• Defect, defective Q89.9
    ICD-10-CM Diagnosis Code Q89.9

    Congenital malformation, unspecified

      2016 2017 2018 2019 Billable/Specific Code POA Exempt
    Applicable To
    • Congenital anomaly NOS
    • Congenital deformity NOS

    • 11-hydroxylase E25.0
      ICD-10-CM Diagnosis Code E25.0

      Congenital adrenogenital disorders associated with enzyme deficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Congenital adrenal hyperplasia
      • 21-Hydroxylase deficiency
      • Salt-losing congenital adrenal hyperplasia
    • 21-hydroxylase E25.0
      ICD-10-CM Diagnosis Code E25.0

      Congenital adrenogenital disorders associated with enzyme deficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Congenital adrenal hyperplasia
      • 21-Hydroxylase deficiency
      • Salt-losing congenital adrenal hyperplasia
    • 3-beta-hydroxysteroid dehydrogenase E25.0
      ICD-10-CM Diagnosis Code E25.0

      Congenital adrenogenital disorders associated with enzyme deficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Congenital adrenal hyperplasia
      • 21-Hydroxylase deficiency
      • Salt-losing congenital adrenal hyperplasia
    • abdominal wall, congenital Q79.59
      ICD-10-CM Diagnosis Code Q79.59

      Other congenital malformations of abdominal wall

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • antibody immunodeficiency D80.9
      ICD-10-CM Diagnosis Code D80.9

      Immunodeficiency with predominantly antibody defects, unspecified

        2016 2017 2018 2019 Billable/Specific Code
    • aorticopulmonary septum Q21.4
      ICD-10-CM Diagnosis Code Q21.4

      Aortopulmonary septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Aortic septal defect
      • Aortopulmonary window
    • atrial septal (ostium secundum type) Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
      • following acute myocardial infarction I23.1
        (current complication)
        ICD-10-CM Diagnosis Code I23.1

        Atrial septal defect as current complication following acute myocardial infarction

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
        Type 1 Excludes
        • acquired atrial septal defect not specified as current complication following acute myocardial infarction (I51.0)
      • ostium primum type Q21.2
        ICD-10-CM Diagnosis Code Q21.2

        Atrioventricular septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Common atrioventricular canal
        • Endocardial cushion defect
        • Ostium primum atrial septal defect (type I)
    • atrioventricular
      • canal Q21.2
        ICD-10-CM Diagnosis Code Q21.2

        Atrioventricular septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Common atrioventricular canal
        • Endocardial cushion defect
        • Ostium primum atrial septal defect (type I)
      • septum Q21.2
        ICD-10-CM Diagnosis Code Q21.2

        Atrioventricular septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Common atrioventricular canal
        • Endocardial cushion defect
        • Ostium primum atrial septal defect (type I)
    • auricular septal Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
    • bilirubin excretion NEC E80.6
      ICD-10-CM Diagnosis Code E80.6

      Other disorders of bilirubin metabolism

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Dubin-Johnson syndrome
      • Rotor's syndrome
    • biosynthesis, androgen E29.1
      (testicular)
      ICD-10-CM Diagnosis Code E29.1

      Testicular hypofunction

        2016 2017 2018 2019 Billable/Specific Code Male Dx
      Applicable To
      • Defective biosynthesis of testicular androgen NOS
      • 5-delta-Reductase deficiency (with male pseudohermaphroditism)
      • Testicular hypogonadism NOS
      Type 1 Excludes
      • postprocedural testicular hypofunction (E89.5)
      Use Additional
      • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    • bulbar septum Q21.0
      ICD-10-CM Diagnosis Code Q21.0

      Ventricular septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Roger's disease
    • catalase E80.3
      ICD-10-CM Diagnosis Code E80.3

      Defects of catalase and peroxidase

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Acatalasia [Takahara]
    • cell membrane receptor complex D71
      (CR3)
      ICD-10-CM Diagnosis Code D71

      Functional disorders of polymorphonuclear neutrophils

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Cell membrane receptor complex [CR3] defect
      • Chronic (childhood) granulomatous disease
      • Congenital dysphagocytosis
      • Progressive septic granulomatosis
    • circulation I99.9
      ICD-10-CM Diagnosis Code I99.9

