• Insufficiency, insufficient

    • accommodation, old age H52.4
      ICD-10-CM Diagnosis Code H52.4

      Presbyopia

        2016 2017 2018 2019 Billable/Specific Code
    • adrenal (gland) E27.40
      ICD-10-CM Diagnosis Code E27.40

      Unspecified adrenocortical insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Adrenocortical insufficiency NOS
      • Hypoaldosteronism
      • primary E27.1
        ICD-10-CM Diagnosis Code E27.1

        Primary adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Addison's disease
        • Autoimmune adrenalitis
        Type 1 Excludes
        • Addison only phenotype adrenoleukodystrophy (E71.528)
        • amyloidosis (E85.-)
        • tuberculous Addison's disease (A18.7)
        • Waterhouse-Friderichsen syndrome (A39.1)
    • adrenocortical E27.40
      ICD-10-CM Diagnosis Code E27.40

      Unspecified adrenocortical insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Adrenocortical insufficiency NOS
      • Hypoaldosteronism
      • drug-induced E27.3
        ICD-10-CM Diagnosis Code E27.3

        Drug-induced adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Use Additional
        • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
      • iatrogenic E27.3
        ICD-10-CM Diagnosis Code E27.3

        Drug-induced adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Use Additional
        • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
      • primary E27.1
        ICD-10-CM Diagnosis Code E27.1

        Primary adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Addison's disease
        • Autoimmune adrenalitis
        Type 1 Excludes
        • Addison only phenotype adrenoleukodystrophy (E71.528)
        • amyloidosis (E85.-)
        • tuberculous Addison's disease (A18.7)
        • Waterhouse-Friderichsen syndrome (A39.1)
    • anatomic crown height K08.89
      ICD-10-CM Diagnosis Code K08.89

      Other specified disorders of teeth and supporting structures

        2017 - New Code 2018 2019 Billable/Specific Code
      Applicable To
      • Enlargement of alveolar ridge NOS
      • Insufficient anatomic crown height
      • Insufficient clinical crown length
      • Irregular alveolar process
      • Toothache NOS
    • anterior M26.54
      (occlusal)
      ICD-10-CM Diagnosis Code M26.54

      Insufficient anterior guidance

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Insufficient anterior occlusal guidance
    • anus K62.89
      ICD-10-CM Diagnosis Code K62.89

      Other specified diseases of anus and rectum

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Proctitis NOS
      Use Additional
      • code for any associated fecal incontinence (R15.-)
    • aortic (valve) I35.1
      ICD-10-CM Diagnosis Code I35.1

      Nonrheumatic aortic (valve) insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nonrheumatic aortic (valve) incompetence NOS
      • Nonrheumatic aortic (valve) regurgitation NOS
      • congenital Q23.1
        ICD-10-CM Diagnosis Code Q23.1

        Congenital insufficiency of aortic valve

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Bicuspid aortic valve
        • Congenital aortic insufficiency
      • rheumatic I06.1
        ICD-10-CM Diagnosis Code I06.1

        Rheumatic aortic insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Rheumatic aortic incompetence
        • Rheumatic aortic regurgitation
        • with
          • mitral (valve) I08.0
            ICD-10-CM Diagnosis Code I08.0

            Rheumatic disorders of both mitral and aortic valves

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
            • with tricuspid I08.3
              (valve)
              ICD-10-CM Diagnosis Code I08.3

              Combined rheumatic disorders of mitral, aortic and tricuspid valves

                2016 2017 2018 2019 Billable/Specific Code
          • stenosis I06.2
            ICD-10-CM Diagnosis Code I06.2

            Rheumatic aortic stenosis with insufficiency

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Rheumatic aortic stenosis with incompetence or regurgitation
            • with mitral (valve) I08.0
              ICD-10-CM Diagnosis Code I08.0

              Rheumatic disorders of both mitral and aortic valves

                2016 2017 2018 2019 Billable/Specific Code
              Applicable To
              • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
              • with tricuspid I08.3
                (valve)
                ICD-10-CM Diagnosis Code I08.3

                Combined rheumatic disorders of mitral, aortic and tricuspid valves

                  2016 2017 2018 2019 Billable/Specific Code
          • tricuspid (valve) I08.2
            ICD-10-CM Diagnosis Code I08.2

            Rheumatic disorders of both aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
            • with mitral I08.3
              (valve)
              ICD-10-CM Diagnosis Code I08.3

