Codes Effective April 1, 2020
.U07.0 Vaping-related disorder
Use additional codes to identify manifestations
.U07.1 COVID-19
Use additional codes to identify manifestations
New codes: Elevated Liver Enzymes
. R74.01 Elevation of levels of liver transaminase levels
. R74.02 Elevation of levels of lactic acid dehydrogenase [LDH]
New codes: Stage 3 Chronic Kidney Disease
N18.30 Chronic kidney disease, stage 3 unspecified
N18.31 Chronic kidney disease, stage 3a
N18.32 Chronic kidney disease, stage 3b
.Code assignment should be based on provider documentation of the stage.
New Codes: C3 Glomerulonephritis
New codes at categories N00 to N07 to identify C3 glomerulopathy:
. N00.A Acute nephritic syndrome with C3 glomerulonephritis
. N01.A Rapidly progressive nephritic syndrome with C3 glomerulonephritis
. N02.A Recurrent and persistent hematuria with C3 glomerulonephritis
. N03.A Chronic nephritic syndrome with C3 glomerulonephritis
. N04.A Nephrotic syndrome with C3 glomerulonephritis
. N05.A Unspecified nephritic syndrome with C3 glomerulonephritis
. N06.A Isolated proteinuria with C3 glomerulonephritis
. N07.A Hereditary nephropathy, not elsewhere classified with C3 Glomerulonephritis
New Codes: Pulmonary Eosinophilic Diseases
.J82.81 Chronic eosinophilic pneumonia
.J82.82 Acute eosinophilic pneumonia
.J82.83 Eosinophilic asthma
.J82.89 Other pulmonary eosinophilia, not elsewhere Classified
New Codes: Fibrotic Interstitial Lung Disease
.J84.170 Interstitial lung disease with progressive fibrotic phenotype in diseases classified elsewhere
.J41.78 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere
New Codes: Congenital Myopathies
.G71.20 Congenital myopathy, unspecified
.G71.21 Nemaline myopathy
.G71.22 Centronuclear myopathy
.G71.220 X-linked myotubular myopathy
.G71.228 Other centronuclear myopathy
.G71.29 Other congenital myopathy
New Codes: Cerebrospinal Fluid Leak
.G96.00 Cerebrospinal fluid leak, unspecified
.G96.01 Cranial cerebrospinal fluid leak, spontaneous
.G96.02 Spinal cerebrospinal fluid leak, spontaneous
.G96.08 Other cranial cerebrospinal fluid leak
.G96.09 Other spinal cerebrospinal fluid leak
New Codes: Disorders of Meninges
.G96.191 Perineural cyst
.G96.198 Other disorders of meninges, not elsewhere classified
New Codes: Intracranial Hypotension
G96.81 Intracranial hypotension
.G96.810 Intracranial hypotension, unspecified
.G96.811 Intracranial hypotension, spontaneous
.G96.819 Other intracranial hypotension
.G97.83 Intracranial hypotension following lumbar cerebrospinal fluid shunting
.G97.84 Intracranial hypotension following other procedure.
New codes: Acquired Autoimmune Hemolytic Anemias
. D59.10 Autoimmune hemolytic anemia, unspecified
. D59.11 Warm autoimmune hemolytic anemia
. D59.12 Cold autoimmune hemolytic anemia
. D59.13 Mixed type autoimmune hemolytic anemia
. D59.19 Other autoimmune hemolytic anemia
New Codes: Eosinophil Diseases
. D72.10 Eosinophilia, unspecified
. D72.110 Idiopathic hypereosinophilic syndrome [IHES]
. D72.111 Lymphocytic variant hypereosinophilic syndrome [LHES]
. D72.118 Other hypereosinophilic syndrome
. D72.119 Hypereosinophilic syndrome [HES], unspecified
. D72.12 Drug rash with eosinophilia and systemic symptoms syndrome
. D72.18 Eosinophilia in diseases classified elsewhere
. D72.19 Other eosinophilia
New Codes: Immunodeficiencies
.D84.81 Immunodeficiency due to conditions classified elsewhere
.D84.821 Immunodeficiency due to drugs
.D84.822 Immunodeficiency due to external causes
.D84.89 Other immunodeficiencies
New Codes: Cytokine Release Syndrome
. D89.831 Cytokine release syndrome, grade 1
. D89.832 Cytokine release syndrome, grade 2
. D89.833 Cytokine release syndrome, grade 3
. D89.834 Cytokine release syndrome, grade 4
. D89.835 Cytokine release syndrome, grade 5
. D89.839 Cytokine release syndrome, grade unspecified
Specific grade should be assigned on the basis of explicit provider documentation of the grade; otherwise the code for unspecified grade should be assigned.