      Unspecified disorder of circulatory system

        2016 2017 2018 2019 Billable/Specific Code
      • congenital Q28.9
        ICD-10-CM Diagnosis Code Q28.9

        Congenital malformation of circulatory system, unspecified

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • newborn Q28.9
        ICD-10-CM Diagnosis Code Q28.9

        Congenital malformation of circulatory system, unspecified

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • coagulation (factor) D68.9
      - see also Deficiency, factor
      ICD-10-CM Diagnosis Code D68.9

      Coagulation defect, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      • acquired D68.4
        ICD-10-CM Diagnosis Code D68.4

        Acquired coagulation factor deficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Deficiency of coagulation factor due to liver disease
        • Deficiency of coagulation factor due to vitamin K deficiency
        Type 1 Excludes
        • vitamin K deficiency of newborn (P53)
      • antepartum with hemorrhage - see Hemorrhage, antepartum, with coagulation defect
      • due to
        • liver disease D68.4
          ICD-10-CM Diagnosis Code D68.4

          Acquired coagulation factor deficiency

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Deficiency of coagulation factor due to liver disease
          • Deficiency of coagulation factor due to vitamin K deficiency
          Type 1 Excludes
          • vitamin K deficiency of newborn (P53)
        • vitamin K deficiency D68.4
          ICD-10-CM Diagnosis Code D68.4

          Acquired coagulation factor deficiency

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Deficiency of coagulation factor due to liver disease
          • Deficiency of coagulation factor due to vitamin K deficiency
          Type 1 Excludes
          • vitamin K deficiency of newborn (P53)
      • hereditary NEC D68.2
        ICD-10-CM Diagnosis Code D68.2

        Hereditary deficiency of other clotting factors

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • AC globulin deficiency
        • Congenital afibrinogenemia
        • Deficiency of factor I [fibrinogen]
        • Deficiency of factor II [prothrombin]
        • Deficiency of factor V [labile]
        • Deficiency of factor VII [stable]
        • Deficiency of factor X [Stuart-Prower]
        • Deficiency of factor XII [Hageman]
        • Deficiency of factor XIII [fibrin stabilizing]
        • Dysfibrinogenemia (congenital)
        • Hypoproconvertinemia
        • Owren's disease
        • Proaccelerin deficiency
      • intrapartum O67.0
        ICD-10-CM Diagnosis Code O67.0

        Intrapartum hemorrhage with coagulation defect

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        Applicable To
        • Intrapartum hemorrhage (excessive) associated with afibrinogenemia
        • Intrapartum hemorrhage (excessive) associated with disseminated intravascular coagulation
        • Intrapartum hemorrhage (excessive) associated with hyperfibrinolysis
        • Intrapartum hemorrhage (excessive) associated with hypofibrinogenemia
      • newborn, transient P61.6
        ICD-10-CM Diagnosis Code P61.6

        Other transient neonatal disorders of coagulation

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
      • postpartum O99.13
        ICD-10-CM Diagnosis Code O99.13

        Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating the puerperium

          2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        • with hemorrhage O72.3
          ICD-10-CM Diagnosis Code O72.3

          Postpartum coagulation defects

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
          Applicable To
          • Postpartum afibrinogenemia
          • Postpartum fibrinolysis
      • specified type NEC D68.8
        ICD-10-CM Diagnosis Code D68.8

        Other specified coagulation defects

          2016 2017 2018 2019 Billable/Specific Code
        Type 1 Excludes
        • hemorrhagic disease of newborn (P53)
      • with
        • ectopic pregnancy O08.1
          ICD-10-CM Diagnosis Code O08.1

          Delayed or excessive hemorrhage following ectopic and molar pregnancy

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
          Applicable To
          • Afibrinogenemia following ectopic and molar pregnancy
          • Defibrination syndrome following ectopic and molar pregnancy
          • Hemolysis following ectopic and molar pregnancy
          • Intravascular coagulation following ectopic and molar pregnancy
          Type 1 Excludes
          • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
        • molar pregnancy O08.1
          ICD-10-CM Diagnosis Code O08.1

