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Plastic Surgery

Diagnoses

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)
174.9 Malignant neoplasm of breast (female) unspecified site
C50.911 Malignant neoplasm of unspecified site of right female breast
C50.912 Malignant neoplasm of unspecified site of left female breast
C50.919
Malignant neoplasm of unspecified site of unspecified female breast
V67.09 Follow-up examination following other surgery
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
250.62 Diabetes with neurological manifestations, type ii or unspecified type
E11.40 Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41 Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42
Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43
Type 2 diabetes mellitus with diabetic gastro paresis
E11.44
Type 2 diabetes mellitus with diabetic amyotrophy
E11.49
Type 2 diabetes mellitus with other diabetic neurological complication
891.1 Open wound of knee, leg (except thigh), and ankle, complicated

It is important to document laterality, site of leg, and type of wound (puncture, laceration, etc…) A sample of available codes is below.
S81.041A Puncture wound with foreign body, right knee, initial encounter
S81.042A Puncture wound with foreign body, left knee, initial encounter
S81.049A
Puncture wound with foreign body, unspecified knee, initial encounter
S81.821A
Laceration with foreign body, right lower leg, initial encounter
S81.822A
Laceration with foreign body, left lower leg, initial encounter
611.1 Hypertrophy of the breast
N62 Hypertrophy of the breast
892.1 Open wound of foot except toe(s) alone complicated
S91.321A Laceration with foreign body, right foot, initial encounter
S91.322A Laceration with foreign body, left foot, initial encounter
S91.341A
Puncture wound with foreign body, right foot, initial encounter
S91.342A
Puncture wound with foreign body, left foot, initial encounter
S91.349A
Puncture wound with foreign body, unspecified foot, initial encounter
S91.329A
Laceration with foreign body, unspecified foot, initial encounter
V50.1 Other plastic surgery for unacceptable cosmetic appearance
Z41.1 Encounter for cosmetic surgery
707.03 Pressure ulcer, lower back

