, childbirth and the puerperium
O11 Pre-existing hypertension with pre-eclampsia
I15.0
Renovascular hypertension
I15.9
Secondary hypertension, unspecified
I97.3
Postprocedural hypertension
K76.6 Portal hypertension
I10 Essential (primary) hypertension
584.9 Acute kidney failure, unspecified

Document the accompanying condition with acute kidney failure if it can be determined.
N17.0 Acute kidney failure with tubular necrosis
N17.1
Acute kidney failure with acute cortical necrosis
N17.2
Acute kidney failure with medullary necrosis
N17.8
Other acute kidney failure
N17.9
Acute kidney failure, unspecified
272.0 Pure hypercholesterolemia
E78.0 Pure hypercholesterolemia
V03.82 Need for prophylactic vaccination and inoculation against streptococcus pneumoniae [pneumococcus]
Z23
Encounter for immunization
790.29 Other abnormal glucose

Note if other abnormal glucose or hyperglycemia. ICD-10 options include:
R73.9 Hyperglycemia, unspecified
R73.09
Other abnormal glucose
780.97 Altered mental status

Documentation should detail if alterted mental status or disorientation.
R41.0 Disorientation, unspecified
R41.82
Altered mental status, unspecified
518.81 Acute respiratory failure
J96.90 Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
J96.01 Acute respiratory failure with hypoxia
J96.02
Acute respiratory failure with hypercapnia
J96.91
Respiratory failure, unspecified with hypoxia
J96.92
Respiratory failure, unspecified with hypercapnia
J96.00
Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
585.6 End stage renal disease
N18.6 End stage renal disease
V20.2 Routine infant or child health check

Document if encounter is for routine child health check with or without abnormal findings. ICD-10 options include:
Z00.121 Encounter for routine child health examination with abnormal findings
Z00.129
Encounter for routine child health examination without abnormal findings
434.91 Cerebral artery occlusion unspecified with cerebral infarction

Multiple specific diagnosis choices are present under ICD-10 for Cerebral artery infarction. Documentation should note the specific cerebral artery (when possible) with an occlusion or stenosis and the laterality where applicable. Examples include:
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512
Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.519
Cerebral infarction due to unspecified occlusion or stenosis of unspecified middle cerebral artery
I63.521
Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522
Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.529
Cerebral infarction due to unspecified occlusion or stenosis of unspecified anterior cerebral artery
I63.531
Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532
Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
338.11 Acute pain due to trauma
G89.11 Acute pain due to trauma
578.9 Hemorrhage of gastrointestinal tract unspecified
K92.2 Hemorrhage of gastrointestinal tract unspecified
491.21 Obstructive chronic bronchitis with (acute) exacerbation
J44.1 Obstructive chronic bronchitis with (acute) exacerbation

OSTEOPEROSIS

Code Description (ICD-9 codes are in blue)
805.2 Closed fracture of dorsal (thoracic) vertebra without spinal cord injury

Document the type of fracture (wedge, burst, compression, or other). Note which thoracic vertebrae is affected. ICD-10 options include the following:
S22.040A Wedge compression fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.041A
Stable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.042A
Unstable burst fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.048A
Other fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.049A
Unspecified fracture of fourth thoracic vertebra, initial encounter for closed fracture
S22.050A
Wedge compression fracture of T5-T6 vertebra, initial encounter for closed fracture
S22.051A
Stable burst fracture of T5-T6 vertebra, initial encounter for closed fracture
S22.052A
Unstable burst fracture of T5-T6 vertebra, initial encounter for closed fracture
820.03 Fracture of unspecified part of neck of femur closed

Documentation must specify the specific femur effected. Note laterality when possible. ICD-10 option include:
S72.043A Displaced fracture of base of neck of unspecified femur, initial encounter for closed fracture
S72.046A
Nondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture
S72.041A
Displaced fracture of base of neck of right femur, initial encounter for closed fracture
S72.042A
Displaced fracture of base of neck of left femur, initial encounter for closed fracture
S72.044A
Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture
S72.045A
Nondisplaced fracture of base of neck of left femur, initial encounter for closed fracture
825.20 Fracture of unspecified bone(s) of foot (except toes) closed
S92.909A Unspecified fracture of unspecified foot, initial encounter for closed fracture
S92.901A Unspecified fracture of right foot, initial encounter for closed fracture
S92.902A
Unspecified fracture of left foot, initial encounter for closed fracture
805.4 Closed fracture of lumbar vertebra without spinal cord injury