          Delayed or excessive hemorrhage following ectopic and molar pregnancy

            2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
          Applicable To
          • Afibrinogenemia following ectopic and molar pregnancy
          • Defibrination syndrome following ectopic and molar pregnancy
          • Hemolysis following ectopic and molar pregnancy
          • Intravascular coagulation following ectopic and molar pregnancy
          Type 1 Excludes
          • delayed or excessive hemorrhage due to incomplete abortion (O03.1)
    • complement system D84.1
      ICD-10-CM Diagnosis Code D84.1

      Defects in the complement system

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • C1 esterase inhibitor [C1-INH] deficiency
    • conduction (heart) I45.9
      ICD-10-CM Diagnosis Code I45.9

      Conduction disorder, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Heart block NOS
      • Stokes-Adams syndrome
    • congenital, organ or site not listed - see Anomaly, by site
    • coronary sinus Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
    • cushion, endocardial Q21.2
      ICD-10-CM Diagnosis Code Q21.2

      Atrioventricular septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Common atrioventricular canal
      • Endocardial cushion defect
      • Ostium primum atrial septal defect (type I)
    • degradation, glycoprotein E77.1
      ICD-10-CM Diagnosis Code E77.1

      Defects in glycoprotein degradation

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Aspartylglucosaminuria
      • Fucosidosis
      • Mannosidosis
      • Sialidosis [mucolipidosis I]
    • dental bridge, crown, fillings - see Defect, dental restoration
    • dental restoration K08.50
      ICD-10-CM Diagnosis Code K08.50

      Unsatisfactory restoration of tooth, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Defective dental restoration NOS
      • specified NEC K08.59
        ICD-10-CM Diagnosis Code K08.59

        Other unsatisfactory restoration of tooth

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Other defective dental restoration
    • dentin K00.5
      (hereditary)
      ICD-10-CM Diagnosis Code K00.5

      Hereditary disturbances in tooth structure, not elsewhere classified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Amelogenesis imperfecta
      • Dentinogenesis imperfecta
      • Odontogenesis imperfecta
      • Dentinal dysplasia
      • Shell teeth
    • Descemet's membrane, congenital Q13.89
      ICD-10-CM Diagnosis Code Q13.89

      Other congenital malformations of anterior segment of eye

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • developmental - see also Anomaly
      • cauda equina Q06.3
        ICD-10-CM Diagnosis Code Q06.3

        Other congenital cauda equina malformations

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • diaphragm
      • congenital Q79.1
        ICD-10-CM Diagnosis Code Q79.1

        Other congenital malformations of diaphragm

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Absence of diaphragm
        • Congenital malformation of diaphragm NOS
        • Eventration of diaphragm
        • gross Q79.0
          (with hernia)
          ICD-10-CM Diagnosis Code Q79.0

          Congenital diaphragmatic hernia

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 1 Excludes
          • congenital hiatus hernia (Q40.1)
        • with hernia Q79.0
          ICD-10-CM Diagnosis Code Q79.0

          Congenital diaphragmatic hernia

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Type 1 Excludes
          • congenital hiatus hernia (Q40.1)
      • with elevation, eventration or hernia - see Hernia, diaphragm
    • ectodermal, congenital Q82.9
      ICD-10-CM Diagnosis Code Q82.9

      Congenital malformation of skin, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • Eisenmenger's Q21.8
      ICD-10-CM Diagnosis Code Q21.8

      Other congenital malformations of cardiac septa

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Eisenmenger's defect
      • Pentalogy of Fallot
      Code Also
      • if applicable:
      • Eisenmenger's complex (I27.83)
      • Eisenmenger's syndrome (I27.83)
    • enzyme
      • catalase E80.3
        ICD-10-CM Diagnosis Code E80.3

        Defects of catalase and peroxidase

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Acatalasia [Takahara]
      • peroxidase E80.3
        ICD-10-CM Diagnosis Code E80.3

        Defects of catalase and peroxidase

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Acatalasia [Takahara]
    • esophagus, congenital Q39.9
      ICD-10-CM Diagnosis Code Q39.9

      Congenital malformation of esophagus, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • extensor retinaculum M62.89
      ICD-10-CM Diagnosis Code M62.89

      Other specified disorders of muscle

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Muscle (sheath) hernia
    • fibrin polymerization D68.2
      ICD-10-CM Diagnosis Code D68.2

