Portal:Centers for Medicare and Medicaid Services

Name: ICD-10-CM
Author: Portal:Centers for Medicare and Medicaid Services

ICD-10-CM (2010)

Summary

The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification), created by the Centers for Medicare and Medicaid Services, is a standardized coding system intended to categorize and document medical diagnoses, procedures, and health conditions. Released to improve the consistency of healthcare data, it includes detailed descriptions of injuries, diseases, and transportation-related events, along with anatomical and physiological classifications.

Key elements involve exact terminology for conditions such as cerebral infarction, arthritis, and fracture, as well as thorough definitions of vehicles, incidents, and patient roles in medical coding. The text combines clinical detail with administrative practicality, ensuring uniformity in healthcare documentation and reimbursement procedures. Its organized structure demonstrates a dedication to accuracy in diagnosing and classifying medical situations, ranging from traumatic injuries to chronic diseases.

Quotes from ICD-10-CM (Portal:Centers for Medicare and Medicaid Services)

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Definitions of transport vehicles: A transport accident is any accident involving a device designed primarily for, or used at the time primarily for, conveying persons or good from one place to another A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal. This includes, a person changing a tire or working on a parked car. It also includes the use of a pedestrian conveyance such as a baby carriage, ice-skates, roller skates, a skateboard, nonmotorized wheelchair, motorized mobility scooter, or nonmotorized scooter. A driver is an occupant of a transport vehicle who is operating or intending to operate it. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway] . A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated. A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of weight and requiring a special driver's license. A bus (coach) is a motor vehicle designed or adapted primarily for carrying more than 10 passengers, and requiring a special driver's license. A railway train or railway vehicle is any device, with or without freight or passenger cars couple to it, designed for traffic on a railway track. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes. A transport accident is one in which the vehicle involved must be moving or running or in use for transport purposes at the time of the accident. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved. F01 Vascular dementia Vascular dementia as a result of infarction of the brain due to vascular disease, including hypertensive cerebrovascular disease. Includes: arteriosclerotic dementia Code first the underlying physiological condition or sequelae of cerebrovascular disease. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40) . ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Category Y93 is provided for use to indicate the activity of the person seeking healthcare for an injury or health condition, such as a heart attack while shoveling snow, which resulted from, or was contributed to, by the activity. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ A passenger is any occupant of a transport vehicle other than the driver, except a person traveling on the outside of the vehicle. A person on the outside of a vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Maternal care for disproportion due to outlet contraction (pelvis) One of the following 7th characters is to be assigned to code O33.4. 7th character 0 is for single gestations and multiple gestations where the fetus is unspecified. 7th characters 1 through 9 are for cases of multiple gestations to identify the fetus for which the code applies. The appropriate code from category O30, Multiple gestation, must also be assigned when assigning code O33.4 with a 7th character of 1 through 9. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Categories D37-D44, and D48 classify by site neoplasms of uncertain behavior, i.e., histologic confirmation whether the neoplasm is malignant or benign cannot be made. Use additional morphology codes with behavior code /1. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification. The conditions and signs or symptoms included in categories R00-R94 consist of: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated: (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined; (c) provisional diagnosis in a patient who failed to return for further investigation or care ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ B20 Human immunodeficiency virus [HIV] disease Includes: acquired immune deficiency syndrome [AIDS] AIDS-related complex [ARC] HIV infection, symptomatic Code first: Human immunodeficiency [HIV] disease complicating pregnancy, childbirth and the puerperium, if applicable (O98.7-) Use additional code (s) to identify all manifestations of HIV infection. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Endocrine, nutritional and metabolic diseases (E00-E90) All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ L95.1 Erythema elevatum diutinum L95.8 Other vasculitis limited to the skin L95.9 Vasculitis limited to the skin, unspecified L97 Non-pressure chronic ulcer of lower limb, not elsewhere classified Includes: Chronic ulcer of skin NOS Non-healing ulcer of skin Non-infected sinus of skin Trophic ulcer NOS Tropical ulcer NOS Ulcer of skin NOS Code first any associated underlying condition: Note: a code from L97 may be used as a principal or first listed code if no underlying condition is documented as the cause of the ulcer. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Z02.9 Encounter for administrative examinations, unspecified Z03 Encounter for medical observation for suspected diseases and conditions ruled out This category is to be used when a person without a diagnosis is suspected of having an abnormal condition, without signs or symptoms, which requires study, but after examination and observation, is ruled out. This category is also for use for administrative and legal observation status. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ The "sequelae" include conditions specified as such; they also include residuals of diseases classifiable to the above categories if there is evidence that the disease itself is no longer present. Codes from these categories are not to be used for chronic infections. Code chronic current infections to active infectious disease as appropriate. Code first condition resulting from (sequela) the infectious or parasitic disease B90 Sequelae of tuberculosis B90.0 Sequelae of central nervous system tuberculosis B90. