The following 1,458 ICD-10-CM codes contain 'Type 2 Excludes' annotation references within one-to-many other ICD-10-CM codes.
-
G40: F44.0
2020 ICD-10-CM Diagnosis Code F44.0
Dissociative amnesia
2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes- amnesia NOS (R41.3)
- anterograde amnesia (R41.1)
- dissociative amnesia with dissociative fugue (F44.1)
- retrograde amnesia (R41.2)
Type 2 Excludes- alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)
- amnestic disorder due to known physiological condition (F04)
- postictal amnesia in epilepsy (G40.-)
-
G40.4: R25.2
2020 ICD-10-CM Diagnosis Code R25.2
Cramp and spasm
2016 2017 2018 2019 2020 Billable/Specific Code
-
G40.80: F80.1, F80.2
2020 ICD-10-CM Diagnosis Code F80.1
Expressive language disorder
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Developmental dysphasia or aphasia, expressive type
Type 1 Excludes- mixed receptive-expressive language disorder (F80.2)
- dysphasia and aphasia NOS (R47.-)
Type 2 Excludes- acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-)
- selective mutism (F94.0)
- intellectual disabilities (F70-F79)
- pervasive developmental disorders (F84.-)
2020 ICD-10-CM Diagnosis Code F80.2
Mixed receptive-expressive language disorder
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Developmental dysphasia or aphasia, receptive type
- Developmental Wernicke's aphasia
Type 1 Excludes- central auditory processing disorder (H93.25)
- dysphasia or aphasia NOS (R47.-)
- expressive language disorder (F80.1)
- expressive type dysphasia or aphasia (F80.1)
- word deafness (H93.25)
Type 2 Excludes- acquired aphasia with epilepsy [Landau-Kleffner] (G40.80-)
- pervasive developmental disorders (F84.-)
- selective mutism (F94.0)
- intellectual disabilities (F70-F79)
-
G43: G44, G44.1, G89
2020 ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Code Also- related psychological factors associated with pain (F45.42)
Type 1 Excludes- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
2020 ICD-10-CM Diagnosis Code G44
Other headache syndromes
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- atypical facial pain (G50.1)
- headache due to lumbar puncture (G97.1)
- migraines (G43.-)
- trigeminal neuralgia (G50.0)
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G44: G43, G89
2020 ICD-10-CM Diagnosis Code G43
Migraine
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Type 1 Excludes- headache NOS (R51)
- lower half migraine (G44.00)
Type 2 Excludes- headache syndromes (G44.-)
Use Additional- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
2020 ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Code Also- related psychological factors associated with pain (F45.42)
Type 1 Excludes- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
-
G44.0: G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G44.2: F54, G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
2020 ICD-10-CM Diagnosis Code F54
Psychological and behavioral factors associated with disorders or diseases classified elsewhere
2016 2017 2018 2019 2020 Billable/Specific Code Manifestation Code
Applicable To- Psychological factors affecting physical conditions
Code First- the associated physical disorder, such as:
- asthma (J45.-)
- dermatitis (L23-L25)
- gastric ulcer (K25.-)
- mucous colitis (K58.-)
- ulcerative colitis (K51.-)
- urticaria (L50.-)
Type 2 Excludes- tension-type headache (G44.2)
-
G44.3: G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G44.4: G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G44.5: G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G44.8: G44.1
2020 ICD-10-CM Diagnosis Code G44.1
Vascular headache, not elsewhere classified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cluster headache (G44.0)
- complicated headache syndromes (G44.5-)
- drug-induced headache (G44.4-)
- migraine (G43.-)
- other specified headache syndromes (G44.8-)
- post-traumatic headache (G44.3-)
- tension-type headache (G44.2-)
-
G45: I63.9
2020 ICD-10-CM Diagnosis Code I63.9
Cerebral infarction, unspecified
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- transient cerebral ischemic attacks and related syndromes (G45.-)
-
G45.2: I67.4
2020 ICD-10-CM Diagnosis Code I67.4
Hypertensive encephalopathy
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- insufficiency, NOS, of precerebral arteries (G45.2)
