2018 ICD-10-CM Index > 'Abnormal, abnormality, abnormalities'

2018 ICD-10-CM Index
'A' Terms

Abnormal, abnormality, abnormalities - see also Anomaly
- acid-base balance E87.4
  (mixed)
  ICD-10-CM Diagnosis Code E87.4
  Mixed disorder of acid-base balance
  2016 2017 2018 Billable/Specific Code
- albumin R77.0
  ICD-10-CM Diagnosis Code R77.0
  Abnormality of albumin
  2016 2017 2018 Billable/Specific Code
- alphafetoprotein R77.2
  ICD-10-CM Diagnosis Code R77.2
  Abnormality of alphafetoprotein
  2016 2017 2018 Billable/Specific Code
- alveolar ridge K08.9
  ICD-10-CM Diagnosis Code K08.9
  Disorder of teeth and supporting structures, unspecified
  2016 2017 2018 Billable/Specific Code
- anatomical relationship Q89.9
  ICD-10-CM Diagnosis Code Q89.9
  Congenital malformation, unspecified
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Congenital anomaly NOS
  Congenital deformity NOS
- apertures, congenital, diaphragm Q79.1
  ICD-10-CM Diagnosis Code Q79.1
  Other congenital malformations of diaphragm
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Absence of diaphragm
  Congenital malformation of diaphragm NOS
  Eventration of diaphragm
- auditory perception H93.29-
  ICD-10-CM Diagnosis Code H93.29-
  Other abnormal auditory perceptions
  2016 2017 2018 Non-Billable/Non-Specific Code
  - diplacusis - see Diplacusis
  - hyperacusis - see Hyperacusis
  - recruitment - see Recruitment, auditory
  - threshold shift - see Shift, auditory threshold
- autosomes Q99.9
  ICD-10-CM Diagnosis Code Q99.9
  Chromosomal abnormality, unspecified
  2016 2017 2018 Billable/Specific Code POA Exempt
  - fragile site Q95.5
    ICD-10-CM Diagnosis Code Q95.5
    Individual with autosomal fragile site
    2016 2017 2018 Billable/Specific Code POA Exempt
- basal metabolic rate R94.8
  ICD-10-CM Diagnosis Code R94.8
  Abnormal results of function studies of other organs and systems
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal basal metabolic rate [BMR]
  Abnormal bladder function test
  Abnormal splenic function test
- biosynthesis, testicular androgen E29.1
  ICD-10-CM Diagnosis Code E29.1
  Testicular hypofunction
  2016 2017 2018 Billable/Specific Code Male Dx
  Applicable To
  Defective biosynthesis of testicular androgen NOS
  5-delta-Reductase deficiency (with male pseudohermaphroditism)
  Testicular hypogonadism NOS
  Type 1 Excludes
  postprocedural testicular hypofunction (E89.5)
  Use Additional
  code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
- bleeding time R79.1
  ICD-10-CM Diagnosis Code R79.1
  Abnormal coagulation profile
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal or prolonged bleeding time
  Abnormal or prolonged coagulation time
  Abnormal or prolonged partial thromboplastin time [PTT]
  Abnormal or prolonged prothrombin time [PT]
  Type 1 Excludes
  coagulation defects (D68.-)
  Type 2 Excludes
  abnormality of fluid, electrolyte or acid-base balance (E86-E87)
- blood level (of)
  - cobalt R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - copper R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - iron R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - lithium R78.89
    ICD-10-CM Diagnosis Code R78.89
    Finding of other specified substances, not normally found in blood
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Finding of abnormal level of lithium in blood
  - magnesium R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - mineral NEC R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - zinc R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
- blood pressure
  - elevated R03.0
    ICD-10-CM Diagnosis Code R03.0
    Elevated blood-pressure reading, without diagnosis of hypertension
    2016 2017 2018 Billable/Specific Code Questionable As Admission Dx
    Note
    This category is to be used to record an episode of elevated blood pressure in a patient in whom no formal diagnosis of hypertension has been made, or as an isolated incidental finding.
  - low reading R03.1
    (nonspecific)
    ICD-10-CM Diagnosis Code R03.1
    Nonspecific low blood-pressure reading
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    hypotension (I95.-)
    maternal hypotension syndrome (O26.5-)
    neurogenic orthostatic hypotension (G90.3)
- blood sugar R73.09
  ICD-10-CM Diagnosis Code R73.09
  Other abnormal glucose
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal glucose NOS
  Abnormal non-fasting glucose tolerance
- blood-gas level R79.81
  ICD-10-CM Diagnosis Code R79.81
  Abnormal blood-gas level
  2016 2017 2018 Billable/Specific Code
- bowel sounds R19.15
  ICD-10-CM Diagnosis Code R19.15
  Other abnormal bowel sounds
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal bowel sounds NOS
  - absent R19.11
    ICD-10-CM Diagnosis Code R19.11
    Absent bowel sounds
    2016 2017 2018 Billable/Specific Code
  - hyperactive R19.12
    ICD-10-CM Diagnosis Code R19.12
    Hyperactive bowel sounds
    2016 2017 2018 Billable/Specific Code
- brain scan R94.02
  ICD-10-CM Diagnosis Code R94.02
  Abnormal brain scan
  2016 2017 2018 Billable/Specific Code
- breathing R06.9
  ICD-10-CM Diagnosis Code R06.9
  Unspecified abnormalities of breathing
  2016 2017 2018 Billable/Specific Code
- caloric test R94.138
  ICD-10-CM Diagnosis Code R94.138
  Abnormal results of other function studies of peripheral nervous system
  2016 2017 2018 Billable/Specific Code
- cerebrospinal fluid R83.9
  ICD-10-CM Diagnosis Code R83.9
  Unspecified abnormal finding in cerebrospinal fluid
  2016 2017 2018 Billable/Specific Code
  - cytology R83.6
    ICD-10-CM Diagnosis Code R83.6
    Abnormal cytological findings in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - drug level R83.2
    ICD-10-CM Diagnosis Code R83.2
    Abnormal level of other drugs, medicaments and biological substances in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - enzyme level R83.0
    ICD-10-CM Diagnosis Code R83.0
    Abnormal level of enzymes in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - hormones R83.1
    ICD-10-CM Diagnosis Code R83.1
    Abnormal level of hormones in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - immunology R83.4
    ICD-10-CM Diagnosis Code R83.4
    Abnormal immunological findings in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - microbiology R83.5
    ICD-10-CM Diagnosis Code R83.5
    Abnormal microbiological findings in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Positive culture findings in cerebrospinal fluid
    Type 1 Excludes
    colonization status (Z22.-)
  - nonmedicinal level R83.3
    ICD-10-CM Diagnosis Code R83.3
    Abnormal level of substances chiefly nonmedicinal as to source in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - specified type NEC R83.8
    ICD-10-CM Diagnosis Code R83.8
    Other abnormal findings in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal chromosomal findings in cerebrospinal fluid
- chemistry, blood R79.9
  ICD-10-CM Diagnosis Code R79.9
  Abnormal finding of blood chemistry, unspecified
  2016 2017 2018 Billable/Specific Code
  - C-reactive protein R79.82
    ICD-10-CM Diagnosis Code R79.82
    Elevated C-reactive protein (CRP)
    2016 2017 2018 Billable/Specific Code
  - drugs - see Findings, abnormal, in blood
  - gas level R79.81
    ICD-10-CM Diagnosis Code R79.81
    Abnormal blood-gas level
    2016 2017 2018 Billable/Specific Code
  - minerals R79.0
    ICD-10-CM Diagnosis Code R79.0
    Abnormal level of blood mineral
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal blood level of cobalt
    Abnormal blood level of copper
    Abnormal blood level of iron
    Abnormal blood level of magnesium
    Abnormal blood level of mineral NEC
    Abnormal blood level of zinc
    Type 1 Excludes
    abnormal level of lithium (R78.89)
    disorders of mineral metabolism (E83.-)
    neonatal hypomagnesemia (P71.2)
    nutritional mineral deficiency (E58-E61)
  - pancytopenia D61.818
    ICD-10-CM Diagnosis Code D61.818
    Other pancytopenia
    2016 2017 2018 Billable/Specific Code
  - PTT R79.1
    ICD-10-CM Diagnosis Code R79.1
    Abnormal coagulation profile
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal or prolonged bleeding time
    Abnormal or prolonged coagulation time
    Abnormal or prolonged partial thromboplastin time [PTT]
    Abnormal or prolonged prothrombin time [PT]
    Type 1 Excludes
    coagulation defects (D68.-)
    Type 2 Excludes
    abnormality of fluid, electrolyte or acid-base balance (E86-E87)
  - specified NEC R79.89
    ICD-10-CM Diagnosis Code R79.89
    Other specified abnormal findings of blood chemistry
    2016 2017 2018 Billable/Specific Code
  - toxins - see Findings, abnormal, in blood
- chest sounds R09.89
  (friction) (rales)
  ICD-10-CM Diagnosis Code R09.89
  Other specified symptoms and signs involving the circulatory and respiratory systems
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Bruit (arterial)
  Abnormal chest percussion
  Feeling of foreign body in throat
  Friction sounds in chest
  Chest tympany
  Choking sensation
  Rales
  Weak pulse
  Type 2 Excludes
  foreign body in throat (T17.2-)
  wheezing (R06.2)
- chromosome, chromosomal Q99.9
  ICD-10-CM Diagnosis Code Q99.9
  Chromosomal abnormality, unspecified
  2016 2017 2018 Billable/Specific Code POA Exempt
  - analysis result R89.8
    ICD-10-CM Diagnosis Code R89.8
    Other abnormal findings in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal chromosomal findings in specimens from other organs, systems and tissues
    - bronchial washings R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
    - cerebrospinal fluid R83.8
      ICD-10-CM Diagnosis Code R83.8
      Other abnormal findings in cerebrospinal fluid
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in cerebrospinal fluid
    - cervix uteri NEC R87.89
      ICD-10-CM Diagnosis Code R87.89
      Other abnormal findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal chromosomal findings in specimens from female genital organs
    - nasal secretions R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
    - nipple discharge R89.8
      ICD-10-CM Diagnosis Code R89.8
      Other abnormal findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from other organs, systems and tissues
    - peritoneal fluid R85.89
      ICD-10-CM Diagnosis Code R85.89
      Other abnormal findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from digestive organs and abdominal cavity
    - pleural fluid R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
    - prostatic secretions R86.8
      ICD-10-CM Diagnosis Code R86.8
      Other abnormal findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
      Applicable To
      Abnormal chromosomal findings in specimens from male genital organs
    - saliva R85.89
      ICD-10-CM Diagnosis Code R85.89
      Other abnormal findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from digestive organs and abdominal cavity
    - seminal fluid R86.8
      ICD-10-CM Diagnosis Code R86.8
      Other abnormal findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
      Applicable To
      Abnormal chromosomal findings in specimens from male genital organs
    - sputum R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
    - synovial fluid R89.8
      ICD-10-CM Diagnosis Code R89.8
      Other abnormal findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from other organs, systems and tissues
    - throat scrapings R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
    - vagina R87.89
      ICD-10-CM Diagnosis Code R87.89
      Other abnormal findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal chromosomal findings in specimens from female genital organs
    - vulva R87.89
      ICD-10-CM Diagnosis Code R87.89
      Other abnormal findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal chromosomal findings in specimens from female genital organs
    - wound secretions R89.8
      ICD-10-CM Diagnosis Code R89.8
      Other abnormal findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from other organs, systems and tissues
  - dicentric replacement Q93.2
    ICD-10-CM Diagnosis Code Q93.2
    Chromosome replaced with ring, dicentric or isochromosome
    2016 2017 2018 Billable/Specific Code POA Exempt
  - ring replacement Q93.2
    ICD-10-CM Diagnosis Code Q93.2
    Chromosome replaced with ring, dicentric or isochromosome