Level of lumbar fracture and the type, (wedge, stable burst, unstable burst, or other). Examples of the initial care for fracture types of 3rd lumbar vertebrae are shown below:
S32.030A Wedge compression fracture of third lumbar vertebra, initial encounter for closed fracture
S32.031A
Stable burst fracture of third lumbar vertebra, initial encounter for closed fracture
S32.032A
Unstable burst fracture of third lumbar vertebra, initial encounter for closed fracture
S32.038A
Other fracture of third lumbar vertebra, initial encounter for closed fracture
S32.039A
Unspecified fracture of third lumbar vertebra, initial encounter for closed fracture
820.8 Fracture of unspecified part of neck of femur closed
S72.001A Fracture of unspecified part of neck of right femur, initial encounter for closed fracture
S72.002A Fracture of unspecified part of neck of left femur, initial encounter for closed fracture
S72.009A
Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture
808.43 Multiple closed pelvic fractures with disruption of pelvic circle
S32.810A Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for closed fracture
S32.811A Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture
808.49 Closed fracture of other specified part of pelvis
S32.89XA Fracture of other parts of pelvis, initial encounter for closed fracture
S32.9XXA Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture
807.00 Closed fracture of rib(s) unspecified

Document the number of ribs fractured if known. Also note laterality. ICD-10 options include:
S22.39XA Fracture of one rib, unspecified side, initial encounter for closed fracture
S22.31XA
Fracture of one rib, right side, initial encounter for closed fracture
S22.32XA
Fracture of one rib, left side, initial encounter for closed fracture
S22.41XA
Multiple fractures of ribs, right side, initial encounter for closed fracture
S22.42XA
Multiple fractures of ribs, left side, initial encounter for closed fracture
S22.43XA
Multiple fractures of ribs, bilateral, initial encounter for closed fracture
814.00 Closed fracture of carpal bone unspecified
S62.109A Fracture of unspecified carpal bone, unspecified wrist, initial encounter for closed fracture
S62.101A Fracture of unspecified carpal bone, right wrist, initial encounter for closed fracture
S62.102A
Fracture of unspecified carpal bone, left wrist, initial encounter for closed fracture
733.16 Pathological fracture of tibia or fibula

Document type of fracture (pathological, age related) with or without osteoporosis and the nature of the osteoporosis. Note laterality. ICD-10 options include:
M80.869A Other osteoporosis with current pathological fracture, unspecified lower leg, initial encounter for fracture
M80.871A
Other osteoporosis with current pathological fracture, right ankle and foot, initial encounter for fracture
M80.872A
Other osteoporosis with current pathological fracture, left ankle and foot, initial encounter for fracture
M80.879A
Other osteoporosis with current pathological fracture, unspecified ankle and foot, initial encounter for fracture
M84.461A
Pathological fracture, right tibia, initial encounter for fracture
M84.462A
Pathological fracture, left tibia, initial encounter for fracture
M84.463A
Pathological fracture, right fibula, initial encounter for fracture
M84.464A
Pathological fracture, left fibula, initial encounter for fracture
733.14 Pathological fracture of neck of femur

Document type of fracture (pathological, age related) with or without osteoporosis and the nature of the osteoporosis. Note laterality. ICD-10 options include:
M80.031A Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
M80.032A Age-related osteoporosis with current pathological fracture, leftt forearm, initial encounter for fracture
M80.039A Age-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
M84.551A Pathological fracture in neoplastic disease, right femur, initial encounter for fracture
M84.552A
Pathological fracture in neoplastic disease, left femur, initial encounter for fracture
M84.553A
Pathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture
M84.559A
Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture
M84.651A
Pathological fracture in other disease, right femur, initial encounter for fracture
M84.652A
Pathological fracture in other disease, left femur, initial encounter for fracture
M84.653A
Pathological fracture in other disease, unspecified femur, initial encounter for fracture
M84.659A
Pathological fracture in other disease, hip, unspecified, initial encounter for fracture
733.11 Pathological fracture of humerus