      Hereditary deficiency of other clotting factors

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • AC globulin deficiency
      • Congenital afibrinogenemia
      • Deficiency of factor I [fibrinogen]
      • Deficiency of factor II [prothrombin]
      • Deficiency of factor V [labile]
      • Deficiency of factor VII [stable]
      • Deficiency of factor X [Stuart-Prower]
      • Deficiency of factor XII [Hageman]
      • Deficiency of factor XIII [fibrin stabilizing]
      • Dysfibrinogenemia (congenital)
      • Hypoproconvertinemia
      • Owren's disease
      • Proaccelerin deficiency
    • filling
      • bladder R93.41
        ICD-10-CM Diagnosis Code R93.41

        Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

          2017 - New Code 2018 2019 Billable/Specific Code
        Applicable To
        • Filling defect of bladder found on diagnostic imaging
        • Filling defect of renal pelvis found on diagnostic imaging
        • Filling defect of ureter found on diagnostic imaging
      • kidney R93.42-
        ICD-10-CM Diagnosis Code R93.42-

        Abnormal radiologic findings on diagnostic imaging of kidney

          2017 - New Code 2018 2019 Non-Billable/Non-Specific Code
      • renal pelvis R93.41
        ICD-10-CM Diagnosis Code R93.41

        Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

          2017 - New Code 2018 2019 Billable/Specific Code
        Applicable To
        • Filling defect of bladder found on diagnostic imaging
        • Filling defect of renal pelvis found on diagnostic imaging
        • Filling defect of ureter found on diagnostic imaging
      • stomach R93.3
        ICD-10-CM Diagnosis Code R93.3

        Abnormal findings on diagnostic imaging of other parts of digestive tract

          2016 2017 2018 2019 Billable/Specific Code
      • ureter R93.41
        ICD-10-CM Diagnosis Code R93.41

        Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter, or bladder

          2017 - New Code 2018 2019 Billable/Specific Code
        Applicable To
        • Filling defect of bladder found on diagnostic imaging
        • Filling defect of renal pelvis found on diagnostic imaging
        • Filling defect of ureter found on diagnostic imaging
      • urinary organs, specified NEC R93.49
        ICD-10-CM Diagnosis Code R93.49

        Abnormal radiologic findings on diagnostic imaging of other urinary organs

          2017 - New Code 2018 2019 Billable/Specific Code
    • GABA E72.81
      (gamma aminobutyric acid)
      ICD-10-CM Diagnosis Code E72.81

      Disorders of gamma aminobutyric acid metabolism

        2019 - New Code Billable/Specific Code
      Applicable To
      • 4-hydroxybutyric aciduria
      • Disorders of GABA metabolism
      • GABA metabolic defect
      • GABA transaminase deficiency
      • GABA-T deficiency
      • Gamma-hydroxybutyric aciduria
      • SSADHD
      • Succinic semialdehyde dehydrogenase deficiency
    • Gerbode Q21.0
      ICD-10-CM Diagnosis Code Q21.0

      Ventricular septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Roger's disease
    • glycoprotein degradation E77.1
      ICD-10-CM Diagnosis Code E77.1

      Defects in glycoprotein degradation

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Aspartylglucosaminuria
      • Fucosidosis
      • Mannosidosis
      • Sialidosis [mucolipidosis I]
    • Hageman D68.2
      (factor)
      ICD-10-CM Diagnosis Code D68.2

      Hereditary deficiency of other clotting factors

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • AC globulin deficiency
      • Congenital afibrinogenemia
      • Deficiency of factor I [fibrinogen]
      • Deficiency of factor II [prothrombin]
      • Deficiency of factor V [labile]
      • Deficiency of factor VII [stable]
      • Deficiency of factor X [Stuart-Prower]
      • Deficiency of factor XII [Hageman]
      • Deficiency of factor XIII [fibrin stabilizing]
      • Dysfibrinogenemia (congenital)
      • Hypoproconvertinemia
      • Owren's disease
      • Proaccelerin deficiency
    • hearing - see Deafness
    • high grade F70
      ICD-10-CM Diagnosis Code F70

      Mild intellectual disabilities

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • IQ level 50-55 to approximately 70
      • Mild mental subnormality
    • interatrial septal Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
    • interauricular septal Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
    • interventricular septal Q21.0
      ICD-10-CM Diagnosis Code Q21.0

      Ventricular septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Roger's disease
      • in tetralogy of Fallot Q21.3
        ICD-10-CM Diagnosis Code Q21.3

