Icd10cm Tabular Addenda 2025

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ICD-10-CM TABULAR LIST of DISEASES and INJURIES

2025 Addenda
No Change Chapter 1
No Change Certain infectious and parasitic diseases (A00-B99)

No Change Intestinal infectious diseases (A00-A09)

No Change A04 Other bacterial intestinal infections

No Change A04.7 Enterocolitis due to Clostridium difficile


Add Clostridioides difficile colitis

No Change Tuberculosis (A15-A19)

No Change A18 Tuberculosis of other organs

No Change A18.4 Tuberculosis of skin and subcutaneous tissue


Revise from Lupus excedens
Revise to Lupus exedens

No Change Infections with a predominantly sexual mode of transmission (A50-A64)

No Change A50 Congenital syphilis

No Change A50.4 Late congenital neurosyphilis [juvenile neurosyphilis]

No Change A50.45 Juvenile general paresis


Revise from Juvenile tabetoparetic neurosyphilis
Revise to Juvenile taboparetic neurosyphilis

No Change Rickettsioses (A75-A79)

No Change A77 Spotted fever [tick-borne rickettsioses]

No Change A77.4 Ehrlichiosis

Revise from A77.41 Ehrlichiosis chafeensis [E. chafeensis]


Revise to A77.41 Ehrlichiosis chaffeensis [E. chaffeensis]
No Change Chapter 2
No Change Neoplasms (C00-D49)

No Change Malignant neoplasms of breast (C50)

No Change C50 Malignant neoplasm of breast

No Change Use Additional


Revise from code to identify estrogen receptor status (Z17.0, Z17.1)
Revise to code to identify estrogen, and other hormones and factors receptor status (Z17.-)

No Change Malignant neuroendocrine tumors (C7A)

No Change C7A Malignant neuroendocrine tumors

No Change Use Additional


Revise from carcinoid syndrome (E34.0)
Revise to carcinoid syndrome (E34.00)

No Change Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)

No Change C81 Hodgkin lymphoma

No Change C81.0 Nodular lymphocyte predominant Hodgkin lymphoma

Add C81.0A Nodular lymphocyte predominant Hodgkin lymphoma, in remission

No Change C81.1 Nodular sclerosis Hodgkin lymphoma

Add C81.1A Nodular sclerosis Hodgkin lymphoma, in remission

No Change C81.2 Mixed cellularity Hodgkin lymphoma

Add C81.2A Mixed cellularity Hodgkin lymphoma, in remission

No Change C81.3 Lymphocyte depleted Hodgkin lymphoma

Add C81.3A Lymphocyte depleted Hodgkin lymphoma, in remission

No Change C81.4 Lymphocyte-rich Hodgkin lymphoma

Add C81.4A Lymphocyte-rich Hodgkin lymphoma, in remission

No Change C81.7 Other Hodgkin lymphoma

Add C81.7A Other Hodgkin lymphoma, in remission

No Change C81.9 Hodgkin lymphoma, unspecified

Add C81.9A Hodgkin lymphoma, unspecified, in remission

No Change C82 Follicular lymphoma

No Change C82.0 Follicular lymphoma grade I

Add C82.0A Follicular lymphoma grade I, in remission

No Change C82.1 Follicular lymphoma grade II

Add C82.1A Follicular lymphoma grade II, in remission

No Change C82.2 Follicular lymphoma grade III, unspecified


Add C82.2A Follicular lymphoma grade III, unspecified, in remission

No Change C82.3 Follicular lymphoma grade IIIa

Add C82.3A Follicular lymphoma grade IIIa, in remission

No Change C82.4 Follicular lymphoma grade IIIb

Add C82.4A Follicular lymphoma grade IIIb, in remission

No Change C82.5 Diffuse follicle center lymphoma

Add C82.5A Diffuse follicle center lymphoma, in remission

No Change C82.6 Cutaneous follicle center lymphoma

Add C82.6A Cutaneous follicle center lymphoma, in remission

No Change C82.8 Other types of follicular lymphoma

Add C82.8A Other types of follicular lymphoma, in remission

No Change C82.9 Follicular lymphoma, unspecified

Add C82.9A Follicular lymphoma, unspecified, in remission

No Change C83 Non-follicular lymphoma

No Change C83.0 Small cell B-cell lymphoma

No Change Excludes1:
Revise from Waldenström macroglobulinemia (C88.0)
Revise to Waldenström macroglobulinemia (C88.00)

Add C83.0A Small cell B-cell lymphoma, in remission

No Change C83.1 Mantle cell lymphoma

Add C83.1A Mantle cell lymphoma, in remission


Add Centrocytic lymphoma, in remission

No Change C83.3 Diffuse large B-cell lymphoma


Delete Diffuse large B-cell lymphoma, subtype not specified

No Change C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites

Add C83.390 Primary central nervous system lymphoma


Add PCNSL of brain
Add PCNSL of meninges
Add PCNSL of spinal cord
Add PCNSL NOS

Add Excludes1: Primary central nervous system lymphoma, Burkitt (C83.79)


Add Primary central nervous system lymphoma, lymphoblastic (C83.59)
Add Primary central nervous system lymphoma, other (C83.89)
Add Primary central nervous system lymphoma, peripheral T-cell
(C84.49)

Add C83.398 Diffuse large B-cell lymphoma of other extranodal and solid organ sites

Add C83.3A Diffuse large B-cell lymphoma, in remission

No Change C83.5 Lymphoblastic (diffuse) lymphoma


Add C83.5A Lymphoblastic (diffuse) lymphoma, in remission

No Change C83.7 Burkitt lymphoma

Add C83.7A Burkitt lymphoma, in remission

No Change C83.8 Other non-follicular lymphoma

Add C83.8A Other non-follicular lymphoma, in remission

No Change C83.9 Non-follicular (diffuse) lymphoma, unspecified

Add C83.9A Non-follicular (diffuse) lymphoma, unspecified, in remission

No Change C84 Mature T/NK-cell lymphomas

No Change C84.0 Mycosis fungoides

Add C84.0A Mycosis fungoides, in remission

No Change C84.1 Sézary disease

Add C84.1A Sézary disease, in remission

No Change C84.4 Peripheral T-cell lymphoma, not elsewhere classified

Add C84.4A Peripheral T-cell lymphoma, not elsewhere classified, in remission

No Change C84.6 Anaplastic large cell lymphoma, ALK-positive

Add C84.6A Anaplastic large cell lymphoma, ALK-positive, in remission

No Change C84.7 Anaplastic large cell lymphoma, ALK-negative

Add C84.7B Anaplastic large cell lymphoma, ALK-negative, in remission

No Change C84.A Cutaneous T-cell lymphoma, unspecified

Add C84.AA Cutaneous T-cell lymphoma, unspecified, in remission

No Change C84.Z Other mature T/NK-cell lymphomas

No Change Excludes1:
Revise from angioimmunoblastic T-cell lymphoma (C86.5)
Revise to angioimmunoblastic T-cell lymphoma (C86.50)
Revise from blastic NK-cell lymphoma (C86.4)
Revise to blastic NK-cell lymphoma (C86.40)
Revise from enteropathy-type T-cell lymphoma (C86.2)
Revise to enteropathy-type T-cell lymphoma (C86.20)
Revise from extranodal NK-cell lymphoma, nasal type (C86.0)
Revise to extranodal NK-cell lymphoma, nasal type (C86.00)
Revise from hepatosplenic T-cell lymphoma (C86.1)
Revise to hepatosplenic T-cell lymphoma (C86.10)
Revise from primary cutaneous CD30-positive T-cell proliferations (C86.6)
Revise to primary cutaneous CD30-positive T-cell proliferations (C86.60)
Revise from subcutaneous panniculitis-like T-cell lymphoma (C86.3)
Revise to subcutaneous panniculitis-like T-cell lymphoma (C86.30)

Add C84.ZA Other mature T/NK-cell lymphomas, in remission

No Change C84.9 Mature T/NK-cell lymphomas, unspecified

Add C84.9A Mature T/NK-cell lymphomas, unspecified, in remission


No Change C85 Other specified and unspecified types of non-Hodgkin lymphoma

No Change C85.1 Unspecified B-cell lymphoma

Add C85.1A Unspecified B-cell lymphoma, in remission

No Change C85.2 Mediastinal (thymic) large B-cell lymphoma

Add C85.2A Mediastinal (thymic) large B-cell lymphoma, in remission

No Change C85.8 Other specified types of non-Hodgkin lymphoma

Add C85.8A Other specified types of non-Hodgkin lymphoma, in remission

No Change C85.9 Non-Hodgkin lymphoma, unspecified

Add C85.9A Non-Hodgkin lymphoma, unspecified, in remission

No Change C86 Other specified types of T/NK-cell lymphoma

No Change C86.0 Extranodal NK/T-cell lymphoma, nasal type

Add C86.00 Extranodal NK/T-cell lymphoma, nasal type not having achieved remission
Add Extranodal NK/T-cell lymphoma, nasal type NOS
Add Extranodal NK/T-cell lymphoma, nasal type with failed remission

Add C86.01 Extranodal NK/T-cell lymphoma, nasal type, in remission

No Change C86.1 Hepatosplenic T-cell lymphoma

Add C86.10 Hepatosplenic T-cell lymphoma not having achieved remission


Add Hepatosplenic T-cell lymphoma NOS
Add Hepatosplenic T-cell lymphoma with failed remission