Multiple specific diagnosis choices are available under ICD-10. Documentation should note the region of back, stage of ulcer (1-4), and laterality where applicable: Examples of code choices include:
L89.131 Pressure ulcer of right lower back, stage 1
L89.132
Pressure ulcer of right lower back, stage 2
L89.143
Pressure ulcer of left lower back, stage 3
L89.144
Pressure ulcer of left lower back, stage 4
L89.151
Pressure ulcer of sacral region, stage 1
L89.152
Pressure ulcer of sacral region, stage 2
L89.41
Pressure ulcer of contiguous site of back, buttock and hip, stage 1
L89.42
Pressure ulcer of contiguous site of back, buttock and hip, stage 2
L89.43
Pressure ulcer of contiguous site
707.14 Ulcer of heel and midfoot
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.334
Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.344
Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.434
Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
70.444
Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
70.534
Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
70.544
Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.634
Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.644
Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.734
Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.744
Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
L97.401
Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin
L97.402
Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed
L97.403
Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle
L97.404
Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone
L97.411
Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412
Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413
Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414
Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.419
Non-pressure chronic ulcer of right heel and midfoot with unspecified severity
L97.421
Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422
Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423
Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424
Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.429
Non-pressure chronic ulcer of left heel and midfoot with unspecified severity
V45.89 Other postsurgical status
Z97.4 Presence of external hearing-aid
Z98.89 Other specified postprocedural states
Z96.21
Cochlear implant status
Z96.22
Myringotomy tube(s) status
Z97.8
Presence of other specified devices
Z98.3
Post therapeutic collapse of lung status
Z98.62
Peripheral vascular angioplasty status
238.2 Neoplasm of uncertain behavior of skin
D48.5 Neoplasm of uncertain behavior of skin
V45.71 Acquired absence of breast and nipple
Z90.11 Acquired absence of right breast and nipple
Z90.12 Acquired absence of left breast and nipple
Z90.13
Acquired absence of bilateral breasts and nipples
Z90.10
Acquired absence of unspecified breast and nipple
782.9 Other symptoms involving skin and integumentary tissues
R23.0 Cyanosis
R23.1 Pallor
R23.2
Flushing
R23.3
Spontaneous ecchymoses
R23.4
Changes in skin texture
R23.8
Other skin changes
R23.9
Unspecified skin changes
701.4 Hypertrophic scar
L91.0 Hypertrophic scar
707.05 Pressure ulcer, buttock
L89.300 Pressure ulcer of unspecified buttock, unstageable
L89.301 Pressure ulcer of unspecified buttock, stage 1
L89.302
Pressure ulcer of unspecified buttock, stage 2
L89.303
Pressure ulcer of unspecified buttock, stage 3
L89.304
Pressure ulcer of unspecified buttock, stage 4
L89.310
Pressure ulcer of right buttock, unstageable
L89.311
Pressure ulcer of right buttock, stage 1
L89.312
Pressure ulcer of right buttock, stage 2
L89.313
Pressure ulcer of right buttock, stage 3
L89.314
Pressure ulcer of right buttock, stage 4
L89.319
Pressure ulcer of right buttock, unspecified stage
L89.320
Pressure ulcer of left buttock, unstageable
L89.321
Pressure ulcer of left buttock, stage 1
L89.322
Pressure ulcer of left buttock, stage 2
L89.323
Pressure ulcer of left buttock, stage 3
L89.324
Pressure ulcer of left buttock, stage 4
L89.329
Pressure ulcer of left buttock, unspecified stage
L89.40
Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage
L89.41
Pressure ulcer of contiguous site of back, buttock and hip, stage 1
L89.42
Pressure ulcer of contiguous site of back, buttock and hip, stage 2
L89.43
Pressure ulcer of contiguous site of back, buttock and hip, stage 3
L89.44
Pressure ulcer of contiguous site of back, buttock and hip, stage 4
L89.45
Pressure ulcer of contiguous site of back, buttock and hip, unstageable
706.2 Sebaceous cyst
L72.0 Epidermal cyst
L72.2 Steatocystoma multiplex
L72.8
Other follicular cysts of the skin and subcutaneous tissue
L72.9
Follicular cyst of the skin and subcutaneous tissue, unspecified
L72.0
Epidermal cyst
L72.3
Sebaceous cyst
E929.9 Late effects of unspecified accident
X58.XXXS Exposure to other specified factors, sequela
998.32 Disruption of external operation (surgical) wound
T81.31XA Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter
T81.31XD Disruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter
T81.31XS
Disruption of external operation (surgical) wound, not elsewhere classified, sequela
701.9 Unspecified hypertrophic and atrophic conditions of skin
L90.9 Atrophic disorder of skin, unspecified
L91.9 Hypertrophic disorder of the skin, unspecified
L85.9
Epidermal thickening, unspecified
L87.9
Transepidermal elimination disorder, unspecified
L94.9
Localized connective tissue disorder, unspecified

Documentation should specify if any of the following:
M33.90
Dermatopolymyositis, unspecified, organ involvement unspecified
M33.00
Juvenile dermatopolymyositis, organ involvement unspecified
M33.01
Juvenile dermatopolymyositis with respiratory involvement
M33.02
Juvenile dermatopolymyositis with myopathy
M33.09
Juvenile dermatopolymyositis with other organ involvement
M33.10
Other dermatopolymyositis, organ involvement unspecified
M33.11
Other dermatopolymyositis with respiratory involvement
M33.12
Other dermatopolymyositis with myopathy
M33.19
Other dermatopolymyositis with other organ involvement
M33.91
Dermatopolymyositis, unspecified with respiratory involvement
M33.92
Dermatopolymyositis, unspecified with myopathy
M33.99
Dermatopolymyositis, unspecified with other organ involvement
M36.0
Dermato(poly)myositis in neoplastic disease
735.4 Other hammer toe (acquired)
M20.41 Other hammer toe(s) (acquired), right foot
M20.42 Other hammer toe(s) (acquired), left foot
M20.40
Other hammer toe(s) (acquired), unspecified foot
709.2 Scar conditions and fibrosis of skin
L905 Scar conditions and fibrosis of skin
877.1 Open wound of buttock complicated
S31.804A Puncture wound with foreign body of unspecified buttock, initial encounter
S31.812A Laceration with foreign body of right buttock, initial encounter
S31.814A
Puncture wound with foreign body of right buttock, initial encounter
S31.822A
Laceration with foreign body of left buttock, initial encounter
S31.824A
Puncture wound with foreign body of left buttock, initial encounter
S31.802A
Laceration with foreign body of unspecified buttock, initial encounter
553.21 Incisional hernia without obstruction or gangrene
K43.2 Incisional hernia without obstruction or gangrene
729.5 Pain in limb

