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Type 2 Excludes Crosswalk

The following 1,438 ICD-10-CM codes contain 'Type 2 Excludes' annotation references within one-to-many other ICD-10-CM codes.

Displaying codes 501-600 of 1,438:

• G43: G44
  , G44.1
  , G89
  2019 ICD-10-CM Diagnosis Code G44

  Other headache syndromes

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

  Type 1 Excludes

  • headache NOS (R51)

  Type 2 Excludes

  • atypical facial pain (G50.1)
  • headache due to lumbar puncture (G97.1)
  • migraines (G43.-)
  • trigeminal neuralgia (G50.0)
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code G89

  Pain, not elsewhere classified

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • atypical face pain (G50.1)
  • headache syndromes (G44.-)
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-)
  • back pain (M54.9)
  • breast pain (N64.4)
  • chest pain (R07.1-R07.9)
  • ear pain (H92.0-)
  • eye pain (H57.1)
  • headache (R51)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5)
  • painful urination (R30.9)
  • pelvic and perineal pain (R10.2)
  • shoulder pain (M25.51-)
  • spine pain (M54.-)
  • throat pain (R07.0)
  • tongue pain (K14.6)
  • tooth pain (K08.8)
  • renal colic (N23)
  • migraines (G43.-)
  • myalgia (M79.1-)
  • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
  • phantom limb syndrome with pain (G54.6)
  • vulvar vestibulitis (N94.810)
  • vulvodynia (N94.81-)
• G44: G43
  , G89
  2019 ICD-10-CM Diagnosis Code G89

  Pain, not elsewhere classified

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • atypical face pain (G50.1)
  • headache syndromes (G44.-)
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-)
  • back pain (M54.9)
  • breast pain (N64.4)
  • chest pain (R07.1-R07.9)
  • ear pain (H92.0-)
  • eye pain (H57.1)
  • headache (R51)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5)
  • painful urination (R30.9)
  • pelvic and perineal pain (R10.2)
  • shoulder pain (M25.51-)
  • spine pain (M54.-)
  • throat pain (R07.0)
  • tongue pain (K14.6)
  • tooth pain (K08.8)
  • renal colic (N23)
  • migraines (G43.-)
  • myalgia (M79.1-)
  • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
  • phantom limb syndrome with pain (G54.6)
  • vulvar vestibulitis (N94.810)
  • vulvodynia (N94.81-)
  2019 ICD-10-CM Diagnosis Code G43

  Migraine

  2016 2017 2018 2019 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)
• G44.0: G44.1
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code F54

  Psychological and behavioral factors associated with disorders or diseases classified elsewhere

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G44.1

  Vascular headache, not elsewhere classified

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code I63.9

  Cerebral infarction, unspecified

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Stroke NOS

  Type 2 Excludes

  • transient cerebral ischemic attacks and related syndromes (G45.-)
• G45.2: I67.4
  2019 ICD-10-CM Diagnosis Code I67.4

  Hypertensive encephalopathy

  2016 2017 2018 2019 Billable/Specific Code

  Type 2 Excludes

  • insufficiency, NOS, of precerebral arteries (G45.2)
• G45.9: I69.322
  , I69.351
  , I73
  2019 ICD-10-CM Diagnosis Code I69.322

  Dysarthria following cerebral infarction

  2016 2017 2018 2019 Billable/Specific Code POA Exempt

  Type 2 Excludes

  • transient ischemic attack (TIA) (G45.9)
  2019 ICD-10-CM Diagnosis Code I69.351

  Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side

  2016 2017 2018 2019 Billable/Specific Code POA Exempt

  Type 2 Excludes

  • transient ischemic attack (TIA) (G45.9)
  2019 ICD-10-CM Diagnosis Code I73

  Other peripheral vascular diseases

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

  Type 2 Excludes

  • chilblains (T69.1)
  • frostbite (T33-T34)
  • immersion hand or foot (T69.0-)
  • spasm of cerebral artery (G45.9)
• G47: F51
  2019 ICD-10-CM Diagnosis Code F51

  Sleep disorders not due to a substance or known physiological condition

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

  Type 2 Excludes

  • organic sleep disorders (G47.-)
• G47.0: F51.0
  , F51.0
  , F51.0
  2019 ICD-10-CM Diagnosis Code F51.0

  Insomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code F51.0

  Insomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code F51.0

  Insomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code F51.1

  Hypersomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code F51.1

  Hypersomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code F51.1

  Hypersomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code F51.1

  Hypersomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code F98

  Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G47.0

  Insomnia

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code G47.1

  Hypersomnia

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code J98

  Other respiratory disorders

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

  Type 1 Excludes

  • newborn apnea (P28.4)
  • newborn sleep apnea (P28.3)

  Type 2 Excludes

  • apnea NOS (R06.81)
  • sleep apnea (G47.3-)

  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
  2019 ICD-10-CM Diagnosis Code Q34

  Other congenital malformations of respiratory system

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

  Type 2 Excludes

  • congenital central alveolar hypoventilation syndrome (G47.35)
  2019 ICD-10-CM Diagnosis Code Q07

  Other congenital malformations of nervous system

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code F51.1

  Hypersomnia not due to a substance or known physiological condition

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G25

  Other extrapyramidal and movement disorders

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

  Type 2 Excludes

  • sleep related movement disorders (G47.6-)
• G50.0: G44
  2019 ICD-10-CM Diagnosis Code G44

  Other headache syndromes

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

  Type 1 Excludes

  • headache NOS (R51)

  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
  2019 ICD-10-CM Diagnosis Code G44

  Other headache syndromes

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

  Type 1 Excludes

  • headache NOS (R51)

  Type 2 Excludes

  • atypical facial pain (G50.1)
  • headache due to lumbar puncture (G97.1)
  • migraines (G43.-)
  • trigeminal neuralgia (G50.0)
  2019 ICD-10-CM Diagnosis Code G89

  Pain, not elsewhere classified

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • atypical face pain (G50.1)
  • headache syndromes (G44.-)
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-)
  • back pain (M54.9)
  • breast pain (N64.4)
  • chest pain (R07.1-R07.9)
  • ear pain (H92.0-)
  • eye pain (H57.1)
  • headache (R51)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5)
  • painful urination (R30.9)
  • pelvic and perineal pain (R10.2)
  • shoulder pain (M25.51-)
  • spine pain (M54.-)
  • throat pain (R07.0)
  • tongue pain (K14.6)
  • tooth pain (K08.8)
  • renal colic (N23)
  • migraines (G43.-)
  • myalgia (M79.1-)
  • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
  • phantom limb syndrome with pain (G54.6)
  • vulvar vestibulitis (N94.810)
  • vulvodynia (N94.81-)
• G54.0: M53.1
  2019 ICD-10-CM Diagnosis Code M53.1

  Cervicobrachial syndrome

  2016 2017 2018 2019 Billable/Specific Code

  Type 2 Excludes

  • cervical disc disorder (M50.-)
  • thoracic outlet syndrome (G54.0)
• G54.6: G89
  , T87.89
  2019 ICD-10-CM Diagnosis Code G89

  Pain, not elsewhere classified

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • atypical face pain (G50.1)
  • headache syndromes (G44.-)
  • localized pain, unspecified type - code to pain by site, such as:
  • abdomen pain (R10.-)
  • back pain (M54.9)
  • breast pain (N64.4)
  • chest pain (R07.1-R07.9)
  • ear pain (H92.0-)
  • eye pain (H57.1)
  • headache (R51)
  • joint pain (M25.5-)
  • limb pain (M79.6-)
  • lumbar region pain (M54.5)
  • painful urination (R30.9)
  • pelvic and perineal pain (R10.2)
  • shoulder pain (M25.51-)
  • spine pain (M54.-)
  • throat pain (R07.0)
  • tongue pain (K14.6)
  • tooth pain (K08.8)
  • renal colic (N23)
  • migraines (G43.-)
  • myalgia (M79.1-)
  • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
  • phantom limb syndrome with pain (G54.6)
  • vulvar vestibulitis (N94.810)
  • vulvodynia (N94.81-)
  2019 ICD-10-CM Diagnosis Code T87.89

  Other complications of amputation stump

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Amputation stump contracture
  • Amputation stump contracture of next proximal joint
  • Amputation stump flexion
  • Amputation stump edema
  • Amputation stump hematoma