        Tetralogy of Fallot

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
      • with dextroposition of aorta, pulmonary stenosis and hypertrophy of right ventricle Q21.3
        ICD-10-CM Diagnosis Code Q21.3

        Tetralogy of Fallot

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
    • learning (specific) - see Disorder, learning
    • lymphocyte function antigen-1 D84.0
      (LFA-1)
      ICD-10-CM Diagnosis Code D84.0

      Lymphocyte function antigen-1 [LFA-1] defect

        2016 2017 2018 2019 Billable/Specific Code
    • lysosomal enzyme, post-translational modification E77.0
      ICD-10-CM Diagnosis Code E77.0

      Defects in post-translational modification of lysosomal enzymes

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Mucolipidosis II [I-cell disease]
      • Mucolipidosis III [pseudo-Hurler polydystrophy]
    • major osseous M89.70
      ICD-10-CM Diagnosis Code M89.70

      Major osseous defect, unspecified site

        2016 2017 2018 2019 Billable/Specific Code
      • ankle M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • carpus M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • clavicle M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • femur M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • fibula M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • fingers M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • foot M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • forearm M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
      • hand M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • humerus M89.72-
        ICD-10-CM Diagnosis Code M89.72-

        Major osseous defect, humerus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • lower leg M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • metacarpus M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • metatarsus M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • multiple sites M89.79
        ICD-10-CM Diagnosis Code M89.79

        Major osseous defect, multiple sites

          2016 2017 2018 2019 Billable/Specific Code
      • pelvic region M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • pelvis M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • radius M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
      • scapula M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • shoulder region M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • specified NEC M89.78
        ICD-10-CM Diagnosis Code M89.78

        Major osseous defect, other site

          2016 2017 2018 2019 Billable/Specific Code
      • tarsus M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • thigh M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • tibia M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • toes M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • ulna M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
    • mental - see Disability, intellectual
    • modification, lysosomal enzymes, post-translational E77.0
      ICD-10-CM Diagnosis Code E77.0

      Defects in post-translational modification of lysosomal enzymes

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Mucolipidosis II [I-cell disease]
      • Mucolipidosis III [pseudo-Hurler polydystrophy]
    • obstructive, congenital
      • renal pelvis Q62.39
        ICD-10-CM Diagnosis Code Q62.39

        Other obstructive defects of renal pelvis and ureter

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ureteropelvic junction obstruction NOS
      • ureter Q62.39
        ICD-10-CM Diagnosis Code Q62.39

        Other obstructive defects of renal pelvis and ureter

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ureteropelvic junction obstruction NOS
        • atresia - see Atresia, ureter
        • cecoureterocele Q62.32
          ICD-10-CM Diagnosis Code Q62.32

          Cecoureterocele

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Ectopic ureterocele
        • megaureter Q62.2
          ICD-10-CM Diagnosis Code Q62.2

          Congenital megaureter

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital dilatation of ureter
        • orthotopic ureterocele Q62.31
          ICD-10-CM Diagnosis Code Q62.31

          Congenital ureterocele, orthotopic

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • osseous, major M89.70
      ICD-10-CM Diagnosis Code M89.70

      Major osseous defect, unspecified site

        2016 2017 2018 2019 Billable/Specific Code
      • ankle M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • carpus M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • clavicle M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • femur M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • fibula M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • fingers M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • foot M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • forearm M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
      • hand M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • humerus M89.72-
        ICD-10-CM Diagnosis Code M89.72-

        Major osseous defect, humerus

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • lower leg M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • metacarpus M89.74-
        ICD-10-CM Diagnosis Code M89.74-

        Major osseous defect, hand

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of carpus, fingers, metacarpus
      • metatarsus M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • multiple sites M89.9
        ICD-10-CM Diagnosis Code M89.9

        Disorder of bone, unspecified

          2016 2017 2018 2019 Billable/Specific Code
      • pelvic region M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • pelvis M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • radius M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
      • scapula M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • shoulder region M89.71-
        ICD-10-CM Diagnosis Code M89.71-

        Major osseous defect, shoulder region

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect clavicle or scapula
      • specified NEC M89.78
        ICD-10-CM Diagnosis Code M89.78