Add C86.11 Hepatosplenic T-cell lymphoma, in remission

No Change C86.2 Enteropathy-type (intestinal) T-cell lymphoma

Add C86.20 Enteropathy-type (intestinal) T-cell lymphoma not having achieved remission
Add Enteropathy associated T-cell lymphoma NOS
Add Enteropathy associated T-cell lymphoma not having achieved remission
Add Enteropathy associated T-cell lymphoma with failed remission
Add Enteropathy-type (intestinal) T-cell lymphoma NOS
Add Enteropathy-type (intestinal) T-cell lymphoma with failed remission

Add C86.21 Enteropathy-type (intestinal) T-cell lymphoma, in remission


Add Enteropathy associated T-cell lymphoma, in remission

No Change C86.3 Subcutaneous panniculitis-like T-cell lymphoma

Add C86.30 Subcutaneous panniculitis-like T-cell lymphoma not having achieved remission
Add Subcutaneous panniculitis-like T-cell lymphoma NOS
Add Subcutaneous panniculitis-like T-cell lymphoma with failed remission

Add C86.31 Subcutaneous panniculitis-like T-cell lymphoma, in remission

No Change C86.4 Blastic NK-cell lymphoma

Add C86.40 Blastic NK-cell lymphoma not having achieved remission


Add Blastic NK-cell lymphoma NOS
Add Blastic NK-cell lymphoma with failed remission
Add Blastic plasmacytoid dendritic cell neoplasm (BPDCN) NOS
Add Blastic plasmacytoid dendritic cell neoplasm (BPDCN) not having achieved remission
Add Blastic plasmacytoid dendritic cell neoplasm (BPDCN) with failed remission

Add C86.41 Blastic NK-cell lymphoma, in remission


Add Blastic plasmacytoid dendritic cell neoplasm (BPDCN), in remission

No Change C86.5 Angioimmunoblastic T-cell lymphoma

Add C86.50 Angioimmunoblastic T-cell lymphoma not having achieved remission


Add Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) NOS
Add Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) not having achieved
remission
Add Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) with failed remission
Add Angioimmunoblastic T-cell lymphoma NOS
Add Angioimmunoblastic T-cell lymphoma with failed remission

Add C86.51 Angioimmunoblastic T-cell lymphoma, in remission


Add Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD), in remission

No Change C86.6 Primary cutaneous CD30-positive T-cell proliferations

Add C86.60 Primary cutaneous CD30-positive T-cell proliferations not having achieved
remission
Add Lymphomatoid papulosis NOS
Add Lymphomatoid papulosis not having achieved remission
Add Lymphomatoid papulosis with failed remission
Add Primary cutaneous anaplastic large cell lymphoma NOS
Add Primary cutaneous anaplastic large cell lymphoma not having achieved remission
Add Primary cutaneous anaplastic large cell lymphoma with failed remission
Add Primary cutaneous CD30-positive large T-cell lymphoma NOS
Add Primary cutaneous CD30-positive large T-cell lymphoma not having achieved remission
Add Primary cutaneous CD30-positive large T-cell lymphoma with failed remission
Add Primary cutaneous CD30-positive T-cell proliferations NOS
Add Primary cutaneous CD30-positive T-cell proliferations with failed remission

Add C86.61 Primary cutaneous CD30-positive T-cell proliferations, in remission

No Change C88 Malignant immunoproliferative diseases and certain other B-cell lymphomas

No Change C88.0 Waldenström macroglobulinemia

Add C88.00 Waldenström macroglobulinemia not having achieved remission


Add Lymphoplasmacytic lymphoma with IgM-production, NOS
Add Lymphoplasmacytic lymphoma with IgM-production not having achieved remission
Add Lymphoplasmacytic lymphoma with IgM-production with failed remission
Add Macroglobulinemia (idiopathic) (primary) NOS
Add Macroglobulinemia (idiopathic) (primary) not having achieved remission
Add Macroglobulinemia (idiopathic) (primary) with failed remission
Add Waldenström macroglobulinemia NOS
Add Waldenström macroglobulinemia with failed remission

Add C88.01 Waldenström macroglobulinemia, in remission

No Change C88.2 Heavy chain disease

Add C88.20 Heavy chain disease not having achieved remission


Add Franklin disease NOS
Add Franklin disease not having achieved remission
Add Franklin disease with failed remission
Add Gamma heavy chain disease NOS
Add Gamma heavy chain disease not having achieved remission
Add Gamma heavy chain disease with failed remission
Add Heavy chain disease NOS
Add Heavy chain disease with failed remissionMu heavy chain disease not having achieved
remission
Add Mu heavy chain disease NOS
Add Mu heavy chain disease not having achieved remission
Add Mu heavy chain disease with failed remission

Add C88.21 Heavy chain disease, in remission

No Change C88.3 Immunoproliferative small intestinal disease

Add C88.30 Immunoproliferative small intestinal disease not having achieved remission
Add Alpha heavy chain disease NOS
Add Alpha heavy chain disease not having achieved remission
Add Alpha heavy chain disease with failed remission
Add Immunoproliferative small intestinal disease NOS
Add Immunoproliferative small intestinal disease with failed remission
Add Mediterranean lymphoma NOS
Add Mediterranean lymphoma not having achieved remission
Add Mediterranean lymphoma with failed remission

Add C88.31 Immunoproliferative small intestinal disease, in remission

No Change C88.4 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-
lymphoma]

Add C88.40 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue
[MALT-lymphoma] not having achieved remission
Add Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-
lymphoma] NOS
Add Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-
lymphoma] with failed remission
Add Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] NOS
Add Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] not having
achieved remission
Add Lymphoma of bronchial-associated lymphoid tissue [BALT-lymphoma] with failed
remission
Add Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] NOS
Add Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] not having achieved
remission
Add Lymphoma of skin-associated lymphoid tissue [SALT-lymphoma] with failed remission

Add C88.41 Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue
[MALT-lymphoma], in remission

No Change C88.8 Other malignant immunoproliferative diseases

Add C88.80 Other malignant immunoproliferative diseases not having achieved remission
Add Other malignant immunoproliferative diseases NOS
Add Other malignant immunoproliferative diseases with failed remission

Add C88.81 Other malignant immunoproliferative diseases, in remission

No Change C88.9 Malignant immunoproliferative disease, unspecified

Add C88.90 Malignant immunoproliferative disease, unspecified not having achieved remission
Add Immunoproliferative disease NOS
Add Immunoproliferative disease NOS not having achieved remission
Add Immunoproliferative disease NOS with failed remission
Add Malignant immunoproliferative disease, unspecified NOS
Add Malignant immunoproliferative disease, unspecified with failed remission

Add C88.91 Malignant immunoproliferative disease, unspecified, in remission


No Change In situ neoplasms (D00-D09)

No Change D05 Carcinoma in situ of breast

Add Excludes2: malignant neoplasm of breast (C50.-)

No Change Benign neuroendocrine tumors (D3A)

No Change D3A Benign neuroendocrine tumors

No Change Use Additional


Revise from carcinoid syndrome (E34.0)
Revise to carcinoid syndrome (E34.00)
No Change Chapter 3
No Change Diseases of the blood and blood-forming organs and certain disorders involving the immune
mechanism (D50-D89)

No Change Aplastic and other anemias and other bone marrow failure syndromes (D60-D64)

No Change D61 Other aplastic anemias and other bone marrow failure syndromes

No Change D61.0 Constitutional aplastic anemia

Add D61.03 Fanconi anemia


Add Fanconi pancytopenia
Add Fanconi's anemia

Add Excludes1: Fanconi syndrome (E72.0-)

No Change D61.09 Other constitutional aplastic anemia


Delete Fanconi's anemia

No Change Certain disorders involving the immune mechanism (D80-D89)

No Change D89 Other disorders involving the immune mechanism, not elsewhere classified

No Change D89.8 Other specified disorders involving the immune mechanism, not elsewhere classified

No Change D89.83 Cytokine release syndrome

Add Use Additional code for adverse effect, if applicable, to identify immune checkpoint
inhibitors and immunostimulant drugs (T45.AX5)
No Change Chapter 4
No Change Endocrine, nutritional and metabolic diseases (E00-E89)

No Change Disorders of thyroid gland (E00-E07)

No Change E07 Other disorders of thyroid

No Change E07.1 Dyshormogenetic goiter


Add Dyshormonogenetic goiter
Add Familial dyshormonogenetic goiter

No Change Diabetes mellitus (E08-E13)

No Change E08 Diabetes mellitus due to underlying condition

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change E08.6 Diabetes mellitus due to underlying condition with other specified complications

No Change E08.64 Diabetes mellitus due to underlying condition with hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

No Change E09 Drug or chemical induced diabetes mellitus

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change E09.6 Drug or chemical induced diabetes mellitus with other specified complications

No Change E09.64 Drug or chemical induced diabetes mellitus with hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

No Change E10 Type 1 diabetes mellitus

No Change E10.6 Type 1 diabetes mellitus with other specified complications

No Change E10.64 Type 1 diabetes mellitus with hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

Add E10.A Type 1 diabetes mellitus, presymptomatic


Add Early-stage type 1 diabetes mellitus

Add E10.A0 Type 1 diabetes mellitus, presymptomatic, unspecified

Add E10.A1 Type 1 diabetes mellitus, presymptomatic, Stage 1


Add Multiple confirmed islet autoantibodies with normoglycemia

Add E10.A2 Type 1 diabetes mellitus, presymptomatic, Stage 2


Add Confirmed islet autoimmunity with dysglycemia

No Change E11 Type 2 diabetes mellitus

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change E11.6 Type 2 diabetes mellitus with other specified complications

