Editor’s note: This is the second article on new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes relevant to pediatrics that will take effect on Oct. 1. The first article is available at http://www.aappublications.org/news/2016/06/28/Coding062817.
The dash (-) used within a code indicates more digits are required. Unspecified laterality codes were included within the ICD-10-CM code set, but those codes are not included in this article.
Chapter 13 – Diseases of the musculoskeletal system and connective tissue
- New codes added for autoinflammatory syndromes (M04-) including periodic fever syndromes (M04.1) and cryopyrin‐associated periodic syndromes (M04.2)
- New codes added for bunions (M21.61-) and bunionettes (M21.62-)
- New codes added for temporomandibular joint disorder specificity (M26.6-)
- New codes added for specific levels to define cervical disc displacement (M50-)
- Several new codes for atypical femoral fracture (including type of encounter required for each) were added for type and laterality (M84.75-)
- Several new codes for periprosthetic fracture around internal prosthetics were added to specify joint and laterality (including type of encounter) (M97-)
Chapter 14 – Diseases of the genitourinary system
- New codes added for laterality for follicular, corpus luteum, and other and unspecified ovarian cysts (N83-)
- New codes for laterality for ovarian torsion and ovarian pedicle (N83.51-) and torsion of fallopian tubes (N83.52-)
- New codes added for complications of stoma of urinary tract (N99.52- and N99.53-)
N13.0 Hydronephrosis with ureteropelvic junction obstruction
N90.60 UNSPEC hypertrophy of vulva
N90.61 Childhood asymmetric labium majus enlargement (CALME)
N90.69 Other specified hypertrophy of vulva
N93.1 Pre‐pubertal vaginal bleeding
N50.811 Right testicular pain
N50.812 Left testicular pain
N50.819 Testicular pain, UNSPEC
N50.82 Scrotal pain
Chapter 15 – Pregnancy, childbirth and the puerperium
Refer to the ICD-10-CM manual
Chapter 16 ‐ Certain conditions originating in the perinatal period
P05.09 Newborn light for gestational age, 2,500 grams and over
P05.19 Newborn small for gestational age, other
Chapter 17 ‐ Congenital malformations, deformations and chromosomal abnormalities
Q25.21 Interruption of aortic arch
Q25.29 Other atresia of aorta
Q25.40 Congenital malformation of aorta UNSPEC
Q25.41 Absence and aplasia of aorta
Q25.42 Hypoplasia of aorta
Q25.43 Congenital aneurysm of aorta
Q25.44 Congenital dilation of aorta
Q25.45 Double aortic arch
Q25.46 Tortuous aortic arch
Q25.47 Right aortic arch
Q25.48 Anomalous origin of subclavian artery
Q25.49 Other congenital malformations of aorta
Q52.120 Longitudinal vaginal septum, nonobstructing
Q52.121 Longitudinal vaginal septum, obstructing, right side
Q52.122 Longitudinal vaginal septum, obstructing, left side
Q52.123 Longitudinal vaginal septum, microperforate, right side
Q52.124 Longitudinal vaginal septum, microperforate, left side
Q52.129 Other and UNSPEC longitudinal vaginal septum
Q66.21 Congenital metatarsus primus varus
Q66.22 Congenital metatarsus adductus
Q87.82 Arterial tortuosity syndrome
Chapter 18 ‐ Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- New codes added for more specificity for the National Institutes of Health Stroke Scale score (R29.7-)
- New codes added for more specificity for the Glasgow coma scale (R40.24-)
R31.21 Asymptomatic microscopic hematuria
R31.29 Other microscopic hematuria
R73.03 Prediabetes
R82.71 Bacteriuria
R82.79 Other abnormal findings on microbiological examination of urine
R93.41 Abnormal radiologic findings on diagnostic imaging of renal pelvis, ureter or bladder
R93.421 Abnormal radiologic findings on diagnostic imaging of right kidney
R93.422 Abnormal radiologic findings on diagnostic imaging of left kidney
R93.49 Abnormal radiologic findings on diagnostic imaging of other urinary organs
Chapter 19 ‐ Injury, poisoning and certain other consequences of external causes- New codes added to define laterality and encounter type under fracture of skull and facial bones (S02-)
- New codes added to define laterality and encounter type under dislocation of jaw (S03.01-) and sprain of jaw (S03.41-)
- New codes to define laterality and encounter type for other fracture of foot (S92.81-)
- New codes (and subcategories) for Salter-Harris Type physeal fractures of ankle or foot specified by bone, type of fracture and encounter type (S99.0-, S99.1, S99.2-)
- New codes added under “complications of cardiac and vascular prosthetic devices, implants and grafts” for stenosis of specific stents (T82.85-)
- New codes added under mechanical complication of
- urinary (indwelling) catheter to define type of complication (breakdown, displacement, leakage, other) and location (T83.0-)
- urinary stents to define type of complication (T83.1-)
- urinary organ (erosion or exposure) (T83.2-)
- testicular prosthesis to define type of complication (T83.4-)
- New codes added under infection and inflammatory reaction due to prosthetic device, implant and graft in urinary system (T83.5-) and infection and inflammatory reaction due to prosthetic device, implant and graft in genital tract (T83.6-) to define type of device and encounter
- New codes added under erosion of implanted mesh and other prosthetic materials (T83.71-) and exposure of implanted mesh and other prosthetic materials (T83.72-) in(to) surrounding organ or tissue to specify types of materials
- New codes added under mechanical complication of electronic neurostimulator generator to define type of complication (e.g., breakdown, displacement) and encounter (T85.1-)
- New codes added for mechanical complication (e.g., breakdown, displacement) of other specified internal and external prosthetic devices, implants and grafts (T85.6-)
- New codes added for infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts for the nervous system (T85.73-)
- New codes added for embolism (T85.81-), fibrosis (T85.82-), hemorrhage (T85.83-), pain (T81.84), stenosis (T85.85-), thrombosis (T85.86-) and other specified complication to nervous system prosthetic devices
- New code added for unintended awareness under general anesthesia during procedure (T88.53X-)
Becky Dolan, in the AAP Division of Health Care Finance, contributed to this article.
