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3. Type 2 Excludes Crosswalk

Type 2 Excludes Crosswalk

The following 1,483 ICD-10-CM codes contain 'Type 2 Excludes' annotation references within one-to-many other ICD-10-CM codes.

Displaying codes 101-200 of 1,483:

• C41.0: C03
  2021 ICD-10-CM Diagnosis Code C03

  Malignant neoplasm of gum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of alveolar (ridge) mucosa
  • malignant neoplasm of gingiva

  Type 2 Excludes

  • malignant odontogenic neoplasms (C41.0-C41.1)

  Use Additional

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • history of tobacco dependence (Z87.891)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
• C41.1: C03
  , C41.0
  2021 ICD-10-CM Diagnosis Code C03

  Malignant neoplasm of gum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of alveolar (ridge) mucosa
  • malignant neoplasm of gingiva

  Type 2 Excludes

  • malignant odontogenic neoplasms (C41.0-C41.1)

  Use Additional

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • history of tobacco dependence (Z87.891)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
  2021 ICD-10-CM Diagnosis Code C41.0

  Malignant neoplasm of bones of skull and face

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Malignant neoplasm of maxilla (superior)
  • Malignant neoplasm of orbital bone

  Type 2 Excludes

  • carcinoma, any type except intraosseous or odontogenic of:
  • maxillary sinus (C31.0)
  • upper jaw (C03.0)
  • malignant neoplasm of jaw bone (lower) (C41.1)
• C43.51: C21
  , C21
  , C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C44.500: C21
  , C21
  , C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C44.510: C21
  , C21
  , C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C44.520: C21
  , C21
  , C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C44.590: C21
  , C21
  , C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C45: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C46: D47.Z2
  2021 ICD-10-CM Diagnosis Code D47.Z2

  Castleman disease

  2017 - New Code 2018 2019 2020 2021 Billable/Specific Code

  Code Also

  • if applicable human herpesvirus 8 infection (B10.89)

  Type 2 Excludes

  • Kaposi's sarcoma (C46.-)
• C46.1: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C46.3: C46.1
  2021 ICD-10-CM Diagnosis Code C46.1

  Kaposi's sarcoma of soft tissue

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Kaposi's sarcoma of blood vessel
  • Kaposi's sarcoma of connective tissue
  • Kaposi's sarcoma of fascia
  • Kaposi's sarcoma of ligament
  • Kaposi's sarcoma of lymphatic(s) NEC
  • Kaposi's sarcoma of muscle

  Type 2 Excludes

  • Kaposi's sarcoma of lymph glands and nodes (C46.3)
• C47: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C48.0: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C48.2: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C4A: C43
  , C7A
  2021 ICD-10-CM Diagnosis Code C43

  Malignant melanoma of skin

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • melanoma in situ (D03.-)

  Type 2 Excludes

  • malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
  • Merkel cell carcinoma (C4A.-)
  • sites other than skin-code to malignant neoplasm of the site
  2021 ICD-10-CM Diagnosis Code C7A

  Malignant neuroendocrine tumors

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code Also

  • any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

  Type 2 Excludes

  • malignant pancreatic islet cell tumors (C25.4)
  • Merkel cell carcinoma (C4A.-)

  Use Additional

  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (E34.0)
• C57.3: C49
  2021 ICD-10-CM Diagnosis Code C49

  Malignant neoplasm of other connective and soft tissue

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • malignant neoplasm of blood vessel
  • malignant neoplasm of bursa
  • malignant neoplasm of cartilage
  • malignant neoplasm of fascia
  • malignant neoplasm of fat
  • malignant neoplasm of ligament, except uterine
  • malignant neoplasm of lymphatic vessel
  • malignant neoplasm of muscle
  • malignant neoplasm of synovia
  • malignant neoplasm of tendon (sheath)

  Type 1 Excludes

  • malignant neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

  Type 2 Excludes

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)
• C60: C43
  2021 ICD-10-CM Diagnosis Code C43