-
G45.9: I69.322, I69.351, I73
2020 ICD-10-CM Diagnosis Code I69.351
Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
Type 2 Excludes- transient ischemic attack (TIA) (G45.9)
2020 ICD-10-CM Diagnosis Code I69.322
Dysarthria following cerebral infarction
2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
Type 2 Excludes- transient ischemic attack (TIA) (G45.9)
2020 ICD-10-CM Diagnosis Code I73
Other peripheral vascular diseases
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
-
G47: F51
2020 ICD-10-CM Diagnosis Code F51
Sleep disorders not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- organic sleep disorders (G47.-)
-
G47.0: F51.0, F51.0, F51.0
2020 ICD-10-CM Diagnosis Code F51.0
Insomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related insomnia (F10.182, F10.282, F10.982)
- drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- insomnia NOS (G47.0-)
- insomnia due to known physiological condition (G47.0-)
- organic insomnia (G47.0-)
- sleep deprivation (Z72.820)
2020 ICD-10-CM Diagnosis Code F51.0
Insomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related insomnia (F10.182, F10.282, F10.982)
- drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- insomnia NOS (G47.0-)
- insomnia due to known physiological condition (G47.0-)
- organic insomnia (G47.0-)
- sleep deprivation (Z72.820)
2020 ICD-10-CM Diagnosis Code F51.0
Insomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related insomnia (F10.182, F10.282, F10.982)
- drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- insomnia NOS (G47.0-)
- insomnia due to known physiological condition (G47.0-)
- organic insomnia (G47.0-)
- sleep deprivation (Z72.820)
-
G47.10: F51.1, F51.1
2020 ICD-10-CM Diagnosis Code F51.1
Hypersomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia NOS (G47.10)
- hypersomnia due to known physiological condition (G47.10)
- idiopathic hypersomnia (G47.11, G47.12)
- narcolepsy (G47.4-)
2020 ICD-10-CM Diagnosis Code F51.1
Hypersomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia NOS (G47.10)
- hypersomnia due to known physiological condition (G47.10)
- idiopathic hypersomnia (G47.11, G47.12)
- narcolepsy (G47.4-)
-
G47.11: F51.1
2020 ICD-10-CM Diagnosis Code F51.1
Hypersomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia NOS (G47.10)
- hypersomnia due to known physiological condition (G47.10)
- idiopathic hypersomnia (G47.11, G47.12)
- narcolepsy (G47.4-)
-
G47.12: F51.1
2020 ICD-10-CM Diagnosis Code F51.1
Hypersomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia NOS (G47.10)
- hypersomnia due to known physiological condition (G47.10)
- idiopathic hypersomnia (G47.11, G47.12)
- narcolepsy (G47.4-)
-
G47.13: F98
2020 ICD-10-CM Diagnosis Code F98
Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- breath-holding spells (R06.89)
- gender identity disorder of childhood (F64.2)
- Kleine-Levin syndrome (G47.13)
- obsessive-compulsive disorder (F42-)
- sleep disorders not due to a substance or known physiological condition (F51.-)
-
G47.3: G47.0, G47.1, J98
2020 ICD-10-CM Diagnosis Code G47.0
Insomnia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related insomnia (F10.182, F10.282, F10.982)
- drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- idiopathic insomnia (F51.01)
- insomnia due to a mental disorder (F51.05)
- insomnia not due to a substance or known physiological condition (F51.0-)
- nonorganic insomnia (F51.0-)
- primary insomnia (F51.01)
- sleep apnea (G47.3-)
2020 ICD-10-CM Diagnosis Code G47.1
Hypersomnia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol-related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia due to a mental disorder (F51.13)
- hypersomnia not due to a substance or known physiological condition (F51.1-)
- primary hypersomnia (F51.11)
- sleep apnea (G47.3-)
2020 ICD-10-CM Diagnosis Code J98
Other respiratory disorders
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Use Additional- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
-
G47.35: Q07, Q34
2020 ICD-10-CM Diagnosis Code Q34
Other congenital malformations of respiratory system
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- congenital central alveolar hypoventilation syndrome (G47.35)
2020 ICD-10-CM Diagnosis Code Q07
Other congenital malformations of nervous system
