1. 2023 ICD-10-CM Index
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2. 'F' Terms
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3. Index Terms Starting With 'F' (Failure, failed)

Index Terms Starting With 'F' (Failure, failed)

• Failure, failed

  • abortion - see Abortion, attempted
  • aortic (valve) I35.8
    ICD-10-CM Diagnosis Code I35.8

    Other nonrheumatic aortic valve disorders

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • rheumatic I06.8
      ICD-10-CM Diagnosis Code I06.8

      Other rheumatic aortic valve diseases

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • attempted abortion - see Abortion, attempted
  • biventricular I50.82
    ICD-10-CM Diagnosis Code I50.82

    Biventricular heart failure

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

    Code Also

    • the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
    • due to left heart failure I50.814
      ICD-10-CM Diagnosis Code I50.814

      Right heart failure due to left heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Right ventricular failure secondary to left ventricular failure

      Code Also

      • the type of left ventricular failure, if known (I50.2-I50.43)

      Type 1 Excludes

      • Right heart failure with but not due to left heart failure (I50.82)
  • bone marrow - see Anemia, aplastic
  • cardiac - see Failure, heart
  • cardiorenal (chronic) I50.9
    - see also Failure, renal, and Failure, heart
    ICD-10-CM Diagnosis Code I50.9

    Heart failure, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cardiac, heart or myocardial failure NOS
    • Congestive heart disease
    • Congestive heart failure NOS

    Type 2 Excludes

    • fluid overload unrelated to congestive heart failure (E87.70)
    • hypertensive I13.2
      ICD-10-CM Diagnosis Code I13.2

      Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Use Additional

      • code to identify type of heart failure (I50.-)
  • cardiorespiratory R09.2
    - see also Failure, heart
    ICD-10-CM Diagnosis Code R09.2

    Respiratory arrest

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cardiorespiratory failure

    Type 1 Excludes

    • cardiac arrest (I46.-)
    • respiratory arrest of newborn (P28.81)
    • respiratory distress of newborn (P22.0)
    • respiratory failure (J96.-)
    • respiratory failure of newborn (P28.5)
    • respiratory insufficiency (R06.89)
    • respiratory insufficiency of newborn (P28.5)
  • cardiovascular (chronic) - see Failure, heart
  • cerebrovascular I67.9
    ICD-10-CM Diagnosis Code I67.9

    Cerebrovascular disease, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • cervical dilatation in labor O62.0
    ICD-10-CM Diagnosis Code O62.0

    Primary inadequate contractions

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Applicable To

    • Failure of cervical dilatation
    • Primary hypotonic uterine dysfunction
    • Uterine inertia during latent phase of labor
  • circulation, circulatory (peripheral) R57.9
    ICD-10-CM Diagnosis Code R57.9

    Shock, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Failure of peripheral circulation NOS
    • newborn P29.89
      ICD-10-CM Diagnosis Code P29.89

      Other cardiovascular disorders originating in the perinatal period

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
  • compensation - see Disease, heart
  • compliance with medical treatment or regimen - see Noncompliance
  • congestive - see Failure, heart, congestive
  • dental implant (endosseous) M27.69
    ICD-10-CM Diagnosis Code M27.69

    Other endosseous dental implant failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Dental implant failure NOS
    • due to
      • failure of dental prosthesis M27.63
        ICD-10-CM Diagnosis Code M27.63

        Post-osseointegration mechanical failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental prosthesis causing loss of dental implant
        • Fracture of dental implant

        Type 2 Excludes

        • cracked tooth (K03.81)
        • fractured dental restorative material with loss of material (K08.531)
        • fractured dental restorative material without loss of material (K08.530)
        • fractured tooth (S02.5)
      • lack of attached gingiva M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • occlusal trauma M27.62
        (poor prosthetic design)
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • parafunctional habits M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • periodontal infection M27.62
        (peri-implantitis)
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • poor oral hygiene M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
    • osseointegration M27.61
      ICD-10-CM Diagnosis Code M27.61

      Osseointegration failure of dental implant

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Hemorrhagic complications of dental implant placement
      • Iatrogenic osseointegration failure of dental implant
      • Osseointegration failure of dental implant due to complications of systemic disease
      • Osseointegration failure of dental implant due to poor bone quality
      • Pre-integration failure of dental implant NOS
      • Pre-osseointegration failure of dental implant
      • due to
        • complications of systemic disease M27.61
          ICD-10-CM Diagnosis Code M27.61

          Osseointegration failure of dental implant

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Hemorrhagic complications of dental implant placement
          • Iatrogenic osseointegration failure of dental implant
          • Osseointegration failure of dental implant due to complications of systemic disease
          • Osseointegration failure of dental implant due to poor bone quality
          • Pre-integration failure of dental implant NOS
          • Pre-osseointegration failure of dental implant
        • poor bone quality M27.61
          ICD-10-CM Diagnosis Code M27.61

          Osseointegration failure of dental implant

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Hemorrhagic complications of dental implant placement
          • Iatrogenic osseointegration failure of dental implant
          • Osseointegration failure of dental implant due to complications of systemic disease
          • Osseointegration failure of dental implant due to poor bone quality
          • Pre-integration failure of dental implant NOS
          • Pre-osseointegration failure of dental implant
      • iatrogenic M27.61
        ICD-10-CM Diagnosis Code M27.61

        Osseointegration failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Hemorrhagic complications of dental implant placement
        • Iatrogenic osseointegration failure of dental implant
        • Osseointegration failure of dental implant due to complications of systemic disease
        • Osseointegration failure of dental implant due to poor bone quality
        • Pre-integration failure of dental implant NOS
        • Pre-osseointegration failure of dental implant
    • post-osseointegration
      • biological M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • due to complications of systemic disease M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • iatrogenic M27.62
        ICD-10-CM Diagnosis Code M27.62

        Post-osseointegration biological failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental implant due to lack of attached gingiva
        • Failure of dental implant due to occlusal trauma (caused by poor prosthetic design)
        • Failure of dental implant due to parafunctional habits
        • Failure of dental implant due to periodontal infection (peri-implantitis)
        • Failure of dental implant due to poor oral hygiene
        • Iatrogenic post-osseointegration failure of dental implant
        • Post-osseointegration failure of dental implant due to complications of systemic disease
      • mechanical M27.63
        ICD-10-CM Diagnosis Code M27.63