New Codes: Sickle-Cell Disorders
Sickle cell disorders with cerebral vascular involvement
. D57.03 Hb-SS disease with cerebral vascular involvement
. D57.213 Sickle-cell/Hb-C disease with cerebral vascular involvement
. D57.413 Sickle-cell thalassemia, unspecified, with cerebral vascular involvement
. D57.813 Other sickle-cell disorders with cerebral vascular Involvement
Sickle cell disorders with crisis and other complications
. D57.09 Hb-SS disease with crisis with other specified complication
. D57.218 Sickle-cell/Hb-C disease with crisis with other specified complication
. D57.418 Sickle-cell thalassemia, unspecified, with crisis with other specified complication
. D57.818 Other sickle-cell disorders with crisis with other specified complication
New Codes: Sickle Cell-Thalassemia Beta Zero (HbS-ß0) –
. D57.42 Sickle-cell thalassemia beta zero without crisis
. D57.431 Sickle-cell thalassemia beta zero with acute chest syndrome
. D57.432 Sickle-cell thalassemia beta zero with splenic sequestration
. D57.433 Sickle-cell thalassemia beta zero with cerebral vascular involvement
. D57.438 Sickle-cell thalassemia beta zero with crisis with other specified complication
. D57.439 Sickle-cell thalassemia beta zero with crisis, Unspecified
New Codes: Sickle-Cell Sickle Cell-Thalassemia Beta Plus (HbS- ß+) –
. D57.44 Sickle-cell thalassemia beta plus without crisis
. D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome
. D57.452 Sickle-cell thalassemia beta plus with splenic sequestration
. D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement
. D57.458 Sickle-cell thalassemia beta plus with crisis with other specified complication
. D57.459 Sickle-cell thalassemia beta plus with crisis, Unspecified
New Codes: Substance Use and Abuse with Withdrawal
. F10.130 Alcohol abuse with withdrawal, uncomplicated
. F10.131 Alcohol abuse with withdrawal delirium
. F10.132 Alcohol abuse with withdrawal with perceptual disturbance
. F10.139 Alcohol abuse with withdrawal, unspecified
. F10.930 Alcohol use, unspecified with withdrawal, uncomplicated
. F10.931 Alcohol use, unspecified with withdrawal delirium
. F10.932 Alcohol use, unspecified with withdrawal with perceptual disturbance
. F10.939 Alcohol use, unspecified with withdrawal, unspecified
. F11.13 Opioid abuse with withdrawal
. F12.13 Cannabis abuse with withdrawal
. F13.130 Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated
. F13.131 Sedative, hypnotic or anxiolytic abuse with withdrawal delirium
. F13.132 Sedative, hypnotic or anxiolytic abuse with withdrawal with perceptual disturbance
. F13.139 Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified
. F14.13 Cocaine abuse, unspecified with withdrawal
. F14.93 Cocaine use, unspecified with withdrawal
. F15.13 Other stimulant abuse with withdrawal
. F19.130 Other psychoactive substance abuse with withdrawal, uncomplicated
. F19.131 Other psychoactive substance abuse with withdrawal delirium
. F19.132 Other psychoactive substance abuse with withdrawal with perceptual disturbance
. F19.139 Other psychoactive substance abuse with withdrawal, unspecified
New Codes: Esophagitis
.K20.80 Other esophagitis without bleeding
.K20.81 Other esophagitis with bleeding
.K20.90 Esophagitis, unspecified without bleeding
.K20.91 Esophagitis, unspecified with bleeding
.K21.00 Gastro-esophageal reflux disease with esophagitis, without bleeding
.K21.01 Gastro-esophageal reflux disease with esophagitis, with bleeding
New Codes: Hepatic Fibrosis
.K74.00 Hepatic fibrosis, unspecified
.K74.01 Hepatic fibrosis, early fibrosis
.K74.02 Hepatic fibrosis, advanced fibrosis
New Codes: Joint-Related Disorders
Twenty-one new codes have been created for several joint related disorders by adding “other specified site” or “other specified joint”e.g., rheumatoid arthritis, osteoarthritis, dislocation
New codes for temporomandibular joint disorders
. M26.64 Arthritis of temporomandibular joint
. M26.65 Arthropathy of temporomandibular joint
. New codes specify laterality
New Codes: Pathological Fractures Due to Osteoporosis
.M80.0A Age-related osteoporosis with current pathological fracture, other site
.M80.8A Other osteoporosis with current pathological fracture, other site
Juvenile Osteochondrosis Tibia and Fibula
Subcategory M92.5, Juvenile osteochondrosis of tibia and fibula, has been expanded to distinguish juvenile osteochondrosis (Blount’s Disease vs Osgood-Schlatter Disease)
. Unspecified juvenile osteochondrosis (M92.50-)
. Juvenile osteochondrosis of proximal tibia (M92.51-)
. Juvenile osteochondrosis of tibia tubercle (M92.52-)
. Other juvenile osteochondrosis of tibia and fibula (M92.59-)
. Sixth characters at each of the codes identify laterality (i.e. unspecified leg, right leg, left leg and bilateral).