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- congenital central alveolar hypoventilation syndrome (G47.35)
- familial dysautonomia [Riley-Day] (G90.1)
- neurofibromatosis (nonmalignant) (Q85.0-)
-
G47.4: F51.1
2020 ICD-10-CM Diagnosis Code F51.1
Hypersomnia not due to a substance or known physiological condition
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- alcohol related hypersomnia (F10.182, F10.282, F10.982)
- drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
- hypersomnia NOS (G47.10)
- hypersomnia due to known physiological condition (G47.10)
- idiopathic hypersomnia (G47.11, G47.12)
- narcolepsy (G47.4-)
-
G47.6: G25
2020 ICD-10-CM Diagnosis Code G25
Other extrapyramidal and movement disorders
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- sleep related movement disorders (G47.6-)
-
G50.0: G44
2020 ICD-10-CM Diagnosis Code G44
Other headache syndromes
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- atypical facial pain (G50.1)
- headache due to lumbar puncture (G97.1)
- migraines (G43.-)
- trigeminal neuralgia (G50.0)
-
G50.1: G44, G89
2020 ICD-10-CM Diagnosis Code G44
Other headache syndromes
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- atypical facial pain (G50.1)
- headache due to lumbar puncture (G97.1)
- migraines (G43.-)
- trigeminal neuralgia (G50.0)
2020 ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Code Also- related psychological factors associated with pain (F45.42)
Type 1 Excludes- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
-
G54.0: M53.1
2020 ICD-10-CM Diagnosis Code M53.1
Cervicobrachial syndrome
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- cervical disc disorder (M50.-)
- thoracic outlet syndrome (G54.0)
-
G54.6: G89, T87.89
2020 ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Code Also- related psychological factors associated with pain (F45.42)
Type 1 Excludes- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
2020 ICD-10-CM Diagnosis Code T87.89
Other complications of amputation stump
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Amputation stump contracture
- Amputation stump contracture of next proximal joint
- Amputation stump flexion
- Amputation stump edema
- Amputation stump hematoma
-
G54.7: T87.89
2020 ICD-10-CM Diagnosis Code T87.89
Other complications of amputation stump
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Amputation stump contracture
- Amputation stump contracture of next proximal joint
- Amputation stump flexion
- Amputation stump edema
- Amputation stump hematoma
-
G60: G11
2020 ICD-10-CM Diagnosis Code G11
Hereditary ataxia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- cerebral palsy (G80.-)
- hereditary and idiopathic neuropathy (G60.-)
- metabolic disorders (E70-E88)
-
G71.13: Q68, Q77, Q78
2020 ICD-10-CM Diagnosis Code Q68
Other congenital musculoskeletal deformities
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- reduction defects of limb(s) (Q71-Q73)
Type 2 Excludes- congenital myotonic chondrodystrophy (G71.13)
2020 ICD-10-CM Diagnosis Code Q77
Osteochondrodysplasia with defects of growth of tubular bones and spine
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- congenital myotonic chondrodystrophy (G71.13)
2020 ICD-10-CM Diagnosis Code Q78
Other osteochondrodysplasias
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- congenital myotonic chondrodystrophy (G71.13)
-
G72.41: M60
2020 ICD-10-CM Diagnosis Code M60
Myositis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- inclusion body myositis [IBM] (G72.41)
-
G80: G11
2020 ICD-10-CM Diagnosis Code G11
Hereditary ataxia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- cerebral palsy (G80.-)
- hereditary and idiopathic neuropathy (G60.-)
- metabolic disorders (E70-E88)
-
G80.3: G24
2020 ICD-10-CM Diagnosis Code G24
Dystonia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- athetoid cerebral palsy (G80.3)
-
G83.84: G40
2020 ICD-10-CM Diagnosis Code G40
Epilepsy and recurrent seizures
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Type 1 Excludes- conversion disorder with seizures (F44.5)
- convulsions NOS (R56.9)
- post traumatic seizures (R56.1)
- seizure (convulsive) NOS (R56.9)
- seizure of newborn (P90)
-
G90.1: Q07
2020 ICD-10-CM Diagnosis Code Q07