        Major osseous defect, other site

          2016 2017 2018 2019 Billable/Specific Code
      • tarsus M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • thigh M89.75-
        ICD-10-CM Diagnosis Code M89.75-

        Major osseous defect, pelvic region and thigh

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of femur and pelvis
      • tibia M89.76-
        ICD-10-CM Diagnosis Code M89.76-

        Major osseous defect, lower leg

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of fibula and tibia
      • toes M89.77-
        ICD-10-CM Diagnosis Code M89.77-

        Major osseous defect, ankle and foot

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of metatarsus, tarsus, toes
      • ulna M89.73-
        ICD-10-CM Diagnosis Code M89.73-

        Major osseous defect, forearm

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
        Applicable To
        • Major osseous defect of radius and ulna
    • osteochondral NEC M95.8
      - see also Deformity
      ICD-10-CM Diagnosis Code M95.8

      Other specified acquired deformities of musculoskeletal system

        2016 2017 2018 2019 Billable/Specific Code
    • ostium
      • primum Q21.2
        ICD-10-CM Diagnosis Code Q21.2

        Atrioventricular septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Common atrioventricular canal
        • Endocardial cushion defect
        • Ostium primum atrial septal defect (type I)
      • secundum Q21.1
        ICD-10-CM Diagnosis Code Q21.1

        Atrial septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Coronary sinus defect
        • Patent or persistent foramen ovale
        • Patent or persistent ostium secundum defect (type II)
        • Patent or persistent sinus venosus defect
    • peroxidase E80.3
      ICD-10-CM Diagnosis Code E80.3

      Defects of catalase and peroxidase

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Acatalasia [Takahara]
    • placental blood supply - see Insufficiency, placental
    • platelets, qualitative D69.1
      ICD-10-CM Diagnosis Code D69.1

      Qualitative platelet defects

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Bernard-Soulier [giant platelet] syndrome
      • Glanzmann's disease
      • Grey platelet syndrome
      • Thromboasthenia (hemorrhagic) (hereditary)
      • Thrombocytopathy
      Type 1 Excludes
      • von Willebrand's disease (D68.0)
      • constitutional D68.0
        ICD-10-CM Diagnosis Code D68.0

        Von Willebrand's disease

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Angiohemophilia
        • Factor VIII deficiency with vascular defect
        • Vascular hemophilia
        Type 1 Excludes
        • capillary fragility (hereditary) (D69.8)
        • factor VIII deficiency NOS (D66)
        • factor VIII deficiency with functional defect (D66)
    • postural NEC, spine - see Dorsopathy, deforming
    • reduction
      • limb Q73.8
        ICD-10-CM Diagnosis Code Q73.8

        Other reduction defects of unspecified limb(s)

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Longitudinal reduction deformity of unspecified limb(s)
        • Ectromelia of limb NOS
        • Hemimelia of limb NOS
        • Reduction defect of limb NOS
        • lower Q72.9-
          ICD-10-CM Diagnosis Code Q72.9-

          Unspecified reduction defect of lower limb

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • absence - see Agenesis, leg
          • longitudinal
            • femur Q72.4-
              ICD-10-CM Diagnosis Code Q72.4-

              Longitudinal reduction defect of femur

                2016 2017 2018 2019 Non-Billable/Non-Specific Code
              Applicable To
              • Proximal femoral focal deficiency
            • fibula Q72.6-
              ICD-10-CM Diagnosis Code Q72.6-

              Longitudinal reduction defect of fibula

                2016 2017 2018 2019 Non-Billable/Non-Specific Code
            • tibia Q72.5-
              ICD-10-CM Diagnosis Code Q72.5-

              Longitudinal reduction defect of tibia

                2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • specified type NEC Q72.89-
            ICD-10-CM Diagnosis Code Q72.89-

            Other reduction defects of lower limb

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • split foot Q72.7-
            ICD-10-CM Diagnosis Code Q72.7-

            Split foot

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
        • specified type NEC Q73.8
          ICD-10-CM Diagnosis Code Q73.8

          Other reduction defects of unspecified limb(s)

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Longitudinal reduction deformity of unspecified limb(s)
          • Ectromelia of limb NOS
          • Hemimelia of limb NOS
          • Reduction defect of limb NOS
        • upper Q71.9-
          ICD-10-CM Diagnosis Code Q71.9-

