Phil Icd Mod 09 PDF

REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF HEALTH
PHILIPPINE
ICD-10 MODIFICATIONS
AUTHORS
JUAN M. LOPEZ, MD, MP H

ICD-10
National Epidemiology Center
Departm ent of Health
FLORINDA G. TUVILLO, BSE

Modifications
National Center for Health
Facility Development
Departm ent of Health on Certain
THERESA D. TIMBANG, MP A
Diseases/Conditions and
Departm ent of Health
REGGIE R. GUILLEN, BSBS
Related Health Problems

Health Informatics Section,
Health Finance Policy Sector
Philippine Health Insurance
CONTRIBUTORS: in Health Care Facilities

ICD-10 NA TIONAL TW G MEMBERS
ENRIQUE A. TAYAG, MD, PHSAE, FPSMID, CEO VI

Chairperson, ICD-10 National TWG
in the Philippines
MADELEINE R. VALERA, MD, MSCIH
Vice Chairperson, ICD-10 National TWG
EUMELIA SALVA, MD, MPH
First Edition
MARY ANN EVANGELISTA,MD
PHILIPPINE MEDICAL SPECIALTY SOCIETIES
PHILIPPINE HEALTH CARE FACILITIES October 2008
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exchange of scientific information among a wide range Philippine ICD-10 Modifications
First Edition
of users for clinical and public health purposes. October 2008
In the Philippines, the implementation of ICD-10 coding

has been made mandatory through the issuance of
AUTHORS
Administrative Order No. 47, s. 2000. The said
JUAN M. LOPEZ, MD, MPH
issuance mandates all hospitals and health facilities to National Epidemiology Center
Department of Health
comply with the ICD-10 requirements for the issuance
FLORINDA G. TUVILLO, BSE
and renewal of hospital licenses. Likewise, the National Center for Health
Facility Development
Philippine Health Insurance Corporation (PHIC) Department of Health
requires all health care providers to comply with the THERESA D. TIMBANG, MPA
ICD-10 requirements for accreditation as well as the Department of Health
reimbursement of cl aims. REGGIE R. GUILLEN, BSBS

Health Informatics Section,
Health Finance Policy Sector
The Department of Health through the National ICD-10 Philippine Health Insurance
Technical Working Group, in its efforts to assist health

care providers in the implementation of ICD-10
diagnostic classification, initiated the development
of the “Philippine ICD-10 Modifications, 1st Edition”.
This handbook is not intended to replace the principal
ICD-10 international standards of WHO but
complement them through additional information for
their local adoption and usage. Modifications to some
categories, especially for several problematic diseases,
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MESSAGE
With the current initiatives of the Department of Health

to strengthen the national health system through the
Copyright © Department of Health 2009 Fourmula One for Health, there is now considerable
demand to i mprove the reporting and coll ection of basic
health statistics (mortality and morbidity data) in all
health facilities in the country. Quality and timely
information on these major health events has a direct
impact on healthcare as it influences national health
spending, the formulation of health policies as well as
the prevention, treatment, and care of diseases and
health condi tions that lead to them.
A global classification system for classifying mortality