  Type 2 Excludes

  • phantom limb syndrome (G54.6-G54.7)
• G54.7: T87.89
  2019 ICD-10-CM Diagnosis Code T87.89

  Other complications of amputation stump

  2016 2017 2018 2019 Billable/Specific Code

  Applicable To

  • Amputation stump contracture
  • Amputation stump contracture of next proximal joint
  • Amputation stump flexion
  • Amputation stump edema
  • Amputation stump hematoma

  Type 2 Excludes

  • phantom limb syndrome (G54.6-G54.7)
• G60: G11
  2019 ICD-10-CM Diagnosis Code G11

  Hereditary ataxia

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code Q77

  Osteochondrodysplasia with defects of growth of tubular bones and spine

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

  Type 1 Excludes

  • mucopolysaccharidosis (E76.0-E76.3)

  Type 2 Excludes

  • congenital myotonic chondrodystrophy (G71.13)
  2019 ICD-10-CM Diagnosis Code Q78

  Other osteochondrodysplasias

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

  Type 2 Excludes

  • congenital myotonic chondrodystrophy (G71.13)
  2019 ICD-10-CM Diagnosis Code Q68

  Other congenital musculoskeletal deformities

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

  Type 1 Excludes

  • reduction defects of limb(s) (Q71-Q73)

  Type 2 Excludes

  • congenital myotonic chondrodystrophy (G71.13)
• G72.41: M60
  2019 ICD-10-CM Diagnosis Code M60

  Myositis

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

  Type 2 Excludes

  • inclusion body myositis [IBM] (G72.41)
• G80: G11
  2019 ICD-10-CM Diagnosis Code G11

  Hereditary ataxia

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

  Type 2 Excludes

  • cerebral palsy (G80.-)
  • hereditary and idiopathic neuropathy (G60.-)
  • metabolic disorders (E70-E88)
• G80.3: G24
  2019 ICD-10-CM Diagnosis Code G24

  Dystonia

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

  Includes

  • dyskinesia

  Type 2 Excludes

  • athetoid cerebral palsy (G80.3)
• G83.84: G40
  2019 ICD-10-CM Diagnosis Code G40

  Epilepsy and recurrent seizures

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • hippocampal sclerosis (G93.81)
  • mesial temporal sclerosis (G93.81)
  • temporal sclerosis (G93.81)
  • Todd's paralysis (G83.84)
• G90.1: Q07
  2019 ICD-10-CM Diagnosis Code Q07

  Other congenital malformations of nervous system

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code G23

  Other degenerative diseases of basal ganglia

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

  Type 2 Excludes

  • multi-system degeneration of the autonomic nervous system (G90.3)
• G92: G04
  , G04
  2019 ICD-10-CM Diagnosis Code G04

  Encephalitis, myelitis and encephalomyelitis

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

  Includes

  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis

  Type 1 Excludes

  • encephalopathy NOS (G93.40)

  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)
  2019 ICD-10-CM Diagnosis Code G04

  Encephalitis, myelitis and encephalomyelitis

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

  Includes

  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis

  Type 1 Excludes

  • encephalopathy NOS (G93.40)

  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
  2019 ICD-10-CM Diagnosis Code G04

  Encephalitis, myelitis and encephalomyelitis

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

  Includes

  • acute ascending myelitis
  • meningoencephalitis
  • meningomyelitis

  Type 1 Excludes

  • encephalopathy NOS (G93.40)

  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
  2019 ICD-10-CM Diagnosis Code G31

  Other degenerative diseases of nervous system, not elsewhere classified

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

  Type 2 Excludes

  • Reye's syndrome (G93.7)

  Use Additional

  • code to identify:
  • dementia with behavioral disturbance (F02.81)
  • dementia without behavioral disturbance (F02.80)
• G93.81: G40
  , G40
  , G40
  2019 ICD-10-CM Diagnosis Code G40

  Epilepsy and recurrent seizures

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • hippocampal sclerosis (G93.81)
  • mesial temporal sclerosis (G93.81)
  • temporal sclerosis (G93.81)
  • Todd's paralysis (G83.84)
  2019 ICD-10-CM Diagnosis Code G40