Document type of fracture (pathological, age related) with or without osteoporosis and the nature of the osteoporosis. Note laterality. ICD-10 options include:
M80.021A Age-related osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
M80.022A Age-related osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
M80.029A
Age-related osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
M80.821A
Other osteoporosis with current pathological fracture, right humerus, initial encounter for fracture
M80.822A
Other osteoporosis with current pathological fracture, left humerus, initial encounter for fracture
M80.829A
Other osteoporosis with current pathological fracture, unspecified humerus, initial encounter for fracture
M84.421A
Pathological fracture, right humerus, initial encounter for fracture
M84.422A
Pathological fracture, left humerus, initial encounter for fracture
733.12 Pathological fracture of distal radius and ulna

Document type of fracture (pathological, age related) with or without osteoporosis and the nature of the osteoporosis. Note laterality. ICD-10 options include:
M80.031A Age-related osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
M80.032A Age-related osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
M80.039A Age-related osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
M80.831A
Other osteoporosis with current pathological fracture, right forearm, initial encounter for fracture
M80.832A
Other osteoporosis with current pathological fracture, left forearm, initial encounter for fracture
M80.839A
Other osteoporosis with current pathological fracture, unspecified forearm, initial encounter for fracture
M84.431A
Pathological fracture, right ulna, initial encounter for fracture
M84.432A
Pathological fracture, left ulna, initial encounter for fracture
M84.433A
Pathological fracture, right radius, initial encounter for fracture
M84.434A
Pathological fracture, left radius, initial encounter for fracture
733.13 Pathologic fracture of vertebrae unspecified site

It is important to note if vertebra is collapsed, if fracture is age related, or related to another disease. Must note the region of the fracture. A sample of available codes is below.
M84.68XA Pathological fracture in other disease, other site, initial encounter for fracture
M48.51XA
Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region, initial encounter for fracture
M48.52XA
Collapsed vertebra, not elsewhere classified, cervical region, initial encounter for fracture
M48.53XA
Collapsed vertebra, not elsewhere classified, cervicothoracic region, initial encounter for fracture
733.90 Disorder of bone and cartilage, unspecified

Note if disorder of bone, cartilage, or bone density and structure. Note site and laterality when possible.
A sample of codes bearing out more specificity are below.
M89.129 Physeal arrest, humerus, unspecified
M89.139
Physeal arrest, forearm, unspecified
M89.159
Physeal arrest, femur, unspecified
M89.169
Physeal arrest, lower leg, unspecified
M89.18
Physeal arrest, other site
M89.121
Complete physeal arrest, right proximal humerus
M89.122
Complete physeal arrest, left proximal humerus
M89.123
Partial physeal arrest, right proximal humerus
M89.124
Partial physeal arrest, left proximal humerus
M89.9
Disorder of bone, unspecified
M94.9
Disorder of cartilage, unspecified
M85.9
Disorder of bone density and structure, unspecified
256.31 Premature menopause
E28.310 Symptomatic premature menopause
E28.319 Asymptomatic premature menopause
627.2 Symptomatic menopausal or female climacteric states
N95.1 Symptomatic menopausal or female climacteric states
135 Sarcoidosis
D86.9 Sarcoidosis, unspecified
D86.0 Sarcoidosis of lung
D86.1
Sarcoidosis of lymph nodes
D86.85
Sarcoid myocarditis
D86.86
Sarcoid arthropathy
D86.87
Sarcoid myositis
D86.89
Sarcoidosis of other sites
V58.69 Long term (current) use of other medications
Z79.891 Long term (current) use of opiate analgesic
Z79.899 Other long term (current) drug therapy
Z79.3
Long term (current) use of hormonal contraceptives
268.9 Unspecified vitamin D deficiency