Other congenital malformations of nervous system
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- congenital central alveolar hypoventilation syndrome (G47.35)
- familial dysautonomia [Riley-Day] (G90.1)
- neurofibromatosis (nonmalignant) (Q85.0-)
-
G90.3: G23
2020 ICD-10-CM Diagnosis Code G23
Other degenerative diseases of basal ganglia
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- multi-system degeneration of the autonomic nervous system (G90.3)
-
G92: G04, G04
2020 ICD-10-CM Diagnosis Code G04
Encephalitis, myelitis and encephalomyelitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Includes- acute ascending myelitis
- meningoencephalitis
- meningomyelitis
Type 2 Excludes- acute transverse myelitis (G37.3-)
- alcoholic encephalopathy (G31.2)
- benign myalgic encephalomyelitis (G93.3)
- multiple sclerosis (G35)
- subacute necrotizing myelitis (G37.4)
- toxic encephalitis (G92)
- toxic encephalopathy (G92)
2020 ICD-10-CM Diagnosis Code G04
Encephalitis, myelitis and encephalomyelitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Includes- acute ascending myelitis
- meningoencephalitis
- meningomyelitis
Type 2 Excludes- acute transverse myelitis (G37.3-)
- alcoholic encephalopathy (G31.2)
- benign myalgic encephalomyelitis (G93.3)
- multiple sclerosis (G35)
- subacute necrotizing myelitis (G37.4)
- toxic encephalitis (G92)
- toxic encephalopathy (G92)
-
G93.3: G04
2020 ICD-10-CM Diagnosis Code G04
Encephalitis, myelitis and encephalomyelitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Includes- acute ascending myelitis
- meningoencephalitis
- meningomyelitis
Type 2 Excludes- acute transverse myelitis (G37.3-)
- alcoholic encephalopathy (G31.2)
- benign myalgic encephalomyelitis (G93.3)
- multiple sclerosis (G35)
- subacute necrotizing myelitis (G37.4)
- toxic encephalitis (G92)
- toxic encephalopathy (G92)
-
G93.7: G31
2020 ICD-10-CM Diagnosis Code G31
Other degenerative diseases of nervous system, not elsewhere classified
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
-
G93.81: G40, G40, G40
2020 ICD-10-CM Diagnosis Code G40
Epilepsy and recurrent seizures
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Type 1 Excludes- conversion disorder with seizures (F44.5)
- convulsions NOS (R56.9)
- post traumatic seizures (R56.1)
- seizure (convulsive) NOS (R56.9)
- seizure of newborn (P90)
2020 ICD-10-CM Diagnosis Code G40
Epilepsy and recurrent seizures
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Type 1 Excludes- conversion disorder with seizures (F44.5)
- convulsions NOS (R56.9)
- post traumatic seizures (R56.1)
- seizure (convulsive) NOS (R56.9)
- seizure of newborn (P90)
2020 ICD-10-CM Diagnosis Code G40
Epilepsy and recurrent seizures
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Note- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Type 1 Excludes- conversion disorder with seizures (F44.5)
- convulsions NOS (R56.9)
- post traumatic seizures (R56.1)
- seizure (convulsive) NOS (R56.9)
- seizure of newborn (P90)
-
G95.1: G08, I82
2020 ICD-10-CM Diagnosis Code I82
Other venous embolism and thrombosis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Code First- venous embolism and thrombosis complicating:
- abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- pregnancy, childbirth and the puerperium (O22.-, O87.-)
Type 2 Excludes- venous embolism and thrombosis (of):
- cerebral (I63.6, I67.6)
- coronary (I21-I25)
- intracranial and intraspinal, septic or NOS (G08)
- intracranial, nonpyogenic (I67.6)
- intraspinal, nonpyogenic (G95.1)
- mesenteric (K55.0-)
- portal (I81)
- pulmonary (I26.-)
2020 ICD-10-CM Diagnosis Code G08
Intracranial and intraspinal phlebitis and thrombophlebitis
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Septic embolism of intracranial or intraspinal venous sinuses and veins
- Septic endophlebitis of intracranial or intraspinal venous sinuses and veins
- Septic phlebitis of intracranial or intraspinal venous sinuses and veins
- Septic thrombophlebitis of intracranial or intraspinal venous sinuses and veins
- Septic thrombosis of intracranial or intraspinal venous sinuses and veins
Type 1 Excludes- intracranial phlebitis and thrombophlebitis complicating:
- abortion, ectopic or molar pregnancy (O00-O07, O08.7)
- pregnancy, childbirth and the puerperium (O22.5, O87.3)