New Codes: Granulomatous Mastitis
.N61.20 Granulomatous mastitis, unspecified breast
.N61.21 Granulomatous mastitis, right breast
.N61.22 Granulomatous mastitis, left breast
.N61.23 Granulomatous mastitis, bilateral breast
New Codes: Cesarean Delivery Scars
.O34.218 Maternal care for other type scar from previous cesarean delivery
.O34.22 Maternal care for cesarean scar defect (isthmocele)
New codes: Expansion of Code O99.89 to Identify Stage
. O99.891 Other specified diseases and conditions complicating pregnancy
. O99.892 Other specified diseases and conditions complicating childbirth
. O99.893 Other specified diseases and conditions complicating puerperium
New Codes: Neonatal Cerebral Infarction
.P91.821 Neonatal cerebral infarction, right side of brain
.P91.822 Neonatal cerebral infarction, left side of brain
.P91.823 Neonatal cerebral infarction, bilateral
.P91.829 Neonatal cerebral infarction, unspecified side
New codes: Headache with Orthostatic Component
. R51.0 Headache with orthostatic component, not elsewhere classified
. R51.9 Headache, unspecified
Also known as positional headache, postural headache or orthostatic headache.
Superficial Injury of Thorax
Category S20, Superficial injury of thorax, expanded and codes created to identify the middle and bilateral walls of the front thorax
. Contusion (S20.2-)
. Unspecified superficial injury (S20.30-)
. Abrasion (S20.31-)
. Blister (S20.32-)
. External constriction (S20.34-)
. Superficial foreign body (S20.35-)
. Insect bite (S20.36-)
. Other superficial bite (S20.37-)
Results in 54 new codes.
New codes: Synthetic Narcotics – Fentanyl
. T40.41 Poisoning by, adverse effect of and underdosing of fentanyl or fentanyl analogs
. T40.411 Poisoning by fentanyl or fentanyl analogs, accidental (unintentional)
. T40.412 Poisoning by fentanyl or fentanyl analogs, intentional self-harm
. T40.413 Poisoning by fentanyl or fentanyl analogs, assault
. T40.414 Poisoning by fentanyl or fentanyl analogs, undetermined
. T40.415 Adverse effect of fentanyl or fentanyl analogs
. T40.416 Underdosing of fentanyl or fentanyl analogs
New codes: Synthetic Narcotics – Tramadol
. T40.42 Poisoning by, adverse effect of and underdosing of tramadol
. T40.421 Poisoning by tramadol, accidental (unintentional)
. T40.422 Poisoning by tramadol, intentional self-harm
. T40.423 Poisoning by tramadol, assault
. T40.424 Poisoning by tramadol, undetermined
. T40.425 Adverse effect of tramadol
. T40.426 Underdosing of tramadol
New codes: Other Synthetic Narcotics
. T40.49 Poisoning by, adverse effect of and underdosing of other synthetic narcotics
. T40.491 Poisoning by other synthetic narcotics, accidental (unintentional)
. T40.492 Poisoning by other synthetic narcotics, intentional self-harm
. T40.493 Poisoning by other synthetic narcotics, assault
. T40.494 Poisoning by other synthetic narcotics, undetermined
. T40.495 Adverse effect of other synthetic narcotics
. T40.496 Underdosing of other synthetic narcotics
New codes: Adverse Incidents due to Therapeutic and Rehabilitative Ophthalmic Devices
. Y77.11 Contact lens associated with adverse incidents
. Y77.19 Other therapeutic (nonsurgical) and rehabilitative ophthalmic devices associated with adverse incidents
New Codes: Electric Scooter and Other Micro- Mobility Devices
. External cause of morbidity and mortality codes for Pedestrian Injured In Transport Accident (categories V00-V06)
. Standing electric scooters (e-scooters) and other ultra-light standing micro-mobility devices
. Results in 123 new diagnosis codes when including the 7th characters for initial encounter, subsequent encounter and sequelae.
New codes: Z Code Update
. Z03.82 Encounter for observation for suspected foreign body ruled out
. Z03.821 Encounter for observation for suspected ingested foreign body ruled out
. Z03.822 Encounter for observation for suspected aspirated (inhaled) foreign body ruled out
. Z03.823 Encounter for observation for suspected inserted (injected) foreign body ruled out
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