    2016 2017 2018 Billable/Specific Code POA Exempt
  - sex Q99.8
    ICD-10-CM Diagnosis Code Q99.8
    Other specified chromosome abnormalities
    2016 2017 2018 Billable/Specific Code POA Exempt
    - female phenotype Q97.9
      ICD-10-CM Diagnosis Code Q97.9
      Sex chromosome abnormality, female phenotype, unspecified
      2016 2017 2018 Billable/Specific Code Female Dx POA Exempt
      - specified NEC Q97.8
        ICD-10-CM Diagnosis Code Q97.8
        Other specified sex chromosome abnormalities, female phenotype
        2016 2017 2018 Billable/Specific Code Female Dx POA Exempt
    - male phenotype Q98.9
      ICD-10-CM Diagnosis Code Q98.9
      Sex chromosome abnormality, male phenotype, unspecified
      2016 2017 2018 Billable/Specific Code Male Dx POA Exempt
      - specified NEC Q98.8
        ICD-10-CM Diagnosis Code Q98.8
        Other specified sex chromosome abnormalities, male phenotype
        2016 2017 2018 Billable/Specific Code Male Dx POA Exempt
    - structural male Q98.6
      ICD-10-CM Diagnosis Code Q98.6
      Male with structurally abnormal sex chromosome
      2016 2017 2018 Billable/Specific Code Male Dx POA Exempt
  - specified NEC Q99.8
    ICD-10-CM Diagnosis Code Q99.8
    Other specified chromosome abnormalities
    2016 2017 2018 Billable/Specific Code POA Exempt
  - with more than three X chromosomes, female Q97.1
    ICD-10-CM Diagnosis Code Q97.1
    Female with more than three X chromosomes
    2016 2017 2018 Billable/Specific Code Female Dx POA Exempt
- clinical findings NEC R68.89
  ICD-10-CM Diagnosis Code R68.89
  Other general symptoms and signs
  2016 2017 2018 Billable/Specific Code
- coagulation D68.9
  ICD-10-CM Diagnosis Code D68.9
  Coagulation defect, unspecified
  2016 2017 2018 Billable/Specific Code
  - newborn, transient P61.6
    ICD-10-CM Diagnosis Code P61.6
    Other transient neonatal disorders of coagulation
    2016 2017 2018 Billable/Specific Code Code on Newborn Record
  - profile R79.1
    ICD-10-CM Diagnosis Code R79.1
    Abnormal coagulation profile
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal or prolonged bleeding time
    Abnormal or prolonged coagulation time
    Abnormal or prolonged partial thromboplastin time [PTT]
    Abnormal or prolonged prothrombin time [PT]
    Type 1 Excludes
    coagulation defects (D68.-)
    Type 2 Excludes
    abnormality of fluid, electrolyte or acid-base balance (E86-E87)
  - time R79.1
    ICD-10-CM Diagnosis Code R79.1
    Abnormal coagulation profile
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal or prolonged bleeding time
    Abnormal or prolonged coagulation time
    Abnormal or prolonged partial thromboplastin time [PTT]
    Abnormal or prolonged prothrombin time [PT]
    Type 1 Excludes
    coagulation defects (D68.-)
    Type 2 Excludes
    abnormality of fluid, electrolyte or acid-base balance (E86-E87)
- communication - see Fistula
- conjunctiva, vascular H11.41-
  ICD-10-CM Diagnosis Code H11.41-
  Vascular abnormalities of conjunctiva
  2016 2017 2018 Non-Billable/Non-Specific Code
  Applicable To
  Conjunctival aneurysm
- coronary artery Q24.5
  ICD-10-CM Diagnosis Code Q24.5
  Malformation of coronary vessels
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Congenital coronary (artery) aneurysm
- cortisol-binding globulin E27.8
  ICD-10-CM Diagnosis Code E27.8
  Other specified disorders of adrenal gland
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormality of cortisol-binding globulin
- course, eustachian tube Q17.8
  ICD-10-CM Diagnosis Code Q17.8
  Other specified congenital malformations of ear
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Congenital absence of lobe of ear
- creatinine clearance R94.4
  ICD-10-CM Diagnosis Code R94.4
  Abnormal results of kidney function studies
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal renal function test
- cytology
  - anus R85.619
    ICD-10-CM Diagnosis Code R85.619
    Unspecified abnormal cytological findings in specimens from anus
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal anal cytology NOS
    Atypical glandular cells of anus NOS
    - atypical squamous cells cannot exclude high grade squamous intraepithelial lesion R85.611
      (ASC-H)
      ICD-10-CM Diagnosis Code R85.611
      Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
      2016 2017 2018 Billable/Specific Code
    - atypical squamous cells of undetermined significance R85.610
      (ASC-US)
      ICD-10-CM Diagnosis Code R85.610
      Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
      2016 2017 2018 Billable/Specific Code
    - cytologic evidence of malignancy R85.614
      ICD-10-CM Diagnosis Code R85.614
      Cytologic evidence of malignancy on smear of anus
      2016 2017 2018 Billable/Specific Code
    - high grade squamous intraepithelial lesion R85.613
      (HGSIL)
      ICD-10-CM Diagnosis Code R85.613
      High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
      2016 2017 2018 Billable/Specific Code
    - human papillomavirus (HPV)
      - high risk positive R85.81
        ICD-10-CM Diagnosis Code R85.81
        Anal high risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code
        Type 1 Excludes
        anogenital warts due to human papillomavirus (HPV) (A63.0)
        condyloma acuminatum (A63.0)
      - low risk postive R85.82
        ICD-10-CM Diagnosis Code R85.82
        Anal low risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code
        Use Additional
        code for associated human papillomavirus (B97.7)
    - inadequate smear R85.615
      ICD-10-CM Diagnosis Code R85.615
      Unsatisfactory cytologic smear of anus
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Inadequate sample of cytologic smear of anus
    - low grade squamous intraepithelial lesion R85.612
      (LGSIL)
      ICD-10-CM Diagnosis Code R85.612
      Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
      2016 2017 2018 Billable/Specific Code
    - satisfactory anal smear but lacking transformation zone R85.616
      ICD-10-CM Diagnosis Code R85.616
      Satisfactory anal smear but lacking transformation zone
      2016 2017 2018 Billable/Specific Code
    - specified NEC R85.618
      ICD-10-CM Diagnosis Code R85.618
      Other abnormal cytological findings on specimens from anus
      2016 2017 2018 Billable/Specific Code
    - unsatisfactory smear R85.615
      ICD-10-CM Diagnosis Code R85.615
      Unsatisfactory cytologic smear of anus
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Inadequate sample of cytologic smear of anus
  - female genital organs - see Abnormal, Papanicolaou (smear)
- dark adaptation curve H53.61
  ICD-10-CM Diagnosis Code H53.61
  Abnormal dark adaptation curve
  2016 2017 2018 Billable/Specific Code
- dentofacial NEC - see Anomaly, dentofacial
- development, developmental Q89.9
  ICD-10-CM Diagnosis Code Q89.9
  Congenital malformation, unspecified
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Congenital anomaly NOS
  Congenital deformity NOS
  - central nervous system Q07.9
    ICD-10-CM Diagnosis Code Q07.9
    Congenital malformation of nervous system, unspecified
    2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    Congenital anomaly NOS of nervous system
    Congenital deformity NOS of nervous system
    Congenital disease or lesion NOS of nervous system
- diagnostic imaging
  - abdomen, abdominal region NEC R93.5
    ICD-10-CM Diagnosis Code R93.5
    Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
    2016 2017 2018 Billable/Specific Code
  - biliary tract R93.2
    ICD-10-CM Diagnosis Code R93.2
    Abnormal findings on diagnostic imaging of liver and biliary tract
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Nonvisualization of gallbladder
  - bladder R93.41
    ICD-10-CM Diagnosis Code R93.41
    Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
    2017 - New Code 2018 Billable/Specific Code
    Applicable To
    Filling defect of bladder found on diagnostic imaging
    Filling defect of renal pelvis found on diagnostic imaging
    Filling defect of ureter found on diagnostic imaging
  - breast R92.8
    ICD-10-CM Diagnosis Code R92.8
    Other abnormal and inconclusive findings on diagnostic imaging of breast
    2016 2017 2018 Billable/Specific Code
  - central nervous system NEC R90.89
    ICD-10-CM Diagnosis Code R90.89
    Other abnormal findings on diagnostic imaging of central nervous system
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Other cerebrovascular abnormality found on diagnostic imaging of central nervous system
  - cerebrovascular NEC R90.89
    ICD-10-CM Diagnosis Code R90.89
    Other abnormal findings on diagnostic imaging of central nervous system
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Other cerebrovascular abnormality found on diagnostic imaging of central nervous system
  - coronary circulation R93.1
    ICD-10-CM Diagnosis Code R93.1
    Abnormal findings on diagnostic imaging of heart and coronary circulation
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal echocardiogram NOS
    Abnormal heart shadow
  - digestive tract NEC R93.3
    ICD-10-CM Diagnosis Code R93.3
    Abnormal findings on diagnostic imaging of other parts of digestive tract
    2016 2017 2018 Billable/Specific Code
  - gastrointestinal R93.3
    (tract)
    ICD-10-CM Diagnosis Code R93.3
    Abnormal findings on diagnostic imaging of other parts of digestive tract
    2016 2017 2018 Billable/Specific Code
  - genitourinary organs R93.8
    ICD-10-CM Diagnosis Code R93.8
    Abnormal findings on diagnostic imaging of other specified body structures
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal finding by radioisotope localization of placenta
    Abnormal radiological finding in skin and subcutaneous tissue
    Mediastinal shift
  - head R93.0
    ICD-10-CM Diagnosis Code R93.0
    Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    intracranial space-occupying lesion found on diagnostic imaging (R90.0)
  - heart R93.1
    ICD-10-CM Diagnosis Code R93.1
    Abnormal findings on diagnostic imaging of heart and coronary circulation
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal echocardiogram NOS
    Abnormal heart shadow
  - intrathoracic organ NEC R93.8
    ICD-10-CM Diagnosis Code R93.8
    Abnormal findings on diagnostic imaging of other specified body structures
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal finding by radioisotope localization of placenta
    Abnormal radiological finding in skin and subcutaneous tissue
    Mediastinal shift
  - kidney R93.42-
    ICD-10-CM Diagnosis Code R93.42-
    Abnormal radiologic findings on diagnostic imaging of kidney
    2017 - New Code 2018 Non-Billable/Non-Specific Code
  - limbs R93.6
    ICD-10-CM Diagnosis Code R93.6
    Abnormal findings on diagnostic imaging of limbs
    2016 2017 2018 Billable/Specific Code
    Type 2 Excludes
    abnormal finding in skin and subcutaneous tissue (R93.8)
  - liver R93.2
    ICD-10-CM Diagnosis Code R93.2
    Abnormal findings on diagnostic imaging of liver and biliary tract
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Nonvisualization of gallbladder
  - lung R91.8
    (field)
    ICD-10-CM Diagnosis Code R91.8
    Other nonspecific abnormal finding of lung field
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Lung mass NOS found on diagnostic imaging of lung
    Pulmonary infiltrate NOS
    Shadow, lung
  - musculoskeletal system NEC R93.7
    ICD-10-CM Diagnosis Code R93.7
    Abnormal findings on diagnostic imaging of other parts of musculoskeletal system
    2016 2017 2018 Billable/Specific Code
    Type 2 Excludes
    abnormal findings on diagnostic imaging of skull (R93.0)
  - renal pelvis R93.41
    ICD-10-CM Diagnosis Code R93.41
    Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
    2017 - New Code 2018 Billable/Specific Code
    Applicable To
    Filling defect of bladder found on diagnostic imaging
    Filling defect of renal pelvis found on diagnostic imaging
    Filling defect of ureter found on diagnostic imaging
  - retroperitoneum R93.5
    ICD-10-CM Diagnosis Code R93.5
    Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
    2016 2017 2018 Billable/Specific Code
  - site specified NEC R93.8
    ICD-10-CM Diagnosis Code R93.8
    Abnormal findings on diagnostic imaging of other specified body structures