  Epilepsy and recurrent seizures

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • hippocampal sclerosis (G93.81)
  • mesial temporal sclerosis (G93.81)
  • temporal sclerosis (G93.81)
  • Todd's paralysis (G83.84)
  2019 ICD-10-CM Diagnosis Code G40

  Epilepsy and recurrent seizures

  2016 2017 2018 2019 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)

  Type 2 Excludes

  • hippocampal sclerosis (G93.81)
  • mesial temporal sclerosis (G93.81)
  • temporal sclerosis (G93.81)
  • Todd's paralysis (G83.84)
• G95.1: G08
  , I82
  2019 ICD-10-CM Diagnosis Code G08

  Intracranial and intraspinal phlebitis and thrombophlebitis

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code I82

  Other venous embolism and thrombosis

  2016 2017 2018 2019 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.-)
• G97.1: G44
  2019 ICD-10-CM Diagnosis Code G44

  Other headache syndromes

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

  Type 1 Excludes

  • headache NOS (R51)

  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
  2019 ICD-10-CM Diagnosis Code T81

  Complications of procedures, not elsewhere classified

  2016 2017 2018 2019 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)
  2019 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 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-)
• G97.4: I97.5
  , T81
  2019 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 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • accidental puncture and laceration of brain during a procedure (G97.4-)
  2019 ICD-10-CM Diagnosis Code T81

  Complications of procedures, not elsewhere classified

  2016 2017 2018 2019 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)
• G97.5: I97.6
  2019 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 Non-Billable/Non-Specific Code

  Type 2 Excludes

  • postprocedural cerebrovascular hemorrhage complicating a procedure (G97.5-)
• H00.0: L02.0
  , L03
  , L03.211
  2019 ICD-10-CM Diagnosis Code L02.0

  Cutaneous abscess, furuncle and carbuncle of face

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code L03

  Cellulitis and acute lymphangitis

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code L03.211

  Cellulitis of face

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code H00.1

  Chalazion

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

  Applicable To

  • Meibomian (gland) cyst

  Type 2 Excludes

  • infected meibomian gland (H00.02-)
• H01.1: L23
  , L24
  , L25
  2019 ICD-10-CM Diagnosis Code L23

  Allergic contact dermatitis

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

  Type 1 Excludes

  • allergy NOS (T78.40)
  • contact dermatitis NOS (L25.9)
  • dermatitis NOS (L30.9)

  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)
  2019 ICD-10-CM Diagnosis Code L24

  Irritant contact dermatitis

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

  Type 1 Excludes

  • allergy NOS (T78.40)
  • contact dermatitis NOS (L25.9)
  • dermatitis NOS (L30.9)

  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)
  2019 ICD-10-CM Diagnosis Code L25

  Unspecified contact dermatitis

  2016 2017 2018 2019 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)
• H02.3: L98.7
  2019 ICD-10-CM Diagnosis Code L98.7

  Excessive and redundant skin and subcutaneous tissue

  2017 - New Code 2018 2019 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
  2019 ICD-10-CM Diagnosis Code L80

  Vitiligo

  2016 2017 2018 2019 Billable/Specific Code

  Type 2 Excludes

  • vitiligo of eyelids (H02.73-)
  • vitiligo of vulva (N90.89)
• H02.8: T15
  2019 ICD-10-CM Diagnosis Code T15

  Foreign body on external eye

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code S00.25

  Superficial foreign body of eyelid and periocular area

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

  Applicable To

  • Splinter of eyelid and periocular area

  Type 2 Excludes

  • retained foreign body in eyelid (H02.81-)
  2019 ICD-10-CM Diagnosis Code H05.5

  Retained (old) foreign body following penetrating wound of orbit

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

  Applicable To

  • Retrobulbar foreign body

  Type 1 Excludes

  • current penetrating wound of orbit (S05.4-)

  Type 2 Excludes

  • retained foreign body of eyelid (H02.81-)
  • retained intraocular foreign body (H44.6-, H44.7-)

  Use Additional

  • code to identify the type of retained foreign body (Z18.-)
  2019 ICD-10-CM Diagnosis Code H44.6

  Retained (old) intraocular foreign body, magnetic

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code H44.7

  Retained (old) intraocular foreign body, nonmagnetic

  2016 2017 2018 2019 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-)