              Combined rheumatic disorders of mitral, aortic and tricuspid valves

                2016 2017 2018 2019 Billable/Specific Code
      • specified cause NEC I35.1
        ICD-10-CM Diagnosis Code I35.1

        Nonrheumatic aortic (valve) insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Nonrheumatic aortic (valve) incompetence NOS
        • Nonrheumatic aortic (valve) regurgitation NOS
      • syphilitic A52.03
        ICD-10-CM Diagnosis Code A52.03

        Syphilitic endocarditis

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Syphilitic aortic valve incompetence or stenosis
        • Syphilitic mitral valve stenosis
        • Syphilitic pulmonary valve regurgitation
      • with
        • mitral (valve) I08.0
          ICD-10-CM Diagnosis Code I08.0

          Rheumatic disorders of both mitral and aortic valves

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
          • with tricuspid I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
        • stenosis I35.2
          ICD-10-CM Diagnosis Code I35.2

          Nonrheumatic aortic (valve) stenosis with insufficiency

            2016 2017 2018 2019 Billable/Specific Code
        • tricuspid (valve) I08.2
          ICD-10-CM Diagnosis Code I08.2

          Rheumatic disorders of both aortic and tricuspid valves

            2016 2017 2018 2019 Billable/Specific Code
          • with mitral I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
    • arterial I77.1
      ICD-10-CM Diagnosis Code I77.1

      Stricture of artery

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Narrowing of artery
      • basilar G45.0
        ICD-10-CM Diagnosis Code G45.0

        Vertebro-basilar artery syndrome

          2016 2017 2018 2019 Billable/Specific Code
      • carotid G45.1
        (hemispheric)
        ICD-10-CM Diagnosis Code G45.1

        Carotid artery syndrome (hemispheric)

          2016 2017 2018 2019 Billable/Specific Code
      • cerebral I67.81
        ICD-10-CM Diagnosis Code I67.81

        Acute cerebrovascular insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Acute cerebrovascular insufficiency unspecified as to location or reversibility
      • coronary I24.8
        (acute or subacute)
        ICD-10-CM Diagnosis Code I24.8

        Other forms of acute ischemic heart disease

          2016 2017 2018 2019 Billable/Specific Code
        Type 1 Excludes
        • myocardial infarction due to demand ischemia (I21.A1)
      • mesenteric K55.1
        ICD-10-CM Diagnosis Code K55.1

        Chronic vascular disorders of intestine

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Chronic ischemic colitis
        • Chronic ischemic enteritis
        • Chronic ischemic enterocolitis
        • Ischemic stricture of intestine
        • Mesenteric atherosclerosis
        • Mesenteric vascular insufficiency
      • peripheral I73.9
        ICD-10-CM Diagnosis Code I73.9

        Peripheral vascular disease, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Intermittent claudication
        • Peripheral angiopathy NOS
        • Spasm of artery
        Type 1 Excludes
      • precerebral G45.2
        (multiple) (bilateral)
        ICD-10-CM Diagnosis Code G45.2

        Multiple and bilateral precerebral artery syndromes

          2016 2017 2018 2019 Billable/Specific Code
      • vertebral G45.0
        ICD-10-CM Diagnosis Code G45.0

        Vertebro-basilar artery syndrome

          2016 2017 2018 2019 Billable/Specific Code
    • arteriovenous I99.8
      ICD-10-CM Diagnosis Code I99.8

      Other disorder of circulatory system

        2016 2017 2018 2019 Billable/Specific Code
    • biliary K83.8
      ICD-10-CM Diagnosis Code K83.8

      Other specified diseases of biliary tract

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Adhesions of biliary tract
      • Atrophy of biliary tract
      • Hypertrophy of biliary tract
      • Ulcer of biliary tract
    • cardiac - see also Insufficiency, myocardial
      • due to presence of I97.11-
        (cardiac)
        ICD-10-CM Diagnosis Code I97.11-

        Postprocedural cardiac insufficiency

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
      • postprocedural I97.11-
        ICD-10-CM Diagnosis Code I97.11-

        Postprocedural cardiac insufficiency

          2016 2017 2018 2019 Non-Billable/Non-Specific Code
    • cardiorenal, 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 Billable/Specific Code
      Use Additional
      • code to identify type of heart failure (I50.-)
    • cardiovascular - see Disease, cardiovascular
    • cerebrovascular (acute) I67.81
      ICD-10-CM Diagnosis Code I67.81