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal finding by radioisotope localization of placenta
    Abnormal radiological finding in skin and subcutaneous tissue
    Mediastinal shift
  - skin and subcutaneous tissue R93.8
    ICD-10-CM Diagnosis Code R93.8
    Abnormal findings on diagnostic imaging of other specified body structures
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal finding by radioisotope localization of placenta
    Abnormal radiological finding in skin and subcutaneous tissue
    Mediastinal shift
  - skull R93.0
    ICD-10-CM Diagnosis Code R93.0
    Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    intracranial space-occupying lesion found on diagnostic imaging (R90.0)
  - ureter R93.41
    ICD-10-CM Diagnosis Code R93.41
    Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder
    2017 - New Code 2018 Billable/Specific Code
    Applicable To
    Filling defect of bladder found on diagnostic imaging
    Filling defect of renal pelvis found on diagnostic imaging
    Filling defect of ureter found on diagnostic imaging
  - urinary organs specified NEC R93.49
    ICD-10-CM Diagnosis Code R93.49
    Abnormal radiologic findings on diagnostic imaging of other urinary organs
    2017 - New Code 2018 Billable/Specific Code
- direction, teeth, fully erupted M26.30
  ICD-10-CM Diagnosis Code M26.30
  Unspecified anomaly of tooth position of fully erupted tooth or teeth
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal spacing of fully erupted tooth or teeth NOS
  Displacement of fully erupted tooth or teeth NOS
  Transposition of fully erupted tooth or teeth NOS
- ear ossicles, acquired NEC H74.39-
  ICD-10-CM Diagnosis Code H74.39-
  Other acquired abnormalities of ear ossicles
  2016 2017 2018 Non-Billable/Non-Specific Code
  - ankylosis - see Ankylosis, ear ossicles
  - discontinuity - see Discontinuity, ossicles, ear
  - partial loss - see Loss, ossicles, ear (partial)
- Ebstein Q22.5
  ICD-10-CM Diagnosis Code Q22.5
  Ebstein's anomaly
  2016 2017 2018 Billable/Specific Code POA Exempt
- echocardiogram R93.1
  ICD-10-CM Diagnosis Code R93.1
  Abnormal findings on diagnostic imaging of heart and coronary circulation
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal echocardiogram NOS
  Abnormal heart shadow
- echoencephalogram R90.81
  ICD-10-CM Diagnosis Code R90.81
  Abnormal echoencephalogram
  2016 2017 2018 Billable/Specific Code
- echogram - see Abnormal, diagnostic imaging
- electro-oculogram [EOG] R94.110
  ICD-10-CM Diagnosis Code R94.110
  Abnormal electro-oculogram [EOG]
  2016 2017 2018 Billable/Specific Code
- electrocardiogram [ECG] [EKG] R94.31
  ICD-10-CM Diagnosis Code R94.31
  Abnormal electrocardiogram [ECG] [EKG]
  2016 2017 2018 Billable/Specific Code
  Type 1 Excludes
  long QT syndrome (I45.81)
- electroencephalogram [EEG] R94.01
  ICD-10-CM Diagnosis Code R94.01
  Abnormal electroencephalogram [EEG]
  2016 2017 2018 Billable/Specific Code
- electrolyte - see Imbalance, electrolyte
- electromyogram [EMG] R94.131
  ICD-10-CM Diagnosis Code R94.131
  Abnormal electromyogram [EMG]
  2016 2017 2018 Billable/Specific Code
  Type 1 Excludes
  electromyogram of eye (R94.113)
- electrophysiological intracardiac studies R94.39
  ICD-10-CM Diagnosis Code R94.39
  Abnormal result of other cardiovascular function study
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal electrophysiological intracardiac studies
  Abnormal phonocardiogram
  Abnormal vectorcardiogram
- electroretinogram [ERG] R94.111
  ICD-10-CM Diagnosis Code R94.111
  Abnormal electroretinogram [ERG]
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal retinal function study
- erythrocytes
  - congenital, with perinatal jaundice D58.9
    ICD-10-CM Diagnosis Code D58.9
    Hereditary hemolytic anemia, unspecified
    2016 2017 2018 Billable/Specific Code
- feces R19.5
  (color) (contents) (mucus)
  ICD-10-CM Diagnosis Code R19.5
  Other fecal abnormalities
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal stool color
  Bulky stools
  Mucus in stools
  Occult blood in feces
  Occult blood in stools
  Type 1 Excludes
  melena (K92.1)
  neonatal melena (P54.1)
- finding - see Findings, abnormal, without diagnosis
- fluid
  - amniotic - see Abnormal, specimen, specified
  - cerebrospinal - see Abnormal, cerebrospinal fluid
  - peritoneal - see Abnormal, specimen, digestive organs
  - pleural - see Abnormal, specimen, respiratory organs
  - synovial - see Abnormal, specimen, specified
  - thorax (bronchial washings) (pleural fluid) - see Abnormal, specimen, respiratory organs
  - vaginal - see Abnormal, specimen, female genital organs
- form
  - teeth K00.2
    ICD-10-CM Diagnosis Code K00.2
    Abnormalities of size and form of teeth
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Concrescence of teeth
    Fusion of teeth
    Gemination of teeth
    Dens evaginatus
    Dens in dente
    Dens invaginatus
    Enamel pearls
    Macrodontia
    Microdontia
    Peg-shaped [conical] teeth
    Supernumerary roots
    Taurodontism
    Tuberculum paramolare
    Type 1 Excludes
    abnormalities of teeth due to congenital syphilis (A50.5)
    tuberculum Carabelli, which is regarded as a normal variation and should not be coded
  - uterus - see Anomaly, uterus
- function studies
  - auditory R94.120
    ICD-10-CM Diagnosis Code R94.120
    Abnormal auditory function study
    2016 2017 2018 Billable/Specific Code
  - bladder R94.8
    ICD-10-CM Diagnosis Code R94.8
    Abnormal results of function studies of other organs and systems
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal basal metabolic rate [BMR]
    Abnormal bladder function test
    Abnormal splenic function test
  - brain R94.09
    ICD-10-CM Diagnosis Code R94.09
    Abnormal results of other function studies of central nervous system
    2016 2017 2018 Billable/Specific Code
  - cardiovascular R94.30
    ICD-10-CM Diagnosis Code R94.30
    Abnormal result of cardiovascular function study, unspecified
    2016 2017 2018 Billable/Specific Code
  - ear R94.128
    ICD-10-CM Diagnosis Code R94.128
    Abnormal results of other function studies of ear and other special senses
    2016 2017 2018 Billable/Specific Code
  - endocrine NEC R94.7
    ICD-10-CM Diagnosis Code R94.7
    Abnormal results of other endocrine function studies
    2016 2017 2018 Billable/Specific Code
    Type 2 Excludes
    abnormal glucose (R73.0-)
  - eye NEC R94.118
    ICD-10-CM Diagnosis Code R94.118
    Abnormal results of other function studies of eye
    2016 2017 2018 Billable/Specific Code
  - kidney R94.4
    ICD-10-CM Diagnosis Code R94.4
    Abnormal results of kidney function studies
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal renal function test
  - liver R94.5
    ICD-10-CM Diagnosis Code R94.5
    Abnormal results of liver function studies
    2016 2017 2018 Billable/Specific Code
  - nervous system
    - central NEC R94.09
      ICD-10-CM Diagnosis Code R94.09
      Abnormal results of other function studies of central nervous system
      2016 2017 2018 Billable/Specific Code
    - peripheral NEC R94.138
      ICD-10-CM Diagnosis Code R94.138
      Abnormal results of other function studies of peripheral nervous system
      2016 2017 2018 Billable/Specific Code
  - pancreas R94.8
    ICD-10-CM Diagnosis Code R94.8
    Abnormal results of function studies of other organs and systems
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal basal metabolic rate [BMR]
    Abnormal bladder function test
    Abnormal splenic function test
  - placenta R94.8
    ICD-10-CM Diagnosis Code R94.8
    Abnormal results of function studies of other organs and systems
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal basal metabolic rate [BMR]
    Abnormal bladder function test
    Abnormal splenic function test
  - pulmonary R94.2
    ICD-10-CM Diagnosis Code R94.2
    Abnormal results of pulmonary function studies
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Reduced ventilatory capacity
    Reduced vital capacity
  - special senses NEC R94.128
    ICD-10-CM Diagnosis Code R94.128
    Abnormal results of other function studies of ear and other special senses
    2016 2017 2018 Billable/Specific Code
  - spleen R94.8
    ICD-10-CM Diagnosis Code R94.8
    Abnormal results of function studies of other organs and systems
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal basal metabolic rate [BMR]
    Abnormal bladder function test
    Abnormal splenic function test
  - thyroid R94.6
    ICD-10-CM Diagnosis Code R94.6
    Abnormal results of thyroid function studies
    2016 2017 2018 Billable/Specific Code
  - vestibular R94.121
    ICD-10-CM Diagnosis Code R94.121
    Abnormal vestibular function study
    2016 2017 2018 Billable/Specific Code
- gait - see Gait
  - hysterical F44.4
    ICD-10-CM Diagnosis Code F44.4
    Conversion disorder with motor symptom or deficit
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Conversion disorder with abnormal movement
    Conversion disorder with speech symptoms
    Conversion disorder with swallowing symptoms
    Conversion disorder with weakness/paralysis
    Dissociative motor disorders
    Psychogenic aphonia
    Psychogenic dysphonia
- gastrin secretion E16.4
  ICD-10-CM Diagnosis Code E16.4
  Increased secretion of gastrin
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Hypergastrinemia
  Hyperplasia of pancreatic endocrine cells with gastrin excess
  Zollinger-Ellison syndrome
- globulin R77.1
  ICD-10-CM Diagnosis Code R77.1
  Abnormality of globulin
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Hyperglobulinemia NOS
  - cortisol-binding E27.8
    ICD-10-CM Diagnosis Code E27.8
    Other specified disorders of adrenal gland
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormality of cortisol-binding globulin
  - thyroid-binding E07.89
    ICD-10-CM Diagnosis Code E07.89
    Other specified disorders of thyroid
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormality of thyroid-binding globulin
    Hemorrhage of thyroid
    Infarction of thyroid
- glomerular, minor N05.0
  - see also N00-N07 with fourth character .0
  ICD-10-CM Diagnosis Code N05.0
  Unspecified nephritic syndrome with minor glomerular abnormality
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Unspecified nephritic syndrome with minimal change lesion
- glucagon secretion E16.3
  ICD-10-CM Diagnosis Code E16.3
  Increased secretion of glucagon
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Hyperplasia of pancreatic endocrine cells with glucagon excess
- glucose tolerance R73.09
  (test) (non-fasting)
  ICD-10-CM Diagnosis Code R73.09
  Other abnormal glucose
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal glucose NOS
  Abnormal non-fasting glucose tolerance
- gravitational T75.81
  (G) forces or states (effect of)
  ICD-10-CM Diagnosis Code T75.81
  Effects of abnormal gravitation [G] forces
  2016 2017 2018 Non-Billable/Non-Specific Code
- hair (color) (shaft) L67.9
  ICD-10-CM Diagnosis Code L67.9
  Hair color and hair shaft abnormality, unspecified
  2016 2017 2018 Billable/Specific Code
  - specified NEC L67.8
    ICD-10-CM Diagnosis Code L67.8
    Other hair color and hair shaft abnormalities
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Fragilitas crinium
- hard tissue formation in pulp K04.3
  (dental)
  ICD-10-CM Diagnosis Code K04.3
  Abnormal hard tissue formation in pulp
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Secondary or irregular dentine
- head movement R25.0
  ICD-10-CM Diagnosis Code R25.0
  Abnormal head movements
  2016 2017 2018 Billable/Specific Code
- heart
  - rate R00.9
    ICD-10-CM Diagnosis Code R00.9
    Unspecified abnormalities of heart beat
    2016 2017 2018 Billable/Specific Code
    - specified NEC R00.8
      ICD-10-CM Diagnosis Code R00.8
      Other abnormalities of heart beat
      2016 2017 2018 Billable/Specific Code
  - shadow R93.1
    ICD-10-CM Diagnosis Code R93.1
    Abnormal findings on diagnostic imaging of heart and coronary circulation
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal echocardiogram NOS
    Abnormal heart shadow
  - sounds NEC R01.2
    ICD-10-CM Diagnosis Code R01.2
    Other cardiac sounds
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Cardiac dullness, increased or decreased
    Precordial friction
- hemoglobin (disease) D58.2
  - see also Disease, hemoglobin
  ICD-10-CM Diagnosis Code D58.2