  Malignant melanoma of skin

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • melanoma in situ (D03.-)

  Type 2 Excludes

  • malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
  • Merkel cell carcinoma (C4A.-)
  • sites other than skin-code to malignant neoplasm of the site
• C61: N40
  2021 ICD-10-CM Diagnosis Code N40

  Benign prostatic hyperplasia

  2016 2017 - Revised Code 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • adenofibromatous hypertrophy of prostate
  • benign hypertrophy of the prostate
  • benign prostatic hypertrophy
  • BPH
  • enlarged prostate
  • nodular prostate
  • polyp of prostate

  Type 1 Excludes

  • benign neoplasms of prostate (adenoma, benign) (fibroadenoma) (fibroma) (myoma) (D29.1)

  Type 2 Excludes

  • malignant neoplasm of prostate (C61)
• C63: C43
  2021 ICD-10-CM Diagnosis Code C43

  Malignant melanoma of skin

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • melanoma in situ (D03.-)

  Type 2 Excludes

  • malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
  • Merkel cell carcinoma (C4A.-)
  • sites other than skin-code to malignant neoplasm of the site
• C63.2: C43.5
  , C4A.5
  2021 ICD-10-CM Diagnosis Code C43.5

  Malignant melanoma of trunk

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant neoplasm of anus NOS (C21.0)
  • malignant neoplasm of scrotum (C63.2)
  2021 ICD-10-CM Diagnosis Code C4A.5

  Merkel cell carcinoma of trunk

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant neoplasm of anus NOS (C21.0)
  • malignant neoplasm of scrotum (C63.2)
• C77.0: C78
  , C79.11
  2021 ICD-10-CM Diagnosis Code C78

  Secondary malignant neoplasm of respiratory and digestive organs

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • secondary carcinoid tumors of liver (C7B.02)
  • secondary carcinoid tumors of peritoneum (C7B.04)

  Type 2 Excludes

  • lymph node metastases (C77.0)
  2021 ICD-10-CM Diagnosis Code C79.11

  Secondary malignant neoplasm of bladder

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • lymph node metastases (C77.0)
• C7A.02: C21
  2021 ICD-10-CM Diagnosis Code C21

  Malignant neoplasm of anus and anal canal

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumors of the colon (C7A.02-)
  • malignant melanoma of anal margin (C43.51)
  • malignant melanoma of anal skin (C43.51)
  • malignant melanoma of perianal skin (C43.51)
  • other and unspecified malignant neoplasm of anal margin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of anal skin (C44.500, C44.510, C44.520, C44.590)
  • other and unspecified malignant neoplasm of perianal skin (C44.500, C44.510, C44.520, C44.590)
• C7A.092: C16
  2021 ICD-10-CM Diagnosis Code C16

  Malignant neoplasm of stomach

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • malignant carcinoid tumor of the stomach (C7A.092)

  Use Additional

  • code to identify:
  • alcohol abuse and dependence (F10.-)
• D00.01: D04.0
  2021 ICD-10-CM Diagnosis Code D04.0

  Carcinoma in situ of skin of lip

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • carcinoma in situ of vermilion border of lip (D00.01)
• D13.7: D3A
  , K86
  2021 ICD-10-CM Diagnosis Code D3A

  Benign neuroendocrine tumors

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code Also

  • any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

  Type 2 Excludes

  • benign pancreatic islet cell tumors (D13.7)

  Use Additional

  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (E34.0)
  2021 ICD-10-CM Diagnosis Code K86

  Other diseases of pancreas

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • fibrocystic disease of pancreas (E84.-)
  • islet cell tumor (of pancreas) (D13.7)
  • pancreatic steatorrhea (K90.3)
• D14.1: B07
  2021 ICD-10-CM Diagnosis Code B07

  Viral warts

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • verruca simplex
  • verruca vulgaris
  • viral warts due to human papillomavirus