          Unspecified reduction defect of upper limb

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • absence - see Agenesis, arm
          • lobster-claw hand Q71.6-
            ICD-10-CM Diagnosis Code Q71.6-

            Lobster-claw hand

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • longitudinal
            • radius Q71.4-
              ICD-10-CM Diagnosis Code Q71.4-

              Longitudinal reduction defect of radius

                2016 2017 2018 2019 Non-Billable/Non-Specific Code
              Applicable To
              • Clubhand (congenital)
              • Radial clubhand
            • ulna Q71.5-
              ICD-10-CM Diagnosis Code Q71.5-

              Longitudinal reduction defect of ulna

                2016 2017 2018 2019 Non-Billable/Non-Specific Code
          • specified type NEC Q71.89-
            ICD-10-CM Diagnosis Code Q71.89-

            Other reduction defects of upper limb

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
    • renal pelvis Q63.8
      ICD-10-CM Diagnosis Code Q63.8

      Other specified congenital malformations of kidney

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital renal calculi
      • obstructive Q62.39
        ICD-10-CM Diagnosis Code Q62.39

        Other obstructive defects of renal pelvis and ureter

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ureteropelvic junction obstruction NOS
    • respiratory system, congenital Q34.9
      ICD-10-CM Diagnosis Code Q34.9

      Congenital malformation of respiratory system, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Congenital absence of respiratory system
      • Congenital anomaly of respiratory system NOS
    • restoration, dental K08.50
      ICD-10-CM Diagnosis Code K08.50

      Unsatisfactory restoration of tooth, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Defective dental restoration NOS
      • specified NEC K08.59
        ICD-10-CM Diagnosis Code K08.59

        Other unsatisfactory restoration of tooth

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Other defective dental restoration
    • retinal nerve bundle fibers H35.89
      ICD-10-CM Diagnosis Code H35.89

      Other specified retinal disorders

        2016 2017 2018 2019 Billable/Specific Code
    • septal (heart) Q21.9
      ICD-10-CM Diagnosis Code Q21.9

      Congenital malformation of cardiac septum, unspecified

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Septal (heart) defect NOS
      • acquired I51.0
        (atrial) (auricular) (ventricular) (old)
        ICD-10-CM Diagnosis Code I51.0

        Cardiac septal defect, acquired

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
        Applicable To
        • Acquired septal atrial defect (old)
        • Acquired septal auricular defect (old)
        • Acquired septal ventricular defect (old)
        Type 1 Excludes
        • cardiac septal defect as current complication following acute myocardial infarction (I23.1, I23.2)
      • atrial Q21.1
        ICD-10-CM Diagnosis Code Q21.1

        Atrial septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Coronary sinus defect
        • Patent or persistent foramen ovale
        • Patent or persistent ostium secundum defect (type II)
        • Patent or persistent sinus venosus defect
        • concurrent with acute myocardial infarction - see Infarct, myocardium
        • following acute myocardial infarction I23.1
          (current complication)
          ICD-10-CM Diagnosis Code I23.1

          Atrial septal defect as current complication following acute myocardial infarction

            2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
          Type 1 Excludes
          • acquired atrial septal defect not specified as current complication following acute myocardial infarction (I51.0)
      • ventricular Q21.0
        - see also Defect, ventricular septal
        ICD-10-CM Diagnosis Code Q21.0

        Ventricular septal defect

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Roger's disease
    • sinus venosus Q21.1
      ICD-10-CM Diagnosis Code Q21.1

      Atrial septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Coronary sinus defect
      • Patent or persistent foramen ovale
      • Patent or persistent ostium secundum defect (type II)
      • Patent or persistent sinus venosus defect
    • speech R47.9
      ICD-10-CM Diagnosis Code R47.9

      Unspecified speech disturbances

        2016 2017 2018 2019 Billable/Specific Code
      • developmental F80.9
        ICD-10-CM Diagnosis Code F80.9

        Developmental disorder of speech and language, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Communication disorder NOS
        • Language disorder NOS
      • specified NEC R47.89
        ICD-10-CM Diagnosis Code R47.89

        Other speech disturbances

          2016 2017 2018 2019 Billable/Specific Code
    • Taussig-Bing Q20.1
      (aortic transposition and overriding pulmonary artery)
      ICD-10-CM Diagnosis Code Q20.1