  Other hemoglobinopathies
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal hemoglobin NOS
  Congenital Heinz body anemia
  Hb-C disease
  Hb-D disease
  Hb-E disease
  Hemoglobinopathy NOS
  Unstable hemoglobin hemolytic disease
  Type 1 Excludes
  familial polycythemia (D75.0)
  Hb-M disease (D74.0)
  hemoglobin E-beta thalassemia (D56.5)
  hereditary persistence of fetal hemoglobin [HPFH] (D56.4)
  high-altitude polycythemia (D75.1)
  methemoglobinemia (D74.-)
  other hemoglobinopathies with thalassemia (D56.8)
  - trait - see Trait, hemoglobin, abnormal
- histology NEC R89.7
  ICD-10-CM Diagnosis Code R89.7
  Abnormal histological findings in specimens from other organs, systems and tissues
  2016 2017 2018 Billable/Specific Code
- immunological findings R89.4
  ICD-10-CM Diagnosis Code R89.4
  Abnormal immunological findings in specimens from other organs, systems and tissues
  2016 2017 2018 Billable/Specific Code
  - in serum R76.9
    ICD-10-CM Diagnosis Code R76.9
    Abnormal immunological finding in serum, unspecified
    2016 2017 2018 Billable/Specific Code
    - specified NEC R76.8
      ICD-10-CM Diagnosis Code R76.8
      Other specified abnormal immunological findings in serum
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Raised level of immunoglobulins NOS
- increase in appetite R63.2
  ICD-10-CM Diagnosis Code R63.2
  Polyphagia
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Excessive eating
  Hyperalimentation NOS
- involuntary movement - see Abnormal, movement, involuntary
- jaw closure M26.51
  ICD-10-CM Diagnosis Code M26.51
  Abnormal jaw closure
  2016 2017 2018 Billable/Specific Code
- karyotype R89.8
  ICD-10-CM Diagnosis Code R89.8
  Other abnormal findings in specimens from other organs, systems and tissues
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal chromosomal findings in specimens from other organs, systems and tissues
- kidney function test R94.4
  ICD-10-CM Diagnosis Code R94.4
  Abnormal results of kidney function studies
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal renal function test
- knee jerk R29.2
  ICD-10-CM Diagnosis Code R29.2
  Abnormal reflex
  2016 2017 2018 Billable/Specific Code
  Type 2 Excludes
  abnormal pupillary reflex (H57.0)
  hyperactive gag reflex (J39.2)
  vasovagal reaction or syncope (R55)
- leukocyte D72.9
  (cell) (differential)
  ICD-10-CM Diagnosis Code D72.9
  Disorder of white blood cells, unspecified
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal leukocyte differential NOS
- liver function test R94.5
  ICD-10-CM Diagnosis Code R94.5
  Abnormal results of liver function studies
  2016 2017 2018 Billable/Specific Code
- loss of
  - height R29.890
    ICD-10-CM Diagnosis Code R29.890
    Loss of height
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    osteoporosis (M80-M81)
  - weight R63.4
    ICD-10-CM Diagnosis Code R63.4
    Abnormal weight loss
    2016 2017 2018 Billable/Specific Code
- mammogram NEC R92.8
  ICD-10-CM Diagnosis Code R92.8
  Other abnormal and inconclusive findings on diagnostic imaging of breast
  2016 2017 2018 Billable/Specific Code
  - calcification R92.1
    (calculus)
    ICD-10-CM Diagnosis Code R92.1
    Mammographic calcification found on diagnostic imaging of breast
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Mammographic calculus found on diagnostic imaging of breast
  - microcalcification R92.0
    ICD-10-CM Diagnosis Code R92.0
    Mammographic microcalcification found on diagnostic imaging of breast
    2016 2017 2018 Billable/Specific Code
    Type 2 Excludes
    mammographic calcification (calculus) found on diagnostic imaging of breast (R92.1)
- Mantoux test R76.11
  ICD-10-CM Diagnosis Code R76.11
  Nonspecific reaction to tuberculin skin test without active tuberculosis
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal result of Mantoux test
  PPD positive
  Tuberculin (skin test) positive
  Tuberculin (skin test) reactor
  Type 1 Excludes
  nonspecific reaction to cell mediated immunity measurement of gamma interferon antigen response without active tuberculosis (R76.12)
- movement (disorder) - see also Disorder, movement
  - head R25.0
    ICD-10-CM Diagnosis Code R25.0
    Abnormal head movements
    2016 2017 2018 Billable/Specific Code
  - involuntary R25.9
    ICD-10-CM Diagnosis Code R25.9
    Unspecified abnormal involuntary movements
    2016 2017 2018 Billable/Specific Code
    - fasciculation R25.3
      ICD-10-CM Diagnosis Code R25.3
      Fasciculation
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Twitching NOS
    - of head R25.0
      ICD-10-CM Diagnosis Code R25.0
      Abnormal head movements
      2016 2017 2018 Billable/Specific Code
    - spasm R25.2
      ICD-10-CM Diagnosis Code R25.2
      Cramp and spasm
      2016 2017 2018 Billable/Specific Code
      Type 2 Excludes
      carpopedal spasm (R29.0)
      charley-horse (M62.831)
      infantile spasms (G40.4-)
      muscle spasm of back (M62.830)
      muscle spasm of calf (M62.831)
    - specified type NEC R25.8
      ICD-10-CM Diagnosis Code R25.8
      Other abnormal involuntary movements
      2016 2017 2018 Billable/Specific Code
    - tremor R25.1
      ICD-10-CM Diagnosis Code R25.1
      Tremor, unspecified
      2016 2017 2018 Billable/Specific Code
      Type 1 Excludes
      chorea NOS (G25.5)
      essential tremor (G25.0)
      hysterical tremor (F44.4)
      intention tremor (G25.2)
- myoglobin R89.7
  (Aberdeen) (Annapolis)
  ICD-10-CM Diagnosis Code R89.7
  Abnormal histological findings in specimens from other organs, systems and tissues
  2016 2017 2018 Billable/Specific Code
- neonatal screening P09
  ICD-10-CM Diagnosis Code P09
  Abnormal findings on neonatal screening
  2016 2017 2018 Billable/Specific Code Code on Newborn Record
  Type 2 Excludes
  nonspecific serologic evidence of human immunodeficiency virus [HIV] (R75)
  Use Additional
  code to identify signs, symptoms and conditions associated with the screening
- oculomotor study R94.113
  ICD-10-CM Diagnosis Code R94.113
  Abnormal oculomotor study
  2016 2017 2018 Billable/Specific Code
- palmar creases Q82.8
  ICD-10-CM Diagnosis Code Q82.8
  Other specified congenital malformations of skin
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Abnormal palmar creases
  Accessory skin tags
  Benign familial pemphigus [Hailey-Hailey]
  Congenital poikiloderma
  Cutis laxa (hyperelastica)
  Dermatoglyphic anomalies
  Inherited keratosis palmaris et plantaris
  Keratosis follicularis [Darier-White]
  Type 1 Excludes
  Ehlers-Danlos syndrome (Q79.6)
- Papanicolaou (smear)
  - anus R85.619
    ICD-10-CM Diagnosis Code R85.619
    Unspecified abnormal cytological findings in specimens from anus
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal anal cytology NOS
    Atypical glandular cells of anus NOS
    - atypical squamous cells cannot exclude high grade squamous intraepithelial lesion R85.611
      (ASC-H)
      ICD-10-CM Diagnosis Code R85.611
      Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of anus (ASC-H)
      2016 2017 2018 Billable/Specific Code
    - atypical squamous cells of undetermined significance R85.610
      (ASC-US)
      ICD-10-CM Diagnosis Code R85.610
      Atypical squamous cells of undetermined significance on cytologic smear of anus (ASC-US)
      2016 2017 2018 Billable/Specific Code
    - cytologic evidence of malignancy R85.614
      ICD-10-CM Diagnosis Code R85.614
      Cytologic evidence of malignancy on smear of anus
      2016 2017 2018 Billable/Specific Code
    - high grade squamous intraepithelial lesion R85.613
      (HGSIL)
      ICD-10-CM Diagnosis Code R85.613
      High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
      2016 2017 2018 Billable/Specific Code
    - human papillomavirus (HPV)
      - high risk positive R85.81
        ICD-10-CM Diagnosis Code R85.81
        Anal high risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code
        Type 1 Excludes
        anogenital warts due to human papillomavirus (HPV) (A63.0)
        condyloma acuminatum (A63.0)
      - low risk postive R85.82
        ICD-10-CM Diagnosis Code R85.82
        Anal low risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code
        Use Additional
        code for associated human papillomavirus (B97.7)
    - inadequate smear R85.615
      ICD-10-CM Diagnosis Code R85.615
      Unsatisfactory cytologic smear of anus
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Inadequate sample of cytologic smear of anus
    - low grade squamous intraepithelial lesion R85.612
      (LGSIL)
      ICD-10-CM Diagnosis Code R85.612
      Low grade squamous intraepithelial lesion on cytologic smear of anus (LGSIL)
      2016 2017 2018 Billable/Specific Code
    - satisfactory anal smear but lacking transformation zone R85.616
      ICD-10-CM Diagnosis Code R85.616
      Satisfactory anal smear but lacking transformation zone
      2016 2017 2018 Billable/Specific Code
    - specified NEC R85.618
      ICD-10-CM Diagnosis Code R85.618
      Other abnormal cytological findings on specimens from anus
      2016 2017 2018 Billable/Specific Code
    - unsatisfactory smear R85.615
      ICD-10-CM Diagnosis Code R85.615
      Unsatisfactory cytologic smear of anus
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Inadequate sample of cytologic smear of anus
  - bronchial washings R84.6
    ICD-10-CM Diagnosis Code R84.6
    Abnormal cytological findings in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
  - cerebrospinal fluid R83.6
    ICD-10-CM Diagnosis Code R83.6
    Abnormal cytological findings in cerebrospinal fluid
    2016 2017 2018 Billable/Specific Code
  - cervix R87.619
    ICD-10-CM Diagnosis Code R87.619
    Unspecified abnormal cytological findings in specimens from cervix uteri
    2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    Abnormal cervical cytology NOS
    Abnormal Papanicolaou smear of cervix NOS
    Abnormal thin preparation smear of cervix NOS
    Atypical endocervial cells of cervix NOS
    Atypical endometrial cells of cervix NOS
    Atypical glandular cells of cervix NOS
    - atypical squamous cells cannot exclude high grade squamous intraepithelial lesion R87.611
      (ASC-H)
      ICD-10-CM Diagnosis Code R87.611
      Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H)
      2016 2017 2018 Billable/Specific Code Female Dx
    - atypical squamous cells of undetermined significance R87.610
      (ASC-US)
      ICD-10-CM Diagnosis Code R87.610
      Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)
      2016 2017 2018 Billable/Specific Code Female Dx
    - cytologic evidence of malignancy R87.614
      ICD-10-CM Diagnosis Code R87.614
      Cytologic evidence of malignancy on smear of cervix
      2016 2017 2018 Billable/Specific Code Female Dx
    - high grade squamous intraepithelial lesion R87.613
      (HGSIL)
      ICD-10-CM Diagnosis Code R87.613
      High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL)
      2016 2017 2018 Billable/Specific Code Female Dx
    - inadequate smear R87.615
      ICD-10-CM Diagnosis Code R87.615
      Unsatisfactory cytologic smear of cervix
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Inadequate sample of cytologic smear of cervix
    - low grade squamous intraepithelial lesion R87.612
      (LGSIL)
      ICD-10-CM Diagnosis Code R87.612
      Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL)
      2016 2017 2018 Billable/Specific Code Female Dx
    - non-atypical endometrial cells R87.618
      ICD-10-CM Diagnosis Code R87.618
      Other abnormal cytological findings on specimens from cervix uteri
      2016 2017 2018 Billable/Specific Code Female Dx
    - satisfactory cervical smear but lacking transformation zone R87.616
      ICD-10-CM Diagnosis Code R87.616
      Satisfactory cervical smear but lacking transformation zone
      2016 2017 2018 Billable/Specific Code Female Dx
    - specified NEC R87.618
      ICD-10-CM Diagnosis Code R87.618
      Other abnormal cytological findings on specimens from cervix uteri
      2016 2017 2018 Billable/Specific Code Female Dx
    - thin preparaton R87.619
      ICD-10-CM Diagnosis Code R87.619
      Unspecified abnormal cytological findings in specimens from cervix uteri
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal cervical cytology NOS
      Abnormal Papanicolaou smear of cervix NOS