      Acute cerebrovascular insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Acute cerebrovascular insufficiency unspecified as to location or reversibility
      • with transient focal neurological signs and symptoms G45.8
        ICD-10-CM Diagnosis Code G45.8

        Other transient cerebral ischemic attacks and related syndromes

          2016 2017 2018 2019 Billable/Specific Code
    • circulatory NEC I99.8
      ICD-10-CM Diagnosis Code I99.8

      Other disorder of circulatory system

        2016 2017 2018 2019 Billable/Specific Code
      • newborn P29.89
        ICD-10-CM Diagnosis Code P29.89

        Other cardiovascular disorders originating in the perinatal period

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
    • clinical crown length K08.89
      ICD-10-CM Diagnosis Code K08.89

      Other specified disorders of teeth and supporting structures

        2017 - New Code 2018 2019 Billable/Specific Code
      Applicable To
      • Enlargement of alveolar ridge NOS
      • Insufficient anatomic crown height
      • Insufficient clinical crown length
      • Irregular alveolar process
      • Toothache NOS
    • convergence H51.11
      ICD-10-CM Diagnosis Code H51.11

      Convergence insufficiency

        2016 2017 2018 2019 Billable/Specific Code
    • coronary (acute or subacute) I24.8
      ICD-10-CM Diagnosis Code I24.8

      Other forms of acute ischemic heart disease

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
      • myocardial infarction due to demand ischemia (I21.A1)
      • chronic or with a stated duration of over 4 weeks I25.89
        ICD-10-CM Diagnosis Code I25.89

        Other forms of chronic ischemic heart disease

          2016 2017 2018 2019 Billable/Specific Code
    • corticoadrenal E27.40
      ICD-10-CM Diagnosis Code E27.40

      Unspecified adrenocortical insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Adrenocortical insufficiency NOS
      • Hypoaldosteronism
      • primary E27.1
        ICD-10-CM Diagnosis Code E27.1

        Primary adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Addison's disease
        • Autoimmune adrenalitis
        Type 1 Excludes
        • Addison only phenotype adrenoleukodystrophy (E71.528)
        • amyloidosis (E85.-)
        • tuberculous Addison's disease (A18.7)
        • Waterhouse-Friderichsen syndrome (A39.1)
    • dietary E63.9
      ICD-10-CM Diagnosis Code E63.9

      Nutritional deficiency, unspecified

        2016 2017 2018 2019 Billable/Specific Code
    • divergence H51.8
      ICD-10-CM Diagnosis Code H51.8

      Other specified disorders of binocular movement

        2016 2017 2018 2019 Billable/Specific Code
    • food T73.0
      ICD-10-CM Diagnosis Code T73.0

      Starvation

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Applicable To
      • Deprivation of food
    • gastroesophageal K22.8
      ICD-10-CM Diagnosis Code K22.8

      Other specified diseases of esophagus

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Hemorrhage of esophagus NOS
      Type 2 Excludes
      • esophageal varices (I85.-)
      • Paterson-Kelly syndrome (D50.1)
    • gonadal
      • ovary E28.39
        ICD-10-CM Diagnosis Code E28.39

        Other primary ovarian failure

          2016 2017 2018 2019 Billable/Specific Code Female Dx
        Applicable To
        • Decreased estrogen
        • Resistant ovary syndrome
      • testis E29.1
        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)
    • heart - see also Insufficiency, myocardial
      • newborn P29.0
        ICD-10-CM Diagnosis Code P29.0

        Neonatal cardiac failure

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
      • valve - see Endocarditis
    • hepatic - see Failure, hepatic
    • idiopathic autonomic G90.09
      ICD-10-CM Diagnosis Code G90.09

      Other idiopathic peripheral autonomic neuropathy

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Idiopathic peripheral autonomic neuropathy NOS
    • interocclusal distance of fully erupted teeth M26.36
      (ridge)
      ICD-10-CM Diagnosis Code M26.36

      Insufficient interocclusal distance of fully erupted teeth (ridge)

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Lack of adequate intermaxillary vertical dimension of fully erupted teeth
    • kidney N28.9
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
      • acute N28.9
        ICD-10-CM Diagnosis Code N28.9

        Disorder of kidney and ureter, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Nephropathy NOS
        • Renal disease (acute) NOS
        • Renal insufficiency (acute)
        Type 1 Excludes
        • chronic renal insufficiency (N18.9)
        • unspecified nephritic syndrome (N05.-)
      • chronic N18.9
        ICD-10-CM Diagnosis Code N18.9