It is important to note if vitamin D deficiency is due to osteomalacia or rickets. ICD-10 options include:
E55.9 Vitamin D deficiency, unspecified
268.2 Osteomalacia unspecified
M83.9 Adult osteomalacia, unspecified
M83.0 Puerperal osteomalacia
M83.1
Senile osteomalacia
M83.2
Adult osteomalacia due to malabsorption
M83.3
Adult osteomalacia due to malnutrition
M83.4
Aluminum bone disease
M83.5
Other drug-induced osteomalacia in adults
M83.8
Other adult osteomalacia
275.3 Disorders of phosphorus metabolism

Documentation should specify if disorders of the phosphorus are familial, hereditary, or other. ICD-10 options include the following:
E83.30 Disorder of phosphorus metabolism, unspecified
E83.31
Familial hypophosphatemia
E83.32
Hereditary vitamin D-dependent rickets (type 1) (type 2)
E83.39
Other disorders of phosphorus metabolism
733.19 Pathological fracture of other specified site

It is important to note if vertebra is collapsed, if fracture is age related, or related to another disease. Must note the region of the fracture. A sample of available codes is below.
M84.411A Pathological fracture, right shoulder, initial encounter for fracture
M84.412A Pathological fracture, left shoulder, initial encounter for fracture
M84.419A Pathological fracture, unspecified shoulder, initial encounter for fracture
M84.441A
Pathological fracture, right hand, initial encounter for fracture
M84.442A
Pathological fracture, left hand, initial encounter for fracture
M84.443A
Pathological fracture, unspecified hand, initial encounter for fracture
M84.444A
Pathological fracture, right finger(s), initial encounter for fracture
M84.445A
Pathological fracture, left finger(s), initial encounter for fracture
M84.446A
Pathological fracture, unspecified finger(s), initial encounter for fracture
M80.041A
Age-related osteoporosis with current pathological fracture, right hand, initial encounter for fracture
M80.042A Age-related osteoporosis with current pathological fracture, left hand, initial encounter for fracture
M80.049A Age-related osteoporosis with current pathological fracture, unspecified hand, initial encounter for fracture
268.0 Rickets active
E55.0 Rickets active
733.00 Osteoporosis unspecified

Document if age-related and if with or without current pathological fracture.
M81.0 Age-related osteoporosis without current pathological fracture
733.01 Senile osteoporosis

No longer documented as Senile.
M81.0 Age-related osteoporosis without current pathological fracture
733.03 Disuse osteoporosis

No longer documented as Disuse osteoporosis. Maps to a more general code. Note with or without pathological fracture.
M81.8 Other osteoporosis without current pathological fracture
733.09 Other osteoporosis

Note if age related, with or without pathological fractures, and if condition is localized.
M81.8 Other osteoporosis without current pathological fracture
M81.6
Localized osteoporosis [Lequesne]
733.02 Idiopathic osteoporosis

Idiopathic osteoporosis translates to a more general code. However, it is important to document if osteoporosis is age related and if there are pathological fractures involved.
M81.8 Other osteoporosis without current pathological fracture
256.39 Other ovarian failure
E28.39 Other primary ovarian failure
E28.310 Symptomatic premature menopause
E28.19
Asymptomatic premature menopause
E28.2
Polycystic ovarian syndrome

DIABETES

Code Description (ICD-9 codes are in blue)
255.41 Glucocorticoid deficiency

Document if Addisonian crisis, primary adrenocoritical insufficiency or drug-induced adrenocortical insufficiency.
E27.1 Primary adrenocortical insufficiency
E27.2 Addisonian crisis
E27.40
Unspecified adrenocortical insufficiency
E27.3
Drug-induced adrenocortical insufficiency
E27.49
Other adrenocortical insufficiency
E89.6
Postprocedural adrenocortical (-medullary) hypofunction
250.62 diabetes with neurological manifestations, type II or unspecified type, uncontrolled

Note if type 2 diabetes with diabetic neuropathy or with hyperglycemia.
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.65 Type 2 diabetes mellitus with hyperglycemia
250.53 Diabetes with ophthalmic manifestations, type I, uncontrolled

Document if diabetic retinopathy with or without macular edema. Also note if diabetes mellitus with diabetic cataract or diabetic ophthalmic complication.
E10.311 Type I diabetes mellitus with unspecified diabetic retinopathy with macular edema
E10.319 Type I diabetes mellitus with unspecified diabetic retinopathy without macular edema
E10.36
Type I diabetes mellitus with diabetic cataract
E10.39
Type I diabetes mellitus with other diabetic ophthalmic complication
250.42 Diabetes with renal manifestations, type II or unspecified type, uncontrolled

