You asked for ... AFFORDABLE ICD-10 CODE BOOKS ... we delivered!!! ICD-10-CM ENHANCED FEATURES BENEFITS FOR CODERS P Definitions and Illustrations P Medical definitions of diseases written by a coder for coders. Anatomical illustrations with call outs of body parts. P Anatomy and Physiology Reviews P Anatomy and physiology reviews that help coders understand the anatomical structures and physiology of the various systems. P Color Highlighting P Color highlighting of key terms (e.g., Excludes 1 & v) and concepts. Screened areas highlight selected areas (e.g., 7th digit subclassifications). P DRG Principles P Identifies codes that are recognized and affected by the DRG Grouper. P Medicare Code Editor Edits P Identifies codes that are edit-reviewed for age and sex-related discrepancies and principal diagnosis criteria. P AHA Coding Clinic ® Reference Notations P Identifies AHA Coding Clinic® articles and Q&As (with descriptive title) that have relevant information for certain codes or code categories. P Highlighted Term Differentiation P Selected terms within code categories and code titles have been underscored to help coders easily and accurately identify the correct code in the Tabular List. P Further use of dashes (-) P All code categories and codes requiring additional digits in the Tabular List have a dash (-) at the end of the last digit to help coders be aware that additional characters are required for a complete code. P Further use of placeholder “x” P All codes requiring one or more “x” placeholder characters to make a complete code have been placed in advance to help coders clearly identify when these “x” placeholders are required. P Excludes v P All Excludes-2 listings have a unique graphic “v” to more clearly identify those unique excludes notations where a coder may code both conditions, if present. P Excludes 1 and Excludes v key P The short descriptions of Excludes 1 and Excludes v are listed on the bottom of each page to help coders learn the difference between the two without referring back to the introduction. P Highlighted 7th digit subclassi- fications P Colored screen bars over the variable 7th digit subclassifications in the Tabular List help coders easily identify those code categories. P Color Tab-Edge printing P Chapter-by-chapter, section-by-section, stair-stepped, colored tab-edge printing helps coders locate the correct section quickly. 4750 Longley Lane, Suite 110 • Reno, NV 89502-5977 • (775) 825-0880 • Customer Service 1-800-248-2882 • FAX (775) 825-5633 WEB SITE: www.channelpublishing.com • E-MAIL: [email protected]The Educational Annotation of ICD-10-CM DISEASES TABULAR LIST & INDEX CRAIG D. PUCKETT Codes Effective October 1, 2015 Channel Publishing, Ltd. FEATURES: • DEFINITIONS AND ILLUSTRATIONS • ANATOMY & PHYSIOLOGY REVIEWS • COLOR HIGHLIGHTING • DRG PRINCIPLES AND MCE EDITS • AHA CODING CLINIC ® REFERENCES • OFFICIAL CODING GUIDELINES • DIFFERENTIATING TERMS • INVALID 3, 4, 5 & 6 DIGIT CODE IDENTIFICATION • COMPLETE, OFFICIAL ICD-10-CM TEXT • MOST CURRENT VERSION – FY2016 • TAB-EDGE DIVIDER PRINTING • BEST VALUE OF ANY ICD-10-CM 2016 ANNUAL ICD-10-CM 2016 ANNUAL VERSION • Paperback bound • Same content as SoftCover 2016 SOFTCOVER VERSION • Loose-leaf, updateable • Sturdy, vinyl cover • Same content as Annual • Yearly full-text replacement (Update 30% below new book reg. price) • Optional tab-divider set (July Sale prices expire 7/31/15) (2016 Versions Available September 2015) July Sale Price $55.95 (Reg. $64.95) July Sale Price $59.95 (Reg. $69.95) Great Low Regular & Sale Prices!! Compare to Any Publisher
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You asked for ...AFFORDABLE ICD-10 CODE BOOKS
... we delivered!!!
ICD-10-CMENHANCED FEATURES
BENEFITS FOR
CODERS
P Definitions and
Illustrations PMedical definitions of diseases written by acoder for coders. Anatomical illustrationswith call outs of body parts.
PAnatomy and
Physiology
ReviewsP
Anatomy and physiology reviews that help coders understand the anatomicalstructures and physiology of the varioussystems.
P Color
Highlighting PColor highlighting of key terms (e.g., Excludes 1 & v) and concepts.Screened areas highlight selected areas(e.g., 7th digit subclassifications).
P DRG Principles PIdentifies codes that are recognized and affected by the DRG Grouper.
P Medicare Code
Editor Edits PIdentifies codes that are edit-reviewed forage and sex-related discrepancies andprincipal diagnosis criteria.
PAHA Coding
Clinic® Reference
NotationsP
Identifies AHA Coding Clinic® articles andQ&As (with descriptive title) that have relevant information for certain codes orcode categories.
P Highlighted Term
Differentiation PSelected terms within code categories andcode titles have been underscored to helpcoders easily and accurately identify thecorrect code in the Tabular List.
P Further use of
dashes (-) PAll code categories and codes requiringadditional digits in the Tabular List have adash (-) at the end of the last digit to helpcoders be aware that additional charactersare required for a complete code.
P Further use of
placeholder “x” PAll codes requiring one or more “x” placeholder characters to make a completecode have been placed in advance to helpcoders clearly identify when these “x”placeholders are required.
P Excludes v PAll Excludes-2 listings have a uniquegraphic “v” to more clearly identify thoseunique excludes notations where a codermay code both conditions, if present.
P Excludes 1 and Excludes v key P
The short descriptions of Excludes 1 and Excludes v are listed on the bottom ofeach page to help coders learn the difference between the two without referring back to the introduction.
PHighlighted 7th
digit subclassi-
ficationsP
Colored screen bars over the variable 7thdigit subclassifications in the Tabular Listhelp coders easily identify those code categories.