No Change E11.64 Type 2 diabetes mellitus with hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

No Change E13 Other specified diabetes mellitus


Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change E13.6 Other specified diabetes mellitus with other specified complications

No Change E13.64 Other specified diabetes mellitus with hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

No Change Other disorders of glucose regulation and pancreatic internal secretion (E15-E16)

No Change E16 Other disorders of pancreatic internal secretion

No Change E16.0 Drug-induced hypoglycemia without coma

No Change Use Additional


Delete code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth
character 5)
Add code for hypoglycemia level, if applicable (E16.A-)

No Change E16.1 Other hypoglycemia

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

No Change E16.2 Hypoglycemia, unspecified

Add Use Additional code for hypoglycemia level, if applicable (E16.A-)

Add E16.A Hypoglycemia level

Add E16.A1 Hypoglycemia level 1


Add Decreased blood glucose level 1

Add E16.A2 Hypoglycemia level 2


Add Decreased blood glucose level 2

Add E16.A3 Hypoglycemia level 3


Add Decreased blood glucose level 3

No Change Disorders of other endocrine glands (E20-E35)

No Change E34 Other endocrine disorders

No Change E34.0 Carcinoid syndrome

Delete Note: May be used as an additional code to identify functional activity associated with a carcinoid
tumor.

Add Code also the underlying disorder, such as:


Add primary neuroendocrine tumors (C7A.-)
Add secondary neuroendocrine tumors (C7B.-)

Add E34.00 Carcinoid syndrome, unspecified


Add Carcinoid disease, unspecified

Add E34.01 Carcinoid heart syndrome


Add Carcinoid heart disease
Add Hedinger syndrome

Add E34.09 Other carcinoid syndrome


Add Carcinoid disease NEC
Add Carcinoid syndrome NEC
Add Other carcinoid disease
No Change Overweight, obesity and other hyperalimentation (E65-E68)

No Change E66 Overweight and obesity

No Change Use Additional


Revise from code to identify body mass index (BMI), if known (Z68.-)
Revise to code to identify body mass index (BMI), if known, for adults (Z68.1-Z68.45) or pediatrics
(Z68.5-)

Delete Excludes1: adiposogenital dystrophy (E23.6)


Delete lipomatosis NOS (E88.2)
Delete lipomatosis dolorosa [Dercum] (E88.2)
Delete Prader-Willi syndrome (Q87.11)

Add Excludes2: adiposogenital dystrophy (E23.6)


Add lipomatosis dolorosa [Dercum] (E88.2)
Add lipomatosis NOS (E88.2)
Add Prader-Willi syndrome (Q87.11)

No Change E66.8 Other obesity

Add E66.81 Obesity class

Add E66.811 Obesity, class 1

Add E66.812 Obesity, class 2

Add E66.813 Obesity, class 3

Add E66.89 Other obesity not elsewhere classified

No Change Metabolic disorders (E70-E88)

No Change E74 Other disorders of carbohydrate metabolism

No Change E74.8 Other specified disorders of carbohydrate metabolism

Add E74.82 Disorders of citrate metabolism

Add E74.820 SLC13A5 Citrate Transporter Disorder

Add E74.829 Other disorders of citrate metabolism

No Change E87 Other disorders of fluid, electrolyte and acid-base balance

No Change E87.0 Hyperosmolality and hypernatremia

Delete Excludes1: diabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)

Add Excludes2: diabetes with hyperosmolarity (E08, E09, E11, E13 with final characters .00 or .01)

No Change E88 Other and unspecified metabolic disorders

No Change E88.0 Disorders of plasma-protein metabolism, not elsewhere classified

No Change Excludes1:
Revise from Waldenström macroglobulinemia (C88.0)
Revise to Waldenström macroglobulinemia (C88.00)

No Change E88.8 Other specified metabolic disorders

Add E88.82 Obesity due to disruption of MC4R pathway


Add Use Additional code, if applicable, to identify associated manifestations, such as
polyphagia (R63.2)

Add Use Additional code to identify body mass index (BMI), if known (Z68.-)
No Change Chapter 5
No Change Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

No Change Mental disorders due to known physiological conditions (F01-F09)

No Change F01 Vascular dementia

No Change Code first


Delete the underlying physiological condition or sequelae of cerebrovascular disease.
Add , if applicable, any causal condition

No Change F02 Dementia in other diseases classified elsewhere

No Change Code first


Delete dementia with Lewy bodies (G31.83)
Delete dementia with Parkinsonism (G31.83)
Add neurocognitive disorder with Lewy bodies (G31.83)
Add other frontotemporal neurocognitive disorder (G31.90)

No Change F03 Unspecified dementia

Delete Excludes1: senility NOS (R41.81)

No Change Excludes2:
Add dementia with delirium or acute confusional state (F05)
Delete senile dementia with delirium or acute confusional state (F05)

No Change F06 Other mental disorders due to known physiological condition

No Change Excludes1:
Revise from unspecified dementia (F03)
Revise to unspecified dementia (F03.-)

No Change F06.7 Mild neurocognitive disorder due to known physiological condition

No Change Code first


Delete frontotemporal neurocognitive disorder (G31.09)
Add other frontotemporal neurocognitive disorder (G31.09)

No Change Excludes1:
Revise from dementia (F01.-, F02.-, F03)
Revise to dementia (F01.-, F02.-, F03.-)

No Change Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29)

No Change F20 Schizophrenia

Add Use Additional code, if applicable, to identify:


Add other specified cognitive deficit (R41.84-)

No Change Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)

No Change F45 Somatoform disorders

No Change F45.2 Hypochondriacal disorders

No Change F45.22 Body dysmorphic disorder


Add Bigorexia
Add Muscle dysmorphia

No Change Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)
No Change F50 Eating disorders

No Change F50.0 Anorexia nervosa

No Change F50.01 Anorexia nervosa, restricting type

Add F50.010 Anorexia nervosa, restricting type, mild


Add Anorexia nervosa, restricting type, with a body mass index greater than or equal to
17 kg/m2

Add F50.011 Anorexia nervosa, restricting type, moderate


Add Anorexia nervosa, restricting type, with a body mass index of 16.0-16.99 kg/m2

Add F50.012 Anorexia nervosa, restricting type, severe


Add Anorexia nervosa, restricting type, with a body mass index of 15.0-15.99 kg/m2

Add F50.013 Anorexia nervosa, restricting type, extreme


Add Anorexia nervosa, restricting type, with a body mass index of less than 15.0 kg/m2

Add F50.014 Anorexia nervosa, restricting type, in remission


Add Anorexia nervosa, restricting type, in full remission
Add Anorexia nervosa, restricting type, in partial remission

Add F50.019 Anorexia nervosa, restricting type, unspecified

No Change F50.02 Anorexia nervosa, binge eating/purging type

No Change Excludes1:
Revise from bulimia nervosa (F50.2)
Revise to bulimia nervosa (F50.2-)

Add F50.020 Anorexia nervosa, binge eating/purging type, mild


Add Anorexia nervosa, binge eating/purging type, with a body mass index greater than
or equal to 17 kg/m2

Add F50.021 Anorexia nervosa, binge eating/purging type, moderate


Add Anorexia nervosa, binge eating/purging type, with a body mass index of 16.0-16.99
kg/m2

Add F50.022 Anorexia nervosa, binge eating/purging type, severe


Add Anorexia nervosa, binge eating/purging type, with a body mass index of 15.0-15.99
kg/m2

Add F50.023 Anorexia nervosa, binge eating/purging type, extreme


Add Anorexia nervosa, binge eating/purging type, with a body mass index of less than
15.0 kg/m2

Add F50.024 Anorexia nervosa, binge eating/purging type, in remission


Add Anorexia nervosa, binge eating/purging type, in full remission
Add Anorexia nervosa, binge eating/purging type, in partial remission

Add F50.029 Anorexia nervosa, binge eating/purging type, unspecified

No Change F50.2 Bulimia nervosa

No Change Excludes1:
Revise from anorexia nervosa, binge eating/purging type (F50.02)
Revise to anorexia nervosa, binge eating/purging type (F50.02-)

Add F50.20 Bulimia nervosa, unspecified

Add F50.21 Bulimia nervosa, mild


Add Bulimia nervosa with 1-3 episodes of inappropriate compensatory behavior per week
Add F50.22 Bulimia nervosa, moderate
Add Bulimia nervosa with 4-7 episodes of inappropriate compensatory behavior per week

Add F50.23 Bulimia nervosa, severe


Add Bulimia nervosa with 8-13 episodes of inappropriate compensatory behavior per week

Add F50.24 Bulimia nervosa, extreme


Add Bulimia nervosa with 14 or more episodes of inappropriate compensatory behavior per
week

Add F50.25 Bulimia nervosa, in remission


Add Bulimia nervosa, in full remission
Add Bulimia nervosa, in partial remission

No Change F50.8 Other eating disorders

Delete Excludes2: pica of infancy and childhood (F98.3)