  Use Additional

  • code to identify nonmagnetic foreign body (Z18.01-Z18.10, Z18.12, Z18.2-Z18.9)
• H04.0: L02.0
  2019 ICD-10-CM Diagnosis Code L02.0

  Cutaneous abscess, furuncle and carbuncle of face

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code L02.0

  Cutaneous abscess, furuncle and carbuncle of face

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code L03

  Cellulitis and acute lymphangitis

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code L03.211

  Cellulitis of face

  2016 2017 2018 2019 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)
• H05.0: L02.0
  , M86
  2019 ICD-10-CM Diagnosis Code L02.0

  Cutaneous abscess, furuncle and carbuncle of face

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code M86

  Osteomyelitis

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

  Type 1 Excludes

  • osteomyelitis due to:
  • echinococcus (B67.2)
  • gonococcus (A54.43)
  • salmonella (A02.24)

  Type 2 Excludes

  • ostemyelitis of:
  • orbit (H05.0-)
  • petrous bone (H70.2-)
  • vertebra (M46.2-)

  Use Additional

  • code (B95-B97) to identify infectious agent
• H05.01: L03.211
  , L03.211
  2019 ICD-10-CM Diagnosis Code L03.211

  Cellulitis of face

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code L03.211

  Cellulitis of face

  2016 2017 2018 2019 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
  2019 ICD-10-CM Diagnosis Code T15

  Foreign body on external eye

  2016 2017 2018 2019 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-)
  2019 ICD-10-CM Diagnosis Code S05.4

  Penetrating wound of orbit with or without foreign body

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

  Type 2 Excludes

  • retained (old) foreign body following penetrating wound in orbit (H05.5-)
  2019 ICD-10-CM Diagnosis Code H44.6

  Retained (old) intraocular foreign body, magnetic

  2016 2017 2018 2019 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)
  2019 ICD-10-CM Diagnosis Code H44.7

  Retained (old) intraocular foreign body, nonmagnetic

  2016 2017 2018 2019 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-)

  Use Additional

  • code to identify nonmagnetic foreign body (Z18.01-Z18.10, Z18.12, Z18.2-Z18.9)
• H11.81: H11.1
  2019 ICD-10-CM Diagnosis Code H11.1

  Conjunctival degenerations and deposits

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

  Type 2 Excludes

  • pseudopterygium (H11.81)
• H16.2: H44.1
  2019 ICD-10-CM Diagnosis Code H44.1

  Other endophthalmitis

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

  Type 1 Excludes

  • bleb associated endophthalmitis (H59.4-)

  Type 2 Excludes

  • ophthalmia nodosa (H16.2-)
• H18.21: H18.82
  2019 ICD-10-CM Diagnosis Code H18.82

  Corneal disorder due to contact lens

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

  Type 2 Excludes

  • corneal edema due to contact lens (H18.21-)
• H18.82: H18.21
  2019 ICD-10-CM Diagnosis Code H18.21

  Corneal edema secondary to contact lens

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

  Type 2 Excludes

  • other corneal disorders due to contact lens (H18.82-)
• H21.27: H21.3
  2019 ICD-10-CM Diagnosis Code H21.3

  Cyst of iris, ciliary body and anterior chamber

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

  Type 2 Excludes

  • miotic pupillary cyst (H21.27-)
• H21.81: T81
  2019 ICD-10-CM Diagnosis Code T81

  Complications of procedures, not elsewhere classified

  2016 2017 2018 2019 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)
• H21.82: T81
  2019 ICD-10-CM Diagnosis Code T81

  Complications of procedures, not elsewhere classified

  2016 2017 2018 2019 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)
• H30.2: H20.1
  , H20.8
  2019 ICD-10-CM Diagnosis Code H20.1

  Chronic iridocyclitis

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

  Type 2 Excludes

  • posterior cyclitis (H30.2-)

  Use Additional

  • code for any associated cataract (H26.21-)
  2019 ICD-10-CM Diagnosis Code H20.8

  Other iridocyclitis

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

  Type 2 Excludes

  • glaucomatocyclitis crises (H40.4-)
  • posterior cyclitis (H30.2-)
  • sympathetic uveitis (H44.13-)