Billing Address (Street number or PO Box and Zip Code) q Same as shipping
3. PAYMENT METHOD
AvailableAugust 2015
O31- Complications specific to multiple gestationAHA 12:4Q:p107 – Fetus A and B same as fetus 1 and 2Excludes v: delayed delivery of second twin, triplet, etc. (O63.2)
malpresentation of one fetus or more (O32.9)placental transfusion syndromes (O43.0-)
One of the following 7th characters is to be assigned to each codeunder category O31. 7th character 0 is for single gestations andmultiple gestations where the fetus is unspecified. 7th characters1 through 9 are for cases of multiple gestations to identify thefetus for which the code applies. The appropriate code fromcategory O30, Multiple gestation, must also be assigned whenassigning a code from category O31 that has a 7th character of 1through 9.
0 Not applicable or unspecified1 Fetus 12 Fetus 23 Fetus 34 Fetus 45 Fetus 59 Other fetus
O31.0- Papyraceous fetusFetus compressus
O31.00x- Papyraceous fetus, unspecified trimester — [♀, Age/12-55]O31.01x- Papyraceous fetus, first trimester — [♀, Age/12-55]O31.02x- Papyraceous fetus, second trimester — [♀, Age/12-55]O31.03x- Papyraceous fetus, third trimester — [♀, Age/12-55]
O31.1- Continuing pregnancy after spontaneous abortion of one fetusor more
O31.10x- Continuing pregnancy after spontaneous abortion of onefetus or more, unspecified trimester — [♀, Age/12-55]
2016 Annual and 2016 SoftCover
The Educational Annotation of ICD-10-CMThis PDF brochure contains 2016 version sample pages, including:
• Educational Annotations:• Definitions of Code Categories/Titles• Anatomy and Physiology Reviews• Anatomical Illustrations
• Additional 2016 Educational Annotations Features:• AHA Coding Clinic® Reference Notations• DRG Principles• Medicare Code Edits• Color Highlighting, including:
• Excludes 1 & v• Screened Boxes over 7th Digit Subclassifications• Tab-Edge Printing• Continued Main Terms in Index
• All the above in addition to our Enhanced Generic features:• Highlighted Term Differentiation• Further Use of Dashes (-)• Further Use of Placeholder “x”• Excludes 1 & v Key• Tab-Edge Printing Key• Clear, Concise Printing
TABULAR LIST OF DISEASES – 2016 ICD-10-CM
Excludes 1: = NOT CODED HERE! (Do not code both) Excludesv: = Not Included Here
O34I
O41
[2016.CM]
O30.81- Other specified multiple gestation with two or more monochorionic fetuses
CC O30.811 Other specified multiple gestation with two or moremonochorionic fetuses, first trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.812 Other specified multiple gestation with two or moremonochorionic fetuses, second trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.813 Other specified multiple gestation with two or moremonochorionic fetuses, third trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.819 Other specified multiple gestation with two or moremonochorionic fetuses, unspecified trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.82- Other specified multiple gestation with two or more monoamniotic fetuses
CC O30.821 Other specified multiple gestation with two or moremonoamniotic fetuses, first trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.822 Other specified multiple gestation with two or moremonoamniotic fetuses, second trimester —[♀, Age/12-55] [Unacceptable PDX]
CC O30.823 Other specified multiple gestation with two or moremonoamniotic fetuses, third trimester —[♀, Age/12-55] [Unacceptable PDX]
O30.829 Other specified multiple gestation with two or moremonoamniotic fetuses, unspecified trimester —[♀, Age/12-55] [Unacceptable PDX]
Use of demonstrativetype fonts for the letters
“O” and “I”
Graphic and coloridentification of Excludes 1
and Excludes v
AHA Coding Clinic Reference Notations with
descriptive titles
Color shading of notations to guide coders in the use of 7th character
extensions
Highlighted TermIdentification of trimesters
Further use of dashes (-) to identify codes requiring
additional characters
Excludes 1 and Excludes v
explanations at the bottom of all Tabular List pages
Further use of placeholder “x”
Highlighted TermDifferentiation
of key word(s) in code titles
Medicare Code EditsUnacceptable PDX,
Sex, Age
10. Chapter 10: Diseases of the Respiratory System (J00-J99)
a. Chronic Obstructive Pulmonary Disease [COPD] and Asthma
1) Acute exacerbation of chronic obstructive bronchitis and asthma
The codes in categories J44 and J45 distinguish between uncomplicated
cases and those in acute exacerbation. An acute exacerbation is a
worsening or a decompensation of a chronic condition. An acute
exacerbation is not equivalent to an infection superimposed on a
chronic condition, though an exacerbation may be triggered by an
infection.
b. Acute Respiratory Failure
1) Acute respiratory failure as principal diagnosis
A code from subcategory J96.0, Acute respiratory failure, or
subcategory J96.2, Acute and chronic respiratory failure, may be
assigned as a principal diagnosis when it is the condition established
after study to be chiefly responsible for occasioning the admission to
the hospital, and the selection is supported by the Alphabetic Index and
Tabular List. However, chapter-specific coding guidelines (such as
obstetrics, poisoning, HIV, newborn) that provide sequencing direction
take precedence.
2) Acute respiratory failure as secondary diagnosis
Respiratory failure may be listed as a secondary diagnosis if it occurs
after admission, or if it is present on admission, but does not meet the
definition of principal diagnosis.