        Chronic kidney disease, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Chronic renal disease
        • Chronic renal failure NOS
        • Chronic renal insufficiency
        • Chronic uremia NOS
        • Diffuse sclerosing glomerulonephritis NOS
    • lacrimal (secretion) H04.12-
      ICD-10-CM Diagnosis Code H04.12-

      Dry eye syndrome

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Applicable To
      • Tear film insufficiency, NOS
    • liver - see Failure, hepatic
    • lung - see Insufficiency, pulmonary
    • mental (congenital) - see Disability, intellectual
    • mesenteric K55.1
      ICD-10-CM Diagnosis Code K55.1

      Chronic vascular disorders of intestine

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Chronic ischemic colitis
      • Chronic ischemic enteritis
      • Chronic ischemic enterocolitis
      • Ischemic stricture of intestine
      • Mesenteric atherosclerosis
      • Mesenteric vascular insufficiency
    • mitral (valve) I34.0
      ICD-10-CM Diagnosis Code I34.0

      Nonrheumatic mitral (valve) insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nonrheumatic mitral (valve) incompetence NOS
      • Nonrheumatic mitral (valve) regurgitation NOS
      • congenital Q23.3
        ICD-10-CM Diagnosis Code Q23.3

        Congenital mitral insufficiency

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • rheumatic I05.1
        ICD-10-CM Diagnosis Code I05.1

        Rheumatic mitral insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Rheumatic mitral incompetence
        • Rheumatic mitral regurgitation
        Type 1 Excludes
        • mitral insufficiency not specified as rheumatic (I34.0)
        • active or acute I01.1
          ICD-10-CM Diagnosis Code I01.1

          Acute rheumatic endocarditis

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Any condition in I00 with endocarditis or valvulitis
          • Acute rheumatic valvulitis
          • with chorea, rheumatic I02.0
            (Sydenham's)
            ICD-10-CM Diagnosis Code I02.0

            Rheumatic chorea with heart involvement

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Chorea NOS with heart involvement
            • Rheumatic chorea with heart involvement of any type classifiable under I01.-
        • with
          • aortic valve disease I08.0
            ICD-10-CM Diagnosis Code I08.0

            Rheumatic disorders of both mitral and aortic valves

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
            • with tricuspid I08.3
              (valve)
              ICD-10-CM Diagnosis Code I08.3

              Combined rheumatic disorders of mitral, aortic and tricuspid valves

                2016 2017 2018 2019 Billable/Specific Code
          • obstruction or stenosis I05.2
            ICD-10-CM Diagnosis Code I05.2

            Rheumatic mitral stenosis with insufficiency

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Rheumatic mitral stenosis with incompetence or regurgitation
            • with aortic valve disease I08.0
              ICD-10-CM Diagnosis Code I08.0

              Rheumatic disorders of both mitral and aortic valves

                2016 2017 2018 2019 Billable/Specific Code
              Applicable To
              • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
              • with tricuspid I08.3
                (valve)
                ICD-10-CM Diagnosis Code I08.3

                Combined rheumatic disorders of mitral, aortic and tricuspid valves

                  2016 2017 2018 2019 Billable/Specific Code
          • tricuspid (valve) I08.1
            ICD-10-CM Diagnosis Code I08.1

            Rheumatic disorders of both mitral and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
            • with aortic I08.3
              (valve)
              ICD-10-CM Diagnosis Code I08.3

              Combined rheumatic disorders of mitral, aortic and tricuspid valves

                2016 2017 2018 2019 Billable/Specific Code
      • specified cause, except rheumatic I34.0
        ICD-10-CM Diagnosis Code I34.0

        Nonrheumatic mitral (valve) insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Nonrheumatic mitral (valve) incompetence NOS
        • Nonrheumatic mitral (valve) regurgitation NOS
      • with
        • aortic valve disease I08.0
          ICD-10-CM Diagnosis Code I08.0

          Rheumatic disorders of both mitral and aortic valves

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
          • with tricuspid I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
        • obstruction or stenosis I05.2
          ICD-10-CM Diagnosis Code I05.2

          Rheumatic mitral stenosis with insufficiency

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Rheumatic mitral stenosis with incompetence or regurgitation
          • with aortic valve disease I08.0
            ICD-10-CM Diagnosis Code I08.0

            Rheumatic disorders of both mitral and aortic valves

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Involvement of both mitral and aortic valves specified as rheumatic or unspecified
        • tricuspid (valve) I08.1
          ICD-10-CM Diagnosis Code I08.1