Note if type 2 diabetes mellitus with diabetic nephropathy or hyperglycemia.
E11.21 Type 2 diabetes mellitus with diabetic nephropathy WITH
E11.65 Type 2 diabetes mellitus with hyperglycemia
250.92 Diabetes with unspecified complication, type ii or unspecified type, uncontrolled

Document if other or unspecified hyperfunction of pituitary gland. If hyperfunction is known then its type should be noted.
E11.8 Type 2 diabetes mellitus with unspecified complications
E11.65 Type 2 diabetes mellitus with hyperglycemia
253.1 Other and unspecified anterior pituitary hyperfunction

Document if other or unspecified hyperfunction of pituitary gland. If hyperfunction is known then its type should be noted.
E23.0 Hypopituitarism
E22.8 Other hyperfunction of pituitary gland
E22.9
Hyperfunction of pituitary gland, unspecified
E23.6
Other disorders of pituitary gland
E22.1
Hyperprolactinemia
250.93 Diabetes with unspecified complication, type I [juvenile type], uncontrolled

Document if hyperglycemia is relevant and any other conditions accompanying type 1 diabetes mellitus.
E10.8 Type 1 diabetes mellitus with unspecified complications
E10.65 Type 1 diabetes mellitus with hyperglycemia
253.7 Iatrongenic pituitary disorders

Under I-10 code differentiates between drug induced and post procedural hypopituitarism:
E23.1 Drug induced hypopituitarism
E89.3 Post procedural hypopituitarism
250.63 Diabetes with neurological manifestations, type I [juvenile type], uncontrolled

Note if type 1 diabetes mellitus with hyperglycemia or diabetic neuropathy.
E10.40 Type 1 diabetes mellitus with diabetic neuropathy, unspecified
E10.65 Type 1 diabetes mellitus with hyperglycemia
250.52 Diabetes with ophthalmic manifestations, type II or unspecified type, uncontrolled

Document if diabetic retinopathy with or without macular edema. Also note if diabetes mellitus with diabetic cataract or diabetic ophthalmic complication.
E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319
Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.39
Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.65
Type 2 diabetes mellitus with hyperglycemia
255.0 Cushing's Syndrome

Note the specific type of cushing's syndrome. May be pituitary dependent, drug induced, ectopic, or others.
E24.0 Pituitary-dependent Cushing's disease
E24.2 Drug-induced Cushing's syndrome
E24.3
Ectopic ACTH syndrome
E24.8
Other Cushing's syndrome
E24.9
Cushing's syndrome, unspecified
E24.4
Alcohol induced pseudo-Cushing's syndrome
255.2 Adrenogenital disorders

Document if congenital adrenogenital disorder associated with enzyeme deficiency or some other adrenogenital disorder.
E25.0 Congenital adrenogenital disorders associated with enzyme deficiency
E25.8 Other adrenogenital disorders
E25.9
Adrenogenital disorder, unspecified
250.50 Diabetes with ophthalmic manifestations, type II or unspecified type, not stated as uncontrolled

Document if diabetic retinopathy with or without macular edema. Also note if diabetes mellitus with diabetic cataract or diabetic ophthalmic complication.
E11.311
Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319
Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.39
Type 2 diabetes mellitus with other diabetic ophthalmic complication
250.51 Diabetes with opthalmic manifestations, type I , not stated as uncontrolled

Note if diabetes is unspecified and document the specific type of manifestation and site of manifestation. A sample of available codes is below:

E11.311 Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema
E11.319 Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema
E11.36
Type 2 diabetes mellitus with diabetic cataract
E11.39
Type 2 diabetes mellitus with other diabetic ophthalmic complication
E11.321
Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema
E11.329
Type 1 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema
E11.331
Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema
E11.339
Type 1 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema
255.10 Hyperaldosteronism NOS