  Type 2 Excludes

  • anogenital (venereal) warts (A63.0)
  • papilloma of bladder (D41.4)
  • papilloma of cervix (D26.0)
  • papilloma larynx (D14.1)
• D16.4: K09.0
  , K09.0
  2021 ICD-10-CM Diagnosis Code K09.0

  Developmental odontogenic cysts

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Dentigerous cyst
  • Eruption cyst
  • Follicular cyst
  • Gingival cyst
  • Lateral periodontal cyst
  • Primordial cyst

  Type 2 Excludes

  • keratocysts (D16.4, D16.5)
  • odontogenic keratocystic tumors (D16.4, D16.5)
  2021 ICD-10-CM Diagnosis Code K09.0

  Developmental odontogenic cysts

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Dentigerous cyst
  • Eruption cyst
  • Follicular cyst
  • Gingival cyst
  • Lateral periodontal cyst
  • Primordial cyst

  Type 2 Excludes

  • keratocysts (D16.4, D16.5)
  • odontogenic keratocystic tumors (D16.4, D16.5)
• D16.5: D16.4
  , K09.0
  , K09.0
  2021 ICD-10-CM Diagnosis Code K09.0

  Developmental odontogenic cysts

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Dentigerous cyst
  • Eruption cyst
  • Follicular cyst
  • Gingival cyst
  • Lateral periodontal cyst
  • Primordial cyst

  Type 2 Excludes

  • keratocysts (D16.4, D16.5)
  • odontogenic keratocystic tumors (D16.4, D16.5)
  2021 ICD-10-CM Diagnosis Code K09.0

  Developmental odontogenic cysts

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Dentigerous cyst
  • Eruption cyst
  • Follicular cyst
  • Gingival cyst
  • Lateral periodontal cyst
  • Primordial cyst

  Type 2 Excludes

  • keratocysts (D16.4, D16.5)
  • odontogenic keratocystic tumors (D16.4, D16.5)
  2021 ICD-10-CM Diagnosis Code D16.4

  Benign neoplasm of bones of skull and face

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Benign neoplasm of maxilla (superior)
  • Benign neoplasm of orbital bone
  • Keratocyst of maxilla
  • Keratocystic odontogenic tumor of maxilla

  Type 2 Excludes

  • benign neoplasm of lower jaw bone (D16.5)
• D18: Q27
  2021 ICD-10-CM Diagnosis Code Q27

  Other congenital malformations of peripheral vascular system

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • anomalies of cerebral and precerebral vessels (Q28.0-Q28.3)
  • anomalies of coronary vessels (Q24.5)
  • anomalies of pulmonary artery (Q25.5-Q25.7)
  • congenital retinal aneurysm (Q14.1)
  • hemangioma and lymphangioma (D18.-)
• D22: D23
  , I78.1
  , I78.1
  , I78.1
  , I78.1
  , Q82.5
  , Q82.5
  , Q82.5
  2021 ICD-10-CM Diagnosis Code Q82.5

  Congenital non-neoplastic nevus

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Applicable To

  • Birthmark NOS
  • Flammeus Nevus
  • Portwine Nevus
  • Sanguineous Nevus
  • Strawberry Nevus
  • Vascular Nevus NOS
  • Verrucous Nevus

  Type 2 Excludes

  • Café au lait spots (L81.3)
  • lentigo (L81.4)
  • nevus NOS (D22.-)
  • araneus nevus (I78.1)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • spider nevus (I78.1)
  • stellar nevus (I78.1)
  2021 ICD-10-CM Diagnosis Code Q82.5

  Congenital non-neoplastic nevus

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Applicable To

  • Birthmark NOS
  • Flammeus Nevus
  • Portwine Nevus
  • Sanguineous Nevus
  • Strawberry Nevus
  • Vascular Nevus NOS
  • Verrucous Nevus

  Type 2 Excludes

  • Café au lait spots (L81.3)
  • lentigo (L81.4)
  • nevus NOS (D22.-)
  • araneus nevus (I78.1)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • spider nevus (I78.1)
  • stellar nevus (I78.1)
  2021 ICD-10-CM Diagnosis Code Q82.5