No Change F50.81 Binge eating disorder

Add F50.810 Binge eating disorder, mild


Add Binge eating disorder with 1-3 binge eating episodes per week

Add F50.811 Binge eating disorder, moderate


Add Binge eating disorder with 4-7 binge eating episodes per week

Add F50.812 Binge eating disorder, severe


Add Binge eating disorder with 8-13 binge eating episodes per week

Add F50.813 Binge eating disorder, extreme


Add Binge eating disorder with 14 or more eating episodes per week

Add F50.814 Binge eating disorder, in remission


Add Binge eating disorder, in full remission
Add Binge eating disorder, in partial remission

Add F50.819 Binge eating disorder, unspecified

No Change F50.82 Avoidant/restrictive food intake disorder


Add Avoidant/restrictive food intake disorder, in remission

Add F50.83 Pica in adults


Add Pica in adults, in remission

Add Excludes1: pica in infancy and childhood (F98.3)

Add F50.84 Rumination disorder in adults


Add Rumination disorder in adults, in remission

Add Excludes1: rumination disorder in infancy and childhood (F98.21)

No Change F50.89 Other specified eating disorder


Delete Pica in adults

No Change Behavioral and emotional disorders with onset usually occurring in childhood and adolescence (F90-
F98)

No Change F98 Other behavioral and emotional disorders with onset usually occurring in childhood and
adolescence

No Change F98.2 Other feeding disorders of infancy and childhood

Revise from F98.21 Rumination disorder of infancy


Revise to F98.21 Rumination disorder of infancy and childhood
Add Rumination disorder in infancy or childhood, in remission

Add Excludes1: rumination disorder in adults (F50.84)

No Change F98.3 Pica of infancy and childhood


Add Pica in infancy or childhood, in remission

Add Excludes1: pica in adults (F50.83)


No Change Chapter 6
No Change Diseases of the nervous system (G00-G99)

No Change Extrapyramidal and movement disorders (G20-G26)

No Change G21 Secondary parkinsonism

No Change Excludes1:
Delete dementia with Parkinsonism (G31.83)
Add neurocognitive disorder with Lewy bodies (G31.83)

No Change Other degenerative diseases of the nervous system (G30-G32)

No Change G30 Alzheimer's disease

No Change Excludes1:
Revise from senile dementia NOS (F03)
Revise to senile dementia NOS (F03.-)

No Change G31 Other degenerative diseases of nervous system, not elsewhere classified

No Change G31.8 Other specified degenerative diseases of nervous system

No Change G31.84 Mild cognitive impairment of uncertain or unknown etiology

No Change Excludes1:
Revise from dementia (F01.-, F02.-, F03)
Revise to dementia (F01.-, F02.-, F03.-)

No Change Episodic and paroxysmal disorders (G40-G47)

No Change G40 Epilepsy and recurrent seizures

No Change G40.8 Other epilepsy and recurrent seizures

Add G40.84 KCNQ2-related epilepsy

Add G40.841 KCNQ2-related epilepsy, not intractable, with status epilepticus

Add G40.842 KCNQ2-related epilepsy, not intractable, without status epilepticus


Add KCNQ2-related epilepsy NOS

Add G40.843 KCNQ2-related epilepsy, intractable, with status epilepticus

Add G40.844 KCNQ2-related epilepsy, intractable, without status epilepticus

No Change Other disorders of the nervous system (G89-G99)

No Change G90 Disorders of autonomic nervous system

No Change G90.8 Other disorders of autonomic nervous system

Add G90.81 Serotonin syndrome


Add Serotonin toxicity

Add Code first poisoning due to drug or toxin, such as:


Add linezolid (T36.8X- with sixth character 1-4)
Add monoamine oxidase inhibitors (T43.1X with sixth character 1-4)
Add selective serotonin and norepinephrine reuptake inhibitors [SSNRI] (T43.21
with sixth character 1-4)
Add selective serotonin reuptake inhibitors [SSRI] (T43.22 with sixth character 1-4)
Add Use Additional code for adverse effect, if applicable, to identify drug, such as:
Add linezolid (T36.8X5)
Add monoamine oxidase inhibitors (T43.1X5)
Add selective serotonin and norepinephrine reuptake inhibitors [SSNRI]
(T43.215)
Add selective serotonin reuptake inhibitors [SSRI] (T43.225)

Add Use Additional code, if applicable, to identify:


Add disseminated intravascular coagulation (D65)
Add hypertensive crisis (I16.-)
Add metabolic acidosis (E87.2-)
Add shock, not elsewhere classified (R57.-)
Add toxic encephalopathy (G92.-)
Add ventricular tachycardia (I47.2-)

Add G90.89 Other disorders of autonomic nervous system

No Change G93 Other disorders of brain

No Change G93.4 Other and unspecified encephalopathy

Revise from G93.42 Megaloencephalic leukoencephalopathy with subcortical cysts


Revise to G93.42 Megalencephalic leukoencephalopathy with subcortical cysts

Add G93.45 Developmental and epileptic encephalopathy


Add Early infantile epileptic encephalopathy

Add Code also, if applicable, associated disorders such as:


Add developmental disorders of scholastic skills (F81.-)
Add developmental disorder of speech and language (F80.-)
Add epilepsy, by specific type (G40.-)
Add intellectual disabilities (F70-F79)
Add other neurodevelopmental disorder (F88)
Add pervasive developmental disorders (F84.-)
No Change Chapter 7
No Change Diseases of the eye and adnexa (H00-H59)

No Change Glaucoma (H40-H42)

No Change H42 Glaucoma in diseases classified elsewhere

No Change Code first


Revise from Reiger's anomaly (Q13.81)
Revise to Rieger anomaly (Q13.81)

No Change Disorders of vitreous body and globe (H43-H44)

No Change H44 Disorders of globe

No Change H44.2 Degenerative myopia

No Change H44.2A Degenerative myopia with choroidal neovascularization

Revise from H44.2A3 Degenerative myopia with choroidal neovascularization, bilateral eye
Revise to H44.2A3 Degenerative myopia with choroidal neovascularization, bilateral

No Change H44.2B Degenerative myopia with macular hole

Revise from H44.2B3 Degenerative myopia with macular hole, bilateral eye
Revise to H44.2B3 Degenerative myopia with macular hole, bilateral

No Change H44.2C Degenerative myopia with retinal detachment

Revise from H44.2C3 Degenerative myopia with retinal detachment, bilateral eye
Revise to H44.2C3 Degenerative myopia with retinal detachment, bilateral

No Change H44.2D Degenerative myopia with foveoschisis

Revise from H44.2D3 Degenerative myopia with foveoschisis, bilateral eye


Revise to H44.2D3 Degenerative myopia with foveoschisis, bilateral

No Change H44.2E Degenerative myopia with other maculopathy

Revise from H44.2E3 Degenerative myopia with other maculopathy, bilateral eye
Revise to H44.2E3 Degenerative myopia with other maculopathy, bilateral
No Change Chapter 9
No Change Diseases of the circulatory system (I00-I99)

No Change Chronic rheumatic heart diseases (I05-I09)

No Change I08 Multiple valve diseases

Delete Excludes1: multiple valve disease specified a nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-,
Q24.8-)

Add Excludes2: multiple valve disease specified as nonrheumatic (I34.-, I35.-, I36.-, I37.-, I38.-, Q22.-, Q23.-,
Q24.8-)

No Change Hypertensive diseases (I10-I1A)

No Change I16 Hypertensive crisis

No Change I16.1 Hypertensive emergency

Add Use Additional code, if applicable, to identify specific organ dysfunction, such as:
Add acute kidney injury (N17.-)
Add acute myocardial infarction (I21.-)
Add acute pulmonary edema (left and/or right ventricular failure) (J81.0, I50.-)
Add aortic dissection (I71.0-)
Add cerebral hemorrhage (I60.-. I61.-, I62.-)
Add cerebral infarction (I63.-)
Add eclampsia (O15.-)
Add hypertensive encephalopathy (I67.4)
Add seizure (R56.9)

No Change Ischemic heart diseases (I20-I25)

No Change I21 Acute myocardial infarction

No Change I21.A Other type of myocardial infarction

No Change I21.A1 Myocardial infarction type 2

No Change Code first


Revise from the underlying cause, such as:
Revise to , if applicable, the underlying cause, such as:

No Change Pulmonary heart disease and diseases of pulmonary circulation (I26-I28)

No Change I26 Pulmonary embolism

No Change I26.0 Pulmonary embolism with acute cor pulmonale

Add I26.03 Cement embolism of pulmonary artery with acute cor pulmonale

Add Code first complication of other artery following a procedure (T81.718)

Add I26.04 Fat embolism of pulmonary artery with acute cor pulmonale

Add Code first, if applicable:


Add complication of other artery following a procedure (T81.718)
Add traumatic fat embolism (T79.1)

No Change I26.09 Other pulmonary embolism with acute cor pulmonale


Add Other thrombotic pulmonary embolism with acute cor pulmonale
No Change I26.9 Pulmonary embolism without acute cor pulmonale

Revise from I26.93 Single subsegmental pulmonary embolism without acute cor pulmonale
Revise to I26.93 Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale

Revise from I26.94 Multiple subsegmental pulmonary emboli without acute cor pulmonale
Revise to I26.94 Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale

Add I26.95 Cement embolism of pulmonary artery without acute cor pulmonale

Add Code first complication of other artery following a procedure (T81.718)

Add I26.96 Fat embolism of pulmonary artery without acute cor pulmonale

Add Code first, if applicable:


Add complication of other artery following a procedure (T81.718)
Add traumatic fat embolism (T79.1)