3) Sequencing of acute respiratory failure and another acute
condition
When a patient is admitted with respiratory failure and another acute
abortion — see Abortion, attemptedaortic (valve) I35.8
rheumatic I06.8attempted abortion — see Abortion, attemptedbiventricular I50.9bone marrow — see Anemia, aplasticcardiac — see Failure, heartcardiorenal (chronic) I50.9
hypertensive I13.2cardiorespiratory (see also Failure, heart) R09.2cardiovascular (chronic) — see Failure, heartcerebrovascular I67.9cervical dilatation in labor O62.0circulation, circulatory (peripheral) R57.9
newborn P29.89compensation — see Disease, heartcompliance with medical treatment or regimen
— see Noncompliancecongestive — see Failure, heart, congestivedental implant (endosseous) M27.69
due tofailure of dental prosthesis M27.63lack of attached gingiva M27.62occlusal trauma (poor prosthetic design)
combined with systolic (congestive) I50.40acute (congestive) I50.41
and (on) chronic (congestive) I50.43chronic (congestive) I50.42
and (on) acute (congestive) I50.43due to presence of cardiac prosthesis
I97.13-following cardiac surgery I97.13-high output NOS I50.9hypertensive — see Hypertension, heartleft (ventricular) — see Failure, ventricular,
leftlow output (syndrome) NOS I50.9newborn P29.0organic — see Disease, heartperipartum O90.3postprocedural I97.13-rheumatic (chronic) (inactive) I09.9right (ventricular) (secondary to left heart
failure) — see Failure, heart, congestivesystolic (congestive) I50.20
accidentally left during a procedurelower leg M60.26-pelvic region M60.25-shoulder region M60.21-skin L92.3specified site NEC M60.28subcutaneous tissue L92.3
Granuloma L92.9 — continuedforeign body (in soft tissue) NEC M60.20 —
gingiva (peripheral) K06.8gland (lymph) I88.8hepatic NEC K75.3
in (due to)berylliosis J63.2 [K77]sarcoidosis D86.89
Hodgkin C81.9ileum K63.89infectious B99.9
specified NEC B99.8inguinale (Donovan) (venereal) A58intestine NEC K63.89intracranial (any site) G06.0intraspinal (any part) G06.1iridocyclitis — see Iridocyclitis, chronicjaw (bone) (central) M27.1
reparative giant cell M27.1kidney (see also Infection, kidney) N15.8lacrimal H04.81-larynx J38.7lethal midline (faciale(e)) M31.2liver NEC — see Granuloma, hepaticlung (infectious) — see also Fibrosis, lung
The list below gives the code numbers for neoplasms byanatomical site. For each site there are six possible code numbersaccording to whether the neoplasm in question is malignant,benign, in situ, of uncertain behavior, or of unspecified nature.The description of the neoplasm will often indicate which of the sixcolumns is appropriate; e.g., malignant melanoma of skin, benignfibroadenoma of breast, carcinoma in situ of cervix uteri.
Where such descriptors are not present, the remainder of theIndex should be consulted where guidance is given to theappropriate column for each morphological (histological) varietylisted; e.g., Mesonephroma — see Neoplasm, malignant;Embryoma — see also Neoplasm, uncertain behavior; Disease,Bowen’s — see Neoplasm, skin, in situ. However, the guidance inthe Index can be overridden if one of the descriptors mentionedabove is present; e.g., malignant adenoma of colon is coded toC18.9 and not to D12.6 as the adjective “malignant” overridesthe Index entry “Adenoma — see also Neoplasm, benign.”
Codes listed with a dash -, following the code have a requiredadditional character for laterality. The tabular list must bereviewed for the complete code.
Highlighted Malignant and Benign
Neoplasm columns to provide an easy-to-follow visual separation
Chapter 1 – Certain infectious and parasitic diseases(A00-B99)
Includes: Diseases generally recognized as communicable or transmissible
Use additional code to identify resistance to antimicrobial drugs (Z16.-)
Excludes 1: certain localized infections — see body system, relatedchapters
Excludes v: carrier or suspected carrier of infectious disease (Z22-)infectious and parasitic diseases complicating pregnancy,
childbirth and the puerperium (O98.-)infectious and parasitic diseases specific to the perinatal
period (P35-P39)influenza and other acute respiratory infections (J00-J22)
This chapter contains the following blocks:A00-A09 Intestinal infectious diseasesA15-A19 TuberculosisA20-A28 Certain zoonotic bacterial diseasesA30-A49 Other bacterial diseasesA50-A64 Infections with a predominantly sexual mode of
transmissionA65-A69 Other spirochetal diseasesA70-A74 Other diseases caused by chlamydiaeA75-A79 RickettsiosesA80-A89 Viral and prion infections of the central nervous systemA90-A99 Arthropod-borne viral fevers and viral hemorrhagic feversB00-B09 Viral infections characterized by skin and mucous
membrane lesionsB10 Other human herpesvirusesB15-B19 Viral hepatitisB20 Human immunodeficiency virus [HIV] diseaseB25-B34 Other viral diseasesB35-B49 MycosesB50-B64 Protozoal diseasesB65-B83 HelminthiasesB85-B89 Pediculosis, acariasis and other infestationsB90-B94 Sequelae of infectious and parasitic diseasesB95-B97 Bacterial and viral infectious agentsB99 Other infectious diseases
C. Chapter-Specific Coding Guidelines
In addition to general coding guidelines, there are guidelines for specific
diagnoses and/or conditions in the classification. Unless otherwise
indicated, these guidelines apply to all health care settings. Please refer
to Section II for guidelines on the selection of principal diagnosis.
The complete 2016 ICD-10-CM Official Guidelines for Coding and Reporting are located in the front of the book between the Introduction
and the Alphabetic Index. The guidelines are organized into the
following sections and appendix:
Section I. Conventions, General Coding Guidelines, and
Chapter Specific Guidelines
Section II. Selection of Principal Diagnosis
Section III. Reporting Additional Diagnoses
Section IV. Diagnostic Coding and Reporting Guidelines for
Outpatient Services
Appendix I. Present on Admission Reporting Guidelines
1. Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99)
a. Human Immunodeficiency Virus (HIV) Infections
1) Code only confirmed cases
Code only confirmed cases of HIV infection/illness. This is an
exception to the hospital inpatient guideline Section II, H.
In this context, “confirmation” does not require documentation of
positive serology or culture for HIV; the provider’s diagnostic
statement that the patient is HIV positive, or has an HIV-related
illness is sufficient.