  Congenital non-neoplastic nevus

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Applicable To

  • Birthmark NOS
  • Flammeus Nevus
  • Portwine Nevus
  • Sanguineous Nevus
  • Strawberry Nevus
  • Vascular Nevus NOS
  • Verrucous Nevus

  Type 2 Excludes

  • Café au lait spots (L81.3)
  • lentigo (L81.4)
  • nevus NOS (D22.-)
  • araneus nevus (I78.1)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • spider nevus (I78.1)
  • stellar nevus (I78.1)
  2021 ICD-10-CM Diagnosis Code D23

  Other benign neoplasms of skin

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • benign neoplasm of hair follicles
  • benign neoplasm of sebaceous glands
  • benign neoplasm of sweat glands

  Type 1 Excludes

  • benign lipomatous neoplasms of skin (D17.0-D17.3)

  Type 2 Excludes

  • melanocytic nevi (D22.-)
  2021 ICD-10-CM Diagnosis Code I78.1

  Nevus, non-neoplastic

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Araneus nevus
  • Senile nevus
  • Spider nevus
  • Stellar nevus

  Type 1 Excludes

  • nevus NOS (D22.-)
  • vascular NOS (Q82.5)

  Type 2 Excludes

  • blue nevus (D22.-)
  • flammeus nevus (Q82.5)
  • hairy nevus (D22.-)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • portwine nevus (Q82.5)
  • sanguineous nevus (Q82.5)
  • strawberry nevus (Q82.5)
  • verrucous nevus (Q82.5)
  2021 ICD-10-CM Diagnosis Code I78.1

  Nevus, non-neoplastic

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Araneus nevus
  • Senile nevus
  • Spider nevus
  • Stellar nevus

  Type 1 Excludes

  • nevus NOS (D22.-)
  • vascular NOS (Q82.5)

  Type 2 Excludes

  • blue nevus (D22.-)
  • flammeus nevus (Q82.5)
  • hairy nevus (D22.-)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • portwine nevus (Q82.5)
  • sanguineous nevus (Q82.5)
  • strawberry nevus (Q82.5)
  • verrucous nevus (Q82.5)
  2021 ICD-10-CM Diagnosis Code I78.1

  Nevus, non-neoplastic

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Araneus nevus
  • Senile nevus
  • Spider nevus
  • Stellar nevus

  Type 1 Excludes

  • nevus NOS (D22.-)
  • vascular NOS (Q82.5)

  Type 2 Excludes

  • blue nevus (D22.-)
  • flammeus nevus (Q82.5)
  • hairy nevus (D22.-)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • portwine nevus (Q82.5)
  • sanguineous nevus (Q82.5)
  • strawberry nevus (Q82.5)
  • verrucous nevus (Q82.5)
  2021 ICD-10-CM Diagnosis Code I78.1

  Nevus, non-neoplastic

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Araneus nevus
  • Senile nevus
  • Spider nevus
  • Stellar nevus

  Type 1 Excludes

  • nevus NOS (D22.-)
  • vascular NOS (Q82.5)

  Type 2 Excludes

  • blue nevus (D22.-)
  • flammeus nevus (Q82.5)
  • hairy nevus (D22.-)
  • melanocytic nevus (D22.-)
  • pigmented nevus (D22.-)
  • portwine nevus (Q82.5)
  • sanguineous nevus (Q82.5)
  • strawberry nevus (Q82.5)
  • verrucous nevus (Q82.5)
• D22.5: D24
  2021 ICD-10-CM Diagnosis Code D24

  Benign neoplasm of breast

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • benign neoplasm of connective tissue of breast
  • benign neoplasm of soft parts of breast
  • fibroadenoma of breast