          Rheumatic disorders of both mitral and tricuspid valves

            2016 2017 2018 2019 Billable/Specific Code
          • with aortic I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
    • muscle - see also Disease, muscle
      • heart - see Insufficiency, myocardial
      • ocular NEC H50.9
        ICD-10-CM Diagnosis Code H50.9

        Unspecified strabismus

          2016 2017 2018 2019 Billable/Specific Code
    • myocardial, myocardium (with arteriosclerosis) I50.9
      - see also Failure, heart
      ICD-10-CM Diagnosis Code I50.9

      Heart failure, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Cardiac, heart or myocardial failure NOS
      • Congestive heart disease
      • Congestive heart failure NOS
      Type 2 Excludes
      • congenital Q24.8
        ICD-10-CM Diagnosis Code Q24.8

        Other specified congenital malformations of heart

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital diverticulum of left ventricle
        • Congenital malformation of myocardium
        • Congenital malformation of pericardium
        • Malposition of heart
        • Uhl's disease
      • hypertensive - see Hypertension, heart
      • newborn P29.0
        ICD-10-CM Diagnosis Code P29.0

        Neonatal cardiac failure

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
      • rheumatic I09.0
        ICD-10-CM Diagnosis Code I09.0

        Rheumatic myocarditis

          2016 2017 2018 2019 Billable/Specific Code
        Type 1 Excludes
        • myocarditis not specified as rheumatic (I51.4)
        • active, acute, or subacute I01.2
          ICD-10-CM Diagnosis Code I01.2

          Acute rheumatic myocarditis

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Any condition in I00 with myocarditis
      • syphilitic A52.06
        ICD-10-CM Diagnosis Code A52.06

        Other syphilitic heart involvement

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Syphilitic coronary artery disease
        • Syphilitic myocarditis
        • Syphilitic pericarditis
      • with
        • rheumatic fever (conditions in I00) I09.0
          ICD-10-CM Diagnosis Code I09.0

          Rheumatic myocarditis

            2016 2017 2018 2019 Billable/Specific Code
          Type 1 Excludes
          • myocarditis not specified as rheumatic (I51.4)
          • active, acute or subacute I01.2
            ICD-10-CM Diagnosis Code I01.2

            Acute rheumatic myocarditis

              2016 2017 2018 2019 Billable/Specific Code
            Applicable To
            • Any condition in I00 with myocarditis
            • with chorea I02.0
              ICD-10-CM Diagnosis Code I02.0

              Rheumatic chorea with heart involvement

                2016 2017 2018 2019 Billable/Specific Code
              Applicable To
              • Chorea NOS with heart involvement
              • Rheumatic chorea with heart involvement of any type classifiable under I01.-
          • inactive or quiescent I09.0
            (with chorea)
            ICD-10-CM Diagnosis Code I09.0

            Rheumatic myocarditis

              2016 2017 2018 2019 Billable/Specific Code
            Type 1 Excludes
            • myocarditis not specified as rheumatic (I51.4)
    • nourishment T73.0
      ICD-10-CM Diagnosis Code T73.0

      Starvation

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Applicable To
      • Deprivation of food
    • pancreatic K86.89
      ICD-10-CM Diagnosis Code K86.89

      Other specified diseases of pancreas

        2017 - New Code 2018 2019 Billable/Specific Code
      Applicable To
      • Aseptic pancreatic necrosis, unrelated to acute pancreatitis
      • Atrophy of pancreas
      • Calculus of pancreas
      • Cirrhosis of pancreas
      • Fibrosis of pancreas
      • Pancreatic fat necrosis, unrelated to acute pancreatitis
      • Pancreatic infantilism
      • Pancreatic necrosis NOS, unrelated to acute pancreatitis
      • exocrine K86.81
        ICD-10-CM Diagnosis Code K86.81

        Exocrine pancreatic insufficiency

          2017 - New Code 2018 2019 Billable/Specific Code
    • parathyroid E20.9
      (gland)
      ICD-10-CM Diagnosis Code E20.9

      Hypoparathyroidism, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Parathyroid tetany
    • peripheral vascular I73.9
      (arterial)
      ICD-10-CM Diagnosis Code I73.9

      Peripheral vascular disease, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Intermittent claudication
      • Peripheral angiopathy NOS
      • Spasm of artery
      Type 1 Excludes
    • pituitary E23.0
      ICD-10-CM Diagnosis Code E23.0