and morbidity has been developed by the World Health
Organization to become the standard for international
comparison for the categorization of diseases across
countries and health systems. The International
Statistical Classification of Diseases version 10 (ICD-
10) endorsed by the World Health Assembly in 1990
has enabled the reporting, investigation and monitoring
of deaths, diseases and injuries together with their
causes which allowed for the systematic
documentati on of medical conditions and the useful
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PREFACE
were also introduced to facilitate the assignment of
With the ever-growing interest in using health data to look at codes guided by the basic principles of the original
activity and performance of health services, there is an ICD-10 document.
increasing emphasis on improving the reliability and
comparability of health data not only at the local and We thank and recognize the noble efforts of the
national level, but also at an international level. The authors and contributors of this handbook for
International Classification of Diseases version 10 (ICD-10) unselfishly sharing their expertise in helping us improve
is the international standard classification for the coding of data coll ection strategies and tool s for monitoring at the
diseases and other health issues for morbidity and mortality Department of Health.
reporting. Health data coded in ICD-10 form the basic
building blocks for the assessment of health system With this achievement toward the full and accurate
performance. Use of the classification for the coding of recording of diseases and deaths in our health
hospital discharges (morbidity) or death certificates facilities, we expect better adherence to local and
(mortality) is encouraged by the World Health Organization international standards that shall guide our national
(WHO) and its regional offices because it ensures the
health programs. Let us continue to work for timely,
comparability of health data between individual hospitals,
truthful and reliable health statistics to make our
provinces, regions or countries. In the country, the
reforms more responsive to our local needs. Quality
implementation of ICD-10 coding is made mandatory
health information means quality health care for all
through the issuance of this Department of the
Filipinos!
Administrative Order No. 47, s. 2000.
For the past years, the ICD-10 National Technical Working Mabuhay tayong lahat!
Group (TWG) composed of representatives from the
National Epidemiology Center, National Center for Health FRANCISCO T. DUQUE III, MD, MSc.
Facility Development, Bureau of Health Facilities and Secretary of Health
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MESSAGE
Let us all build a health information systems that will
The shortlist on “Certain Philippine Modifications on lead to the advancement and quali ty health care for all.
ICD-10“ highlights the initial step towards the
improvement of the health information system in the Mabuhay and mor e power!
country. The ICD-10 is an international standard
diagnostic classification for all diseases and various
health related concepts and is beneficial in the LORNA O. FAJARDO, CESO III
Acting President and CEO
development and enhancement of our health
programs.
PhilHealth’s adoption of ICD-10 has resulted to a faster

and transparent processing of claims reimbursement,
improved information for disease management, more
accurate reimbursement rates, and improving quality of
care and patient safety.
With great honor, I commend the people behind the

creation of the ICD -10 Philippine Modifications. It is my
hope that this booklet will be beneficial to all health
care providers in terms of providing greater coding
accuracy, opportuni ties for a detailed record keeping
and enhanced documentati on to support accurate
payment.
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DISCLAIMER
Services, this Department as well as other concerned
This publication aims to assist coders in assigning ICD-
agencies such as National Statistics Office, Philippine
10 codes to certain diseases/condi tions and other Health Insurance Corporation (PHIC), San Lazaro Hospital
related health problems. The list of diseases/ and Association of Health Maintenance Organization of the
conditions provided herein was taken from statistical Philippines (AHMOPI) has gathered data on the common
and other reports prepared by various health care and uncommon diseases/conditions and other related health
facilities in the country. Valuable inputs from several problems reported in various health care facilities in the
medical specialty societies were also included. country. Data from PHIC and various medical societies
such as the Philippine College of Physicians (PCP),
Inasmuch as there are numerous ways physicians in Philippine College of Chest Physicians (PCCP), Philippine
the countr y write their diagnoses it should be noted that Academy of Ophthalmology (PAO), Philippine Obstetrical
the diseases / conditions listed herein may or may not and Gynecological Society (POGS), Philippine Society of
represent the actual diagnostic statements provided in Nephrology (PSN) and the Philippine Society of
Microbiology and Infectious Disease (PSMID) were also
the patient’s discharge diagnosis or even the causes of
considered. This is in line with the TWG’s intention to
death in a death certificate. In the assignment of
come up with a Shortlist of ICD-10 codes that would
suitable ICD-10 codes, the authors considered the
facilitate the assignment of the most appropriate ICD-10
available descriptors, modifiers or qualifiers of the
codes to certain diseases / conditions.
disease or condition regardless of their position in the
diagnostic statement (ex. Acute bronchitis is treated In view of the foregoing and with the primary objective of
similar to Bronchitis, acute). Likewise, the ICD-10 assisting the coders in the implementation of ICD-10
Coding, this initial edition of “Certain Philippine Modifications
codes provided herein are mostly for less specific
on ICD-10” was developed. However, it is not intended to
cases, for more specific conditions and/or other
replace the ICD-10 books published by the WHO which
remain the primary tools in ICD-10 Coding.
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Moreover, this humble work was made possible through the ACKNOWLEDGEMENTS
concerted efforts of the Department of Health, PHIC, NSO,
The uniqueness of some diseases and conditions in
various health care facilities, Philippine Medical Societies,
the country necessitated the development of this
and other concerned agencies. Thus, grateful appreciation
is extended to those who have selflessly shared valuable publication. The PHILIPPINE ICD-10
inputs to this undertaking. MODIFICATIONS was completed through the