      Abnormal thin preparation smear of cervix NOS
      Atypical endocervial cells of cervix NOS
      Atypical endometrial cells of cervix NOS
      Atypical glandular cells of cervix NOS
    - unsatisfactory smear R87.615
      ICD-10-CM Diagnosis Code R87.615
      Unsatisfactory cytologic smear of cervix
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Inadequate sample of cytologic smear of cervix
  - nasal secretions R84.6
    ICD-10-CM Diagnosis Code R84.6
    Abnormal cytological findings in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
  - nipple discharge R89.6
    ICD-10-CM Diagnosis Code R89.6
    Abnormal cytological findings in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
  - peritoneal fluid R85.69
    ICD-10-CM Diagnosis Code R85.69
    Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
    2016 2017 2018 Billable/Specific Code
  - pleural fluid R84.6
    ICD-10-CM Diagnosis Code R84.6
    Abnormal cytological findings in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
  - prostatic secretions R86.6
    ICD-10-CM Diagnosis Code R86.6
    Abnormal cytological findings in specimens from male genital organs
    2016 2017 2018 Billable/Specific Code Male Dx
  - saliva R85.69
    ICD-10-CM Diagnosis Code R85.69
    Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
    2016 2017 2018 Billable/Specific Code
  - seminal fluid R86.6
    ICD-10-CM Diagnosis Code R86.6
    Abnormal cytological findings in specimens from male genital organs
    2016 2017 2018 Billable/Specific Code Male Dx
  - sites NEC R89.6
    ICD-10-CM Diagnosis Code R89.6
    Abnormal cytological findings in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
  - sputum R84.6
    ICD-10-CM Diagnosis Code R84.6
    Abnormal cytological findings in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
  - synovial fluid R89.6
    ICD-10-CM Diagnosis Code R89.6
    Abnormal cytological findings in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
  - throat scrapings R84.6
    ICD-10-CM Diagnosis Code R84.6
    Abnormal cytological findings in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
  - vagina R87.629
    ICD-10-CM Diagnosis Code R87.629
    Unspecified abnormal cytological findings in specimens from vagina
    2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    Abnormal Papanicolaou smear of vagina NOS
    Abnormal thin preparation smear of vagina NOS
    Abnormal vaginal cytology NOS
    Atypical endocervical cells of vagina NOS
    Atypical endometrial cells of vagina NOS
    Atypical glandular cells of vagina NOS
    - atypical squamous cells cannot exclude high grade squamous intraepithelial lesion R87.621
      (ASC-H)
      ICD-10-CM Diagnosis Code R87.621
      Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H)
      2016 2017 2018 Billable/Specific Code Female Dx
    - atypical squamous cells of undetermined significance R87.620
      (ASC-US)
      ICD-10-CM Diagnosis Code R87.620
      Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US)
      2016 2017 2018 Billable/Specific Code Female Dx
    - cytologic evidence of malignancy R87.624
      ICD-10-CM Diagnosis Code R87.624
      Cytologic evidence of malignancy on smear of vagina
      2016 2017 2018 Billable/Specific Code Female Dx
    - high grade squamous intraepithelial lesion R87.623
      (HGSIL)
      ICD-10-CM Diagnosis Code R87.623
      High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL)
      2016 2017 2018 Billable/Specific Code Female Dx
    - inadequate smear R87.625
      ICD-10-CM Diagnosis Code R87.625
      Unsatisfactory cytologic smear of vagina
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Inadequate sample of cytologic smear of vagina
    - low grade squamous intraepithelial lesion R87.622
      (LGSIL)
      ICD-10-CM Diagnosis Code R87.622
      Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL)
      2016 2017 2018 Billable/Specific Code Female Dx
    - specified NEC R87.628
      ICD-10-CM Diagnosis Code R87.628
      Other abnormal cytological findings on specimens from vagina
      2016 2017 2018 Billable/Specific Code Female Dx
    - thin preparation R87.629
      ICD-10-CM Diagnosis Code R87.629
      Unspecified abnormal cytological findings in specimens from vagina
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal Papanicolaou smear of vagina NOS
      Abnormal thin preparation smear of vagina NOS
      Abnormal vaginal cytology NOS
      Atypical endocervical cells of vagina NOS
      Atypical endometrial cells of vagina NOS
      Atypical glandular cells of vagina NOS
    - unsatisfactory smear R87.625
      ICD-10-CM Diagnosis Code R87.625
      Unsatisfactory cytologic smear of vagina
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Inadequate sample of cytologic smear of vagina
  - vulva R87.69
    ICD-10-CM Diagnosis Code R87.69
    Abnormal cytological findings in specimens from other female genital organs
    2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    Abnormal cytological findings in specimens from female genital organs NOS
    Type 1 Excludes
    dysplasia of vulva (histologically confirmed) (N90.0-N90.3)
  - wound secretions R89.6
    ICD-10-CM Diagnosis Code R89.6
    Abnormal cytological findings in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
- partial thromboplastin time R79.1
  (PTT)
  ICD-10-CM Diagnosis Code R79.1
  Abnormal coagulation profile
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal or prolonged bleeding time
  Abnormal or prolonged coagulation time
  Abnormal or prolonged partial thromboplastin time [PTT]
  Abnormal or prolonged prothrombin time [PT]
  Type 1 Excludes
  coagulation defects (D68.-)
  Type 2 Excludes
  abnormality of fluid, electrolyte or acid-base balance (E86-E87)
- pelvis (bony) - see Deformity, pelvis
- percussion, chest R09.89
  (tympany)
  ICD-10-CM Diagnosis Code R09.89
  Other specified symptoms and signs involving the circulatory and respiratory systems
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Bruit (arterial)
  Abnormal chest percussion
  Feeling of foreign body in throat
  Friction sounds in chest
  Chest tympany
  Choking sensation
  Rales
  Weak pulse
  Type 2 Excludes
  foreign body in throat (T17.2-)
  wheezing (R06.2)
- periods (grossly) - see Menstruation
- phonocardiogram R94.39
  ICD-10-CM Diagnosis Code R94.39
  Abnormal result of other cardiovascular function study
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal electrophysiological intracardiac studies
  Abnormal phonocardiogram
  Abnormal vectorcardiogram
- plantar reflex R29.2
  ICD-10-CM Diagnosis Code R29.2
  Abnormal reflex
  2016 2017 2018 Billable/Specific Code
  Type 2 Excludes
  abnormal pupillary reflex (H57.0)
  hyperactive gag reflex (J39.2)
  vasovagal reaction or syncope (R55)
- plasma
  - protein R77.9
    ICD-10-CM Diagnosis Code R77.9
    Abnormality of plasma protein, unspecified
    2016 2017 2018 Billable/Specific Code
    - specified NEC R77.8
      ICD-10-CM Diagnosis Code R77.8
      Other specified abnormalities of plasma proteins
      2016 2017 2018 Billable/Specific Code
  - viscosity R70.1
    ICD-10-CM Diagnosis Code R70.1
    Abnormal plasma viscosity
    2016 2017 2018 Billable/Specific Code
- pleural Q34.0
  (folds)
  ICD-10-CM Diagnosis Code Q34.0
  Anomaly of pleura
  2016 2017 2018 Billable/Specific Code POA Exempt
- posture R29.3
  ICD-10-CM Diagnosis Code R29.3
  Abnormal posture
  2016 2017 2018 Billable/Specific Code
- product of conception O02.9
  ICD-10-CM Diagnosis Code O02.9
  Abnormal product of conception, unspecified
  2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - specified type NEC O02.89
    ICD-10-CM Diagnosis Code O02.89
    Other abnormal products of conception
    2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
- prothrombin time R79.1
  (PT)
  ICD-10-CM Diagnosis Code R79.1
  Abnormal coagulation profile
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal or prolonged bleeding time
  Abnormal or prolonged coagulation time
  Abnormal or prolonged partial thromboplastin time [PTT]
  Abnormal or prolonged prothrombin time [PT]
  Type 1 Excludes
  coagulation defects (D68.-)
  Type 2 Excludes
  abnormality of fluid, electrolyte or acid-base balance (E86-E87)
- pulmonary
  - artery, congenital Q25.79
    ICD-10-CM Diagnosis Code Q25.79
    Other congenital malformations of pulmonary artery
    2016 2017 2018 Billable/Specific Code POA Exempt
    Applicable To
    Aberrant pulmonary artery
    Agenesis of pulmonary artery
    Congenital aneurysm of pulmonary artery
    Congenital anomaly of pulmonary artery
    Hypoplasia of pulmonary artery
  - function, newborn P28.89
    ICD-10-CM Diagnosis Code P28.89
    Other specified respiratory conditions of newborn
    2016 2017 2018 Billable/Specific Code Code on Newborn Record
    Applicable To
    Congenital laryngeal stridor
    Sniffles in newborn
    Snuffles in newborn
    Type 1 Excludes
    early congenital syphilitic rhinitis (A50.05)
  - test results R94.2
    ICD-10-CM Diagnosis Code R94.2
    Abnormal results of pulmonary function studies
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Reduced ventilatory capacity
    Reduced vital capacity
- pulsations in neck R00.2
  ICD-10-CM Diagnosis Code R00.2
  Palpitations
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Awareness of heart beat
- pupillary H21.56-
  ICD-10-CM Diagnosis Code H21.56-
  Pupillary abnormalities
  2016 2017 2018 Non-Billable/Non-Specific Code
  Applicable To
  Deformed pupil
  Ectopic pupil
  Rupture of sphincter, pupil
  Type 1 Excludes
  congenital deformity of pupil (Q13.2-)
  - function (reaction) (reflex) - see Anomaly, pupil, function
- radiological examination - see Abnormal, diagnostic imaging
- red blood cell R71.8
  (s) (morphology) (volume)
  ICD-10-CM Diagnosis Code R71.8
  Other abnormality of red blood cells
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal red-cell morphology NOS
  Abnormal red-cell volume NOS
  Anisocytosis
  Poikilocytosis
- reflex - see Reflex
- renal function test R94.4
  ICD-10-CM Diagnosis Code R94.4
  Abnormal results of kidney function studies
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal renal function test
- response to nerve stimulation R94.130
  ICD-10-CM Diagnosis Code R94.130
  Abnormal response to nerve stimulation, unspecified
  2016 2017 2018 Billable/Specific Code
- retinal correspondence H53.31
  ICD-10-CM Diagnosis Code H53.31
  Abnormal retinal correspondence
  2016 2017 2018 Billable/Specific Code
- retinal function study R94.111
  ICD-10-CM Diagnosis Code R94.111
  Abnormal electroretinogram [ERG]
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal retinal function study
- rhythm, heart - see also Arrhythmia
- saliva - see Abnormal, specimen, digestive organs
- scan
  - kidney R94.4
    ICD-10-CM Diagnosis Code R94.4
    Abnormal results of kidney function studies
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal renal function test
  - liver R93.2
    ICD-10-CM Diagnosis Code R93.2
    Abnormal findings on diagnostic imaging of liver and biliary tract
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Nonvisualization of gallbladder
  - thyroid R94.6
    ICD-10-CM Diagnosis Code R94.6
    Abnormal results of thyroid function studies
    2016 2017 2018 Billable/Specific Code
- secretion
  - gastrin E16.4
    ICD-10-CM Diagnosis Code E16.4
    Increased secretion of gastrin
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Hypergastrinemia
    Hyperplasia of pancreatic endocrine cells with gastrin excess
    Zollinger-Ellison syndrome
  - glucagon E16.3
    ICD-10-CM Diagnosis Code E16.3
    Increased secretion of glucagon
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Hyperplasia of pancreatic endocrine cells with glucagon excess
- semen, seminal fluid - see Abnormal, specimen, male genital organs
- serum level (of)
  - acid phosphatase R74.8
    ICD-10-CM Diagnosis Code R74.8
    Abnormal levels of other serum enzymes
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal level of acid phosphatase
    Abnormal level of alkaline phosphatase
    Abnormal level of amylase
    Abnormal level of lipase [triacylglycerol lipase]
  - alkaline phosphatase R74.8
    ICD-10-CM Diagnosis Code R74.8
    Abnormal levels of other serum enzymes
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal level of acid phosphatase
    Abnormal level of alkaline phosphatase