No Change I26.99 Other pulmonary embolism without acute cor pulmonale


Add Other thrombotic pulmonary embolism without acute cor pulmonale

No Change Other forms of heart disease (I30-I5A)

No Change I30 Acute pericarditis

No Change Excludes1:
Revise from viral pericarditis due to Coxsakie virus (B33.23)
Revise to viral pericarditis due to Coxsackie virus (B33.23)

No Change I35 Nonrheumatic aortic valve disorders

Delete Excludes1: aortic valve disorder of unspecified cause but with diseases of mitral and/or tricuspid valve(s)
(I08.-)
Delete aortic valve disorder specified as congenital (Q23.0, Q23.1)
Delete aortic valve disorder specified as rheumatic (I06.-)
Delete hypertrophic subaortic stenosis (I42.1)

Add Code also, if applicable, bicuspid aortic valve (Q23.81)

Add Excludes2: aortic valve disorder of unspecified cause but with diseases of mitral and/or tricuspid valve(s)
(I08.-)
Add aortic valve disorder specified as congenital (Q23.0, Q23.1)
Add aortic valve disorder specified as rheumatic (I06.-)
Add hypertrophic subaortic stenosis (I42.1)
No Change Chapter 10
No Change Diseases of the respiratory system (J00-J99)

No Change Influenza and pneumonia (J09-J18)

No Change J13 Pneumonia due to Streptococcus pneumoniae

No Change Code first


Revise from associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Revise to , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

No Change Code also


Delete associated abscess, if applicable (J85.1)
Add , if applicable, any associated condition such as:
Add abscess (J85.1)
Add aspiration pneumonia (J69.-)

No Change J14 Pneumonia due to Hemophilus influenzae

No Change Code first


Revise from associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Revise to , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

No Change Code also


Delete associated abscess, if applicable (J85.1)
Add , if applicable, any associated condition such as:
Add abscess (J85.1)
Add aspiration pneumonia (J69.-)

No Change J15 Bacterial pneumonia, not elsewhere classified

No Change Code first


Revise from associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Revise to , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

No Change Code also


Delete associated abscess, if applicable (J85.1)
Add , if applicable, any associated condition such as:
Add abscess (J85.1)
Add aspiration pneumonia (J69.-)

No Change J16 Pneumonia due to other infectious organisms, not elsewhere classified

No Change Code first


Revise from associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Revise to , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

No Change Code also


Delete associated abscess, if applicable (J85.1)
Add , if applicable, any associated condition such as:
Add abscess (J85.1)
Add aspiration pneumonia (J69.-)

No Change J17 Pneumonia in diseases classified elsewhere

Add Code also, if applicable, any associated condition such as:


Add abscess (J85.1)
Add aspiration pneumonia (J69.-)

No Change J18 Pneumonia, unspecified organism


No Change Code first
Revise from associated influenza, if applicable (J09.X1, J10.0-, J11.0-)
Revise to , if applicable, associated influenza (J09.X1, J10.0-, J11.0-)

Add Code also, if applicable, any associated condition such as:


Add aspiration pneumonia (J69.-)

Delete Excludes1: abscess of lung with pneumonia (J85.1)


Delete aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
Delete aspiration pneumonia due to anesthesia during pregnancy (O29)
Delete aspiration pneumonia due to anesthesia during puerperium (O89.0)
Delete aspiration pneumonia due to solids and liquids (J69.-)
Delete aspiration pneumonia NOS (J69.0)
Delete lipid pneumonia (J69.1)
Delete pneumonitis due to external agents (J67-J70)

Add Excludes2: abscess of lung with pneumonia (J85.1)


Add aspiration pneumonia due to anesthesia during labor and delivery (O74.0)
Add aspiration pneumonia due to anesthesia during pregnancy (O29)
Add aspiration pneumonia due to anesthesia during puerperium (O89.0)
Add aspiration pneumonia due to solids and liquids (J69.-)
Add aspiration pneumonia NOS (J69.0)
Add lipid pneumonia (J69.1)
Add pneumonitis due to external agents (J67-J70)

No Change Other acute lower respiratory infections (J20-J22)

No Change J21 Acute bronchiolitis

No Change J21.9 Acute bronchiolitis, unspecified

No Change Excludes1:
Revise from chronic bronchiolitis (J44.-)
Revise to chronic bronchiolitis (J44.89)

No Change Other diseases of upper respiratory tract (J30-J39)

No Change J34 Other and unspecified disorders of nose and nasal sinuses

No Change J34.8 Other specified disorders of nose and nasal sinuses

Add J34.82 Nasal valve collapse


Add Nasal valve compromise
Add Nasal valve stenosis

Add Code first underlying cause, such as:


Add deviated nasal septum (J34.2)

Add J34.820 Internal nasal valve collapse

Add J34.8200 Internal nasal valve collapse, unspecified

Add J34.8201 Internal nasal valve collapse, static


Add Narrowing of the septum, head of the inferior turbinate and the upper
lateral cartilage

Add J34.8202 Internal nasal valve collapse, dynamic


Add Collapse or falling of the upper, middle sidewall of the nose on inspiration

Add J34.821 External nasal valve collapse

Add J34.8210 External nasal valve collapse, unspecified


Add J34.8211 External nasal valve collapse, static
Add Fixed narrowing of the caudal septum, lower lateral cartilage, alar rim and
nasal sill

Add J34.8212 External nasal valve collapse, dynamic


Add Collapse or falling of the lower sidewall or nostril of the nose on
inspiration

Add J34.829 Nasal valve collapse, unspecified


Add Nasal valve collapse, NOS

No Change Lung diseases due to external agents (J60-J70)

No Change J69 Pneumonitis due to solids and liquids


Add Codes also, if applicable, other types of pneumonias

No Change Other respiratory diseases principally affecting the interstitium (J80-J84)

No Change J84 Other interstitial pulmonary diseases

Add Code also, if applicable, associated condition

No Change Suppurative and necrotic conditions of the lower respiratory tract (J85-J86)

No Change J86 Pyothorax

No Change J86.0 Pyothorax with fistula

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)
No Change Chapter 11
No Change Diseases of the digestive system (K00-K95)

No Change Diseases of oral cavity and salivary glands (K00-K14)

No Change K14 Diseases of tongue

No Change Excludes2:
Revise from leukedema of tongue (K13.29)
Revise to leukoedema of tongue (K13.29)

No Change Diseases of esophagus, stomach and duodenum (K20-K31)

No Change K31 Other diseases of stomach and duodenum

No Change K31.6 Fistula of stomach and duodenum

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)

No Change Noninfective enteritis and colitis (K50-K52)

No Change K50 Crohn's disease [regional enteritis]

Add Use Additional code to identify any associated fistulas, if applicable:


Add anal fistula (K60.3-)
Add anorectal fistula (K60.5-)
Add rectal fistula (K60.4-)

No Change K51 Ulcerative colitis

Add Use Additional code to identify any associated fistulas, if applicable:


Add anal fistula (K60.3-)
Add anorectal fistula (K60.5-)
Add rectal fistula (K60.4-)

No Change Other diseases of intestines (K55-K64)

No Change K58 Irritable bowel syndrome

Revise from K58.9 Irritable bowel syndrome without diarrhea


Revise to K58.9 Irritable bowel syndrome, unspecified

No Change K60 Fissure and fistula of anal and rectal regions

Add Excludes2: abscess or cellulitis of anal and rectal regions (K61.-)

No Change K60.3 Anal fistula

Add Code first, if applicable:


Add Crohn's disease (K50.-)
Add ulcerative colitis (K51.-)

Add Excludes1: congenital fistula (Q43.6)

Add K60.30 Anal fistula, unspecified


Add Anal fistula NOS

Add K60.31 Anal fistula, simple


Add Low intersphincteric anal fistula
Add Superficial anal fistula
Add K60.311 Anal fistula, simple, initial
Add Anal fistula, simple, new

Add K60.312 Anal fistula, simple, persistent


Add Anal fistula, simple, chronic

Add K60.313 Anal fistula, simple, recurrent


Add Anal fistula simple, occurring following complete healing

Add K60.319 Anal fistula, simple, unspecified

Add K60.32 Anal fistula, complex


Add Extrasphincteric anal fistula
Add High intersphincteric anal fistula
Add Suprasphincteric anal fistula
Add Transsphincteric anal fistula

Add Code also, if applicable:


Add perianal abscess (K61.0)
Add rectovaginal fistula (N82.3)
Add stenosis of anus and rectum (K62.4)

Add K60.321 Anal fistula, complex, initial


Add Anal fistula, complex, new

Add K60.322 Anal fistula, complex, persistent


Add Anal fistula, complex, chronic

Add K60.323 Anal fistula, complex, recurrent


Add Anal fistula complex, occurring following complete healing

Add K60.329 Anal fistula, complex, unspecified

No Change K60.4 Rectal fistula

Add Code first, if applicable:


Add Crohn's disease (K50.-)
Add ulcerative colitis (K51.-)

Add Excludes1: congenital fistula (Q43.6)

Add K60.40 Rectal fistula, unspecified


Add Rectal fistula NOS

Add K60.41 Rectal fistula, simple


Add Low intersphincteric rectal fistula
Add Superficial rectal fistula

Add K60.411 Rectal fistula, simple, initial


Add Rectal, fistula, simple, new

Add K60.412 Rectal fistula, simple, persistent


Add Rectal fistula, simple, chronic

Add K60.413 Rectal fistula, simple, recurrent


Add Rectal fistula simple, occurring following complete healing

Add K60.419 Rectal fistula, simple, unspecified

Add K60.42 Rectal fistula, complex


Add Extrasphincteric rectal fistula
Add High intersphincteric rectal fistula
Add Suprasphincteric rectal fistula
Add Transsphincteric rectal fistula