- nonpyogenic intracranial phlebitis and thrombophlebitis (I67.6)
Type 2 Excludes- intracranial phlebitis and thrombophlebitis complicating nonpyogenic intraspinal phlebitis and thrombophlebitis (G95.1)
-
G97.1: G44
2020 ICD-10-CM Diagnosis Code G44
Other headache syndromes
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- atypical facial pain (G50.1)
- headache due to lumbar puncture (G97.1)
- migraines (G43.-)
- trigeminal neuralgia (G50.0)
-
G97.3: I97.4, T81
2020 ICD-10-CM Diagnosis Code I97.4
Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a procedure
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- intraoperative hemorrhage and hematoma of a circulatory system organ or structure due to accidental puncture and laceration during a procedure (I97.5-)
Type 2 Excludes- intraoperative cerebrovascular hemorrhage complicating a procedure (G97.3-)
2020 ICD-10-CM Diagnosis Code T81
Complications of procedures, not elsewhere classified
2016 2017 2018 2019 2020 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)
-
G97.4: I97.5, T81
2020 ICD-10-CM Diagnosis Code T81
Complications of procedures, not elsewhere classified
2016 2017 2018 2019 2020 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)
2020 ICD-10-CM Diagnosis Code I97.5
Accidental puncture and laceration of a circulatory system organ or structure during a procedure
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- accidental puncture and laceration of brain during a procedure (G97.4-)
-
G97.5: I97.6
2020 ICD-10-CM Diagnosis Code I97.6
Postprocedural hemorrhage, hematoma and seroma of a circulatory system organ or structure following a procedure
2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- postprocedural cerebrovascular hemorrhage complicating a procedure (G97.5-)
-
H00.0: L02.0, L03, L03.211
2020 ICD-10-CM Diagnosis Code L03
Cellulitis and acute lymphangitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- cellulitis of anal and rectal region (K61.-)
- cellulitis of external auditory canal (H60.1)
- cellulitis of eyelid (H00.0)
- cellulitis of female external genital organs (N76.4)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of male external genital organs (N48.2, N49.-)
- cellulitis of mouth (K12.2)
- cellulitis of nose (J34.0)
- eosinophilic cellulitis [Wells] (L98.3)
- febrile neutrophilic dermatosis [Sweet] (L98.2)
- lymphangitis (chronic) (subacute) (I89.1)
2020 ICD-10-CM Diagnosis Code L02.0
Cutaneous abscess, furuncle and carbuncle of face
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- abscess of ear, external (H60.0)
- abscess of eyelid (H00.0)
- abscess of head [any part, except face] (L02.8)
- abscess of lacrimal gland (H04.0)
- abscess of lacrimal passages (H04.3)
- abscess of mouth (K12.2)
- abscess of nose (J34.0)
- abscess of orbit (H05.0)
- submandibular abscess (K12.2)
2020 ICD-10-CM Diagnosis Code L03.211
Cellulitis of face
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- abscess of orbit (H05.01-)
- cellulitis of ear (H60.1-)
- cellulitis of eyelid (H00.0-)
- cellulitis of head (L03.81)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of lip (K13.0)
- cellulitis of mouth (K12.2)
- cellulitis of nose (internal) (J34.0)
- cellulitis of orbit (H05.01-)
- cellulitis of scalp (L03.81)
-
H00.02: H00.1
2020 ICD-10-CM Diagnosis Code H00.1
Chalazion
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
-
H01.1: L23, L24, L25
2020 ICD-10-CM Diagnosis Code L25
Unspecified contact dermatitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- allergic contact dermatitis (L23.-)
- allergy NOS (T78.40)
- dermatitis NOS (L30.9)
- irritant contact dermatitis (L24.-)
Type 2 Excludes- dermatitis due to ingested substances (L27.-)
- dermatitis of eyelid (H01.1-)
- eczema of external ear (H60.5-)
- perioral dermatitis (L71.0)
- radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
2020 ICD-10-CM Diagnosis Code L23
Allergic contact dermatitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- dermatitis due to substances taken internally (L27.-)
- dermatitis of eyelid (H01.1-)
- diaper dermatitis (L22)
- eczema of external ear (H60.5-)
- irritant contact dermatitis (L24.-)
- perioral dermatitis (L71.0)
- radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
2020 ICD-10-CM Diagnosis Code L24