        Post-osseointegration mechanical failure of dental implant

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Failure of dental prosthesis causing loss of dental implant
        • Fracture of dental implant

        Type 2 Excludes

        • cracked tooth (K03.81)
        • fractured dental restorative material with loss of material (K08.531)
        • fractured dental restorative material without loss of material (K08.530)
        • fractured tooth (S02.5)
    • pre-integration M27.61
      ICD-10-CM Diagnosis Code M27.61

      Osseointegration failure of dental implant

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Hemorrhagic complications of dental implant placement
      • Iatrogenic osseointegration failure of dental implant
      • Osseointegration failure of dental implant due to complications of systemic disease
      • Osseointegration failure of dental implant due to poor bone quality
      • Pre-integration failure of dental implant NOS
      • Pre-osseointegration failure of dental implant
    • pre-osseointegration M27.61
      ICD-10-CM Diagnosis Code M27.61

      Osseointegration failure of dental implant

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Hemorrhagic complications of dental implant placement
      • Iatrogenic osseointegration failure of dental implant
      • Osseointegration failure of dental implant due to complications of systemic disease
      • Osseointegration failure of dental implant due to poor bone quality
      • Pre-integration failure of dental implant NOS
      • Pre-osseointegration failure of dental implant
    • specified NEC M27.69
      ICD-10-CM Diagnosis Code M27.69

      Other endosseous dental implant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Dental implant failure NOS
  • descent of head O32.4
    (at term) of pregnancy (mother)
    ICD-10-CM Diagnosis Code O32.4

    Maternal care for high head at term

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for failure of head to enter pelvic brim
  • endosseous dental implant - see Failure, dental implant
  • engagement of head O32.4
    (term of pregnancy) (mother)
    ICD-10-CM Diagnosis Code O32.4

    Maternal care for high head at term

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

    Applicable To

    • Maternal care for failure of head to enter pelvic brim
  • erection (penile) N52.9
    - see also Dysfunction, sexual, male, erectile
    ICD-10-CM Diagnosis Code N52.9

    Male erectile dysfunction, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) Male Dx

    Applicable To

    • Impotence NOS
    • nonorganic F52.21
      ICD-10-CM Diagnosis Code F52.21

      Male erectile disorder

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

      Applicable To

      • Erectile disorder
      • Psychogenic impotence

      Type 1 Excludes

      • impotence of organic origin (N52.-)
      • impotence NOS (N52.-)
  • examination Z55.2
    (s)
    ICD-10-CM Diagnosis Code Z55.2

    Failed school examinations

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
  • expansion terminal respiratory units P28.0
    (newborn) (primary)
    ICD-10-CM Diagnosis Code P28.0

    Primary atelectasis of newborn

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record

    Applicable To

    • Primary failure to expand terminal respiratory units
    • Pulmonary hypoplasia associated with short gestation
    • Pulmonary immaturity NOS
  • forceps NOS O66.5
    (with subsequent cesarean delivery)
    ICD-10-CM Diagnosis Code O66.5

    Attempted application of vacuum extractor and forceps

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt

    Applicable To

    • Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
  • gain weight (child over 28 days old) R62.51
    ICD-10-CM Diagnosis Code R62.51

    Failure to thrive (child)

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Pediatric Dx (0-17 years)

    Applicable To

    • Failure to gain weight

    Type 1 Excludes

    • failure to thrive in child under 28 days old (P92.6)
    • adult R62.7
      ICD-10-CM Diagnosis Code R62.7

      Adult failure to thrive

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
    • newborn P92.6
      ICD-10-CM Diagnosis Code P92.6

      Failure to thrive in newborn

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record

      Type 1 Excludes

      • failure to thrive in child over 28 days old (R62.51)
  • genital response (male) F52.21
    ICD-10-CM Diagnosis Code F52.21

    Male erectile disorder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

    Applicable To

    • Erectile disorder
    • Psychogenic impotence

    Type 1 Excludes

    • impotence of organic origin (N52.-)
    • impotence NOS (N52.-)
    • female F52.22
      ICD-10-CM Diagnosis Code F52.22

      Female sexual arousal disorder

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Female sexual interest/arousal disorder
  • heart (acute) (senile) (sudden) I50.9
    ICD-10-CM Diagnosis Code I50.9

    Heart failure, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cardiac, heart or myocardial failure NOS
    • Congestive heart disease
    • Congestive heart failure NOS

    Type 2 Excludes

    • fluid overload unrelated to congestive heart failure (E87.70)
    • arteriosclerotic I70.90
      ICD-10-CM Diagnosis Code I70.90

      Unspecified atherosclerosis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
    • biventricular I50.82
      ICD-10-CM Diagnosis Code I50.82

      Biventricular heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Code Also

      • the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
      • due to left heart failure I50.814
        ICD-10-CM Diagnosis Code I50.814

        Right heart failure due to left heart failure

        2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Right ventricular failure secondary to left ventricular failure

        Code Also

        • the type of left ventricular failure, if known (I50.2-I50.43)

        Type 1 Excludes

        • Right heart failure with but not due to left heart failure (I50.82)
    • combined left-right sided I50.82
      ICD-10-CM Diagnosis Code I50.82

      Biventricular heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Code Also

      • the type of left ventricular failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
      • due to left heart failure I50.814
        ICD-10-CM Diagnosis Code I50.814

        Right heart failure due to left heart failure

        2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Right ventricular failure secondary to left ventricular failure

        Code Also

        • the type of left ventricular failure, if known (I50.2-I50.43)

        Type 1 Excludes

        • Right heart failure with but not due to left heart failure (I50.82)
    • compensated I50.9
      - see also Failure, heart, by type as diastolic or systolic, chronic
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • complicating
      • anesthesia (general) (local)
        • in labor and delivery O74.2
          ICD-10-CM Diagnosis Code O74.2

          Cardiac complications of anesthesia during labor and delivery

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        • in pregnancy O29.12-
          ICD-10-CM Diagnosis Code O29.12-

          Cardiac failure due to anesthesia during pregnancy

          2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
        • postpartum, puerperal O89.1
          ICD-10-CM Diagnosis Code O89.1

          Cardiac complications of anesthesia during the puerperium

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      • delivery O75.4
        (cesarean) (instrumental)
        ICD-10-CM Diagnosis Code O75.4