Add Code also, if applicable:


Add perianal abscess (K61.0)
Add rectovaginal fistula (N82.3)
Add stenosis of anus and rectum (K62.4)

Add K60.421 Rectal fistula, complex, initial


Add Rectal fistula, complex, new

Add K60.422 Rectal fistula, complex, persistent


Add Rectal fistula, complex, chronic

Add K60.423 Rectal fistula, complex, recurrent


Add Rectal fistula complex occurring following complete healing

Add K60.429 Rectal fistula, complex, unspecified

No Change K60.5 Anorectal fistula

Add Code first, if applicable:


Add Crohn's disease (K50.-)
Add ulcerative colitis (K51.-)

Add Excludes1: congenital fistula (Q43.6)

Add K60.50 Anorectal fistula, unspecified


Add Anorectal fistula NOS

Add K60.51 Anorectal fistula, simple


Add Low intersphincteric anorectal fistula
Add Superficial anorectal fistula

Add K60.511 Anorectal fistula, simple, initial


Add Anorectal fistula, simple, new

Add K60.512 Anorectal fistula, simple, persistent


Add Anorectal fistula, simple, chronic

Add K60.513 Anorectal fistula, simple, recurrent


Add Anorectal fistula simple, occurring following complete healing

Add K60.519 Anorectal fistula, simple, unspecified

Add K60.52 Anorectal fistula, complex


Add Extrasphincteric anorectal fistula
Add High intersphincteric anorectal fistula
Add Suprasphincteric anorectal fistula
Add Transsphincteric anorectal fistula

Add Code also, if applicable:


Add perianal abscess (K61.0)
Add rectovaginal fistula (N82.3)
Add stenosis of anus and rectum (K62.4)

Add K60.521 Anorectal fistula, complex, initial


Add Anorectal fistula, complex, new

Add K60.522 Anorectal fistula, complex, persistent


Add Anorectal fistula, complex, chronic

Add K60.523 Anorectal fistula, complex, recurrent


Add Anorectal fistula complex, occurring following complete healing
Add K60.529 Anorectal fistula, complex, unspecified

No Change K63 Other diseases of intestine

No Change K63.2 Fistula of intestine

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)

No Change Disorders of gallbladder, biliary tract and pancreas (K80-K87)

No Change K82 Other diseases of gallbladder

No Change K82.3 Fistula of gallbladder

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)
No Change Chapter 12
No Change Diseases of the skin and subcutaneous tissue (L00-L99)

No Change Dermatitis and eczema (L20-L30)

No Change L29 Pruritus

No Change L29.8 Other pruritus

Add L29.81 Cholestatic pruritus

Add Code also, if applicable, type of liver disease

Add Use Additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or
sixth character 5)

Add L29.89 Other pruritus

No Change Papulosquamous disorders (L40-L45)

No Change L43 Lichen planus

No Change Excludes1:
Revise from lichen planopilaris (L66.1)
Revise to lichen planopilaris (L66.1-)

No Change Disorders of skin appendages (L60-L75)

No Change L66 Cicatricial alopecia [scarring hair loss]

No Change L66.1 Lichen planopilaris


Delete Follicular lichen planus

Add L66.10 Lichen planopilaris, unspecified

Add L66.11 Classic lichen planopilaris


Add Follicular lichen planus

Add L66.12 Frontal fibrosing alopecia


Add FFA

Add L66.19 Other lichen planopilaris


Add Lassueur Graham-Little Piccardi syndrome

No Change L66.8 Other cicatricial alopecia

Add L66.81 Central centrifugal cicatricial alopecia


Add CCCA

Add L66.89 Other cicatricial alopecia


No Change Chapter 13
No Change Diseases of the musculoskeletal system and connective tissue (M00-M99)

No Change Other dorsopathies (M50-M54)

No Change M51 Thoracic, thoracolumbar, and lumbosacral intervertebral disc disorders

No Change M51.3 Other thoracic, thoracolumbar and lumbosacral intervertebral disc degeneration

No Change M51.36 Other intervertebral disc degeneration, lumbar region

Add M51.360 Other intervertebral disc degeneration, lumbar region with discogenic
back pain only
Add Other intervertebral disc degeneration, lumbar region with axial back pain only

Add M51.361 Other intervertebral disc degeneration, lumbar region with lower extremity
pain only
Add Other intervertebral disc degeneration, lumbar region with leg pain only
Add Other intervertebral disc degeneration, lumbar region with referred sclerotomal
pain only

Add M51.362 Other intervertebral disc degeneration, lumbar region with discogenic
back pain and lower extremity pain
Add Other intervertebral disc degeneration, lumbar region with discogenic back pain
and leg pain
Add Other intervertebral disc degeneration, lumbar region with axial back pain and
referred sclerotomal pain

Add M51.369 Other intervertebral disc degeneration, lumbar region without mention of
lumbar back pain or lower extremity pain
Add Other intervertebral disc degeneration, lumbar region without mention of lumbar
back pain or leg pain
Add Other intervertebral disc degeneration, lumbar region, NOS

No Change M51.37 Other intervertebral disc degeneration, lumbosacral region

Add M51.370 Other intervertebral disc degeneration, lumbosacral region with


discogenic back pain only
Add Other intervertebral disc degeneration, lumbosacral region with axial back pain
only

Add M51.371 Other intervertebral disc degeneration, lumbosacral region with lower
extremity pain only
Add Other intervertebral disc degeneration, lumbosacral region with leg pain only
Add Other intervertebral disc degeneration, lumbosacral region with referred
sclerotomal pain only

Add M51.372 Other intervertebral disc degeneration, lumbosacral region with


discogenic back pain and lower extremity pain
Add Other intervertebral disc degeneration, lumbosacral region with discogenic back
pain and leg pain
Add Other intervertebral disc degeneration, lumbosacral region with axial back pain
and referred sclerotomal pain

Add M51.379 Other intervertebral disc degeneration, lumbosacral region without


mention of lumbar back pain or lower extremity pain
Add Other intervertebral disc degeneration, lumbosacral region without mention of
lumbar back pain or leg pain
Add Other intervertebral disc degeneration, lumbosacral region, NOS

No Change M54 Dorsalgia


No Change M54.3 Sciatica

Add Excludes1: intervertebral disc degeneration, lumbar region with lower extremity pain only
(M51.361)
Add intervertebral disc degeneration, lumbosacral region with lower extremity pain only
(M51.371)

No Change M54.4 Lumbago with sciatica

Add Excludes1: intervertebral disc degeneration, lumbar region with discogenic back pain and lower
extremity pain (M51.362)
Add intervertebral disc degeneration, lumbosacral region with discogenic back pain and
lower extremity pain (M51.372)

No Change M54.5 Low back pain

Add Excludes1: intervertebral disc degeneration, lumbar region with discogenic back pain only
(M51.360)
Add intervertebral disc degeneration, lumbosacral region with discogenic back pain only
(M51.370)

No Change Disorders of muscles (M60-M63)

No Change M62 Other disorders of muscle

No Change M62.8 Other specified disorders of muscle

Add M62.85 Dysfunction of the multifidus muscles, lumbar region

No Change Disorders of synovium and tendon (M65-M67)

No Change M65 Synovitis and tenosynovitis

No Change M65.9 Synovitis and tenosynovitis, unspecified

Add M65.90 Unspecified synovitis and tenosynovitis, unspecified site

Add M65.91 Unspecified synovitis and tenosynovitis, shoulder

Add M65.911 Unspecified synovitis and tenosynovitis, right shoulder

Add M65.912 Unspecified synovitis and tenosynovitis, left shoulder

Add M65.919 Unspecified synovitis and tenosynovitis, unspecified shoulder

Add M65.92 Unspecified synovitis and tenosynovitis, upper arm

Add M65.921 Unspecified synovitis and tenosynovitis, right upper arm

Add M65.922 Unspecified synovitis and tenosynovitis, left upper arm

Add M65.929 Unspecified synovitis and tenosynovitis, unspecified upper arm

Add M65.93 Unspecified synovitis and tenosynovitis, forearm

Add M65.931 Unspecified synovitis and tenosynovitis, right forearm

Add M65.932 Unspecified synovitis and tenosynovitis, left forearm

Add M65.939 Unspecified synovitis and tenosynovitis, unspecified forearm

Add M65.94 Unspecified synovitis and tenosynovitis, hand


Add M65.941 Unspecified synovitis and tenosynovitis, right hand

Add M65.942 Unspecified synovitis and tenosynovitis, left hand

Add M65.949 Unspecified synovitis and tenosynovitis, unspecified hand

Add M65.95 Unspecified synovitis and tenosynovitis, thigh

Add M65.951 Unspecified synovitis and tenosynovitis, right thigh

Add M65.952 Unspecified synovitis and tenosynovitis, left thigh

Add M65.959 Unspecified synovitis and tenosynovitis, unspecified thigh

Add M65.96 Unspecified synovitis and tenosynovitis, lower leg

Add M65.961 Unspecified synovitis and tenosynovitis, right lower leg

Add M65.962 Unspecified synovitis and tenosynovitis, left lower leg

Add M65.969 Unspecified synovitis and tenosynovitis, unspecified lower leg

Add M65.97 Unspecified synovitis and tenosynovitis, ankle and foot

Add M65.971 Unspecified synovitis and tenosynovitis, right ankle and foot

Add M65.972 Unspecified synovitis and tenosynovitis, left ankle and foot

Add M65.979 Unspecified synovitis and tenosynovitis, unspecified ankle and foot

Add M65.98 Unspecified synovitis and tenosynovitis, other site

Add M65.99 Unspecified synovitis and tenosynovitis, multiple sites

No Change Chondropathies (M91-M94)