Irritant contact dermatitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- allergic contact dermatitis (L23.-)
- dermatitis due to substances taken internally (L27.-)
- dermatitis of eyelid (H01.1-)
- diaper dermatitis (L22)
- eczema of external ear (H60.5-)
- perioral dermatitis (L71.0)
- radiation-related disorders of the skin and subcutaneous tissue (L55-L59)
-
H02.3: L98.7
2020 ICD-10-CM Diagnosis Code L98.7
Excessive and redundant skin and subcutaneous tissue
2017 - New Code 2018 2019 2020 Billable/Specific Code
Applicable To- Loose or sagging skin following bariatric surgery weight loss
- Loose or sagging skin following dietary weight loss
- Loose or sagging skin, NOS
Type 2 Excludes- acquired excess or redundant skin of eyelid (H02.3-)
- congenital excess or redundant skin of eyelid (Q10.3)
- skin changes due to chronic exposure to nonionizing radiation (L57.-)
-
H02.73: L80
2020 ICD-10-CM Diagnosis Code L80
Vitiligo
2016 2017 2018 2019 2020 Billable/Specific Code
-
H02.8: T15
2020 ICD-10-CM Diagnosis Code T15
Foreign body on external eye
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- foreign body in penetrating wound of orbit and eye ball (S05.4-, S05.5-)
- open wound of eyelid and periocular area (S01.1-)
- retained foreign body in eyelid (H02.8-)
- retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-)
- superficial foreign body of eyelid and periocular area (S00.25-)
-
H02.81: H05.5, H44.6, H44.7, S00.25
2020 ICD-10-CM Diagnosis Code S00.25
Superficial foreign body of eyelid and periocular area
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To- Splinter of eyelid and periocular area
Type 2 Excludes- retained foreign body in eyelid (H02.81-)
2020 ICD-10-CM Diagnosis Code H05.5
Retained (old) foreign body following penetrating wound of orbit
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- current penetrating wound of orbit (S05.4-)
Use Additional- code to identify the type of retained foreign body (Z18.-)
2020 ICD-10-CM Diagnosis Code H44.6
Retained (old) intraocular foreign body, magnetic
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- current intraocular foreign body (S05.-)
Type 2 Excludes- retained foreign body in eyelid (H02.81-)
- retained (old) foreign body following penetrating wound of orbit (H05.5-)
- retained (old) intraocular foreign body, nonmagnetic (H44.7-)
Use Additional- code to identify magnetic foreign body (Z18.11)
2020 ICD-10-CM Diagnosis Code H44.7
Retained (old) intraocular foreign body, nonmagnetic
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- current intraocular foreign body (S05.-)
Type 2 Excludes- retained foreign body in eyelid (H02.81-)
- retained (old) foreign body following penetrating wound of orbit (H05.5-)
- retained (old) intraocular foreign body, magnetic (H44.6-)
-
H04.0: L02.0
2020 ICD-10-CM Diagnosis Code L02.0
Cutaneous abscess, furuncle and carbuncle of face
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- abscess of ear, external (H60.0)
- abscess of eyelid (H00.0)
- abscess of head [any part, except face] (L02.8)
- abscess of lacrimal gland (H04.0)
- abscess of lacrimal passages (H04.3)
- abscess of mouth (K12.2)
- abscess of nose (J34.0)
- abscess of orbit (H05.0)
- submandibular abscess (K12.2)
-
H04.3: L02.0, L03, L03.211
2020 ICD-10-CM Diagnosis Code L03.211
Cellulitis of face
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- abscess of orbit (H05.01-)
- cellulitis of ear (H60.1-)
- cellulitis of eyelid (H00.0-)
- cellulitis of head (L03.81)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of lip (K13.0)
- cellulitis of mouth (K12.2)
- cellulitis of nose (internal) (J34.0)
- cellulitis of orbit (H05.01-)
- cellulitis of scalp (L03.81)
2020 ICD-10-CM Diagnosis Code L02.0
Cutaneous abscess, furuncle and carbuncle of face
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- abscess of ear, external (H60.0)
- abscess of eyelid (H00.0)
- abscess of head [any part, except face] (L02.8)
- abscess of lacrimal gland (H04.0)
- abscess of lacrimal passages (H04.3)
- abscess of mouth (K12.2)
- abscess of nose (J34.0)
- abscess of orbit (H05.0)
- submandibular abscess (K12.2)
2020 ICD-10-CM Diagnosis Code L03
Cellulitis and acute lymphangitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- cellulitis of anal and rectal region (K61.-)
- cellulitis of external auditory canal (H60.1)