      Double outlet right ventricle

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Taussig-Bing syndrome
    • teeth, wedge K03.1
      ICD-10-CM Diagnosis Code K03.1

      Abrasion of teeth

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Dentifrice abrasion of teeth
      • Habitual abrasion of teeth
      • Occupational abrasion of teeth
      • Ritual abrasion of teeth
      • Traditional abrasion of teeth
      • Wedge defect NOS
    • vascular (local) I99.9
      ICD-10-CM Diagnosis Code I99.9

      Unspecified disorder of circulatory system

        2016 2017 2018 2019 Billable/Specific Code
      • congenital Q27.9
        ICD-10-CM Diagnosis Code Q27.9

        Congenital malformation of peripheral vascular system, unspecified

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Anomaly of artery or vein NOS
    • ventricular septal Q21.0
      ICD-10-CM Diagnosis Code Q21.0

      Ventricular septal defect

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Roger's disease
      • concurrent with acute myocardial infarction - see Infarct, myocardium
      • following acute myocardial infarction I23.2
        (current complication)
        ICD-10-CM Diagnosis Code I23.2

        Ventricular septal defect as current complication following acute myocardial infarction

          2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years)
        Type 1 Excludes
        • acquired ventricular septal defect not specified as current complication following acute myocardial infarction (I51.0)
      • in tetralogy of Fallot Q21.3
        ICD-10-CM Diagnosis Code Q21.3

        Tetralogy of Fallot

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Ventricular septal defect with pulmonary stenosis or atresia, dextroposition of aorta and hypertrophy of right ventricle.
    • vision NEC H54.7
      ICD-10-CM Diagnosis Code H54.7

      Unspecified visual loss

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Visual impairment category 9 NOS
    • visual field H53.40
      ICD-10-CM Diagnosis Code H53.40

      Unspecified visual field defects

        2016 2017 2018 2019 Billable/Specific Code
      • bilateral
        • heteronymous H53.47
          ICD-10-CM Diagnosis Code H53.47

          Heteronymous bilateral field defects

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Heteronymous hemianop(s)ia
        • homonymous H53.46-
          ICD-10-CM Diagnosis Code H53.46-

          Homonymous bilateral field defects

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Homonymous hemianopia
          • Homonymous hemianopsia
          • Quadrant anopia
          • Quadrant anopsia
      • generalized contraction H53.48-
        ICD-10-CM Diagnosis Code H53.48-

        Generalized contraction of visual field

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • localized
        • arcuate H53.43-
          ICD-10-CM Diagnosis Code H53.43-

          Sector or arcuate defects

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Arcuate scotoma
          • Bjerrum scotoma
        • scotoma (central area) H53.41-
          ICD-10-CM Diagnosis Code H53.41-

          Scotoma involving central area

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Central scotoma
          • blind spot area H53.42-
            ICD-10-CM Diagnosis Code H53.42-

            Scotoma of blind spot area

              2016 2017 2018 2019 Non-Billable/Non-Specific Code
            Applicable To
            • Enlarged blind spot
        • sector H53.43-
          ICD-10-CM Diagnosis Code H53.43-

          Sector or arcuate defects

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Arcuate scotoma
          • Bjerrum scotoma
        • specified type NEC H53.45-
          ICD-10-CM Diagnosis Code H53.45-

          Other localized visual field defect

            2016 2017 2018 2019 Non-Billable/Non-Specific Code
          Applicable To
          • Peripheral visual field defect
          • Ring scotoma NOS
          • Scotoma NOS
    • voice R49.9
      ICD-10-CM Diagnosis Code R49.9

      Unspecified voice and resonance disorder

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Change in voice NOS
      • Resonance disorder NOS
      • specified NEC R49.8
        ICD-10-CM Diagnosis Code R49.8

        Other voice and resonance disorders

          2016 2017 2018 2019 Billable/Specific Code
    • wedge, tooth, teeth K03.1
      (abrasion)
      ICD-10-CM Diagnosis Code K03.1

      Abrasion of teeth

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Dentifrice abrasion of teeth
      • Habitual abrasion of teeth
      • Occupational abrasion of teeth
      • Ritual abrasion of teeth
      • Traditional abrasion of teeth
      • Wedge defect NOS