    Abnormal level of amylase
    Abnormal level of lipase [triacylglycerol lipase]
  - amylase R74.8
    ICD-10-CM Diagnosis Code R74.8
    Abnormal levels of other serum enzymes
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal level of acid phosphatase
    Abnormal level of alkaline phosphatase
    Abnormal level of amylase
    Abnormal level of lipase [triacylglycerol lipase]
  - enzymes R74.9
    ICD-10-CM Diagnosis Code R74.9
    Abnormal serum enzyme level, unspecified
    2016 2017 2018 Billable/Specific Code
    - specified NEC R74.8
      ICD-10-CM Diagnosis Code R74.8
      Abnormal levels of other serum enzymes
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal level of acid phosphatase
      Abnormal level of alkaline phosphatase
      Abnormal level of amylase
      Abnormal level of lipase [triacylglycerol lipase]
  - lipase R74.8
    ICD-10-CM Diagnosis Code R74.8
    Abnormal levels of other serum enzymes
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal level of acid phosphatase
    Abnormal level of alkaline phosphatase
    Abnormal level of amylase
    Abnormal level of lipase [triacylglycerol lipase]
  - triacylglycerol lipase R74.8
    ICD-10-CM Diagnosis Code R74.8
    Abnormal levels of other serum enzymes
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal level of acid phosphatase
    Abnormal level of alkaline phosphatase
    Abnormal level of amylase
    Abnormal level of lipase [triacylglycerol lipase]
- shape
  - gravid uterus - see Anomaly, uterus
- sinus venosus Q21.1
  ICD-10-CM Diagnosis Code Q21.1
  Atrial septal defect
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Coronary sinus defect
  Patent or persistent foramen ovale
  Patent or persistent ostium secundum defect (type II)
  Patent or persistent sinus venosus defect
- size, tooth, teeth K00.2
  ICD-10-CM Diagnosis Code K00.2
  Abnormalities of size and form of teeth
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Concrescence of teeth
  Fusion of teeth
  Gemination of teeth
  Dens evaginatus
  Dens in dente
  Dens invaginatus
  Enamel pearls
  Macrodontia
  Microdontia
  Peg-shaped [conical] teeth
  Supernumerary roots
  Taurodontism
  Tuberculum paramolare
  Type 1 Excludes
  abnormalities of teeth due to congenital syphilis (A50.5)
  tuberculum Carabelli, which is regarded as a normal variation and should not be coded
- spacing, tooth, teeth, fully erupted M26.30
  ICD-10-CM Diagnosis Code M26.30
  Unspecified anomaly of tooth position of fully erupted tooth or teeth
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal spacing of fully erupted tooth or teeth NOS
  Displacement of fully erupted tooth or teeth NOS
  Transposition of fully erupted tooth or teeth NOS
- specimen
  - digestive organs (peritoneal fluid) (saliva) R85.9
    ICD-10-CM Diagnosis Code R85.9
    Unspecified abnormal finding in specimens from digestive organs and abdominal cavity
    2016 2017 2018 Billable/Specific Code
    - cytology R85.69
      ICD-10-CM Diagnosis Code R85.69
      Abnormal cytological findings in specimens from other digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - drug level R85.2
      ICD-10-CM Diagnosis Code R85.2
      Abnormal level of other drugs, medicaments and biological substances in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - enzyme level R85.0
      ICD-10-CM Diagnosis Code R85.0
      Abnormal level of enzymes in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - histology R85.7
      ICD-10-CM Diagnosis Code R85.7
      Abnormal histological findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - hormones R85.1
      ICD-10-CM Diagnosis Code R85.1
      Abnormal level of hormones in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - immunology R85.4
      ICD-10-CM Diagnosis Code R85.4
      Abnormal immunological findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - microbiology R85.5
      ICD-10-CM Diagnosis Code R85.5
      Abnormal microbiological findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Positive culture findings in specimens from digestive organs and abdominal cavity
      Type 1 Excludes
      colonization status (Z22.-)
    - nonmedicinal level R85.3
      ICD-10-CM Diagnosis Code R85.3
      Abnormal level of substances chiefly nonmedicinal as to source in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
    - specified type NEC R85.89
      ICD-10-CM Diagnosis Code R85.89
      Other abnormal findings in specimens from digestive organs and abdominal cavity
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from digestive organs and abdominal cavity
  - female genital organs (secretions) (smears) R87.9
    ICD-10-CM Diagnosis Code R87.9
    Unspecified abnormal finding in specimens from female genital organs
    2016 2017 2018 Billable/Specific Code Female Dx
    - cytology R87.69
      ICD-10-CM Diagnosis Code R87.69
      Abnormal cytological findings in specimens from other female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal cytological findings in specimens from female genital organs NOS
      Type 1 Excludes
      dysplasia of vulva (histologically confirmed) (N90.0-N90.3)
      - cervix R87.619
        ICD-10-CM Diagnosis Code R87.619
        Unspecified abnormal cytological findings in specimens from cervix uteri
        2016 2017 2018 Billable/Specific Code Female Dx
        Applicable To
        Abnormal cervical cytology NOS
        Abnormal Papanicolaou smear of cervix NOS
        Abnormal thin preparation smear of cervix NOS
        Atypical endocervial cells of cervix NOS
        Atypical endometrial cells of cervix NOS
        Atypical glandular cells of cervix NOS
        human papillomavirus (HPV)
        high risk positive R87.810
        ICD-10-CM Diagnosis Code R87.810
        Cervical high risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code Female Dx
        low risk positive R87.820
        ICD-10-CM Diagnosis Code R87.820
        Cervical low risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code Female Dx
        inadequate R87.615
        (unsatisfactory)
        ICD-10-CM Diagnosis Code R87.615
        Unsatisfactory cytologic smear of cervix
        2016 2017 2018 Billable/Specific Code Female Dx
        Applicable To
        Inadequate sample of cytologic smear of cervix
        non-atypical endometrial cells R87.618
        ICD-10-CM Diagnosis Code R87.618
        Other abnormal cytological findings on specimens from cervix uteri
        2016 2017 2018 Billable/Specific Code Female Dx
        specified NEC R87.618
        ICD-10-CM Diagnosis Code R87.618
        Other abnormal cytological findings on specimens from cervix uteri
        2016 2017 2018 Billable/Specific Code Female Dx
      - vagina R87.629
        ICD-10-CM Diagnosis Code R87.629
        Unspecified abnormal cytological findings in specimens from vagina
        2016 2017 2018 Billable/Specific Code Female Dx
        Applicable To
        Abnormal Papanicolaou smear of vagina NOS
        Abnormal thin preparation smear of vagina NOS
        Abnormal vaginal cytology NOS
        Atypical endocervical cells of vagina NOS
        Atypical endometrial cells of vagina NOS
        Atypical glandular cells of vagina NOS
        human papillomavirus (HPV)
        high risk positive R87.811
        ICD-10-CM Diagnosis Code R87.811
        Vaginal high risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code Female Dx
        low risk positive R87.821
        ICD-10-CM Diagnosis Code R87.821
        Vaginal low risk human papillomavirus (HPV) DNA test positive
        2016 2017 2018 Billable/Specific Code Female Dx
        inadequate R87.625
        (unsatisfactory)
        ICD-10-CM Diagnosis Code R87.625
        Unsatisfactory cytologic smear of vagina
        2016 2017 2018 Billable/Specific Code Female Dx
        Applicable To
        Inadequate sample of cytologic smear of vagina
      - vulva R87.69
        ICD-10-CM Diagnosis Code R87.69
        Abnormal cytological findings in specimens from other female genital organs
        2016 2017 2018 Billable/Specific Code Female Dx
        Applicable To
        Abnormal cytological findings in specimens from female genital organs NOS
        Type 1 Excludes
        dysplasia of vulva (histologically confirmed) (N90.0-N90.3)
    - drug level R87.2
      ICD-10-CM Diagnosis Code R87.2
      Abnormal level of other drugs, medicaments and biological substances in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
    - enzyme level R87.0
      ICD-10-CM Diagnosis Code R87.0
      Abnormal level of enzymes in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
    - histological R87.7
      ICD-10-CM Diagnosis Code R87.7
      Abnormal histological findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Type 1 Excludes
      carcinoma in situ (histologically confirmed) of female genital organs (D06-D07.3)
      cervical intraepithelial neoplasia I [CIN I] (N87.0)
      cervical intraepithelial neoplasia II [CIN II] (N87.1)
      cervical intraepithelial neoplasia III [CIN III] (D06.-)
      dysplasia (mild) (moderate) of cervix uteri (histologically confirmed) (N87.-)
      dysplasia (mild) (moderate) of vagina (histologically confirmed) (N89.-)
      vaginal intraepithelial neoplasia I [VAIN I] (N89.0)
      vaginal intraepithelial neoplasia II [VAIN II] (N89.1)
      vaginal intraepithelial neoplasia III [VAIN III] (D07.2)
      severe dysplasia of cervix uteri (histologically confirmed) (D06.-)
      severe dysplasia of vagina (histologically confirmed) (D07.2)
    - hormones R87.1
      ICD-10-CM Diagnosis Code R87.1
      Abnormal level of hormones in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
    - immunology R87.4
      ICD-10-CM Diagnosis Code R87.4
      Abnormal immunological findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
    - microbiology R87.5
      ICD-10-CM Diagnosis Code R87.5
      Abnormal microbiological findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Positive culture findings in specimens from female genital organs
      Type 1 Excludes
      colonization status (Z22.-)
    - nonmedicinal level R87.3
      ICD-10-CM Diagnosis Code R87.3
      Abnormal level of substances chiefly nonmedicinal as to source in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
    - specified type NEC R87.89
      ICD-10-CM Diagnosis Code R87.89
      Other abnormal findings in specimens from female genital organs
      2016 2017 2018 Billable/Specific Code Female Dx
      Applicable To
      Abnormal chromosomal findings in specimens from female genital organs
  - male genital organs (prostatic secretions) (semen) R86.9
    ICD-10-CM Diagnosis Code R86.9
    Unspecified abnormal finding in specimens from male genital organs
    2016 2017 2018 Billable/Specific Code Male Dx
    - cytology R86.6
      ICD-10-CM Diagnosis Code R86.6
      Abnormal cytological findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - drug level R86.2
      ICD-10-CM Diagnosis Code R86.2
      Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - enzyme level R86.0
      ICD-10-CM Diagnosis Code R86.0
      Abnormal level of enzymes in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - histological R86.7
      ICD-10-CM Diagnosis Code R86.7
      Abnormal histological findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - hormones R86.1
      ICD-10-CM Diagnosis Code R86.1
      Abnormal level of hormones in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - immunology R86.4
      ICD-10-CM Diagnosis Code R86.4
      Abnormal immunological findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - microbiology R86.5
      ICD-10-CM Diagnosis Code R86.5
      Abnormal microbiological findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
      Applicable To
      Positive culture findings in specimens from male genital organs
      Type 1 Excludes
      colonization status (Z22.-)
    - nonmedicinal level R86.3
      ICD-10-CM Diagnosis Code R86.3
      Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
    - specified type NEC R86.8
      ICD-10-CM Diagnosis Code R86.8
      Other abnormal findings in specimens from male genital organs
      2016 2017 2018 Billable/Specific Code Male Dx
      Applicable To
      Abnormal chromosomal findings in specimens from male genital organs
  - nipple discharge - see Abnormal, specimen, specified
