INTRODUCTION TO ICD 10 CM

 International Classification Of Diseases,10th Revision

,Clinical Modification
 WHO
 Alphanumeric codes
 Year 1983
 October – Revision
DIFFERENCE BETWEEN ICD-9 AND
ICD-10
ICD -9 ICD - 10
 3 TO 5 DIGIT LONG
 ABOUT 13,000 CODES
 DETAILING LACKING
 LATERALITY IS DEFICIENT
 RESTRICTED AMOUNT OF ROOMS
TO ADD NEW CODES
 DEVOLEPED IN THE YEAR 1975
 3 TO 7 DIGIT LONG
 ABOUT 68,000 CODES
 PRECISE
 LATERALITY IS MENTIONED
 ACCOMODATING TO THE
ADDITION OF NEW CODES
 DEVOLEPED IN THE YEAR 2015
OCTOBER
ICD BOOK INDEX AND TABULAR LIST

 Page no;43-451-alaphabetic index

 Page no-453-1297-tabularlist
 Eg=chronic kidney diseses

 THE ALPHABETIC INDEX CONSIST OF FOLLOWING PARTS

1. THE INDEX OF THE DISEASES AND INJURY
2. THE TABLE OF NEOPLASMS
3. THE TABLE OF DRUGS AND CHEMICALS
4. THE INDEX OF EXTERNAL CAUSES OF INJURY
ICD BOOK AND CODING

 THERE ARE ALPHABETIC INDEX AS WELL AS TABULAR LIST

 ALPHABETIC INDEX CONTAINS OF 3 SECTIONS

1. SECTION 1:INDEX TO DISEASES AND INJURIES
2. SECTION 2:TABLE OF NEOPLASM, TABLE OF DRUG AND CHEMICAL
3. SECTION 3:ICD -10 CM INDEX TO EXTERNAL CAUSE OF INJURIES

 INDEX BOOK PATTERN CONTAINS

1. MAIN TERM
2. SUB TERM
ICD Code Format

 Alphanumeric codes
 Eg:H40.1120
 Characters
 ●Minimum 3
 ●Maximum 7
MAIN TERM AND SUB TERM.

 MAIN TERM : THE TERM UNDER WHICH CODE IS LISTED IS KNOWN AS

MAIN TERM
 SUB TERM: THE TERM LISTED UNDER THE MAIN TERM IS KNOWN AS SUB
TERM
 EXAMPLE: CHRONIC KIDNEY DISEASE,WHERE CHRONIC IS SUB TERM
AND DISEASE IS MAIN TERM.

 QUESTIONS:
1. ACUTE BRONCHITIS. J20.9
2. CYSTIC FIBROSIS.E84.9
QUESTIONS
1. SEPSIS
2. NAUSEA
3. APPENDICITIS
4. PAIN
5. LIPOMA
6. OBESITY
7. HEMATURIA
8. TACHYCARDIA
9. MYOFIBROSIS
10. RUBELLA
11. ARTERIOSCLEROSIS
12. BEDRIDDEN
13. CALCINOSIS
14. FATIGUE
15. CELLULITIS
16. OSTEOMALACIA
17. RABIES
18. HIV
19. KERATITIS
20. ENCEPHALOPATHY
ANSWERS
1. A41.9
2. R11.0
3. K37
4. R52
5. D17.9
6. E66.9
7. R31.9
8. R00.0
9. M62.89
10. B06.9
11. I70.90
12. Z74.01
13. E83.59
14. R53.83
15. L03.90
16. M83.9
17. A82.9
18. B20
19. H16.9
20. G93.40
BASIC CODING TERMS

 CODES ARE OF 2 TYPES

1. COMPLETE CODES :
2. INCOMPLETE CODES :BOX WITH TICK MARK

 EXAMPLES: ALCOHOLIC HEPATITIS WITH ASCITIS : K70.11

 CENTRAL SEROUS CHORIORETINOPATHY- H35.71
• SEE ALSO – INSTRUCTION TO REVIEW ANOTHER TERM
OF ALL NEEDED INFORMATION IS NOT LOCATED
UNDER THE 1ST MAIN TERM.
EXAMPLE :STENOSIS OF FALLOPIAN TUBE: N97.1

SEE – INSTRUCTION TO THE ALPHABETIC INDEX INDICATION

ANOTHER TERM SHOULD BE REFERENCED.