- cellulitis of eyelid (H00.0)
- cellulitis of female external genital organs (N76.4)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of male external genital organs (N48.2, N49.-)
- cellulitis of mouth (K12.2)
- cellulitis of nose (J34.0)
- eosinophilic cellulitis [Wells] (L98.3)
- febrile neutrophilic dermatosis [Sweet] (L98.2)
- lymphangitis (chronic) (subacute) (I89.1)
-
H05.0: L02.0, M86
2020 ICD-10-CM Diagnosis Code L02.0
Cutaneous abscess, furuncle and carbuncle of face
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- abscess of ear, external (H60.0)
- abscess of eyelid (H00.0)
- abscess of head [any part, except face] (L02.8)
- abscess of lacrimal gland (H04.0)
- abscess of lacrimal passages (H04.3)
- abscess of mouth (K12.2)
- abscess of nose (J34.0)
- abscess of orbit (H05.0)
- submandibular abscess (K12.2)
2020 ICD-10-CM Diagnosis Code M86
Osteomyelitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Use Additional- code (B95-B97) to identify infectious agent
-
H05.01: L03.211, L03.211
2020 ICD-10-CM Diagnosis Code L03.211
Cellulitis of face
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- abscess of orbit (H05.01-)
- cellulitis of ear (H60.1-)
- cellulitis of eyelid (H00.0-)
- cellulitis of head (L03.81)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of lip (K13.0)
- cellulitis of mouth (K12.2)
- cellulitis of nose (internal) (J34.0)
- cellulitis of orbit (H05.01-)
- cellulitis of scalp (L03.81)
2020 ICD-10-CM Diagnosis Code L03.211
Cellulitis of face
2016 2017 2018 2019 2020 Billable/Specific Code
Type 2 Excludes- abscess of orbit (H05.01-)
- cellulitis of ear (H60.1-)
- cellulitis of eyelid (H00.0-)
- cellulitis of head (L03.81)
- cellulitis of lacrimal apparatus (H04.3)
- cellulitis of lip (K13.0)
- cellulitis of mouth (K12.2)
- cellulitis of nose (internal) (J34.0)
- cellulitis of orbit (H05.01-)
- cellulitis of scalp (L03.81)
-
H05.5: H44.6, H44.7, S05.4, T15
2020 ICD-10-CM Diagnosis Code H44.7
Retained (old) intraocular foreign body, nonmagnetic
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- current intraocular foreign body (S05.-)
Type 2 Excludes- retained foreign body in eyelid (H02.81-)
- retained (old) foreign body following penetrating wound of orbit (H05.5-)
- retained (old) intraocular foreign body, magnetic (H44.6-)
2020 ICD-10-CM Diagnosis Code H44.6
Retained (old) intraocular foreign body, magnetic
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- current intraocular foreign body (S05.-)
Type 2 Excludes- retained foreign body in eyelid (H02.81-)
- retained (old) foreign body following penetrating wound of orbit (H05.5-)
- retained (old) intraocular foreign body, nonmagnetic (H44.7-)
Use Additional- code to identify magnetic foreign body (Z18.11)
2020 ICD-10-CM Diagnosis Code S05.4
Penetrating wound of orbit with or without foreign body
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- retained (old) foreign body following penetrating wound in orbit (H05.5-)
2020 ICD-10-CM Diagnosis Code T15
Foreign body on external eye
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- foreign body in penetrating wound of orbit and eye ball (S05.4-, S05.5-)
- open wound of eyelid and periocular area (S01.1-)
- retained foreign body in eyelid (H02.8-)
- retained (old) foreign body in penetrating wound of orbit and eye ball (H05.5-, H44.6-, H44.7-)
- superficial foreign body of eyelid and periocular area (S00.25-)
-
H11.81: H11.1
2020 ICD-10-CM Diagnosis Code H11.1
Conjunctival degenerations and deposits
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
-
H16.2: H44.1
2020 ICD-10-CM Diagnosis Code H44.1
Other endophthalmitis
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- bleb associated endophthalmitis (H59.4-)
-
H18.21: H18.82
2020 ICD-10-CM Diagnosis Code H18.82
Corneal disorder due to contact lens
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- corneal edema due to contact lens (H18.21-)
-
H18.82: H18.21
2020 ICD-10-CM Diagnosis Code H18.21
Corneal edema secondary to contact lens
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 2 Excludes- other corneal disorders due to contact lens (H18.82-)
-
H21.27: H21.3
2020 ICD-10-CM Diagnosis Code H21.3
Cyst of iris, ciliary body and anterior chamber
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