  Type 2 Excludes

  • adenofibrosis of breast (N60.2)
  • benign cyst of breast (N60.-)
  • benign mammary dysplasia (N60.-)
  • benign neoplasm of skin of breast (D22.5, D23.5)
  • fibrocystic disease of breast (N60.-)
• D23.5: D24
  2021 ICD-10-CM Diagnosis Code D24

  Benign neoplasm of breast

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • benign neoplasm of connective tissue of breast
  • benign neoplasm of soft parts of breast
  • fibroadenoma of breast

  Type 2 Excludes

  • adenofibrosis of breast (N60.2)
  • benign cyst of breast (N60.-)
  • benign mammary dysplasia (N60.-)
  • benign neoplasm of skin of breast (D22.5, D23.5)
  • fibrocystic disease of breast (N60.-)
• D24: N60.2
  2021 ICD-10-CM Diagnosis Code N60.2

  Fibroadenosis of breast

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Applicable To

  • Adenofibrosis of breast

  Type 2 Excludes

  • fibroadenoma of breast (D24.-)
• D26.0: A63
  , B07
  2021 ICD-10-CM Diagnosis Code B07

  Viral warts

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • verruca simplex
  • verruca vulgaris
  • viral warts due to human papillomavirus

  Type 2 Excludes

  • anogenital (venereal) warts (A63.0)
  • papilloma of bladder (D41.4)
  • papilloma of cervix (D26.0)
  • papilloma larynx (D14.1)
  2021 ICD-10-CM Diagnosis Code A63

  Other predominantly sexually transmitted diseases, not elsewhere classified

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • molluscum contagiosum (B08.1)
  • papilloma of cervix (D26.0)
• D41.4: B07
  2021 ICD-10-CM Diagnosis Code B07

  Viral warts

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • verruca simplex
  • verruca vulgaris
  • viral warts due to human papillomavirus

  Type 2 Excludes

  • anogenital (venereal) warts (A63.0)
  • papilloma of bladder (D41.4)
  • papilloma of cervix (D26.0)
  • papilloma larynx (D14.1)
• D46: D61.81
  2021 ICD-10-CM Diagnosis Code D61.81

  Pancytopenia

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 1 Excludes

  • pancytopenia (due to) (with) aplastic anemia (D61.9)
  • pancytopenia (due to) (with) bone marrow infiltration (D61.82)
  • pancytopenia (due to) (with) congenital (pure) red cell aplasia (D61.01)
  • pancytopenia (due to) (with) hairy cell leukemia (C91.4-)
  • pancytopenia (due to) (with) human immunodeficiency virus disease (B20.-)
  • pancytopenia (due to) (with) leukoerythroblastic anemia (D61.82)
  • pancytopenia (due to) (with) myeloproliferative disease (D47.1)

  Type 2 Excludes

  • pancytopenia (due to) (with) myelodysplastic syndromes (D46.-)
• D48.3: M72
  2021 ICD-10-CM Diagnosis Code M72

  Fibroblastic disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • retroperitoneal fibromatosis (D48.3)
• D50.1: K22.8
  2021 ICD-10-CM Diagnosis Code K22.8

  Other specified diseases of esophagus

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Hemorrhage of esophagus NOS

  Type 2 Excludes

  • esophageal varices (I85.-)
  • Paterson-Kelly syndrome (D50.1)
• D59.6: D59.1
  2021 ICD-10-CM Diagnosis Code D59.1

  Other autoimmune hemolytic anemias

  2016 2017 2018 2019 2020 2021 - Converted to Parent Code Non-Billable/Non-Specific Code

  Type 2 Excludes

  • Evans syndrome (D69.41)
  • hemolytic disease of newborn (P55.-)
  • paroxysmal cold hemoglobinuria (D59.6)
• D61.1: D46
  , D61.810
  , D61.811
  2021 ICD-10-CM Diagnosis Code D61.811

  Other drug-induced pancytopenia

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • aplastic anemia due to drugs (D61.1)
  2021 ICD-10-CM Diagnosis Code D61.810