CHOLECYSTOLITHIASIS
• NON ESSENTIAL MODIFIER : SUBTERM THAT FOLLOW MAIN
TERM AND ARE ENCLOSED IN PARENTHESIS.

EXAMPLE: MALIGNANT HYPERTENSION: I10

• ESSENTIAL MODIFIER : SUBTERM THAT ARE LISTED BELOW THE
MAIN TERM IN THE ALPHABETIC ORDER AND ARE INTENDED.

EXAMPLE: TROPICAL PSILOSIS: K90.1

MULTIPLE CODING : MULTIPLE CODING IS USED IF MORE THAN
ONE CODE IS USED FOR THE IDENTIFICATION OF CERTAIN
ELEMENTS OF A COMPLEX DIAGNOSTIC TREATMENT.

EXAMPLE: ALZHEIMER’S DISEASE: G30.9,F02.80

COMBINATION CODES :

SINGLE CODES USED FOR 2 DAIGNOSIS, A DIAGNOSIS AND

ASSOCIATED SECONDARY MANIFESTATION, A DIAGNOSIS WITH
ASSOCIATED COMPLICATION

EXAMPLE: GASTRIC ULCER WITH BLEEDING:K25.4

QUESTIONS

1.ATRIAL FIBRILLATION.
2.HYPEREMESIS GRAVIDARUM.
3.ABDOMINAL AORTIC ANEURYSM WITH RUPTURE.
4.NEWBORN ADRENAL HEMORRHAGE.
5.CHOLECYSTOLITHIASIS
6.ASPIRATION PNEUMONIA DUE TO FOOD.
7.DIABETES MELLITUS WITH CATARACT.
8.NAUSEA WITH VOMITING.
9.FAMILY HISTORY OF GLAUCOMA.
10.POST OPERATIVE INTESTINAL OBSTRUCTION.
ANSWERS
1.I48.91
2.O21.0
3.I71.3
4.P54.4
5.K80.20
6.J69.0
7.E11.36
8.R11.2
9.Z83.511
10.K91.30
X HOLDER

 IT IS GENERALLY USED AS A PLACE HOLDER IN ICD-10,WHERE THE

CHARACTER IS MISSING ADD “X” IN THE PLACE.
 “X” IS ALWAYS MENTIONED BEFORE 7TH CHARACTER.
 COMMONLY USED IN CHARACTER CODES.
 A CODE CONTAIN MAXIMUM OF 3 “X”.
 X IS ALWAYS MENTIONED AFTER DECIMAL POINT.

5  7 S02.2XX
7 TH CHARACTER A,D,S

 A : INITIAL ENCOUNTER
 D: SUBSEQUENT ENCOUNTER
 S: SEQUELA
A – INITIAL ENCOUNTER

 7TH CHARACTER A IS USED FOR ENCOUNTERS WHERE THE PATIENT IS

RECEIVING ACTIVE TREATMENT FOR THE CONDITION.

 EXAMPLE OF ACTIVE TREATMENT ARE SURGICAL

TREATMENT,EMERGENCY DEPARTMENT ENCOUNTERS AND
EVALUATION AND TREATMENT BY A NEW PHYSICIAN.
D – SUBSEQUENT ENCOUNTER

 ENCOUNTERS AFTER THE PATIENT HAS ALREADY RECEIVED ACTIVE

TREATMENT FOR THE INJURY AND IS RECEIVING ROUTINE CARE FOR
THE INJURY DURING HEALING OR RECOVERY PHASE.