Document site of pain and note laterality when possible. Sites can be specific to hands, fingers, and regions of the leg. A sample of these codes is provided below.
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)
M79.651
Pain in right thigh
M79.652
Pain in left thigh
454.0 Varicose veins of lower extremities with ulcer

Include laterality in diagnosis selection. Document whether ulcer is located in thigh, calf, ankle, heel and mid-foot, or other part of the foot. Specific diagnosis selections for right lower extremity are shown below:
I83.011 Varicose veins of right lower extremity with ulcer of thigh
I83.012
Varicose veins of right lower extremity with ulcer of calf
I83.013
Varicose veins of right lower extremity with ulcer of ankle
I83.014
Varicose veins of right lower extremity with ulcer of heel and midfoot
I83.015
Varicose veins of right lower extremity with ulcer other part of foot
I83.021 Varicose veins of left lower extremity with ulcer of thigh
I83.022
Varicose veins of left lower extremity with ulcer of calf
I83.023
Varicose veins of left lower extremity with ulcer of ankle
I83.024
Varicose veins of left lower extremity with ulcer of heel and midfoot
I83.025
Varicose veins of left lower extremity with ulcer other part of foot
998.83 Non-healing surgical wound
T81.89XA Other complications of procedures, not elsewhere classified, initial encounter
V10.3 Personal history of malignant neoplasm of breast
Z85.3 Personal history of malignant neoplasm of breast
V49.75 Below knee amputation status
Z89.511 Acquired absence of right leg below knee
Z89.512 Acquired absence of left leg below knee
Z89.519
Acquired absence of unspecified leg below knee
879.3 Open wound of abdominal wall anterior complicated
S31.122 A Laceration of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter
S31.125A Laceration of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity, initial encounter
Extended
S31.142A
Puncture wound of abdominal wall with foreign body, epigastric region without penetration into peritoneal cavity, initial encounter
S31.145A
Puncture wound of abdominal wall with foreign body, periumbilic region without penetration into peritoneal cavity, initial encounter
440.24 Atherosclerosis of native arteries of the extremities with gangrene
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263
Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.268
Atherosclerosis of native arteries of extremities with gangrene, other extremity
I70.269
Atherosclerosis of native arteries of extremities with gangrene, unspecified extremity
682.6 Cellulitis and abscess of leg
L03.119 Cellulitis of unspecified part of limb
L03.129 Acute lymphangitis of unspecified part of limb
L02.415
Cutaneous abscess of right lower limb
L02.416
Cutaneous abscess of left lower limb
L02.419
Cutaneous abscess of limb, unspecified
L03.115
Cellulitis of right lower limb
L03.116
Cellulitis of left lower limb
L03.125
Acute lymphangitis of right lower limb
L03.126
Acute lymphangitis of left lower limb
707.10 Unspecified ulcer of lower limb
L97.901 Non-pressure chronic ulcer of unspecified part of unspecified lower leg limited to breakdown of skin
L97.902 Non-pressure chronic ulcer of unspecified part of unspecified lower leg with fat layer exposed
L97.903
on-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of muscle
L97.904
Non-pressure chronic ulcer of unspecified part of unspecified lower leg with necrosis of bone
L97.911
Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin
L97.912
Non-pressure chronic ulcer of unspecified part of right lower leg with fat layer exposed
L97.913
Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of muscle
L97.914
Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
L97.919
Non-pressure chronic ulcer of unspecified part of right lower leg with unspecified severity
L97.921
Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin
L97.922
Non-pressure chronic ulcer of unspecified part of left lower leg with fat layer exposed
L97.923
Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of muscle