2) Selection and sequencing of HIV codes
(a) Patient admitted for HIV-related condition
If a patient is admitted for an HIV-related condition, the
principal diagnosis should be B20, Human immunodeficiency
virus [HIV] disease followed by additional diagnosis codes for
all reported HIV-related conditions.
(b) Patient with HIV disease admitted for unrelated condition
If a patient with HIV disease is admitted for an unrelated
condition (such as a traumatic injury), the code for the unrelated
condition (e.g., the nature of injury code) should be the principal
diagnosis. Other diagnoses would be B20 followed by additional
diagnosis codes for all reported HIV-related conditions.
(c) Whether the patient is newly diagnosed
Whether the patient is newly diagnosed or has had previous
admissions/encounters for HIV conditions is irrelevant to the
sequencing decision.
(d) Asymptomatic human immunodeficiency virus
Z21, Asymptomatic human immunodeficiency virus [HIV]
infection status, is to be applied when the patient without any
documentation of symptoms is listed as being “HIV positive,”
“known HIV,” “HIV test positive,” or similar terminology. Do
not use this code if the term “AIDS” is used or if the patient is
treated for any HIV-related illness or is described as having any
condition(s) resulting from his/her HIV positive status; use B20
in these cases.
(e) Patients with inconclusive HIV serology
Patients with inconclusive HIV serology, but no definitive
diagnosis or manifestations of the illness, may be assigned
code R75, Inconclusive laboratory evidence of human
immunodeficiency virus [HIV].
(f) Previously diagnosed HIV-related illness
Patients with any known prior diagnosis of an HIV-related
illness should be coded to B20. Once a patient has developed
an HIV-related illness, the patient should always be assigned
code B20 on every subsequent admission/encounter. Patients
previously diagnosed with any HIV illness (B20) should
never be assigned to R75 or Z21, Asymptomatic human
immunodeficiency virus [HIV] infection status.
(g) HIV Infection in Pregnancy, Childbirth and the Puerperium
During pregnancy, childbirth or the puerperium, a patient
admitted (or presenting for a health care encounter) because
of an HIV-related illness should receive a principal diagnosis
code of O98.7-, Human immunodeficiency [HIV] disease
complicating pregnancy, childbirth and the puerperium,
followed by B20 and the code(s) for the HIV-related illness(es).
Codes from Chapter 15 always take sequencing priority.
Patients with asymptomatic HIV infection status admitted
(or presenting for a health care encounter) during pregnancy,
childbirth, or the puerperium should receive codes of O98.7-
and Z21.
(h) Encounters for testing for HIV
If a patient is being seen to determine his/her HIV status, use
code Z11.4, Encounter for screening for human immunodefi-
ciency virus [HIV]. Use additional codes for any associated high
risk behavior.
CHAPTER 1 – CERTAIN INFECTIOUS AND PARASITIC DISEASES – 2016 ICD-10-CM[2016.CM]
A41.0- Sepsis due to Staphylococcus aureus — Staphylococcus aureus bacteriain the bloodstream marked by high fever, shaking, chills, prostration, and ifuntreated, hypotension, shock, and death.
MCC A41.01 Sepsis due to methicillin susceptible Staphylococcusaureus — A form caused by a form of the bacterium Staphylococcus aureusthat is susceptible to antibiotic treatment.
MSSA sepsisStaphylococcus aureus sepsis NOS
MCC A41.02 Sepsis due to methicillin resistant Staphylococcusaureus — A form caused by a form of the bacterium Staphylococcus aureusthat is resistant to treatment from beta-lactam class antibiotics.
MCC A41.1 Sepsis due to other specified staphylococcusCoagulase negative staphylococcus sepsis
MCC A41.2 Sepsis due to unspecified staphylococcusMCC A41.3 Sepsis due to Hemophilus influenzaeMCC A41.4 Sepsis due to anaerobes
Excludes 1: gas gangrene (A48.0)A41.5- Sepsis due to other Gram-negative organismsMCC A41.50 Gram-negative sepsis, unspecified
Gram-negative sepsis NOSMCC A41.51 Sepsis due to Escherichia coli [E. coli]MCC A41.52 Sepsis due to Pseudomonas
Pseudomonas aeroginosaMCC A41.53 Sepsis due to SerratiaMCC A41.59 Other Gram-negative sepsisA41.8- Other specified sepsisMCC A41.81 Sepsis due to EnterococcusMCC A41.89 Other specified sepsis
MCC A41.9 Sepsis, unspecified organismSepticemia NOS
A42- Actinomycosis — A group of gram-positive infectious diseases classified to the bacterialfamilies Actinomycetaceae and Propionibacteriaceae, often by Actinomyces israelii.Excludes 1: actinomycetoma (B47.1)
CC A42.0 Pulmonary actinomycosisCC A42.1 Abdominal actinomycosisCC A42.2 Cervicofacial actinomycosis
MCC A42.7 Actinomycotic sepsisA42.8- Other forms of actinomycosis
CC A42.81 Actinomycotic meningitisCC A42.82 Actinomycotic encephalitisCC A42.89 Other forms of actinomycosis
CC A42.9 Actinomycosis, unspecifiedA43- Nocardiosis — Infection by bacterium of the genus Nocardia, most commonly Nocardia
asteroides or Nocardia brasiliensis.CC A43.0 Pulmonary nocardiosis
CC A43.1 Cutaneous nocardiosisCC A43.8 Other forms of nocardiosisCC A43.9 Nocardiosis, unspecified
A44- Bartonellosis — An infectious bacterial disease caused by Bartonella bacilliformis, andcharacterized by acute febrile hemolytic anemia, and hemangioma-like nodules on the skin.