concerted efforts of the principal authors and various
Finally, all concerned must continue to work towards
concerned agencies who believe that the adoption of
adherence to standards if we are to truly obtain quality
ICD-10 coding in the country would greatly contribute
health data that may be comparable over time and be
to the improvement in the quality of our health
genuinely useful in the assessment of the performance of
statistics.
health services in general and the health status of the
population in particular.
Grateful acknowledgement is hereby made to those
who have unselfishly shared their knowledge and
The Authors
expertise in the development of this shortlist. Again our
heartfelt appreciation to all of you.
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Cyst…………………………………………………………… 34
Cystitis………………………………………… …………….. 35 combined diseases/ conditions applicable notes are
Cystolithiasis……..………………………………………… . 35
Cystorectocele, female…………………………………… .. 35
given under related categories for guidance.
Deficiency…………………………………………………… 35
Deficit………………………… .…………………………… . 35
Dehydration………………………………………………… . 35
Modifications in some codes were developed by the
Delivery……………………………………………………… 36 ICD-10 National Technical Working Group in
Dementia………………………………… ………………… 41
Depression………………………………………………… . 42 consultation with the concerned medical societies in
Depressive Reaction……………………………………… . 42
Dermatitis…………………………………………………… 42 the country and coding experts from Australia.
Diabetes Mellitus………………………………………… .. 42
Diarrhea [ Gastroenteritis ]……………………………… .. 44
Diptheria…………………………………………………… .. 45 Though all the information has been checked for
Disease……………………………………………………… . 45
Dislocation, Hip, Traumatic………………………………… 46 accuracy, neither the authors nor the publisher accept
Disorder……………………………………………………… 46
Distention…………………………………………………… . 47
any responsibility or liability with regard to omissions,
Distress……………………………………………………… . 47 misuse or misinterpretation.
Dizziness [ Vertigo ]………………………………………… 47
Dogbite……………………………………………………… . 47
Dysarthria…………………………………………………… . 48
Dyscrasia, Blood…………………………………………… . 48
Dyslipidemia………………………………………………… . 48 The Authors
Dyspepsia…………………………………………………… . 48
Dysphagia…………………………………………………… . 48
Dysplasia…………………………………………………… .. 48
Dyspnea [ Shortness of Breath ]………………………… ... 48
Dysrhytmia………………………………………………… .. 48
Dysuria [ Painful Urination ]………………………………… 48
Eclampsia…………………………………………………… . 48
Effusion, Pleura……………………………………………… 49
Embolism…………………………………………………… .. 49
Emesis [ Vomiting ]………………………………………… . 49
Empyema……………………………… …………………….. 49
Encephalopathy……………………………………………… 49
Endometriosis……………………………………………… .. 49
Enteritis [ Ileitis ]…………………………………………… .. 49
Enuresis……………………………………………………… 49
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TABLE OF CONTENTS
Bronchitis…………………………………………………… . 15
Messages Bronchopneumonia ( BPN)……………………………… .. 16
Preface Burn………………………………………………………… .. 16
Acknowledgements Calcifications, Renal……………………………………… .. 18
Disclaimer Calculus……………………………………………………… 18
Cancer……………………………………………………… .. 18
List of ICD-10 Coded Diseases/Conditions Carcinoma…………………………………………………… 21
Abnormality …………………………………………………… 1 Cardiomegaly……………………………………………… .. 25
Abortion ……………………………………………………… . 1 Cardiomyopathy……………………………………………… 25
Abruptio Placenta …………………………………………… . 2 Cataract……………………………………………………… . 25
Abscess……………………………………………………… .. 2 Cellulitis……………………………………………………… . 29
Accident, Cerebrovascular (CVA)………………………….. 3 Cephalgia [ Headache]……………………………………… 29
AIDS / HIV…………………………………………………… .. 4 Chalazion…………………………………………………… .. 29