No Change M92 Other juvenile osteochondrosis

No Change M92.8 Other specified juvenile osteochondrosis


Delete Calcaneal apophysitis
No Change Chapter 14
No Change Diseases of the genitourinary system (N00-N99)

No Change Other diseases of the urinary system (N30-N39)

No Change N39 Other disorders of urinary system

No Change N39.0 Urinary tract infection, site not specified

Add Excludes1: pyonephrosis (N13.6)


No Change Chapter 15
No Change Pregnancy, childbirth and the puerperium (O00-O9A)

No Change Other maternal disorders predominantly related to pregnancy (O20-O29)

No Change O24 Diabetes mellitus in pregnancy, childbirth, and the puerperium

No Change O24.1 Pre-existing type 2 diabetes mellitus, in pregnancy, childbirth and the puerperium

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change O24.3 Unspecified pre-existing diabetes mellitus in pregnancy, childbirth and the puerperium

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change O24.8 Other pre-existing diabetes mellitus in pregnancy, childbirth, and the puerperium

Add Use Additional injectable non-insulin antidiabetic drugs (Z79.85)

No Change O24.9 Unspecified diabetes mellitus in pregnancy, childbirth and the puerperium

No Change Use Additional


Revise from code for long-term (current) use of insulin (Z79.4)
Revise to code (for):
Add from categories E08, E09 and E13 to further identify any manifestation
Add injectable non-insulin antidiabetic drugs (Z79.85)
Add long-term (current) use of insulin (Z79.4)
No Change Chapter 16
No Change Certain conditions originating in the perinatal period (P00-P96)

No Change Transitory endocrine and metabolic disorders specific to newborn (P70-P74)

No Change P72 Other transitory neonatal endocrine disorders

Add Excludes1: dyshormonogenetic goiter (E07.1)


No Change Chapter 17
No Change Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)

No Change Congenital malformations of eye, ear, face and neck (Q10-Q18)

No Change Q13 Congenital malformations of anterior segment of eye

No Change Q13.8 Other congenital malformations of anterior segment of eye

Revise from Q13.81 Rieger's anomaly


Revise to Q13.81 Rieger anomaly
Add Axenfeld-Rieger syndrome

Add Code also any other associated congenital malformations such as cardiac defects

No Change Congenital malformations of the circulatory system (Q20-Q28)

No Change Q23 Congenital malformations of aortic and mitral valves

No Change Q23.1 Congenital insufficiency of aortic valve


Delete Bicuspid aortic valve

No Change Q23.8 Other congenital malformations of aortic and mitral valves

Add Q23.81 Bicuspid aortic valve


Add Congenital bicuspid aortic valve
Add Unicuspid (congenital) aortic valve (at birth)

Add Code also, if applicable, acquired aortic valve disorders, such as:
Add aortic (valve) insufficiency (nonrheumatic) (I35.1)
Add aortic (valve) stenosis (nonrheumatic) (I35.0)
Add aortic (valve) stenosis with insufficiency (nonrheumatic) (I35.2)

Add Q23.82 Congenital mitral valve cleft leaflet


Add Cleft mitral valve leaflet at birth

Add Q23.88 Other congenital malformations of aortic and mitral valves

No Change Other congenital malformations (Q80-Q89)

No Change Q87 Other specified congenital malformation syndromes affecting multiple systems

No Change Q87.8 Other specified congenital malformation syndromes, not elsewhere classified

Add Q87.86 Kleefstra syndrome


No Change Chapter 18
No Change Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

No Change Symptoms and signs involving the digestive system and abdomen (R10-R19)

No Change R11 Nausea and vomiting

No Change Excludes1:
Revise from vomiting associated with bulimia nervosa (F50.2)
Revise to vomiting associated with bulimia nervosa (F50.2-)

No Change R11.1 Vomiting

No Change R11.15 Cyclical vomiting syndrome unrelated to migraine

No Change Excludes2:
Revise from bulimia nervosa (F50.2)
Revise to bulimia nervosa (F50.20)

No Change Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

No Change R41 Other symptoms and signs involving cognitive functions and awareness

No Change R41.0 Disorientation, unspecified

Add Excludes1: delirium due to known physiological condition (F05)

No Change R41.8 Other symptoms and signs involving cognitive functions and awareness

No Change R41.84 Other specified cognitive deficit

Add Code first the underlying condition, if known, such as:


Add schizophrenia (F20.-)

Add R41.85 Anosognosia

No Change R41.89 Other symptoms and signs involving cognitive functions and awareness
Delete Anosognosia

No Change General symptoms and signs (R50-R69)

No Change R54 Age-related physical debility

No Change Excludes1:
Revise from senile psychosis (F03)
Revise to senile psychosis (F03.-)

No Change R63 Symptoms and signs concerning food and fluid intake

No Change Excludes1:
Revise from bulimia NOS (F50.2)
Revise to bulimia NOS (F50.2-)

No Change Abnormal findings on examination of blood, without diagnosis (R70-R79)

No Change R73 Elevated blood glucose level

No Change R73.0 Abnormal glucose

Add Excludes1: type 1 diabetes mellitus, presymptomatic (E10.A-)


No Change Chapter 19
No Change Injury, poisoning and certain other consequences of external causes (S00-T88)

No Change Injuries to the head (S00-S09)

No Change S06 Intracranial injury

No Change S06.3 Focal traumatic brain injury

No Change S06.34 Traumatic hemorrhage of right cerebrum

No Change S06.341 Traumatic hemorrhage of right cerebrum with loss of consciousness of 30


minutes or less
Revise from Traumatic hemorrhage of right cerebrum with loss of consciousness
Revise to Traumatic hemorrhage of right cerebrum with brief loss of consciousness

No Change Injuries to the thorax (S20-S29)

No Change S22 Fracture of rib(s), sternum and thoracic spine

No Change Code also


Revise from , if applicable, any associated:
Revise to , if applicable, any associated condition such as:
Add traumatic hemopneumothorax (S27.2)
Add traumatic hemothorax (S27.1-)
Add traumatic pneumothorax (S27.0)

No Change Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances
(T36-T50)

No Change T45 Poisoning by, adverse effect of and underdosing of primarily systemic and hematological agents,
not elsewhere classified

No Change T45.1 Poisoning by, adverse effect of and underdosing of antineoplastic and immunosuppressive
drugs

Add Excludes1: poisoning by, adverse effect of and underdosing of immune checkpoint inhibitors and
immunostimulant drugs (T45.A)

Add T45.A Poisoning by, adverse effect of and underdosing of immune checkpoint inhibitors and
immunostimulant drugs

Add Excludes1: poisoning by, adverse effect of and underdosing of antineoplastic and
immunosuppressive drug (T45.1)

Add T45.AX Poisoning by, adverse effect of and underdosing of immune checkpoint inhibitors
and immunostimulant drugs

Add T45.AX1 Poisoning by immune checkpoint inhibitors and immunostimulant drugs,


accidental (unintentional)
Add Poisoning by immune checkpoint inhibitors and immunosuppressive drugs NOS

Add T45.AX2 Poisoning by immune checkpoint inhibitors and immunostimulant drugs,


intentional self-harm

Add T45.AX3 Poisoning by immune checkpoint inhibitors and immunostimulant drugs,


assault

Add T45.AX4 Poisoning by immune checkpoint inhibitors and immunostimulant drugs,


undetermined
Add T45.AX5 Adverse effect of immune checkpoint inhibitors and immunostimulant
drugs

Add T45.AX6 Underdosing of immune checkpoint inhibitors and immunostimulant drugs

No Change Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)

No Change T63 Toxic effect of contact with venomous animals and plants

No Change T63.4 Toxic effect of venom of other arthropods

Add Use Additional code, if applicable, for anaphylactic shock (T78.2)

No Change T65 Toxic effect of other and unspecified substances

No Change T65.3 Toxic effect of nitroderivatives and aminoderivatives of benzene and its homologues
Revise from Toxic effect of anilin [benzenamine]
Revise to Toxic effect of aniline [benzenamine]

No Change Complications of surgical and medical care, not elsewhere classified (T80-T88)

No Change T80 Complications following infusion, transfusion and therapeutic injection

No Change T80.8 Other complications following infusion, transfusion and therapeutic injection

No Change T80.82 Complication of immune effector cellular therapy

Add Excludes2: adverse effect of immune checkpoint inhibitors and immunostimulant drugs
(T45.AX5)

No Change T81 Complications of procedures, not elsewhere classified

No Change T81.3 Disruption of wound, not elsewhere classified

No Change T81.32 Disruption of internal operation (surgical) wound, not elsewhere classified
Delete Deep disruption or dehiscence of operation wound NOS
Delete Disruption or dehiscence of closure of internal organ or other internal tissue
Delete Disruption or dehiscence of closure of muscle or muscle flap
Delete Disruption or dehiscence of closure of ribs or rib cage
Delete Disruption or dehiscence of closure of skull or craniotomy
Delete Disruption or dehiscence of closure of sternum or sternotomy
Delete Disruption or dehiscence of closure of tendon or ligament
Delete Disruption or dehiscence of closure of superficial or muscular fascia