CC A44.0 Systemic bartonellosisOroya fever
CC A44.1 Cutaneous and mucocutaneous bartonellosisVerruga peruana
CC A44.8 Other forms of bartonellosisCC A44.9 Bartonellosis, unspecified
A46 Erysipelas — An infectious contagious disease of the skin and subcutaneous tissue causedby Group A Beta-hemolytic Streptococcus, and characterized by obstructed lymphatics,redness and swelling of the affected areas, and sometimes large tension bullae.Excludes 1: postpartum or puerperal erysipelas (O86.89)
A48- Other bacterial diseases, not elsewhere classifiedExcludes 1: actinomycetoma (B47.1)
MCC A48.0 Gas gangrene — An acute infectious disease caused by the genus Clostridium,and characterized by severe, painful histotoxic infection of muscles and subcutaneoustissues which fill with gas and a serosanguineous exudate.
Clostridial cellulitisClostridial myonecrosis
MCC A48.1 Legionnaires’ disease — An infectious disease caused by the genusLegionella, usually by Legionella pneumophila and characterized by infection of therespiratory sytem, fever, chills, and cough.
A48.2 Nonpneumonic Legionnaires’ disease [Pontiac fever] — A milderform resembling the flu.
MCC A48.3 Toxic shock syndrome — An acute infectious bacterial disease caused byStaphylococcus aureus or Group A Streptococcus bacteria, characterized by abruptonset of high fever, vomiting, diarrhea, sunburn-like rash, and myalgia, followed byhypotension and in severe cases, shock and multi-organ failure.Use additional code to identify the organism (B95, B96)Excludes 1: endotoxic shock NOS (R57.8)
sepsis NOS (A41.9)A48.4 Brazilian purpuric fever
Systemic Hemophilus aegyptius infectionA48.5- Other specified botulism
Non-foodborne intoxication due to toxins of Clostridium botulinum[C. botulinum]
Excludes 1: food poisoning due to toxins of Clostridium botulinum(A05.1)
CC A48.51 Infant botulism — [Age/0-17]CC A48.52 Wound botulism
Non-foodborne botulism NOSUse additional code for associated wound
A48.8 Other specified bacterial diseasesA49- Bacterial infection of unspecified site
Excludes 1: bacterial agents as the cause of diseases classified elsewhere(B95-B96)
chlamydial infection NOS (A74.9)meningococcal infection NOS (A39.9)rickettsial infection NOS (A79.9)spirochetal infection NOS (A69.9)
unspecified site — An infection caused by a form of the bacteriumStaphylococcus aureus that is susceptible to antibiotic treatment.
Methicillin susceptible Staphylococcus aureus (MSSA) infectionStaphylococcus aureus infection NOS
A49.02 Methicillin resistant Staphylococcus aureus infection,unspecified site — An infection caused by a form of the bacteriumStaphylococcus aureus that is resistant to treatment from beta-lactam classantibiotics.
Excludes 1: = NOT CODED HERE! (Do not code both) Excludes v: = Not Included Here
B48.1 Rhinosporidiosis — An infectious fungal disease caused by Rhinosporidiumseeberi that is characterized by small tumor-like masses usually in the nose andnasopharynx.
CC B48.2 Allescheriasis — An infectious fungal disease caused by Allescheria[Petriellidium] boydii that is characterized by suppurative, granulomatous skin andsubcutaneous lesions.
Infection due to Pseudallescheria boydiiExcludes 1: eumycetoma (B47.0)
CC B48.3 Geotrichosis — A fungal infection caused by Geotrichum candidum that affectsthe oral cavity and sometimes the lungs.
Geotrichum stomatitisCC B48.4 Penicillosis — A fungal infection caused by Penicillium marneffei that affects
immunocompromised patients that is characterized by fever, skin lesions, andlymphandenopathy.
CC B48.8 Other specified mycosesAHA 14:2Q:p13 – Sepsis due to non-Candida AlbicansAHA 14:4Q:p46 – Sepsis due to non-Candida Albicans, clarification
AdiaspiromycosisInfection of tissue and organs by AlternariaInfection of tissue and organs by DrechsleraInfection of tissue and organs by FusariumInfection of tissue and organs by saprophytic fungi NEC
other protozoal intestinal diseases (A07.-)B50- Plasmodium falciparum malaria — A mosquito-borne parasitic disease caused
by Plasmodium falciparum that is characterized by respiratory distress, severe anemia,pulmonary edema, circulatory shock, and organ failure.Includes: Mixed infections of Plasmodium falciparum with any other
Plasmodium speciesCC B50.0 Plasmodium falciparum malaria with cerebral complications
Cerebral malaria NOSCC B50.8 Other severe and complicated Plasmodium falciparum
malariaSevere or complicated Plasmodium falciparum malaria NOS
MCC B50.9 Plasmodium falciparum malaria, unspecifiedB51- Plasmodium vivax malaria — A mosquito-borne parasitic disease caused by
Plasmodium vivax that is characterized by fever, headache, chills and vomiting, respiratorydistress, anemia, and weakness. Clinical relapses may occur weeks to months after the firstinfection.Includes: Mixed infections of Plasmodium vivax with other Plasmodium
CC B51.0 Plasmodium vivax malaria with rupture of spleenCC B51.8 Plasmodium vivax malaria with other complicationsCC B51.9 Plasmodium vivax malaria without complication
Plasmodium vivax malaria NOSB52- Plasmodium malariae malaria — A mosquito-borne parasitic disease caused by
Plasmodium malariae that is characterized by fever, headache, chills and vomiting,respiratory distress, anemia, and weakness.Includes: Mixed infections of Plasmodium malariae with other Plasmodium
species, except Plasmodium falciparum and Plasmodiumvivax
CC B52.0 Plasmodium malariae malaria with nephropathyCC B52.8 Plasmodium malariae malaria with other complicationsCC B52.9 Plasmodium malariae malaria without complication
Plasmodium malariae malaria NOSB53- Other specified malaria
CC B53.0 Plasmodium ovale malaria — A mosquito-borne parasitic disease causedby Plasmodium ovale that is characterized by fever, headache, chills and vomiting,respiratory distress, anemia, and weakness. Clinical relapses may occur weeks tomonths after the first infection.Excludes 1: Plasmodium ovale with Plasmodium falciparum (B50.-)
Plasmodium ovale with Plasmodium malariae (B52.-)Plasmodium ovale with Plasmodium vivax (B51.-)
CC B53.1 Malaria due to simian plasmodia — A mosquito-borne parasiticdisease caused by Plasmodium knowlesi that is characterized by fever, headache,chills and vomiting, respiratory distress, anemia, and weakness.Excludes 1: malaria due to simian plasmodia with Plasmodium
falciparum (B50.-)malaria due to simian plasmodia with Plasmodium
malariae (B52.-)malaria due to simian plasmodia with Plasmodium
ovale (B53.0)malaria due to simian plasmodia with Plasmodium vivax
(B51.-)CC B53.8 Other malaria, not elsewhere classified
B54 Unspecified malariaCC
B55- Leishmaniasis — Parasitic diseases caused by the protozoan genus Leishmaniasisthrough the bite of sandflies.