  Antineoplastic chemotherapy induced pancytopenia

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • aplastic anemia due to antineoplastic chemotherapy (D61.1)
  2021 ICD-10-CM Diagnosis Code D46

  Myelodysplastic syndromes

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • drug-induced aplastic anemia (D61.1)

  Use Additional

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
• D63.0: D64.81
  2021 ICD-10-CM Diagnosis Code D64.81

  Anemia due to antineoplastic chemotherapy

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Applicable To

  • Antineoplastic chemotherapy induced anemia

  Type 1 Excludes

  • aplastic anemia due to antineoplastic chemotherapy (D61.1)

  Type 2 Excludes

  • anemia in neoplastic disease (D63.0)
• D64.81: D63.0
  2021 ICD-10-CM Diagnosis Code D63.0

  Anemia in neoplastic disease

  2016 2017 2018 2019 2020 2021 Billable/Specific Code Manifestation Code

  Code First

  • neoplasm (C00-D49)

  Type 1 Excludes

  • aplastic anemia due to antineoplastic chemotherapy (D61.1)

  Type 2 Excludes

  • anemia due to antineoplastic chemotherapy (D64.81)
• D69.41: D59.1
  2021 ICD-10-CM Diagnosis Code D59.1

  Other autoimmune hemolytic anemias

  2016 2017 2018 2019 2020 2021 - Converted to Parent Code Non-Billable/Non-Specific Code

  Type 2 Excludes

  • Evans syndrome (D69.41)
  • hemolytic disease of newborn (P55.-)
  • paroxysmal cold hemoglobinuria (D59.6)
• D69.51: T80
  2021 ICD-10-CM Diagnosis Code T80

  Complications following infusion, transfusion and therapeutic injection

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • complications following perfusion

  Type 2 Excludes

  • bone marrow transplant rejection (T86.01)
  • febrile nonhemolytic transfusion reaction (R50.84)
  • fluid overload due to transfusion (E87.71)
  • posttransfusion purpura (D69.51)
  • transfusion associated circulatory overload (TACO) (E87.71)
  • transfusion (red blood cell) associated hemochromatosis (E83.111)
  • transfusion related acute lung injury (TRALI) (J95.84)
• D70: D61
  2021 ICD-10-CM Diagnosis Code D61

  Other aplastic anemias and other bone marrow failure syndromes

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • neutropenia (D70.-)
• D75.1: T70.2
  2021 ICD-10-CM Diagnosis Code T70.2

  Other and unspecified effects of high altitude

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • polycythemia due to high altitude (D75.1)
• D78: T81
  2021 ICD-10-CM Diagnosis Code T81

  Complications of procedures, not elsewhere classified

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • complications following immunization (T88.0-T88.1)
  • complications following infusion, transfusion and therapeutic injection (T80.-)
  • complications of transplanted organs and tissue (T86.-)
  • specified complications classified elsewhere, such as:
  • complication of prosthetic devices, implants and grafts (T82-T85)
  • dermatitis due to drugs and medicaments (L23.3, L24.4, L25.1, L27.0-L27.1)
  • endosseous dental implant failure (M27.6-)
  • floppy iris syndrome (IFIS) (intraoperative) H21.81
  • intraoperative and postprocedural complications of specific body system (D78.-, E36.-, E89.-, G97.3-, G97.4, H59.3-, H59.-, H95.2-, H95.3, I97.4-, I97.5, J95, K91.-, L76.-, M96.-, N99.-)
  • ostomy complications (J95.0-, K94.-, N99.5-)
  • plateau iris syndrome (post-iridectomy) (postprocedural) H21.82
  • poisoning and toxic effects of drugs and chemicals (T36-T65 with fifth or sixth character 1-4 or 6)

  Use Additional

  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
• D89.2: D75
  2021 ICD-10-CM Diagnosis Code D75