Add T81.320 Disruption or dehiscence of gastrointestinal tract anastomosis, repair, or


closure

Add T81.321 Disruption or dehiscence of closure of internal operation (surgical) wound of


abdominal wall muscle or fascia

Add T81.328 Disruption or dehiscence of closure of other specified internal operation


(surgical) wound
Add Disruption or dehiscence of closure of muscle or muscle flap (other than abdominal
wall muscle)
Add Disruption or dehiscence of closure of ribs or rib cage
Add Disruption or dehiscence of closure of skull or craniotomy
Add Disruption or dehiscence of closure of sternum or sternotomy
Add Disruption or dehiscence of closure of tendon or ligament
Add Disruption or dehiscence of closure of superficial or muscular fascia (other than
abdominal wall fascia)

Add T81.329 Deep disruption or dehiscence of operation wound, unspecified


Add Deep disruption or dehiscence of operation wound NOS

No Change T81.4 Infection following a procedure

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)

No Change T81.8 Other complications of procedures, not elsewhere classified

No Change T81.83 Persistent postprocedural fistula

Add Code also, if applicable, disruption of internal operation (surgical) wound (T81.32-)

No Change Use Additional


Revise from anal fistula (K60.3)
Revise to anal fistula (K60.3-)
Revise from anorectal fistula (K60.5)
Revise to anorectal fistula (K60.5-)
No Change Chapter 21
No Change Factors influencing health status and contact with health services (Z00-Z99)

No Change This chapter contains the following blocks:


Revise from Z17 Estrogen receptor status
Revise to Z17 Estrogen, and other hormones and factors receptor status

No Change Genetic carrier and genetic susceptibility to disease (Z14-Z15)

No Change Z15 Genetic susceptibility to disease

Add Z15.1 Genetic susceptibility to epilepsy and neurodevelopmental disorders

Add Code also, if applicable, related disorders such as:


Add developmental and epileptic encephalopathy (G93.45)
Add developmental disorder of speech and language (F80.-)
Add developmental disorders of scholastic skills (F81.-)
Add epilepsy, by specific type (G40.-)
Add intellectual disabilities (F70-F79)
Add other neurodevelopmental disorder (F88)
Add pervasive developmental disorders (F84.-)

Add Z15.2 Genetic susceptibility to obesity

Add Code also, if applicable, any associated manifestations, such as:


Add other obesity (E66.8-)
Add polyphagia (R63.2)

Add Use Additional code to identify body mass index (BMI), if known (Z68.-)

Revise from Estrogen receptor status (Z17)


Revise to Estrogen, and other hormones and factors receptor status (Z17)

Revise from Z17 Estrogen receptor status


Revise to Z17 Estrogen, and other hormones and factors receptor status

Add Note: Use one code, as available, for each receptor: Z17.0, Z17.1, Z17.2-, Z17.3-

Add Code first malignant neoplasm, such as:


Add malignant neoplasm of ovary (C56.-)

Add Z17.2 Progesterone receptor status

Add Z17.21 Progesterone receptor positive status


Add PR+

Add Z17.22 Progesterone receptor negative status


Add PR-

Add Z17.3 Human epidermal growth factor 2 receptor

Add Z17.31 Human epidermal growth factor receptor 2 positive status


Add HER2+

Add Z17.32 Human epidermal growth factor receptor 2 negative status


Add HER2-

Add Z17.4 Combined receptor status

Add Note: Assign a code from subcategory Z17.4- when only a combined receptor status is
documented
Add Z17.41 Hormone receptor positive
Add HR+

Add Z17.410 Hormone receptor positive with human epidermal growth factor receptor 2
positive status
Add HR+ with HER2+

Add Z17.411 Hormone receptor positive with human epidermal growth factor receptor 2
negative status
Add HR+ with HER2-

Add Z17.42 Hormone receptor negative


Add HR-

Add Z17.420 Hormone receptor negative with human epidermal growth factor receptor 2
positive status
Add HR- with HER2+

Add Z17.421 Hormone receptor negative with human epidermal growth factor receptor 2
negative status
Add HR- with HER2-
Add TNBC
Add Triple negative breast cancer

No Change Encounters for other specific health care (Z40-Z53)

No Change Z45 Encounter for adjustment and management of implanted device

No Change Z45.3 Encounter for adjustment and management of implanted devices of the special senses

No Change Z45.32 Encounter for adjustment and management of implanted hearing device

No Change Excludes1:
Revise from Encounter for fitting and adjustment of hearing aide (Z46.1)
Revise to Encounter for fitting and adjustment of hearing aid (Z46.1)

No Change Z51 Encounter for other aftercare and medical care

Add Z51.A Encounter for sepsis aftercare

No Change Persons with potential health hazards related to socioeconomic and psychosocial circumstances
(Z55-Z65)

No Change Z59 Problems related to housing and economic circumstances

No Change Z59.7 Insufficient social insurance and welfare support


Add Insufficient social and welfare insurance

Add Z59.71 Insufficient health insurance coverage


Add Inadequate social insurance
Add Insufficient social insurance
Add No health insurance coverage

Add Z59.72 Insufficient welfare support


Add Inadequate welfare support

No Change Blood type (Z67)

No Change Z67 Blood type

Add Z67.A Duffy phenotype


Add Z67.A1 Duffy null
Add Duffy phenotype Fy(a-b-)

Add Z67.A2 Duffy a positive


Add Duffy phenotype Fy(a+b-)

Add Z67.A3 Duffy b positive


Add Duffy phenotype Fy(a-b+)

Add Z67.A4 Duffy a and b positive


Add Duffy phenotype Fy(a+b+)

No Change Body mass index [BMI] (Z68)

No Change Z68 Body mass index [BMI]

No Change Z68.5 Body mass index [BMI] pediatric

Revise from Z68.54 Body mass index [BMI] pediatric, greater than or equal to 95th percentile for age
Revise to Z68.54 Body mass index [BMI] pediatric, 95th percentile for age to less than 120% of the
95th percentile for age

Add Z68.55 Body mass index [BMI] pediatric, 120% of the 95th percentile for age to less than
140% of the 95th percentile for age

Add Z68.56 Body mass index [BMI] pediatric, greater than or equal to 140% of the 95th percentile
for age

No Change Persons with potential health hazards related to family and personal history and certain conditions
influencing health status (Z77-Z99)

No Change Z79 Long term (current) drug therapy

No Change Z79.6 Long term (current) use of immunomodulators and immunosuppressants

No Change Z79.62 Long term (current) use of immunosuppressant

No Change Z79.624 Long term (current) use of inhibitors of nucleotide synthesis


Revise from Long term (current) use omycophenolate
Revise to Long term (current) use of mycophenolate

No Change Z83 Family history of other specific disorders

No Change Z83.7 Family history of diseases of the digestive system

Add Z83.72 Family history of familial adenomatous polyposis

No Change Z86 Personal history of certain other diseases

No Change Z86.0 Personal history of in-situ and benign neoplasms and neoplasms of uncertain behavior

No Change Z86.01 Personal history of benign neoplasm

Revise from Z86.010 Personal history of colonic polyps


Revise to Z86.010 Personal history of colon polyps
Add Personal history of colorectal polyps
Add Personal history of rectal polyps

Add Z86.0100 Personal history of colon polyps, unspecified


Add Personal history of colon polyps NOS

Add Z86.0101 Personal history of adenomatous and serrated colon polyps


Add Personal history of tubular adenoma polyps
Add Personal history of sessile adenomatous colon polyp
Add Personal history of sessile serrated colon polyp
Add Personal history of tubulovillous adenoma polyps
Add Personal history of villous adenoma polyps
Add Personal history of traditional serrated adenoma polyps

Add Z86.0102 Personal history of hyperplastic colon polyps

Add Z86.0109 Personal history of other colon polyps

No Change Z91 Personal risk factors, not elsewhere classified

No Change Z91.1 Patient's noncompliance with medical treatment and regimen

No Change Z91.12 Patient's intentional underdosing of medication regimen

Delete Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
Delete poisoning (overdose) -code to poisoning

No Change Z91.13 Patient's unintentional underdosing of medication regimen

Delete Excludes1: adverse effect of prescribed drug taken as directed- code to adverse effect
Delete poisoning (overdose) -code to poisoning

No Change Z91.14 Patient's other noncompliance with medication regimen

Add Code first, if applicable, adverse effect of underdosing (T36-T50)

No Change Z92 Personal history of medical treatment

No Change Z92.2 Personal history of drug therapy

No Change Z92.22 Personal history of monoclonal drug therapy

Add Excludes2: personal history of immune checkpoint inhibitor therapy (Z92.26)

Add Z92.26 Personal history of immune checkpoint inhibitor therapy


Add Personal history of ICI drug therapy

No Change Z92.8 Personal history of other medical treatment

No Change Z92.85 Personal history of cellular therapy

Add Excludes2: personal history of immune checkpoint inhibitor therapy (Z92.26)

No Change Z93 Artificial opening status

No Change Z93.2 Ileostomy status


Add Ileal pouch status
Add Kock pouch status

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