CC B55.0 Visceral leishmaniasis — Leishmaniasis that is characterized by fever, chills,weight loss, splenomegaly, leukopenia, anemia, and potentially fatal if untreated.
Kala-azarPost-kala-azar dermal leishmaniasis
CC B55.1 Cutaneous leishmaniasis — Leishmaniasis that is characterized byulcerated sores with small papules on the edge of the sore.
CC B55.2 Mucocutaneous leishmaniasis — Leishmaniasis that is characterized byulceration of the skin and mucous membranes of the throat and nose.
CC B55.9 Leishmaniasis, unspecifiedB56- African trypanosomiasis
CC B56.0 Gambiense trypanosomiasis — A parasitic disease caused byTrypanosoma brucei gambiense, and characterized by a primary lesion at the tsetsefly bite, fever, lymphadenopathy (especially of posterior neck), and invasion of thecentral nervous system with somnolence and coma which develops slower than theRhodesian form.
Infection due to Trypanosoma brucei gambienseWest African sleeping sickness
CC B56.1 Rhodesiense trypanosomiasis — A parasitic disease caused byTrypanosoma brucei rhodesiense that is characterized by a primary lesion at thetsetse fly bite, fever, lymphadenopathy (especially of posterior neck), and invasion ofthe central nervous system with somnolence and coma which develops more rapidlythan the Gambian form.
East African sleeping sicknessInfection due to Trypanosoma brucei rhodesiense
CC B56.9 African trypanosomiasis, unspecifiedSleeping sickness NOS
B57- Chagas’ disease — A parasitic disease caused by Trypanosoma cruzi that ischaracterized by primary lesion at the site of entry (skin, conjunctiva), fever, headache,swollen lymph glands, facial and generalized edema, and can progress to involve variousorgans.Includes: American trypanosomiasis
Infection due to Trypanosoma cruziCC B57.0 Acute Chagas’ disease with heart involvement
Acute Chagas’ disease with myocarditisCC B57.1 Acute Chagas’ disease without heart involvement
American trypanosomiasis NOSChagas’ disease (chronic) NOSChagas’ disease (chronic) with myocarditisTrypanosomiasis NOS
B57.3- Chagas’ disease (chronic) with digestive system involvementCC B57.30 Chagas’ disease with digestive system involvement,
unspecifiedCC B57.31 Megaesophagus in Chagas’ diseaseCC B57.32 Megacolon in Chagas’ diseaseCC B57.39 Other digestive system involvement in Chagas’ disease
B57.4- Chagas’ disease (chronic) with nervous system involvementCC B57.40 Chagas’ disease with nervous system involvement,
unspecifiedCC B57.41 Meningitis in Chagas’ diseaseCC B57.42 Meningoencephalitis in Chagas’ diseaseCC B57.49 Other nervous system involvement in Chagas’ disease
CC B57.5 Chagas’ disease (chronic) with other organ involvement
CHAPTER 1 – CERTAIN INFECTIOUS AND PARASITIC DISEASES – 2016 ICD-10-CM[2016.CM]
Excludes 1: = NOT CODED HERE! (Do not code both) Excludes v: = Not Included Here
B58- Toxoplasmosis — A parasitic disease caused by Toxoplasma gondii, and characterizedby involvement of various organs.Includes: Infection due to Toxoplasma gondiiExcludes 1: congenital toxoplasmosis (P37.1)
B58.8- Toxoplasmosis with other organ involvementMCC B58.81 Toxoplasma myocarditis
CC B58.82 Toxoplasma myositisCC B58.83 Toxoplasma tubulo-interstitial nephropathy
Toxoplasma pyelonephritisCC B58.89 Toxoplasmosis with other organ involvement
CC B58.9 Toxoplasmosis, unspecifiedB59 Pneumocystosis — A highly contagious interstitial plasma cell pneumonia caused byMCC Pneumocystis carinii and Pneumocystis jiroveci that is usually seen in
immunocompromised patients.Pneumonia due to Pneumocystis cariniiPneumonia due to Pneumocystis jiroveci
B60- Other protozoal diseases, not elsewhere classifiedExcludes 1: cryptosporidiosis (A07.2)
CC B60.0 Babesiosis — An infectious parasitic (tick-borne) disease caused by the genusBabesia, and characterized by a malaria-like fever, myalgia, hemolytic anemia, andsplenomegaly.
PiroplasmosisB60.1- Acanthamebiasis — An infectious parasitic disease caused by the free-living
soil and water ameoba Acanthameoba that is characterized by skin ulcers andgranulomas, and can progress to infect the meninges.
CC B60.10 Acanthamebiasis, unspecifiedB60.11 Meningoencephalitis due to Acanthamoeba (culbertsoni)B60.12 Conjunctivitis due to AcanthamoebaB60.13 Keratoconjunctivitis due to Acanthamoeba —
[Unacceptable PDX]CC B60.19 Other acanthamebic disease
CC B60.2 Naegleriasis — An infectious parasitic disease caused by the free-living soiland warm water ameoba Naegleria fowleri that is characterized by infection of thenervous system and brain.