I-10 codes differentiate between other and unspecified. If hyperaldosteroism type can be determined then those specifics should be noted.
E26.09 Other primary hyperaldosteronism
E26.9 Hyperaldosteronism, unspecified
253.9 Unspecified disorder of the pituitary gland and its hypothalamic control

2 new I-10 codes allows differentiation as to whether the disorder is in the pituitary or the hypothalumus.
E23.3 Hypothalamic dysfunction, not elsewhere classified
E23.7 Disorder of pituitary gland, unspecified
258.8 Other specified polyglandular dysfunction

Document if multiple endocrine neoplasia syndrome, or other polyglandular hyperfunction or dysfunction.
E31.20 Multiple endocrine neoplasia [MEN] syndrome, unspecified
E31.8 Other polyglandular dysfunction
E31.1
Polyglandular hyperfunction
780.79 Other malaise and fatigue

Document the specific nature of maliase and fatigue. Possibilities include postviral fatigue syndrom, weakness, or neoplastic related fatigue.
G93.3 Postviral fatigue syndrome
R53.1 Weakness
R53.81
Other malaise
R53.83
Other fatigue
R53.0
Neoplastic (malignant) related fatigue
250.80 Diabetes with other specified manifestations, type II or unspecified type, not stated as controlled

The new I-10 coding differentiates between specific manefestations and complications. It is important to note the complication and type of diabetes (Type II) or (Unspecified). A sample of these mappings is below.
E11.630 Type 2 diabetes mellitus with periodontal disease
E11.638 Type 2 diabetes mellitus with other oral complications
E11.649
Type 2 diabetes mellitus with hypoglycemia without coma
E11.65
Type 2 diabetes mellitus with hyperglycemia
E11.69
Type 2 diabetes mellitus with other specified complication
E11.618
Other specified diabetes mellitus with other diabetic arthropathy
E11.620
Other specified diabetes mellitus with diabetic dermatitis
E11.621
Other specified diabetes mellitus with foot ulcer
E11.622
Other specified diabetes mellitus with other skin ulcer
250.72 Diabetes with peripheral circulatory disorders, type II or unspecified type, uncontrolled

Need to document with diabetic peripheral angiopathy without gangrene or with hyperglycemia.
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.65 Type 2 diabetes mellitus with hyperglycemia
250.81 Diabetes with other specified manifestations, type I, not stated as controlled

Note specific manifestation or complication or if that manifestation is unspecified.
E10.618 Type 1 diabetes mellitus with other diabetic arthropathy
E10.620 Type 1 diabetes mellitus with diabetic dermatitis
E10.621
Type 1 diabetes mellitus with foot ulcer
E10.622
Type 1 diabetes mellitus with other skin ulcer
E10.628
Type 1 diabetes mellitus with other skin complications
E10.630
Type 1 diabetes mellitus with periodontal disease
E10.638
Type 1 diabetes mellitus with other oral complications
E10.649
Type 1 diabetes mellitus with hypoglycemia without coma
E10.65
Type 1 diabetes mellitus with hyperglycemia
E10.69
Type 1 diabetes mellitus with other specified complication
250.20 Diabetes with hyperosmolarity, type Iior unspecified type, not stated as controlled

Note if with or without hyperglycemic – hyperocmolar coma or with or without nonketotic hyperglycemic – hyperosmolar coma.
E11.00 Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E13.00
Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E13.01
Other specified diabetes mellitus with hyperosmolarity with coma
250.73 Diabetes with peripheral circulatory disorders, type I, uncontrolled

Document if with diabetic peripheral angiopathy without gangrene or with hyperglycemia.
E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.65 Type 2 diabetes mellitus with hyperglycemia
250.12 Diabetes with ketoacidosis, type II or unspecified type , uncontrolled

Note if with hyperglycemia or with ketoacidosis.
E11.65
Type 2 diabetes mellitus with hyperglycemia
E11.69 Type 2 diabetes mellitus with other specified complication
E13.10
Other specified diabetes mellitus with ketoacidosis without coma
250.32 Diabetes with other coma, type II or unspecified type, uncontrolled

Document if with hyperosmolarity or hyperglycemia.
E11.01 Type 2 diabetes mellitus with hyperosmolarity with coma
E11.65 Type 2 diabetes mellitus with hyperglycemia