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
  • bone - see Deafness, conductive
• 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
        • foot - see Agenesis, foot
      • 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
        • forearm - see Agenesis, forearm
        • hand - see Agenesis, hand
      • 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