        Other complications of obstetric surgery and procedures

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Cardiac arrest following obstetric surgery or procedures
        • Cardiac failure following obstetric surgery or procedures
        • Cerebral anoxia following obstetric surgery or procedures
        • Pulmonary edema following obstetric surgery or procedures

        Type 2 Excludes

        • complications of anesthesia during labor and delivery (O74.-)
        • disruption of obstetrical (surgical) wound (O90.0-O90.1)
        • hematoma of obstetrical (surgical) wound (O90.2)
        • infection of obstetrical (surgical) wound (O86.0-)

        Use Additional

        • code to identify specific complication
    • congestive I50.9
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
      • newborn P29.0
        ICD-10-CM Diagnosis Code P29.0

        Neonatal cardiac failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
      • rheumatic (chronic) (inactive) (with chorea) I09.81
        ICD-10-CM Diagnosis Code I09.81

        Rheumatic heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Use Additional

        • code to identify type of heart failure (I50.-)
        • active or acute I01.8
          ICD-10-CM Diagnosis Code I01.8

          Other acute rheumatic heart disease

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Any condition in I00 with other or multiple types of heart involvement
          • Acute rheumatic pancarditis
          • with chorea I02.0
            ICD-10-CM Diagnosis Code I02.0

            Rheumatic chorea with heart involvement

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

            Applicable To

            • Chorea NOS with heart involvement
            • Rheumatic chorea with heart involvement of any type classifiable under I01.-
      • with rheumatic fever (conditions in I00)
        • active I01.8
          ICD-10-CM Diagnosis Code I01.8

          Other acute rheumatic heart disease

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Any condition in I00 with other or multiple types of heart involvement
          • Acute rheumatic pancarditis
        • inactive or quiescent I09.81
          (with chorea)
          ICD-10-CM Diagnosis Code I09.81

          Rheumatic heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Use Additional

          • code to identify type of heart failure (I50.-)
    • decompensated I50.9
      - see also Failure, heart, by type as diastolic or systolic, acute and chronic
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • degenerative - see Degeneration, myocardial
    • diastolic (congestive) (left ventricular) I50.30
      ICD-10-CM Diagnosis Code I50.30

      Unspecified diastolic (congestive) heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • acute (congestive) I50.31
        ICD-10-CM Diagnosis Code I50.31

        Acute diastolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • and I50.33
          (on) chronic (congestive)
          ICD-10-CM Diagnosis Code I50.33

          Acute on chronic diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • chronic (congestive) I50.32
        ICD-10-CM Diagnosis Code I50.32

        Chronic diastolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • and I50.33
          (on) acute (congestive)
          ICD-10-CM Diagnosis Code I50.33

          Acute on chronic diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • combined with systolic (congestive) I50.40
        ICD-10-CM Diagnosis Code I50.40

        Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • acute (congestive) I50.41
          ICD-10-CM Diagnosis Code I50.41

          Acute combined systolic (congestive) and diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • and I50.43
            (on) chronic (congestive)
            ICD-10-CM Diagnosis Code I50.43

            Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • chronic (congestive) I50.42
          ICD-10-CM Diagnosis Code I50.42

          Chronic combined systolic (congestive) and diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • and I50.43
            (on) acute (congestive)
            ICD-10-CM Diagnosis Code I50.43

            Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • due to presence of cardiac prosthesis I97.13-
      ICD-10-CM Diagnosis Code I97.13-

      Postprocedural heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

      Use Additional

      • code to identify the heart failure (I50.-)
    • end stage I50.84
      - see also Failure, heart, by type as diastolic or systolic, chronic
      ICD-10-CM Diagnosis Code I50.84

      End stage heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Stage D heart failure

      Code Also

      • the type of heart failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
    • following cardiac surgery I97.13-
      ICD-10-CM Diagnosis Code I97.13-

      Postprocedural heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

      Use Additional

      • code to identify the heart failure (I50.-)
    • high output NOS I50.83
      ICD-10-CM Diagnosis Code I50.83

      High output heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code
    • hypertensive - see Hypertension, heart
    • left (ventricular) - see also Failure, ventricular, left
      • combined diastolic and systolic - see Failure, heart, diastolic, combined with systolic
      • diastolic - see Failure, heart, diastolic
      • systolic - see Failure, heart, systolic
    • low output I50.9
      (syndrome)
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • newborn P29.0
      ICD-10-CM Diagnosis Code P29.0

      Neonatal cardiac failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record
    • organic - see Disease, heart
    • peripartum O90.3
      ICD-10-CM Diagnosis Code O90.3

      Peripartum cardiomyopathy

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Conditions in I42.- arising during pregnancy and the puerperium

      Type 1 Excludes

      • pre-existing heart disease complicating pregnancy and the puerperium (O99.4-)
    • postprocedural I97.13-
      ICD-10-CM Diagnosis Code I97.13-

      Postprocedural heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

      Use Additional

      • code to identify the heart failure (I50.-)
    • rheumatic I09.9
      (chronic) (inactive)
      ICD-10-CM Diagnosis Code I09.9

      Rheumatic heart disease, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Rheumatic carditis

      Type 1 Excludes

      • rheumatoid carditis (M05.31)
    • right (isolated) (ventricular) I50.810
      ICD-10-CM Diagnosis Code I50.810

      Right heart failure, unspecified

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Right heart failure without mention of left heart failure
      • Right ventricular failure NOS
      • acute I50.811
        ICD-10-CM Diagnosis Code I50.811

        Acute right heart failure

        2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Acute isolated right heart failure
        • Acute (isolated) right ventricular failure
        • and I50.813
          (on)
          ICD-10-CM Diagnosis Code I50.813

          Acute on chronic right heart failure

          2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute on chronic isolated right heart failure
          • Acute on chronic (isolated) right ventricular failure
          • Acute decompensation of chronic (isolated) right ventricular failure
          • Acute exacerbation of chronic (isolated) right ventricular failure
      • chronic I50.812
        ICD-10-CM Diagnosis Code I50.812

        Chronic right heart failure

        2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Chronic isolated right heart failure
        • Chronic (isolated) right ventricular failure
        • and acute I50.813
          ICD-10-CM Diagnosis Code I50.813