  - respiratory organs (bronchial washings) (nasal secretions) (pleural fluid) (sputum) R84.9
    ICD-10-CM Diagnosis Code R84.9
    Unspecified abnormal finding in specimens from respiratory organs and thorax
    2016 2017 2018 Billable/Specific Code
    - cytology R84.6
      ICD-10-CM Diagnosis Code R84.6
      Abnormal cytological findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - drug level R84.2
      ICD-10-CM Diagnosis Code R84.2
      Abnormal level of other drugs, medicaments and biological substances in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - enzyme level R84.0
      ICD-10-CM Diagnosis Code R84.0
      Abnormal level of enzymes in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - histology R84.7
      ICD-10-CM Diagnosis Code R84.7
      Abnormal histological findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - hormones R84.1
      ICD-10-CM Diagnosis Code R84.1
      Abnormal level of hormones in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - immunology R84.4
      ICD-10-CM Diagnosis Code R84.4
      Abnormal immunological findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - microbiology R84.5
      ICD-10-CM Diagnosis Code R84.5
      Abnormal microbiological findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Positive culture findings in specimens from respiratory organs and thorax
      Type 1 Excludes
      colonization status (Z22.-)
    - nonmedicinal level R84.3
      ICD-10-CM Diagnosis Code R84.3
      Abnormal level of substances chiefly nonmedicinal as to source in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
    - specified type NEC R84.8
      ICD-10-CM Diagnosis Code R84.8
      Other abnormal findings in specimens from respiratory organs and thorax
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from respiratory organs and thorax
  - specified organ, system and tissue NOS R89.9
    ICD-10-CM Diagnosis Code R89.9
    Unspecified abnormal finding in specimens from other organs, systems and tissues
    2016 2017 2018 Billable/Specific Code
    - cytology R89.6
      ICD-10-CM Diagnosis Code R89.6
      Abnormal cytological findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - drug level R89.2
      ICD-10-CM Diagnosis Code R89.2
      Abnormal level of other drugs, medicaments and biological substances in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - enzyme level R89.0
      ICD-10-CM Diagnosis Code R89.0
      Abnormal level of enzymes in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - histology R89.7
      ICD-10-CM Diagnosis Code R89.7
      Abnormal histological findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - hormones R89.1
      ICD-10-CM Diagnosis Code R89.1
      Abnormal level of hormones in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - immunology R89.4
      ICD-10-CM Diagnosis Code R89.4
      Abnormal immunological findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - microbiology R89.5
      ICD-10-CM Diagnosis Code R89.5
      Abnormal microbiological findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Positive culture findings in specimens from other organs, systems and tissues
      Type 1 Excludes
      colonization status (Z22.-)
    - nonmedicinal level R89.3
      ICD-10-CM Diagnosis Code R89.3
      Abnormal level of substances chiefly nonmedicinal as to source in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
    - specified type NEC R89.8
      ICD-10-CM Diagnosis Code R89.8
      Other abnormal findings in specimens from other organs, systems and tissues
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Abnormal chromosomal findings in specimens from other organs, systems and tissues
  - synovial fluid - see Abnormal, specimen, specified
  - thorax (bronchial washings) (pleural fluids) - see Abnormal, specimen, respiratory organs
  - vagina R87.629
    (secretion) (smear)
    ICD-10-CM Diagnosis Code R87.629
    Unspecified abnormal cytological findings in specimens from vagina
    2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    Abnormal Papanicolaou smear of vagina NOS
    Abnormal thin preparation smear of vagina NOS
    Abnormal vaginal cytology NOS
    Atypical endocervical cells of vagina NOS
    Atypical endometrial cells of vagina NOS
    Atypical glandular cells of vagina NOS
  - vulva R87.69
    (secretion) (smear)
    ICD-10-CM Diagnosis Code R87.69
    Abnormal cytological findings in specimens from other female genital organs
    2016 2017 2018 Billable/Specific Code Female Dx
    Applicable To
    Abnormal cytological findings in specimens from female genital organs NOS
    Type 1 Excludes
    dysplasia of vulva (histologically confirmed) (N90.0-N90.3)
  - wound secretion - see Abnormal, specimen, specified
- spermatozoa - see Abnormal, specimen, male genital organs
- sputum R09.3
  (amount) (color) (odor)
  ICD-10-CM Diagnosis Code R09.3
  Abnormal sputum
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal amount of sputum
  Abnormal color of sputum
  Abnormal odor of sputum
  Excessive sputum
  Type 1 Excludes
  blood-stained sputum (R04.2)
- stool (color) (contents) (mucus) R19.5
  ICD-10-CM Diagnosis Code R19.5
  Other fecal abnormalities
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal stool color
  Bulky stools
  Mucus in stools
  Occult blood in feces
  Occult blood in stools
  Type 1 Excludes
  melena (K92.1)
  neonatal melena (P54.1)
  - bloody K92.1
    ICD-10-CM Diagnosis Code K92.1
    Melena
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    occult blood in feces (R19.5)
  - guaiac positive R19.5
    ICD-10-CM Diagnosis Code R19.5
    Other fecal abnormalities
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal stool color
    Bulky stools
    Mucus in stools
    Occult blood in feces
    Occult blood in stools
    Type 1 Excludes
    melena (K92.1)
    neonatal melena (P54.1)
- synchondrosis Q78.8
  ICD-10-CM Diagnosis Code Q78.8
  Other specified osteochondrodysplasias
  2016 2017 2018 Billable/Specific Code POA Exempt
  Applicable To
  Osteopoikilosis
- thermography R93.8
  - see also Abnormal, diagnostic imaging
  ICD-10-CM Diagnosis Code R93.8
  Abnormal findings on diagnostic imaging of other specified body structures
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal finding by radioisotope localization of placenta
  Abnormal radiological finding in skin and subcutaneous tissue
  Mediastinal shift
- thyroid-binding globulin E07.89
  ICD-10-CM Diagnosis Code E07.89
  Other specified disorders of thyroid
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormality of thyroid-binding globulin
  Hemorrhage of thyroid
  Infarction of thyroid
- tooth, teeth K00.2
  (form) (size)
  ICD-10-CM Diagnosis Code K00.2
  Abnormalities of size and form of teeth
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Concrescence of teeth
  Fusion of teeth
  Gemination of teeth
  Dens evaginatus
  Dens in dente
  Dens invaginatus
  Enamel pearls
  Macrodontia
  Microdontia
  Peg-shaped [conical] teeth
  Supernumerary roots
  Taurodontism
  Tuberculum paramolare
  Type 1 Excludes
  abnormalities of teeth due to congenital syphilis (A50.5)
  tuberculum Carabelli, which is regarded as a normal variation and should not be coded
- toxicology R78.9
  (findings)
  ICD-10-CM Diagnosis Code R78.9
  Finding of unspecified substance, not normally found in blood
  2016 2017 2018 Billable/Specific Code
- transport protein E88.09
  ICD-10-CM Diagnosis Code E88.09
  Other disorders of plasma-protein metabolism, not elsewhere classified
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Bisalbuminemia
- tumor marker NEC R97.8
  ICD-10-CM Diagnosis Code R97.8
  Other abnormal tumor markers
  2016 2017 2018 Billable/Specific Code
- ultrasound results - see Abnormal, diagnostic imaging
- umbilical cord complicating delivery O69.9
  ICD-10-CM Diagnosis Code O69.9
  Labor and delivery complicated by cord complication, unspecified
  2016 2017 2018 Non-Billable/Non-Specific Code
- urination NEC R39.198
  ICD-10-CM Diagnosis Code R39.198
  Other difficulties with micturition
  2017 - New Code 2018 Billable/Specific Code
- urine (constituents) R82.90
  ICD-10-CM Diagnosis Code R82.90
  Unspecified abnormal findings in urine
  2016 2017 2018 Billable/Specific Code
  - bile R82.2
    ICD-10-CM Diagnosis Code R82.2
    Biliuria
    2016 2017 2018 Billable/Specific Code
  - cytological examination R82.8
    ICD-10-CM Diagnosis Code R82.8
    Abnormal findings on cytological and histological examination of urine
    2016 2017 2018 Billable/Specific Code
  - drugs R82.5
    ICD-10-CM Diagnosis Code R82.5
    Elevated urine levels of drugs, medicaments and biological substances
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Elevated urine levels of catecholamines
    Elevated urine levels of indoleacetic acid
    Elevated urine levels of 17-ketosteroids
    Elevated urine levels of steroids
  - fat R82.0
    ICD-10-CM Diagnosis Code R82.0
    Chyluria
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    filarial chyluria (B74.-)
  - glucose R81
    ICD-10-CM Diagnosis Code R81
    Glycosuria
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    renal glycosuria (E74.8)
  - heavy metals R82.6
    ICD-10-CM Diagnosis Code R82.6
    Abnormal urine levels of substances chiefly nonmedicinal as to source
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal urine level of heavy metals
  - hemoglobin R82.3
    ICD-10-CM Diagnosis Code R82.3
    Hemoglobinuria
    2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    hemoglobinuria due to hemolysis from external causes NEC (D59.6)
    hemoglobinuria due to paroxysmal nocturnal [Marchiafava-Micheli] (D59.5)
  - histological examination R82.8
    ICD-10-CM Diagnosis Code R82.8
    Abnormal findings on cytological and histological examination of urine
    2016 2017 2018 Billable/Specific Code
  - ketones R82.4
    ICD-10-CM Diagnosis Code R82.4
    Acetonuria
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Ketonuria
  - microbiological examination R82.79
    (culture)
    ICD-10-CM Diagnosis Code R82.79
    Other abnormal findings on microbiological examination of urine
    2017 - New Code 2018 Billable/Specific Code
    Applicable To
    Positive culture findings of urine
  - myoglobin R82.1
    ICD-10-CM Diagnosis Code R82.1
    Myoglobinuria
    2016 2017 2018 Billable/Specific Code
  - positive culture R82.79
    ICD-10-CM Diagnosis Code R82.79
    Other abnormal findings on microbiological examination of urine
    2017 - New Code 2018 Billable/Specific Code
    Applicable To
    Positive culture findings of urine
  - protein - see Proteinuria
  - specified substance NEC R82.99
    ICD-10-CM Diagnosis Code R82.99
    Other abnormal findings in urine
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Cells and casts in urine
    Crystalluria
    Melanuria
    - chromoabnormality NEC R82.91
      ICD-10-CM Diagnosis Code R82.91
      Other chromoabnormalities of urine
      2016 2017 2018 Billable/Specific Code
      Applicable To
      Chromoconversion (dipstick)
      Idiopathic dipstick converts positive for blood with no cellular forms in sediment
      Type 1 Excludes
      hemoglobinuria (R82.3)
      myoglobinuria (R82.1)
  - substances nonmedical R82.6
    ICD-10-CM Diagnosis Code R82.6
    Abnormal urine levels of substances chiefly nonmedicinal as to source
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormal urine level of heavy metals
- uterine hemorrhage - see Hemorrhage, uterus
- vectorcardiogram R94.39
  ICD-10-CM Diagnosis Code R94.39
  Abnormal result of other cardiovascular function study
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal electrophysiological intracardiac studies
  Abnormal phonocardiogram
  Abnormal vectorcardiogram
- visually evoked potential R94.112
  (VEP)
  ICD-10-CM Diagnosis Code R94.112
  Abnormal visually evoked potential [VEP]
  2016 2017 2018 Billable/Specific Code
- white blood cells D72.9
  ICD-10-CM Diagnosis Code D72.9
  Disorder of white blood cells, unspecified
  2016 2017 2018 Billable/Specific Code
  Applicable To
  Abnormal leukocyte differential NOS
  - specified NEC D72.89
    ICD-10-CM Diagnosis Code D72.89
    Other specified disorders of white blood cells
    2016 2017 2018 Billable/Specific Code
    Applicable To
    Abnormality of white blood cells NEC
- X-ray examination - see Abnormal, diagnostic imaging