      Hypopituitarism

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Fertile eunuch syndrome
      • Hypogonadotropic hypogonadism
      • Idiopathic growth hormone deficiency
      • Isolated deficiency of gonadotropin
      • Isolated deficiency of growth hormone
      • Isolated deficiency of pituitary hormone
      • Kallmann's syndrome
      • Lorain-Levi short stature
      • Necrosis of pituitary gland (postpartum)
      • Panhypopituitarism
      • Pituitary cachexia
      • Pituitary insufficiency NOS
      • Pituitary short stature
      • Sheehan's syndrome
      • Simmonds' disease
    • placental O36.51-
      (mother)
      ICD-10-CM Diagnosis Code O36.51-

      Maternal care for known or suspected placental insufficiency

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
    • platelets D69.6
      ICD-10-CM Diagnosis Code D69.6

      Thrombocytopenia, unspecified

        2016 2017 2018 2019 Billable/Specific Code
    • prenatal care affecting management of pregnancy O09.3-
      ICD-10-CM Diagnosis Code O09.3-

      Supervision of pregnancy with insufficient antenatal care

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
      Applicable To
      • Supervision of concealed pregnancy
      • Supervision of hidden pregnancy
    • progressive pluriglandular E31.0
      ICD-10-CM Diagnosis Code E31.0

      Autoimmune polyglandular failure

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Schmidt's syndrome
    • pulmonary J98.4
      ICD-10-CM Diagnosis Code J98.4

      Other disorders of lung

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Calcification of lung
      • Cystic lung disease (acquired)
      • Lung disease NOS
      • Pulmolithiasis
      Type 1 Excludes
      • acute interstitial pneumonitis (J84.114)
      • pulmonary insufficiency following surgery (J95.1-J95.2)
      • acute, following surgery (nonthoracic) J95.2
        ICD-10-CM Diagnosis Code J95.2

        Acute pulmonary insufficiency following nonthoracic surgery

          2016 2017 2018 2019 Billable/Specific Code
        Type 2 Excludes
        • Functional disturbances following cardiac surgery (I97.0, I97.1-)
        • thoracic J95.1
          ICD-10-CM Diagnosis Code J95.1

          Acute pulmonary insufficiency following thoracic surgery

            2016 2017 2018 2019 Billable/Specific Code
          Type 2 Excludes
          • Functional disturbances following cardiac surgery (I97.0, I97.1-)
      • chronic, following surgery J95.3
        ICD-10-CM Diagnosis Code J95.3

        Chronic pulmonary insufficiency following surgery

          2016 2017 2018 2019 Billable/Specific Code
        Type 2 Excludes
        • Functional disturbances following cardiac surgery (I97.0, I97.1-)
      • following
        • shock J98.4
          ICD-10-CM Diagnosis Code J98.4

          Other disorders of lung

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Calcification of lung
          • Cystic lung disease (acquired)
          • Lung disease NOS
          • Pulmolithiasis
          Type 1 Excludes
          • acute interstitial pneumonitis (J84.114)
          • pulmonary insufficiency following surgery (J95.1-J95.2)
        • trauma J98.4
          ICD-10-CM Diagnosis Code J98.4

          Other disorders of lung

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Calcification of lung
          • Cystic lung disease (acquired)
          • Lung disease NOS
          • Pulmolithiasis
          Type 1 Excludes
          • acute interstitial pneumonitis (J84.114)
          • pulmonary insufficiency following surgery (J95.1-J95.2)
      • newborn P28.5
        ICD-10-CM Diagnosis Code P28.5

        Respiratory failure of newborn

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
        Type 1 Excludes
        • respiratory arrest of newborn (P28.81)
        • respiratory distress of newborn (P22.0-)
      • valve I37.1
        ICD-10-CM Diagnosis Code I37.1

        Nonrheumatic pulmonary valve insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Nonrheumatic pulmonary valve incompetence
        • Nonrheumatic pulmonary valve regurgitation
        • congenital Q22.2
          ICD-10-CM Diagnosis Code Q22.2

          Congenital pulmonary valve insufficiency

            2016 2017 2018 2019 Billable/Specific Code POA Exempt
          Applicable To
          • Congenital pulmonary valve regurgitation
        • rheumatic I09.89
          ICD-10-CM Diagnosis Code I09.89

          Other specified rheumatic heart diseases

            2016 2017 2018 2019 Billable/Specific Code
          Applicable To
          • Rheumatic disease of pulmonary valve
          • with aortic, mitral or tricuspid I08.8
            (valve)
            ICD-10-CM Diagnosis Code I08.8