          Acute on chronic right heart failure

          2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute on chronic isolated right heart failure
          • Acute on chronic (isolated) right ventricular failure
          • Acute decompensation of chronic (isolated) right ventricular failure
          • Acute exacerbation of chronic (isolated) right ventricular failure
      • secondary to left heart failure I50.814
        ICD-10-CM Diagnosis Code I50.814

        Right heart failure due to left heart failure

        2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Right ventricular failure secondary to left ventricular failure

        Code Also

        • the type of left ventricular failure, if known (I50.2-I50.43)

        Type 1 Excludes

        • Right heart failure with but not due to left heart failure (I50.82)
    • specified NEC I50.89
      ICD-10-CM Diagnosis Code I50.89

      Other heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code
    • with
      • acute pulmonary edema - see Failure, ventricular, left
      • decompensation I50.9
        ICD-10-CM Diagnosis Code I50.9

        Heart failure, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Cardiac, heart or myocardial failure NOS
        • Congestive heart disease
        • Congestive heart failure NOS

        Type 2 Excludes

        • fluid overload unrelated to congestive heart failure (E87.70)
        • combined systolic and diastolic I50.43
          ICD-10-CM Diagnosis Code I50.43

          Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • diastolic I50.33
          ICD-10-CM Diagnosis Code I50.33

          Acute on chronic diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • right I50.813
          ICD-10-CM Diagnosis Code I50.813

          Acute on chronic right heart failure

          2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute on chronic isolated right heart failure
          • Acute on chronic (isolated) right ventricular failure
          • Acute decompensation of chronic (isolated) right ventricular failure
          • Acute exacerbation of chronic (isolated) right ventricular failure
        • systolic I50.23
          ICD-10-CM Diagnosis Code I50.23

          Acute on chronic systolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • with
          • normal ejection fraction I50.33
            ICD-10-CM Diagnosis Code I50.33

            Acute on chronic diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • preserved ejection fraction I50.33
            ICD-10-CM Diagnosis Code I50.33

            Acute on chronic diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • reduced ejection fraction I50.23
            ICD-10-CM Diagnosis Code I50.23

            Acute on chronic systolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
            • with diastolic dysfunction I50.43
              ICD-10-CM Diagnosis Code I50.43

              Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

              2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • dilatation - see Disease, heart
      • hypertension - see Hypertension, heart
      • normal ejection fraction - see Failure, heart, diastolic
      • preserved ejection fraction - see Failure, heart, diastolic
      • reduced ejection fraction - see Failure, heart, systolic
  • hepatic K72.90
    ICD-10-CM Diagnosis Code K72.90

    Hepatic failure, unspecified without coma

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • acute or subacute K72.00
      ICD-10-CM Diagnosis Code K72.00

      Acute and subacute hepatic failure without coma

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • due to drugs K71.10
        ICD-10-CM Diagnosis Code K71.10

        Toxic liver disease with hepatic necrosis, without coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • with coma K71.11
          ICD-10-CM Diagnosis Code K71.11

          Toxic liver disease with hepatic necrosis, with coma

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with coma K72.01
        ICD-10-CM Diagnosis Code K72.01

        Acute and subacute hepatic failure with coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • alcoholic (acute) (chronic) (subacute) K70.40
      ICD-10-CM Diagnosis Code K70.40

      Alcoholic hepatic failure without coma

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
      • with coma K70.41
        ICD-10-CM Diagnosis Code K70.41

        Alcoholic hepatic failure with coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
    • chronic K72.10
      ICD-10-CM Diagnosis Code K72.10

      Chronic hepatic failure without coma

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • due to drugs (acute) (subacute) (chronic) K71.10
        ICD-10-CM Diagnosis Code K71.10

        Toxic liver disease with hepatic necrosis, without coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • with coma K71.11
          ICD-10-CM Diagnosis Code K71.11

          Toxic liver disease with hepatic necrosis, with coma

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with coma K72.11
        ICD-10-CM Diagnosis Code K72.11

        Chronic hepatic failure with coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • due to drugs (acute) (subacute) (chronic) K71.10
      ICD-10-CM Diagnosis Code K71.10

      Toxic liver disease with hepatic necrosis, without coma

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with coma K71.11
        ICD-10-CM Diagnosis Code K71.11

        Toxic liver disease with hepatic necrosis, with coma

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • postprocedural K91.82
      ICD-10-CM Diagnosis Code K91.82

      Postprocedural hepatic failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • with coma K72.91
      ICD-10-CM Diagnosis Code K72.91

      Hepatic failure, unspecified with coma

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Hepatic coma NOS
  • hepatorenal K76.7
    ICD-10-CM Diagnosis Code K76.7

    Hepatorenal syndrome

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Type 1 Excludes

    • hepatorenal syndrome following labor and delivery (O90.4)
    • postprocedural hepatorenal syndrome (K91.83)
  • induction (of labor) O61.9
    ICD-10-CM Diagnosis Code O61.9

    Failed induction of labor, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    • abortion - see Abortion, attempted
    • by
      • oxytocic drugs O61.0
        ICD-10-CM Diagnosis Code O61.0

        Failed medical induction of labor

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Failed induction (of labor) by oxytocin
        • Failed induction (of labor) by prostaglandins
      • prostaglandins O61.0
        ICD-10-CM Diagnosis Code O61.0

        Failed medical induction of labor

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Failed induction (of labor) by oxytocin
        • Failed induction (of labor) by prostaglandins
    • instrumental O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
    • mechanical O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
    • medical O61.0
      ICD-10-CM Diagnosis Code O61.0

      Failed medical induction of labor

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Failed induction (of labor) by oxytocin
      • Failed induction (of labor) by prostaglandins
    • specified NEC O61.8
      ICD-10-CM Diagnosis Code O61.8

      Other failed induction of labor

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    • surgical O61.1
      ICD-10-CM Diagnosis Code O61.1

      Failed instrumental induction of labor

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Applicable To

      • Failed mechanical induction (of labor)
      • Failed surgical induction (of labor)
  • intubation during anesthesia T88.4
    ICD-10-CM Diagnosis Code T88.4

    Failed or difficult intubation

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • in pregnancy O29.6-
      ICD-10-CM Diagnosis Code O29.6-

      Failed or difficult intubation for anesthesia during pregnancy

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    • labor and delivery O74.7
      ICD-10-CM Diagnosis Code O74.7