  Other and unspecified diseases of blood and blood-forming organs

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • acute lymphadenitis (L04.-)
  • chronic lymphadenitis (I88.1)
  • enlarged lymph nodes (R59.-)
  • hypergammaglobulinemia NOS (D89.2)
  • lymphadenitis NOS (I88.9)
  • mesenteric lymphadenitis (acute) (chronic) (I88.0)
• E08: R11.15
  2021 ICD-10-CM Diagnosis Code R11.15

  Cyclical vomiting syndrome unrelated to migraine

  2020 - New Code 2021 Billable/Specific Code

  Applicable To

  • Cyclic vomiting syndrome NOS
  • Persistent vomiting

  Type 1 Excludes

  • cyclical vomiting in migraine (G43.A-)

  Type 2 Excludes

  • bulimia nervosa (F50.2)
  • diabetes mellitus due to underlying condition (E08.-)
• E08.311: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E08.359: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E08.43: K31
  2021 ICD-10-CM Diagnosis Code K31

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • functional disorders of stomach

  Type 2 Excludes

  • diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)
  • diverticulum of duodenum (K57.00-K57.13)
• E08.621: L89
  , Z86.31
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
  2021 ICD-10-CM Diagnosis Code Z86.31

  Personal history of diabetic foot ulcer

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Type 2 Excludes

  • current diabetic foot ulcer (E08.621, E09.621, E10.621, E11.621, E13.621)
• E08.622: L89
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
• E09.311: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E09.359: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E09.43: K31
  2021 ICD-10-CM Diagnosis Code K31

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • functional disorders of stomach

  Type 2 Excludes

  • diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)
  • diverticulum of duodenum (K57.00-K57.13)
• E09.621: L89
  , Z86.31
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
  2021 ICD-10-CM Diagnosis Code Z86.31

  Personal history of diabetic foot ulcer

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Type 2 Excludes

  • current diabetic foot ulcer (E08.621, E09.621, E10.621, E11.621, E13.621)
• E09.622: L89
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
• E10.311: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E10.359: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E10.43: K31
  2021 ICD-10-CM Diagnosis Code K31

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • functional disorders of stomach

  Type 2 Excludes

  • diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)
  • diverticulum of duodenum (K57.00-K57.13)
• E10.621: L89
  , Z86.31
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
  2021 ICD-10-CM Diagnosis Code Z86.31

  Personal history of diabetic foot ulcer

  2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt

  Type 2 Excludes

  • current diabetic foot ulcer (E08.621, E09.621, E10.621, E11.621, E13.621)
• E10.622: L89
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)
• E11: E13.00
  2021 ICD-10-CM Diagnosis Code E13.00

  Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)

  2016 2017 2018 2019 2020 2021 Billable/Specific Code

  Type 2 Excludes

  • type 2 diabetes mellitus (E11.-)
• E11.311: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E11.359: H35
  2021 ICD-10-CM Diagnosis Code H35

  Other retinal disorders

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • diabetic retinal disorders (E08.311-E08.359, E09.311-E09.359, E10.311-E10.359, E11.311-E11.359, E13.311-E13.359)
• E11.43: K31
  2021 ICD-10-CM Diagnosis Code K31

  Other diseases of stomach and duodenum

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Includes

  • functional disorders of stomach

  Type 2 Excludes

  • diabetic gastroparesis (E08.43, E09.43, E10.43, E11.43, E13.43)
  • diverticulum of duodenum (K57.00-K57.13)
• E11.621: L89
  2021 ICD-10-CM Diagnosis Code L89

  Pressure ulcer

  2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code

  Code First

  • any associated gangrene (I96)

  Includes

  • bed sore
  • decubitus ulcer
  • plaster ulcer
  • pressure area
  • pressure sore

  Type 2 Excludes

  • decubitus (trophic) ulcer of cervix (uteri) (N86)
  • diabetic ulcers (E08.621, E08.622, E09.621, E09.622, E10.621, E10.622, E11.621, E11.622, E13.621, E13.622)
  • non-pressure chronic ulcer of skin (L97.-)
  • skin infections (L00-L08)
  • varicose ulcer (I83.0, I83.2)