Primary amebic meningoencephalitisB60.8 Other specified protozoal diseases
MicrosporidiosisB64 Unspecified protozoal disease
Helminthiases (B65-B83)
B65- Schistosomiasis [bilharziasis] — A parasitic disease caused by the genusSchistosoma (caused by schistosomes worms) that is characterized by abdominal pain andinfection of the gastrointestinal and urinary tracts.Includes: Snail fever
CC B65.0 Schistosomiasis due to Schistosoma haematobium [urinaryschistosomiasis]
CC B65.1 Schistosomiasis due to Schistosoma mansoni [intestinalschistosomiasis]
CC B65.2 Schistosomiasis due to Schistosoma japonicumAsiatic schistosomiasis
CC B65.3 Cercarial dermatitisSwimmer’s itch
CC B65.8 Other schistosomiasisInfection due to Schistosoma intercalatumInfection due to Schistosoma mattheeiInfection due to Schistosoma mekongi
CC B65.9 Schistosomiasis, unspecified
B66- Other fluke infectionsCC B66.0 Opisthorchiasis — A parasitic disease caused by Opisthorchis felineus and
viverrini that is characterized by liver infestation which, in its severe form, presentshepatomegaly, jaundice, liver abscess, and pancreatitis.
Infection due to cat liver flukeInfection due to Opisthorchis (felineus) (viverrini)
CC B66.1 Clonorchiasis — A parasitic disease caused by Clonorchis (Oristhorchis) sinensisthat is characterized by infestation and inflammation of the gallbladder, bile ducts,and liver.
Chinese liver fluke diseaseInfection due to Clonorchis sinensisOriental liver fluke disease
CC B66.2 Dicroceliasis — A parasitic disease caused by Dicrocoelium dendriticum that ischaracterized by infection of the bile ducts.
Infection due to Dicrocoelium dendriticumLancet fluke infection
CC B66.3 Fascioliasis — A parasitic disease caused by the genus Fasciola with symptomscharacterized by fever, malaise, urticaria, and nonproductive cough, with largeflukes obstructing the biliary tract where they live.
Infection due to Fasciola giganticaInfection due to Fasciola hepaticaInfection due to Fasciola indicaSheep liver fluke disease
CC B66.4 Paragonimiasis — A parasitic disease caused by the genus Paragonimus thatis characterized by lung infestation with resulting hemoptysis, fever, and occasionallyby pleural conditions, and right heart failure.
Infection due to Paragonimus speciesLung fluke diseasePulmonary distomiasis
CC B66.5 Fasciolopsiasis — A parasitic disease caused by Fasciolopsis buski that ischaracterized by abdominal pain, intermittent diarrhea, flatus, and excessiveappetite or anorexia.
Infection due to Fasciolopsis buskiIntestinal distomiasis
CC B66.8 Other specified fluke infectionsEchinostomiasisHeterophyiasisMetagonimiasisNanophyetiasisWatsoniasis
B66.9 Fluke infection, unspecifiedB67- Echinococcosis — A parasitic disease caused by Echinococcus granulosus that is
characterized by chronic space-occupying lesions of various organs.Includes: Hydatidosis
CC B67.0 Echinococcus granulosus infection of liverCC B67.1 Echinococcus granulosus infection of lungCC B67.2 Echinococcus granulosus infection of bone
B67.3- Echinococcus granulosus infection, other and multiple sitesCC B67.31 Echinococcus granulosus infection, thyroid glandCC B67.32 Echinococcus granulosus infection, multiple sitesCC B67.39 Echinococcus granulosus infection, other sites
CC B67.4 Echinococcus granulosus infection, unspecifiedDog tapeworm (infection)
CC B67.5 Echinococcus multilocularis infection of liverB67.6- Echinococcus multilocularis infection, other and multiple sites
CC B67.61 Echinococcus multilocularis infection, multiple sitesCC B67.69 Echinococcus multilocularis infection, other sites
CC B67.7 Echinococcus multilocularis infection, unspecifiedCC B67.8 Echinococcosis, unspecified, of liver
B67.9- Echinococcosis, other and unspecifiedCC B67.90 Echinococcosis, unspecified
Echinococcosis NOSCC B67.99 Other echinococcosis
B68- Taeniasis — A parasitic disease caused by adult intestinal tapeworms growing to 3 to 25feet (1 to 7.5 m) in length.Excludes 1: cysticercosis (B69.-)
CC B68.0 Taenia solium taeniasisPork tapeworm (infection)
CC B68.1 Taenia saginata taeniasisBeef tapeworm (infection)Infection due to adult tapeworm Taenia saginata
TABULAR LIST OF DISEASES – 2016 ICD-10-CM [2016.CM]
Excludes 1: = NOT CODED HERE! (Do not code both) Excludes v: = Not Included Here
CC B68.9 Taeniasis, unspecifiedB69- Cysticercosis — A parasitic disease caused by the larvae of Taenia solium and
characterized by mechanical injury at the larval site which may infest the muscle and oftenthe brain and meninges.Includes: Cysticerciasis infection due to larval form of Taenia solium
CC B69.0 Cysticercosis of central nervous systemCC B69.1 Cysticercosis of eye
B69.8- Cysticercosis of other sitesCC B69.81 Myositis in cysticercosisCC B69.89 Cysticercosis of other sites
CC B69.9 Cysticercosis, unspecifiedB70- Diphyllobothriasis and sparganosis
CC B70.0 Diphyllobothriasis — A parasitic disease caused by Diphyllobothrium latum,characterized by a small intestinal tapeworm of up to 30 feet (9 m) in length, andacquired from eating infected raw or undercooked freshwater fish.