      Failed or difficult intubation for anesthesia during labor and delivery

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    • postpartum, puerperal O89.6
      ICD-10-CM Diagnosis Code O89.6

      Failed or difficult intubation for anesthesia during the puerperium

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • involution, thymus E32.0
    (gland)
    ICD-10-CM Diagnosis Code E32.0

    Persistent hyperplasia of thymus

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Hypertrophy of thymus
  • kidney N19
    - see also Disease, kidney, chronic
    ICD-10-CM Diagnosis Code N19

    Unspecified kidney failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Uremia NOS

    Type 1 Excludes

    • acute kidney failure (N17.-)
    • chronic kidney disease (N18.-)
    • chronic uremia (N18.9)
    • extrarenal uremia (R39.2)
    • prerenal uremia (R39.2)
    • renal insufficiency (acute) (N28.9)
    • uremia of newborn (P96.0)
    • acute N17.9-
      - see also Failure, renal, acute
      ICD-10-CM Diagnosis Code N17.9-

      Acute kidney failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Acute kidney injury (nontraumatic)

      Type 2 Excludes

      • traumatic kidney injury (S37.0-)
    • diabetic - see E08-E13 with .22
  • lactation (complete) O92.3
    ICD-10-CM Diagnosis Code O92.3

    Agalactia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

    Applicable To

    • Primary agalactia

    Type 1 Excludes

    • Elective agalactia (O92.5)
    • Secondary agalactia (O92.5)
    • Therapeutic agalactia (O92.5)
    • partial O92.4
      ICD-10-CM Diagnosis Code O92.4

      Hypogalactia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • Leydig's cell, adult E29.1
    ICD-10-CM Diagnosis Code E29.1

    Testicular hypofunction

    2016 2017 2018 2019 2020 2021 2022 2023 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)
  • liver - see Failure, hepatic
  • menstruation at puberty N91.0
    ICD-10-CM Diagnosis Code N91.0

    Primary amenorrhea

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • mitral I05.8
    ICD-10-CM Diagnosis Code I05.8

    Other rheumatic mitral valve diseases

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Rheumatic mitral (valve) failure
  • myocardial, myocardium I50.9
    - see also Failure, heart
    ICD-10-CM Diagnosis Code I50.9

    Heart failure, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cardiac, heart or myocardial failure NOS
    • Congestive heart disease
    • Congestive heart failure NOS

    Type 2 Excludes

    • fluid overload unrelated to congestive heart failure (E87.70)
    • chronic I50.9
      - see also Failure, heart, congestive
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • congestive I50.9
      - see also Failure, heart, congestive
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
  • newborn screening - see Abnormal, neonatal screening
    • neonatal congenital heart disease P09.5
      ICD-10-CM Diagnosis Code P09.5

      Abnormal findings on neonatal screening for critical congenital heart disease

      2022 - New Code 2023 Billable/Specific Code Code on Newborn Record

      Applicable To

      • Neonatal congenital heart disease screening failure
  • Note: heart failure stages A, B, C, and D are based on the American College of Cardiology and American Heart Association stages of heart failure, which complement and should not be confused with the New York Heart Association Classification of Heart Failure, into Class I, Class II, Class III, and Class IV
    • stage A Z91.89
      ICD-10-CM Diagnosis Code Z91.89

      Other specified personal risk factors, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • stage B I50.9
      - see also Failure, heart, by type as diastolic or systolic
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • stage C I50.9
      - see also Failure, heart, by type as diastolic or systolic
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS

      Type 2 Excludes

      • fluid overload unrelated to congestive heart failure (E87.70)
    • stage D I50.84
      - see also Failure, heart, by type as diastolic or systolic, chronic
      ICD-10-CM Diagnosis Code I50.84

      End stage heart failure

      2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Stage D heart failure

      Code Also

      • the type of heart failure as systolic, diastolic, or combined, if known (I50.2-I50.43)
    • systolic (congestive) (left ventricular) I50.20
      ICD-10-CM Diagnosis Code I50.20

      Unspecified systolic (congestive) heart failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • acute (congestive) I50.21
        ICD-10-CM Diagnosis Code I50.21

        Acute systolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • and I50.23
          (on) chronic (congestive)
          ICD-10-CM Diagnosis Code I50.23

          Acute on chronic systolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • chronic (congestive) I50.22
        ICD-10-CM Diagnosis Code I50.22

        Chronic systolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • and I50.23
          (on) acute (congestive)
          ICD-10-CM Diagnosis Code I50.23

          Acute on chronic systolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • combined with diastolic (congestive) I50.40
        ICD-10-CM Diagnosis Code I50.40

        Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • acute (congestive) I50.41
          ICD-10-CM Diagnosis Code I50.41

          Acute combined systolic (congestive) and diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • and I50.43
            (on) chronic (congestive)
            ICD-10-CM Diagnosis Code I50.43

            Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • chronic (congestive) I50.42
          ICD-10-CM Diagnosis Code I50.42

          Chronic combined systolic (congestive) and diastolic (congestive) heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • and I50.43
            (on) acute (congestive)
            ICD-10-CM Diagnosis Code I50.43

            Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • thyrotoxic E05.90
      - see also Thyrotoxicosis
      ICD-10-CM Diagnosis Code E05.90

      Thyrotoxicosis, unspecified without thyrotoxic crisis or storm

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with
        • high output I50.83
          - see also Thyrotoxicosis
          ICD-10-CM Diagnosis Code I50.83

          High output heart failure

          2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code
        • thyroid storm E05.91
          ICD-10-CM Diagnosis Code E05.91

          Thyrotoxicosis, unspecified with thyrotoxic crisis or storm

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
          • high output I50.83
            - see also Thyrotoxicosis
            ICD-10-CM Diagnosis Code I50.83

            High output heart failure

            2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code
    • valvular - see Endocarditis
  • orgasm (female) (psychogenic) F52.31
    ICD-10-CM Diagnosis Code F52.31

    Female orgasmic disorder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
    • male F52.32
      ICD-10-CM Diagnosis Code F52.32

      Male orgasmic disorder

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

      Applicable To

      • Delayed ejaculation
  • ovarian (primary) E28.39
    ICD-10-CM Diagnosis Code E28.39