L97.924
Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone
L97.929
Non-pressure chronic ulcer of unspecified part of left lower leg with unspecified severity
744.3 Unspecified congenital anomaly of ear
Q17.4 Misplaced ear
Q17.5
Prominent ear
Q17.8
Congenital absence of lobe of ear
V49.73 Foot amputation status
Z89.431 Acquired absence of right foot
Z89.432 Acquired absence of left foot
Z89.439
Acquired absence of unspecified foot
682.7 Cellulitis and abscess of foot except toes
L03.119 Cellulitis of unspecified part of limb
L03.129 Acute lymphangitis of unspecified part of limb
L02.611
Cutaneous abscess of right foot
L02.612
Cutaneous abscess of left foot
L02.619 Cutaneous abscess of unspecified foot
L03.115
Cellulitis of right lower limb
L03.116
Cellulitis of left lower limb
L03.125
Acute lymphangitis of right lower limb
L03.126
Acute lymphangitis of left lower limb
956.3 Injury to peroneal nerve
S84.11XA Injury of peroneal nerve at lower leg level, right leg, initial encounter
S84.12XA
Injury of peroneal nerve at lower leg level, left leg, initial encounter
S84.20XA
Injury of deep peroneal nerve at ankle and foot level, unspecified leg, initial encounter
S84.21XA
Injury of deep peroneal nerve at ankle and foot level, right leg, initial encounter
S84.22XA
Injury of deep peroneal nerve at ankle and foot level, left leg, initial encounter
ICD-9 Ulcer of ankle
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.343
Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of ankle
I70.433
Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle
I70.443
Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle
I70.533
Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle
I70.543
Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle
I70.633
Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle
I70.643
Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle
I70.733
Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle
I70.743
Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle
L97.301
Non-pressure chronic ulcer of unspecified ankle limited to breakdown of skin
L97.302
Non-pressure chronic ulcer of unspecified ankle with fat layer exposed
L97.303
Non-pressure chronic ulcer of unspecified ankle with necrosis of muscle
L97.304
Non-pressure chronic ulcer of unspecified ankle with necrosis of bone
L97.311
Non-pressure chronic ulcer of right ankle limited to breakdown of skin
L97.312
Non-pressure chronic ulcer of right ankle with fat layer exposed
L97.313
Non-pressure chronic ulcer of right ankle with necrosis of muscle
L97.314
Non-pressure chronic ulcer of right ankle with necrosis of bone
L97.319
Non-pressure chronic ulcer of right ankle with unspecified severity
L97.321
Non-pressure chronic ulcer of left ankle limited to breakdown of skin
L97.322
Non-pressure chronic ulcer of left ankle with fat layer exposed
L97.323
Non-pressure chronic ulcer of left ankle with necrosis of muscle
L97.324
Non-pressure chronic ulcer of left ankle with necrosis of bone
L97.329
Non-pressure chronic ulcer of left ankle with unspecified severity
890.1 Open wound of hip and thigh complicated
S71.029A Laceration with foreign body, unspecified hip, initial encounter
S71.129A Laceration with foreign body, unspecified thigh, initial encounte
S71.021A
Laceration with foreign body, right hip, initial encounter
S71.022A
Laceration with foreign body, left hip, initial encounter
S71.041A
Puncture wound with foreign body, right hip, initial encounter
S71.042A
Puncture wound with foreign body, left hip, initial encounter
S71.049A
Puncture wound with foreign body, unspecified hip, initial encounter
S71.121A
Laceration with foreign body, right thigh, initial encounter
S71.122A
Laceration with foreign body, left thigh, initial encounter
S71.141A
Puncture wound with foreign body, right thigh, initial encounter
S71.142A
Puncture wound with foreign body, left thigh, initial encounter
S71.0149A
Puncture wound with foreign body, unspecified thigh, initial encounter
612.0 Deformity of reconstructed breast
N65.0 Deformity of reconstructed breast