Abnormal, abnormality, abnormalities - see also Anomaly

Mixed disorder of acid-base balance

Abnormality of albumin

Abnormality of alphafetoprotein

Disorder of teeth and supporting structures, unspecified

Congenital malformation, unspecified

Other congenital malformations of diaphragm

Other abnormal auditory perceptions

Chromosomal abnormality, unspecified

Individual with autosomal fragile site

Abnormal results of function studies of other organs and systems

Testicular hypofunction

Abnormal coagulation profile

Abnormal level of blood mineral

Abnormal level of blood mineral

Abnormal level of blood mineral

Finding of other specified substances, not normally found in blood

Abnormal level of blood mineral

Abnormal level of blood mineral

Abnormal level of blood mineral

Elevated blood-pressure reading, without diagnosis of hypertension

Nonspecific low blood-pressure reading

Other abnormal glucose

Abnormal blood-gas level

Other abnormal bowel sounds

Absent bowel sounds

Hyperactive bowel sounds

Abnormal brain scan

Unspecified abnormalities of breathing

Abnormal results of other function studies of peripheral nervous system

Unspecified abnormal finding in cerebrospinal fluid

Abnormal cytological findings in cerebrospinal fluid

Abnormal level of other drugs, medicaments and biological substances in cerebrospinal fluid

Abnormal level of enzymes in cerebrospinal fluid

Abnormal level of hormones in cerebrospinal fluid

Abnormal immunological findings in cerebrospinal fluid

Abnormal microbiological findings in cerebrospinal fluid

Abnormal level of substances chiefly nonmedicinal as to source in cerebrospinal fluid

Other abnormal findings in cerebrospinal fluid

Abnormal finding of blood chemistry, unspecified

Elevated C-reactive protein (CRP)

Abnormal blood-gas level

Abnormal level of blood mineral

Other pancytopenia

Abnormal coagulation profile

Other specified abnormal findings of blood chemistry

Other specified symptoms and signs involving the circulatory and respiratory systems

Chromosomal abnormality, unspecified

Other abnormal findings in specimens from other organs, systems and tissues

Other abnormal findings in specimens from respiratory organs and thorax

Other abnormal findings in cerebrospinal fluid

Other abnormal findings in specimens from female genital organs

Other abnormal findings in specimens from respiratory organs and thorax

Other abnormal findings in specimens from other organs, systems and tissues

Other abnormal findings in specimens from digestive organs and abdominal cavity

Other abnormal findings in specimens from respiratory organs and thorax

Other abnormal findings in specimens from male genital organs

Other abnormal findings in specimens from digestive organs and abdominal cavity

Other abnormal findings in specimens from male genital organs

Other abnormal findings in specimens from respiratory organs and thorax

Other abnormal findings in specimens from other organs, systems and tissues

Other abnormal findings in specimens from respiratory organs and thorax

Other abnormal findings in specimens from female genital organs

Other abnormal findings in specimens from female genital organs

Other abnormal findings in specimens from other organs, systems and tissues

Chromosome replaced with ring, dicentric or isochromosome

Chromosome replaced with ring, dicentric or isochromosome

Other specified chromosome abnormalities

Sex chromosome abnormality, female phenotype, unspecified

Other specified sex chromosome abnormalities, female phenotype

Sex chromosome abnormality, male phenotype, unspecified

Other specified sex chromosome abnormalities, male phenotype

Male with structurally abnormal sex chromosome

Other specified chromosome abnormalities

Female with more than three X chromosomes

Other general symptoms and signs

Coagulation defect, unspecified

Other transient neonatal disorders of coagulation

Abnormal coagulation profile

Abnormal coagulation profile