Excludes v: larval diphyllobothriasis (B70.1)CC B70.1 Sparganosis — A parasitic disease caused by the larvae identified below and
characterized by invasion of subcutaneous tissue, causing inflammation and fibrosis.Infection due to Sparganum (mansoni) (proliferum)Infection due to Spirometra larvaLarval diphyllobothriasisSpirometrosis
B71- Other cestode infectionsCC B71.0 Hymenolepiasis — A parasitic disease caused by Hymenolepis nana and
characterized by a 1.6 inch (4 cm) ileal tapeworm which has a lifespan of a fewweeks.
Dwarf tapeworm infectionRat tapeworm (infection)
CC B71.1 DipylidiasisCC B71.8 Other specified cestode infections
CoenurosisB71.9 Cestode infection, unspecified
Tapeworm (infection) NOSB72 Dracunculiasis — A parasitic disease caused by the guinea worm that is characterizedCC by development of a worm under the skin causing burning pain at the site.
Includes: Guinea worm infectionInfection due to Dracunculus medinensis
B73- Onchocerciasis — A parasitic disease caused by Onchocerca volvulus that ischaracterized by skin nodules, eye lesions, and dermatitis with lymphatic symptoms. Includes: Onchocerca volvulus infection
OnchocercosisRiver blindness
B73.0- Onchocerciasis with eye diseaseCC B73.00 Onchocerciasis with eye involvement, unspecifiedCC B73.01 Onchocerciasis with endophthalmitisCC B73.02 Onchocerciasis with glaucomaCC B73.09 Onchocerciasis with other eye involvement
Infestation of eyelid due to onchocerciasisCC B73.1 Onchocerciasis without eye disease
B74- FilariasisExcludes v: onchocerciasis (B73)
tropical (pulmonary) eosinophilia NOS (J82)CC B74.0 Filariasis due to Wuchereria bancrofti — A parasitic disease caused by
Wuchereria bancrofti that is characterized by frequent attacks of fever, lymphangitis,lymphadenitis, and in the most severe cases elephantiasis.
Bancroftian elephantiasisBancroftian filariasis
CC B74.1 Filariasis due to Brugia malayi — A parasitic disease caused by Brugiamalayi and characterized usually by more acute symptoms than bancroftianfilariasis, and in which elephantiasis is more common, but spares the bladder andgenitalia.
CC B74.2 Filariasis due to Brugia timori — A parasitic disease caused by Brugiamalayi.
CC B74.3 Loiasis — A parasitic disease caused by Loa loa, and characterized by worms 1 to2 inches (2.5 to 5 cm) in length which move freely in connective tissue giving rise toedematous swelling (Calabar swellings), and frequently infest the conjunctiva withoccasional serious complications such as encephalitis.
Calabar swellingEyeworm disease of AfricaLoa loa infection
CC B74.4 Mansonelliasis — A parasitic disease caused by Mansonella ozzardi that ischaracterized by adult worms inhabiting the visceral adipose tissue, and are usuallyasymptomatic.
Infection due to Mansonella ozzardiInfection due to Mansonella perstansInfection due to Mansonella streptocerca
CC B74.8 Other filariasesDirofilariasis
CC B74.9 Filariasis, unspecifiedB75 Trichinellosis — A parasitic disease caused by Trichinella spiralis, and characterized inCC the early stages by diarrhea, nausea, colic, and fever, and in the later stages characterized by
stiffness, pain, swelling of the muscles, splinter hemorrhages, sweating, and insomnia.Includes: Infection due to Trichinella species
TrichiniasisB76- Hookworm diseases
Includes: UncinariasisCC B76.0 Ancylostomiasis — A parasitic disease caused by genus Ancylostoma that is
characterized by adult worms in the small intestine, causing abdominal pain,diarrhea, malnutrition, and in severe cases anemia.
Infection due to Ancylostoma speciesCC B76.1 Necatoriasis — A parasitic disease caused by Necator americanus that is
characterized by adult worms in the small intestine causing abdominal pain,diarrhea, and malnutrition.
Infection due to Necator americanusCC B76.8 Other hookworm diseasesCC B76.9 Hookworm disease, unspecified
Cutaneous larva migrans NOSB77- Ascariasis — A parasitic disease caused by Ascaris lumbricoides that is characterized by
giant intestinal worms and in severe cases by pneumonitis and intestinal blockage.Includes: Ascaridiasis
Roundworm infectionCC B77.0 Ascariasis with intestinal complications
B77.8- Ascariasis with other complicationsMCC B77.81 Ascariasis pneumonia
CC B77.89 Ascariasis with other complicationsCC B77.9 Ascariasis, unspecified
B78- Strongyloidiasis — A parasitic disease caused by Strongyloides stercoralis andcharacterized by roundworm infestation of the small intestine with watery, mucus diarrhea,and migratory larvae infestation of the lungs, rupturing the alveoli.Excludes 1: trichostrongyliasis (B81.2)
B79 Trichuriasis — A parasitic disease caused by Trichuris trichiura, and characterized byCC whipworm infestation of the large intestine and rectum causing chronic diarrhea, mucus
stools, and rectal prolapse.Includes: Trichocephaliasis
Whipworm (disease) (infection)B80 Enterobiasis — A parasitic disease caused by Enterobius vermicularis that isCC characterized by pinworm infestation of the large intestine causing intense perineal itching in
symptomatic patients.Includes: Oxyuriasis
Pinworm infectionThreadworm infection
B81- Other intestinal helminthiases, not elsewhere classifiedExcludes 1: angiostrongyliasis due to Parastrongylus cantonensis (B83.2)
CC B81.0 Anisakiasis — A parasitic disease caused by Ascaris lumbricoides andcharacterized by giant intestinal worms and in severe cases by pneumonitis andintestinal blockage.
Infection due to Anisakis larva
CHAPTER 1 – CERTAIN INFECTIOUS AND PARASITIC DISEASES – 2016 ICD-10-CM[2016.CM]