    Other primary ovarian failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

    Applicable To

    • Decreased estrogen
    • Resistant ovary syndrome
    • iatrogenic E89.40
      ICD-10-CM Diagnosis Code E89.40

      Asymptomatic postprocedural ovarian failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Postprocedural ovarian failure NOS
      • asymptomatic E89.40
        ICD-10-CM Diagnosis Code E89.40

        Asymptomatic postprocedural ovarian failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

        Applicable To

        • Postprocedural ovarian failure NOS
      • symptomatic E89.41
        ICD-10-CM Diagnosis Code E89.41

        Symptomatic postprocedural ovarian failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

        Applicable To

        • Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with postprocedural menopause
    • postprocedural (postablative) (postirradiation) (postsurgical) E89.40
      ICD-10-CM Diagnosis Code E89.40

      Asymptomatic postprocedural ovarian failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Postprocedural ovarian failure NOS
      • asymptomatic E89.40
        ICD-10-CM Diagnosis Code E89.40

        Asymptomatic postprocedural ovarian failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

        Applicable To

        • Postprocedural ovarian failure NOS
      • symptomatic E89.41
        ICD-10-CM Diagnosis Code E89.41

        Symptomatic postprocedural ovarian failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

        Applicable To

        • Symptoms such as flushing, sleeplessness, headache, lack of concentration, associated with postprocedural menopause
  • ovulation causing infertility N97.0
    ICD-10-CM Diagnosis Code N97.0

    Female infertility associated with anovulation

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx
  • polyglandular, autoimmune E31.0
    ICD-10-CM Diagnosis Code E31.0

    Autoimmune polyglandular failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Schmidt's syndrome
  • prosthetic joint implant - see Complications, joint prosthesis, mechanical, breakdown, by site
  • renal N19
    ICD-10-CM Diagnosis Code N19

    Unspecified kidney failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Uremia NOS

    Type 1 Excludes

    • acute kidney failure (N17.-)
    • chronic kidney disease (N18.-)
    • chronic uremia (N18.9)
    • extrarenal uremia (R39.2)
    • prerenal uremia (R39.2)
    • renal insufficiency (acute) (N28.9)
    • uremia of newborn (P96.0)
    • acute N17.9
      ICD-10-CM Diagnosis Code N17.9

      Acute kidney failure, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Acute kidney injury (nontraumatic)

      Type 2 Excludes

      • traumatic kidney injury (S37.0-)
      • specified NEC N17.8
        ICD-10-CM Diagnosis Code N17.8

        Other acute kidney failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with
        • cortical necrosis N17.1
          ICD-10-CM Diagnosis Code N17.1

          Acute kidney failure with acute cortical necrosis

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute cortical necrosis
          • Cortical necrosis NOS
          • Renal cortical necrosis
        • medullary necrosis N17.2
          ICD-10-CM Diagnosis Code N17.2

          Acute kidney failure with medullary necrosis

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Medullary [papillary] necrosis NOS
          • Acute medullary [papillary] necrosis
          • Renal medullary [papillary] necrosis
        • tubular necrosis N17.0
          ICD-10-CM Diagnosis Code N17.0

          Acute kidney failure with tubular necrosis

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute tubular necrosis
          • Renal tubular necrosis
          • Tubular necrosis NOS
    • chronic N18.9
      ICD-10-CM Diagnosis Code N18.9

      Chronic kidney disease, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Chronic renal disease
      • Chronic renal failure NOS
      • Chronic renal insufficiency
      • Chronic uremia NOS
      • Diffuse sclerosing glomerulonephritis NOS
      • hypertensive - see Hypertension, kidney
    • congenital P96.0
      ICD-10-CM Diagnosis Code P96.0

      Congenital renal failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record

      Applicable To

      • Uremia of newborn
    • end stage (chronic) N18.6
      ICD-10-CM Diagnosis Code N18.6

      End stage renal disease

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Chronic kidney disease requiring chronic dialysis

      Use Additional

      • code to identify dialysis status (Z99.2)
      • due to hypertension I12.0
        ICD-10-CM Diagnosis Code I12.0

        Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Use Additional

        • code to identify the stage of chronic kidney disease (N18.5, N18.6)
    • following
      • abortion - see Abortion by type complicated by specified condition NEC
      • crushing T79.5
        ICD-10-CM Diagnosis Code T79.5

        Traumatic anuria

        2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

        Applicable To

        • Crush syndrome
        • Renal failure following crushing
      • ectopic or molar pregnancy O08.4
        ICD-10-CM Diagnosis Code O08.4

        Renal failure following ectopic and molar pregnancy

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Kidney failure (acute) following ectopic and molar pregnancy
        • Oliguria following ectopic and molar pregnancy
        • Renal shutdown following ectopic and molar pregnancy
        • Renal tubular necrosis following ectopic and molar pregnancy
        • Uremia following ectopic and molar pregnancy
      • labor and delivery O90.4
        (acute)
        ICD-10-CM Diagnosis Code O90.4

        Postpartum acute kidney failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

        Applicable To

        • Hepatorenal syndrome following labor and delivery
    • hypertensive - see Hypertension, kidney
    • postprocedural N99.0
      ICD-10-CM Diagnosis Code N99.0

      Postprocedural (acute) (chronic) kidney failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Use Additional

      • code to type of kidney disease
    • with
      • tubular necrosis N17.0
        (acute)
        ICD-10-CM Diagnosis Code N17.0

        Acute kidney failure with tubular necrosis

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Applicable To

        • Acute tubular necrosis
        • Renal tubular necrosis
        • Tubular necrosis NOS
  • respiration, respiratory J96.90
    ICD-10-CM Diagnosis Code J96.90

    Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • acute J96.00
      ICD-10-CM Diagnosis Code J96.00

      Acute respiratory failure, unspecified whether with hypoxia or hypercapnia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with
        • hypercapnia J96.02
          ICD-10-CM Diagnosis Code J96.02

          Acute respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute respiratory acidosis
        • hypercarbia J96.02
          ICD-10-CM Diagnosis Code J96.02

          Acute respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Acute respiratory acidosis
        • hypoxia J96.01
          ICD-10-CM Diagnosis Code J96.01

          Acute respiratory failure with hypoxia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • acute and (on) J96.20
      ICD-10-CM Diagnosis Code J96.20

      Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with
        • hypercapnia J96.22
          ICD-10-CM Diagnosis Code J96.22

          Acute and chronic respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • hypercarbia J96.22
          ICD-10-CM Diagnosis Code J96.22

          Acute and chronic respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
        • hypoxia J96.21
          ICD-10-CM Diagnosis Code J96.21

          Acute and chronic respiratory failure with hypoxia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • center G93.89
      ICD-10-CM Diagnosis Code G93.89

      Other specified disorders of brain

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Postradiation encephalopathy
    • chronic J96.10
      ICD-10-CM Diagnosis Code J96.10

      Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with
        • hypercapnia J96.12
          ICD-10-CM Diagnosis Code J96.12

          Chronic respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Chronic respiratory acidosis
        • hypercarbia J96.12
          ICD-10-CM Diagnosis Code J96.12

          Chronic respiratory failure with hypercapnia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Chronic respiratory acidosis
        • hypoxia J96.11
          ICD-10-CM Diagnosis Code J96.11

          Chronic respiratory failure with hypoxia

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • newborn P28.5
      ICD-10-CM Diagnosis Code P28.5

      Respiratory failure of newborn

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record

      Type 1 Excludes

      • respiratory arrest of newborn (P28.81)
      • respiratory distress of newborn (P22.0-)
    • postprocedural (acute) J95.821
      ICD-10-CM Diagnosis Code J95.821

      Acute postprocedural respiratory failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Postprocedural respiratory failure NOS
      • acute and chronic J95.822
        ICD-10-CM Diagnosis Code J95.822

        Acute and chronic postprocedural respiratory failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • with
      • hypercapnia J96.92
        ICD-10-CM Diagnosis Code J96.92

        Respiratory failure, unspecified with hypercapnia

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • hypercarbia J96.92
        ICD-10-CM Diagnosis Code J96.92

        Respiratory failure, unspecified with hypercapnia

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • hypoxia J96.91
        ICD-10-CM Diagnosis Code J96.91

        Respiratory failure, unspecified with hypoxia

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • rotation
    • cecum Q43.3
      ICD-10-CM Diagnosis Code Q43.3

      Congenital malformations of intestinal fixation

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital omental, anomalous adhesions [bands]
      • Congenital peritoneal adhesions [bands]
      • Incomplete rotation of cecum and colon
      • Insufficient rotation of cecum and colon
      • Jackson's membrane
      • Malrotation of colon
      • Rotation failure of cecum and colon
      • Universal mesentery
    • colon Q43.3
      ICD-10-CM Diagnosis Code Q43.3

      Congenital malformations of intestinal fixation

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital omental, anomalous adhesions [bands]
      • Congenital peritoneal adhesions [bands]
      • Incomplete rotation of cecum and colon
      • Insufficient rotation of cecum and colon
      • Jackson's membrane
      • Malrotation of colon
      • Rotation failure of cecum and colon
      • Universal mesentery
    • intestine Q43.3
      ICD-10-CM Diagnosis Code Q43.3

      Congenital malformations of intestinal fixation

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital omental, anomalous adhesions [bands]
      • Congenital peritoneal adhesions [bands]
      • Incomplete rotation of cecum and colon
      • Insufficient rotation of cecum and colon
      • Jackson's membrane
      • Malrotation of colon
      • Rotation failure of cecum and colon
      • Universal mesentery
    • kidney Q63.2
      ICD-10-CM Diagnosis Code Q63.2

      Ectopic kidney

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital displaced kidney
      • Malrotation of kidney
  • sedation (conscious) (moderate) T88.52
    ICD-10-CM Diagnosis Code T88.52

    Failed moderate sedation during procedure

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code

    Applicable To

    • Failed conscious sedation during procedure

    Type 2 Excludes

    • personal history of failed moderate sedation (Z92.83)
    • history of Z92.83
      ICD-10-CM Diagnosis Code Z92.83

      Personal history of failed moderate sedation

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Personal history of failed conscious sedation

      Type 2 Excludes

      • failed moderate sedation during procedure (T88.52)
  • segmentation - see also Fusion
    • fingers - see Syndactylism, complex, fingers
    • vertebra Q76.49
      ICD-10-CM Diagnosis Code Q76.49

      Other congenital malformations of spine, not associated with scoliosis

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

      Applicable To

      • Congenital absence of vertebra NOS
      • Congenital fusion of spine NOS
      • Congenital malformation of lumbosacral (joint) (region) NOS
      • Congenital malformation of spine NOS
      • Hemivertebra NOS
      • Malformation of spine NOS
      • Platyspondylisis NOS
      • Supernumerary vertebra NOS
      • with scoliosis Q76.3
        ICD-10-CM Diagnosis Code Q76.3

        Congenital scoliosis due to congenital bony malformation

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt

        Applicable To

        • Hemivertebra fusion or failure of segmentation with scoliosis
  • seminiferous tubule, adult E29.1
    ICD-10-CM Diagnosis Code E29.1

    Testicular hypofunction

    2016 2017 2018 2019 2020 2021 2022 2023 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)
  • senile R54
    (general)
    ICD-10-CM Diagnosis Code R54

    Age-related physical debility

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)

    Applicable To

    • Frailty
    • Old age
    • Senescence
    • Senile asthenia
    • Senile debility

    Type 1 Excludes

    • age-related cognitive decline (R41.81)
    • sarcopenia (M62.84)
    • senile psychosis (F03)
    • senility NOS (R41.81)
  • sexual arousal (male) F52.21
    ICD-10-CM Diagnosis Code F52.21

    Male erectile disorder

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Male Dx

    Applicable To

    • Erectile disorder
    • Psychogenic impotence

    Type 1 Excludes

    • impotence of organic origin (N52.-)
    • impotence NOS (N52.-)
    • female F52.22
      ICD-10-CM Diagnosis Code F52.22

      Female sexual arousal disorder

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx

      Applicable To

      • Female sexual interest/arousal disorder
  • testicular endocrine function E29.1
    ICD-10-CM Diagnosis Code E29.1

    Testicular hypofunction

    2016 2017 2018 2019 2020 2021 2022 2023 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)
  • to thrive (child over 28 days old) R62.51
    ICD-10-CM Diagnosis Code R62.51

    Failure to thrive (child)

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Pediatric Dx (0-17 years)