            Other rheumatic multiple valve diseases

              2016 2017 2018 2019 Billable/Specific Code
        • with stenosis I37.2
          ICD-10-CM Diagnosis Code I37.2

          Nonrheumatic pulmonary valve stenosis with insufficiency

            2016 2017 2018 2019 Billable/Specific Code
    • pyloric K31.89
      ICD-10-CM Diagnosis Code K31.89

      Other diseases of stomach and duodenum

        2016 2017 2018 2019 Billable/Specific Code
    • renal (acute) N28.9
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
      • chronic N18.9
        ICD-10-CM Diagnosis Code N18.9

        Chronic kidney disease, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Chronic renal disease
        • Chronic renal failure NOS
        • Chronic renal insufficiency
        • Chronic uremia NOS
        • Diffuse sclerosing glomerulonephritis NOS
    • respiratory R06.89
      ICD-10-CM Diagnosis Code R06.89

      Other abnormalities of breathing

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Breath-holding (spells)
      • Sighing
      • newborn P28.5
        ICD-10-CM Diagnosis Code P28.5

        Respiratory failure of newborn

          2016 2017 2018 2019 Billable/Specific Code Code on Newborn Record
        Type 1 Excludes
        • respiratory arrest of newborn (P28.81)
        • respiratory distress of newborn (P22.0-)
    • rotation - see Malrotation
    • sleep syndrome F51.12
      ICD-10-CM Diagnosis Code F51.12

      Insufficient sleep syndrome

        2016 2017 2018 2019 Billable/Specific Code
      Type 1 Excludes
    • social insurance Z59.7
      ICD-10-CM Diagnosis Code Z59.7

      Insufficient social insurance and welfare support

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
    • suprarenal E27.40
      ICD-10-CM Diagnosis Code E27.40

      Unspecified adrenocortical insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Adrenocortical insufficiency NOS
      • Hypoaldosteronism
      • primary E27.1
        ICD-10-CM Diagnosis Code E27.1

        Primary adrenocortical insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Addison's disease
        • Autoimmune adrenalitis
        Type 1 Excludes
        • Addison only phenotype adrenoleukodystrophy (E71.528)
        • amyloidosis (E85.-)
        • tuberculous Addison's disease (A18.7)
        • Waterhouse-Friderichsen syndrome (A39.1)
    • tarso-orbital fascia, congenital Q10.3
      ICD-10-CM Diagnosis Code Q10.3

      Other congenital malformations of eyelid

        2016 2017 2018 2019 Billable/Specific Code POA Exempt
      Applicable To
      • Ablepharon
      • Blepharophimosis, congenital
      • Coloboma of eyelid
      • Congenital absence or agenesis of cilia
      • Congenital absence or agenesis of eyelid
      • Congenital accessory eyelid
      • Congenital accessory eye muscle
      • Congenital malformation of eyelid NOS
    • testis E29.1
      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)
    • thyroid (gland) (acquired) E03.9
      ICD-10-CM Diagnosis Code E03.9

      Hypothyroidism, unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Myxedema NOS
      • congenital E03.1
        ICD-10-CM Diagnosis Code E03.1

        Congenital hypothyroidism without goiter

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Aplasia of thyroid (with myxedema)
        • Congenital atrophy of thyroid
        • Congenital hypothyroidism NOS
    • tricuspid (valve) (rheumatic) I07.1
      ICD-10-CM Diagnosis Code I07.1

      Rheumatic tricuspid insufficiency

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Tricuspid (valve) insufficiency (rheumatic)
      • congenital Q22.8
        ICD-10-CM Diagnosis Code Q22.8

        Other congenital malformations of tricuspid valve

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
      • nonrheumatic I36.1
        ICD-10-CM Diagnosis Code I36.1

        Nonrheumatic tricuspid (valve) insufficiency

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Nonrheumatic tricuspid (valve) incompetence
        • Nonrheumatic tricuspid (valve) regurgitation
        • with stenosis I36.2
          ICD-10-CM Diagnosis Code I36.2

          Nonrheumatic tricuspid (valve) stenosis with insufficiency

            2016 2017 2018 2019 Billable/Specific Code
      • with
        • aortic (valve) I08.2
          ICD-10-CM Diagnosis Code I08.2

          Rheumatic disorders of both aortic and tricuspid valves

            2016 2017 2018 2019 Billable/Specific Code
          • with mitral I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
        • mitral (valve) I08.1
          ICD-10-CM Diagnosis Code I08.1