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Disorders affecting predominantly peripheral (limb) joints Infectious arthropathies (M00-M02) This block comprises arthropathies due to microbiological agents. Distinction is made between the following types of etiological relationship: a) direct infection of joint, where organisms invade synovial tissue and microbial antigen is present in the joint ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Renal tubulo-interstitial diseases (N10-N16) Includes: pyelonephritis Excludes1: pyeloureteritis cystica (N28.85) N10 Acute tubulo-interstitial nephritis Includes: acute infectious interstitial nephritis acute pyelitis acute pyelonephritis acute tubular necrosis hemoglobin nephrosis myoglobin nephrosis Use additional code (B95-B97) , to identify infectious agent. N11 Chronic tubulo-interstitial nephritis Includes: chronic infectious interstitial nephritis chronic pyelitis chronic pyelonephritis Use additional code (B95-B97) , to identify infectious agent. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Poisoning by analeptics and opioid receptor antagonists NOS T50.7x2 Poisoning by analeptics and opioid receptor antagonists, intentional self-harm T50.7x3 Poisoning by analeptics and opioid receptor antagonists, assault T50.7x4 Poisoning by analeptics and opioid receptor antagonists, undetermined T50.7x5 Adverse effect of analeptics and opioid receptor antagonists T50.7x6 Underdosing of analeptics and opioid receptor antagonists T50. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ H02.51 Abnormal innervation syndrome H02.511 Abnormal innervation syndrome right upper eyelid H02.512 Abnormal innervation syndrome right lower eyelid H02.513 Abnormal innervation syndrome right eye, unspecified eyelid H02.514 Abnormal innervation syndrome left upper eyelid H02.515 Abnormal innervation syndrome left lower eyelid H02. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ This includes hot-air balloons, gliders, helicopters and airplanes. A military vehicle is any motorized vehicle operating on a public roadway owned by the military and being operated by a member of the military. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Z11.8 Encounter for screening for other infectious and parasitic diseases Encounter for screening for chlamydia Encounter for screening for rickettsial Encounter for screening for spirochetal Encounter for screening for mycoses Z11.9 Encounter for screening for infectious and parasitic diseases, unspecified Z12 Encounter for screening for malignant neoplasms Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ K38 Other diseases of appendix K38.0 Hyperplasia of appendix K38.1 Appendicular concretions Fecalith of appendix Stercolith of appendix K38.2 Diverticulum of appendix K38.3 Fistula of appendix K38.8 Other specified diseases of appendix Intussusception of appendix K38.9 Disease of appendix, unspecified Hernia ( K40-K46) Note: Hernia with both gangrene and obstruction is classified to hernia with gangrene. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Prematurity NOS P07.30 Other preterm newborn, unspecified weeks P07.31 Other preterm newborn, 28-31 completed weeks P07.32 Other preterm newborn, 32-36 completed weeks P08 Disorders of newborn related to long gestation and high birth weight Note: When both birth weight and gestational age of the newborn are available, priority of assignment should be given to birth weight Includes: the listed conditions, without further specification, as causes of morbidity or additional care, in newborn P08.0 Exceptionally large newborn baby Usually implies a birth weight of 4500 g. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ L13.1 Subcorneal pustular dermatitis Sneddon-Wilkinson disease L13.8 Other specified bullous disorders L13.9 Bullous disorder, unspecified L14 Bullous disorders in diseases classified elsewhere Code first underlying disease Dermatitis and eczema (L20-L30) Note: In this block the terms dermatitis and eczema are used synonymously and interchangeably. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ H59.40 Inflammation (infection) of postprocedural bleb, unspecified H59.41 Inflammation (infection) of postprocedural bleb, stage 1 H59.42 Inflammation (infection) of postprocedural bleb, stage 2 H59.43 Inflammation (infection) of postprocedural bleb, stage 3 Bleb endophthalmitis H59.8 Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified H59. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Toxic effects of other corrosive organic compounds NOS T54.1x2 Toxic effect of other corrosive organic compounds, intentional self-harm T54.1x3 Toxic effect of other corrosive organic compounds, assault T54.1x4 Toxic effect of other corrosive organic compounds, undetermined T54.2 Toxic effects of corrosive acids and acid-like substances Toxic effects of hydrochloric acid Toxic effects of sulfuric acid T54.2x Toxic effects of corrosive acids and acid-like substances T54. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ M65 Synovitis and tenosynovitis Excludes1: chronic crepitant synovitis of hand and wrist (M70.0-) current injury - see injury of ligament or tendon by body region soft tissue disorders related to use, overuse and pressure (M70.-) M65.0 Abscess of tendon sheath Use additional code (B95-B96) to identify bacterial agent. M65.00 Abscess of tendon sheath, unspecified site M65.01 Abscess of tendon sheath, shoulder M65. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ See subcategories T74.0, T76.0 Category Y06 deactivated. See subcategories T74.0, T76.0 Y07 Perpetrator of assault, maltreatment and neglect Codes from this category are for use only in cases of confirmed abuse (T74.-) Selection of the correct perpetrator code is based on the relationship between the perpetrator and the victim Includes: perpetrator of abandonment perpetrator of emotional neglect perpetrator of mental cruelty perpetrator of physical abuse perpetrator of physical neglect perpetrator of sexual abuse perpetrator of torture Y07. ”

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Source: Wikisource

Portal:Centers for Medicare and Medicaid Services, ICD-10-CM (2010)

“ Pseudomyotonia Symptomatic myotonia G71.2 Congenital myopathies Central core disease Congenital muscular dystrophy NOS Congenital muscular dystrophy with specific morphological abnormalities of the muscle fiber Fiber-type disproportion Minicore disease Multicore disease Myotubular (centronuclear) myopathy Nemaline myopathy Excludes1: arthrogryposis multiplex congenita (Q74.3) G71. ”

Portal:Centers for Medicare and Medicaid Services

Summary

Quotes from ICD-10-CM (Portal:Centers for Medicare and Medicaid Services)

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