 EXAMPLES OF SUBSEQUENT VISIT IS CAST CHANGE OR

REMOVAL,INTERNAL FIXATION,OTHER AFTER CARE FOLLOW UP,VISIT
FOLLOWING INJURY TREATMENT.
S - SEQUELA

 COMPLICATION OR LATE EFFECT OF AN INJURY

 EXAMPLE IS ABRASION OF RIGHT ELBOW,SPRAIN OF JAW,TRAUMATIC

FRACTURE OF NASAL BONE.
QUESTION

1. ABRASION OF RIGHT ELBOW,3RD VISIT

2. ABRASION OF NOSE,1ST VISIT
3.SPRAIN OF JAW, RIGHT SIDE, FOLLOW UP VISIT
ANSWERS

ANSWERS
1. S50.311D
2. S00.31XA
3. S03.41XD
EXCLUDES -1

 NOTE THAT INDICATES THAT THE CODE EXCLUDED SHOULD NEVER BE

USED AT THE SAME TIME ON THE CODE ABOVE THE EXCLUDES 1 NOTE.

 EXAMPLE
1. DIVERTICULUM ESOPHAGUS ACQUIRED.
2. DIVERTICULUM ESOPHAGUS CONGENITAL.
3. Precocious puberty with congenital adrenal hyperplasia
EXCLUDES -2

 AN EXCLUDE 2 NOTE INDICATED THAT THE CODE IS NOT A PART OF

THE SELECTED CONDITION,BUT A PATIENT MAY HAVE BOTH
CONDITIONS AT THE SAME TIME.

 IT IS ACCEPTABLE TO REPORT BOTH CODES IF PRESENT

 Contusion of eyelid and contusion of eyeball

`
INCLUDES

 THIS NOTE APPEARS IMMEDIATELY UNDER A THREE CHARACTER CODE

TITLE TO FURTHER DEFINE,OR GIVE EXAMPLES OF,THE CONTENT OF
CATEGORY
ABBREVIATIONS

NEC : Not Elsewhere Unclassifiable/ other specified The physician

documentation specific but icd does not have a specific code for it.
But there is specific diagnosis. Select specified type NEC code from
Alphabetic Index Example: Anemia due to radiation therapy

 NOS : Not Otherwise specified/ unspecified The physician does

not provide specific diagnosis so you have to code an unspecified
code
CHAPTERS IN ICD
 THERE ARE 22 CHAPTERS IN ICD:
1. CERTAIN INFECTIOUS AND PARASITIC DISEASES(A00-B99)
2. NEOPLASMS(C00-D49)
3. DISEASES OF BLOOD AND BLOOD FORMING ORGANS AND CERTAIN
DISORDERS INVOLVING THE IMMUNE MECHANISM(D50-D89)
4. ENDOCRINE,NUTRITIONAL AND METABOLIC DISEASES(E00-E89)
5. MENTAL BEHAVIORAL AND NEURODEVOLEPMENTAL DISORDERS(F01-
F99)
6. DISEASES OF NERVOUS SYSTEM(G00-G99).
7. DISEASES OF EYE AND ADNEXA(H00-H59).
8. DISEASES OF EAR AND MASTOID PROCESS(H60-H95).
9. DISEASES OF CIRCULATORY SYSTEM(I00-I99).
10. DISEASES OF RESPIRATORY SYSTEM(J00-J99)
CONT.
11.DISEASES OF DIGESTIVE SYSTEM(K00-K95).
12.DISEASES OF SKIN AND SUBCUTANEOUS TISSUE(L00-L99).
13.DISEASES OF MUSCULOSKELETAL SYSTEM(M00-M99).
14.DISEASES OF GENITO URINARY SYSTEM(N00-N99).
15.PREGNACY,CHIKDBIRTH AND PUERPERIUM(O00-O9A).
16.CERTAIN CONDITIONS ORIGINATING IN THE PERINATAL PERIOD (P00-
P96).
17.CONGENITAL MALFORMATIONS,DEFORMATIONS AND CHROMOSOMAL
ABNORMALITIES (Q00-Q99).
18.SYMPTOMS,SIGNS AND ABNORMAL CLINICAL AND LABORATORY
FINDING NOT ELSEWHERE CLASSIFIED(R00-R99).
19.INJURY,POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL
CAUSES(S00-T88).
20.EXTERNA CAUSES OF MORBIDITY(V00-Y99).
21.FACTORS INFLUENCING HEALTH STATUS AND CONTACH WITH HEALTH
SERVICES(Z00-Z99).