          Rheumatic disorders of both mitral and tricuspid valves

            2016 2017 2018 2019 Billable/Specific Code
          • with aortic I08.3
            (valve)
            ICD-10-CM Diagnosis Code I08.3

            Combined rheumatic disorders of mitral, aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
        • obstruction or stenosis I07.2
          ICD-10-CM Diagnosis Code I07.2

          Rheumatic tricuspid stenosis and insufficiency

            2016 2017 2018 2019 Billable/Specific Code
          • with aortic (valve) I08.2
            ICD-10-CM Diagnosis Code I08.2

            Rheumatic disorders of both aortic and tricuspid valves

              2016 2017 2018 2019 Billable/Specific Code
            • with mitral I08.3
              (valve)
              ICD-10-CM Diagnosis Code I08.3

              Combined rheumatic disorders of mitral, aortic and tricuspid valves

                2016 2017 2018 2019 Billable/Specific Code
    • urethral sphincter R32
      ICD-10-CM Diagnosis Code R32

      Unspecified urinary incontinence

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Enuresis NOS
      Type 1 Excludes
      • functional urinary incontinence (R39.81)
      • nonorganic enuresis (F98.0)
      • stress incontinence and other specified urinary incontinence (N39.3-N39.4-)
      • urinary incontinence associated with cognitive impairment (R39.81)
    • valve, valvular (heart) I38
      ICD-10-CM Diagnosis Code I38

      Endocarditis, valve unspecified

        2016 2017 2018 2019 Billable/Specific Code
      Includes
      • endocarditis (chronic) NOS
      • valvular incompetence NOS
      • valvular insufficiency NOS
      • valvular regurgitation NOS
      • valvular stenosis NOS
      • valvulitis (chronic) NOS
      Type 1 Excludes
      • congenital insufficiency of cardiac valve NOS (Q24.8)
      • congenital stenosis of cardiac valve NOS (Q24.8)
      • endocardial fibroelastosis (I42.4)
      • endocarditis specified as rheumatic (I09.1)
    • vascular I99.8
      ICD-10-CM Diagnosis Code I99.8

      Other disorder of circulatory system

        2016 2017 2018 2019 Billable/Specific Code
      • intestine K55.9
        ICD-10-CM Diagnosis Code K55.9

        Vascular disorder of intestine, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Ischemic colitis
        • Ischemic enteritis
        • Ischemic enterocolitis
        • acute K55.059
          - see also Ischemia, intestine, acute
          ICD-10-CM Diagnosis Code K55.059

          Acute (reversible) ischemia of intestine, part and extent unspecified

            2017 - New Code 2018 2019 Billable/Specific Code
      • mesenteric K55.1
        ICD-10-CM Diagnosis Code K55.1

        Chronic vascular disorders of intestine

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Chronic ischemic colitis
        • Chronic ischemic enteritis
        • Chronic ischemic enterocolitis
        • Ischemic stricture of intestine
        • Mesenteric atherosclerosis
        • Mesenteric vascular insufficiency
      • peripheral I73.9
        ICD-10-CM Diagnosis Code I73.9

        Peripheral vascular disease, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Intermittent claudication
        • Peripheral angiopathy NOS
        • Spasm of artery
        Type 1 Excludes
      • renal - see Hypertension, kidney
    • velopharyngeal
      • acquired K13.79
        ICD-10-CM Diagnosis Code K13.79

        Other lesions of oral mucosa

          2016 2017 2018 2019 Billable/Specific Code
        Applicable To
        • Focal oral mucinosis
      • congenital Q38.8
        ICD-10-CM Diagnosis Code Q38.8

        Other congenital malformations of pharynx

          2016 2017 2018 2019 Billable/Specific Code POA Exempt
        Applicable To
        • Congenital malformation of pharynx NOS
        • Imperforate pharynx
    • venous I87.2
      (chronic) (peripheral)
      ICD-10-CM Diagnosis Code I87.2

      Venous insufficiency (chronic) (peripheral)

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Stasis dermatitis
      Type 1 Excludes
      • stasis dermatitis with varicose veins of lower extremities (I83.1-, I83.2-)
    • ventricular - see Insufficiency, myocardial
    • welfare support Z59.7
      ICD-10-CM Diagnosis Code Z59.7

      Insufficient social insurance and welfare support

        2016 2017 2018 2019 Billable/Specific Code POA Exempt