    Applicable To

    • Failure to gain weight

    Type 1 Excludes

    • failure to thrive in child under 28 days old (P92.6)
    • adult R62.7
      ICD-10-CM Diagnosis Code R62.7

      Adult failure to thrive

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
    • newborn P92.6
      ICD-10-CM Diagnosis Code P92.6

      Failure to thrive in newborn

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record

      Type 1 Excludes

      • failure to thrive in child over 28 days old (R62.51)
  • transplant T86.92
    ICD-10-CM Diagnosis Code T86.92

    Unspecified transplanted organ and tissue failure

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • bone T86.831
      ICD-10-CM Diagnosis Code T86.831

      Bone graft failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • marrow T86.02
        ICD-10-CM Diagnosis Code T86.02

        Bone marrow transplant failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • cornea T86.841-
      ICD-10-CM Diagnosis Code T86.841-

      Corneal transplant failure

      2016 2017 2018 2019 2020 2021 - Converted to Parent Code 2022 2023 Non-Billable/Non-Specific Code
    • heart T86.22
      ICD-10-CM Diagnosis Code T86.22

      Heart transplant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with lung T86.32
        (s)
        ICD-10-CM Diagnosis Code T86.32

        Heart-lung transplant failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • intestine T86.851
      ICD-10-CM Diagnosis Code T86.851

      Intestine transplant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • kidney T86.12
      ICD-10-CM Diagnosis Code T86.12

      Kidney transplant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • liver T86.42
      ICD-10-CM Diagnosis Code T86.42

      Liver transplant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • lung(s) T86.811
      ICD-10-CM Diagnosis Code T86.811

      Lung transplant failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      • with heart T86.32
        ICD-10-CM Diagnosis Code T86.32

        Heart-lung transplant failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • pancreas T86.891
      ICD-10-CM Diagnosis Code T86.891

      Other transplanted tissue failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • skin T86.821
      (allograft) (autograft)
      ICD-10-CM Diagnosis Code T86.821

      Skin graft (allograft) (autograft) failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • specified organ or tissue NEC T86.891
      ICD-10-CM Diagnosis Code T86.891

      Other transplanted tissue failure

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    • stem cell T86.5
      (peripheral blood) (umbilical cord)
      ICD-10-CM Diagnosis Code T86.5

      Complications of stem cell transplant

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Complications from stem cells from peripheral blood
      • Complications from stem cells from umbilical cord
  • trial of labor (with subsequent cesarean delivery) O66.40
    ICD-10-CM Diagnosis Code O66.40

    Failed trial of labor, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    • following previous cesarean delivery O66.41
      ICD-10-CM Diagnosis Code O66.41

      Failed attempted vaginal birth after previous cesarean delivery

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx

      Code First

      • rupture of uterus, if applicable (O71.0-, O71.1)
  • tubal ligation N99.89
    ICD-10-CM Diagnosis Code N99.89

    Other postprocedural complications and disorders of genitourinary system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • urinary - see Disease, kidney, chronic
  • vacuum extraction NOS O66.5
    (with subsequent cesarean delivery)
    ICD-10-CM Diagnosis Code O66.5

    Attempted application of vacuum extractor and forceps

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt

    Applicable To

    • Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
  • vasectomy N99.89
    ICD-10-CM Diagnosis Code N99.89

    Other postprocedural complications and disorders of genitourinary system

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • ventouse NOS O66.5
    (with subsequent cesarean delivery)
    ICD-10-CM Diagnosis Code O66.5

    Attempted application of vacuum extractor and forceps

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx POA Exempt

    Applicable To

    • Attempted application of vacuum or forceps, with subsequent delivery by forceps or cesarean delivery
  • ventricular I50.9
    - see also Failure, heart
    ICD-10-CM Diagnosis Code I50.9

    Heart failure, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

    Applicable To

    • Cardiac, heart or myocardial failure NOS
    • Congestive heart disease
    • Congestive heart failure NOS

    Type 2 Excludes

    • fluid overload unrelated to congestive heart failure (E87.70)
    • left I50.1
      - see also Failure, heart, left
      ICD-10-CM Diagnosis Code I50.1

      Left ventricular failure, unspecified

      2016 2017 2018 - Revised Code 2019 2020 2021 2022 2023 Billable/Specific Code

      Applicable To

      • Cardiac asthma
      • Edema of lung with heart disease NOS
      • Edema of lung with heart failure
      • Left heart failure
      • Pulmonary edema with heart disease NOS
      • Pulmonary edema with heart failure

      Type 1 Excludes

      • edema of lung without heart disease or heart failure (J81.-)
      • pulmonary edema without heart disease or failure (J81.-)
      • rheumatic (chronic) (inactive) (with chorea) I09.81
        ICD-10-CM Diagnosis Code I09.81

        Rheumatic heart failure

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

        Use Additional

        • code to identify type of heart failure (I50.-)
        • active or acute I01.8
          ICD-10-CM Diagnosis Code I01.8

          Other acute rheumatic heart disease

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Any condition in I00 with other or multiple types of heart involvement
          • Acute rheumatic pancarditis
          • with chorea I02.0
            ICD-10-CM Diagnosis Code I02.0

            Rheumatic chorea with heart involvement

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

            Applicable To

            • Chorea NOS with heart involvement
            • Rheumatic chorea with heart involvement of any type classifiable under I01.-
      • with rheumatic fever (conditions in I00)
        • active I01.8
          ICD-10-CM Diagnosis Code I01.8

          Other acute rheumatic heart disease

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Applicable To

          • Any condition in I00 with other or multiple types of heart involvement
          • Acute rheumatic pancarditis
          • with chorea I02.0
            ICD-10-CM Diagnosis Code I02.0

            Rheumatic chorea with heart involvement

            2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

            Applicable To

            • Chorea NOS with heart involvement
            • Rheumatic chorea with heart involvement of any type classifiable under I01.-
        • inactive or quiescent I09.81
          (with chorea)
          ICD-10-CM Diagnosis Code I09.81

          Rheumatic heart failure

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code

          Use Additional

          • code to identify type of heart failure (I50.-)
    • right - see Failure, heart, right
  • vital centers, newborn P91.88
    ICD-10-CM Diagnosis Code P91.88

    Other specified disturbances of cerebral status of newborn

    2018 - New Code 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn Record POA Exempt