Adenocarcinoma……………………………………………… 7 Check up, Health [ Examination, Health]…………………. 29
Adenoma……………………………………………………… . 7 Chemotheraphy, Maintenance for Neoplasm……………. 29
Allergy………………………………………………………… . 7 Cholera……………………………………………………… . 30
Amoebiasis…………………………………………………… . 7 Cholecystitis………………………………………………… . 30
Anemia………………………………………………………… 8 Cholecystolithiasis………………………………………… .. 30
Angina Pectoris……………………………………………… . 10 Cholelithiasis………………………………………………… 30
Anorexia……………………………………………………… . 10 Cirrhosis……………………………………………………… 30
Anuria………………………………………………………… . 10 Cleft Lip…………………….……………………………… ... 30
Anxiety State………………………………………………… . 10 Cleft Palate ……………..………………………………… ... 31
Appendicitis…………………………………………………… 11 Cleft Palate with Cleft Lip...……………………………… ... 31
Arrest………………………………………………………… .. 11 Coagulopathy, Coagulation………………………………… 31
Arteriosclerosis [Atherosclerosis]………………………… .. 11 Cold…………………………………………………………… 31
Arthralgia……………………………………………………… 12 Colitis………………………………………………………… . 32
Arthritis……………………………………………………… .. 12 Comatose…………………………………………………… . 32
Ascites, Abdominal………………………………………… .. 13 Complications……………………………………………… .. 32
Asphyxia, Neonatorum……………………………………… 13 Concussion………………………………………………… .. 32
Asthma……………………………………………………… .. 13 Conjunctivitis………………………………………………… .. 32
Atelectasis…………………………………………………… . 14 Constipation………………………………………………… . 32
Atresia………………………………………………………… 14 Contusion ………………………………………………… .. 33
Attack………………………………………………………… . 14 Convulsion…………………………………………………… 33
Bedsore……………………………………………………… . 14 Cor Pulmonale……………………………………………… . 33
Bell’s Palsy…………………………………………………… 14 Costochondritis……………………………………………… 33
Bleeding [ Hemorrhage]…………………………………… . 14 Cough………………………………………………………… 33
Blighted Ovum……………………………………………… . 14 Crisis………………………………………………………… . 34
Block………………………………………………………… .. 14 Cyanosis…………………………………………………… .. 34
Bronchiectasis……………………………………………… . 14
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Paraplegia……………………………………… …...…………… 80
Parasitism………………………………………………………… 80
Epilepsy……………………………………………………… 50
Parkinson’s Disease [ Parkinsonism]………………………… .. 81
Epistaxis [ Nosebleed ]…………………………………… .. 50
Parotitis…………………………………………………………… 81
Erysipelas…………………………………………………… . 50
Pelvic Inflammatory Disease…………………………………… 81
Erythema…………………………………………………… . 50
Pharyngitis………………………………………………………… 81
Esophageal, Reflux………………………………………… . 50
Physical Examination [ Check Up]…………………..…………. 82
Esophagitis………………………………………………… .. 50
Pleural; Effusion……………………………………… ..………… 82
Examination , Health……………………………………… .. 50
Pleurisy………………………………………………… ….……… 82
Failure………………………………………………………… 51
Pneumocystosis………………………………………… ..……… 82
Fever………………………………………………………… . 51
Pneumonia…………………………………………………… …… 82
Fibroadenoma……………………………………………… . 51
Pneumonitis……………………………………………………… . 83
Fistula………………………………………………………… 51
Pneumothorax…………………………………………………… . 83
Fracture……………………………………………………… 52
Poisoning………………………………………………………… . 84
Gangrene…………………………………………………… . 56
Poliomyelitis………………………… …………………………… . 87
Gastritis………………………………………………………… . 56
Polyp ……………………………………………………………… . 88
Gastroenteritis………………………………………………… .. 56
Polypsis…………………………………………………………… . 88
Glaucoma……………………………………………………… .. 57
Polyuria…………………………………………………………… . 88
Glioma…………………………………………………………… 57
Pregnancy………………………………………………………… 88
Glomerulonephritis…………………………………………… .. 57
Primary Complex………………………………………………… 88
Goiter…………………………………………………………… . 57
Procidentia Uteri………………………………………………… 88
Gout……………………………………………………………… 58
Prolapse…………………………………………………………… 88
Glycosuria……………………………………………………… .. 58
Psychosis………………………………………………………… .. 89
Grave’s Disease………………………………………………… 58
Pterygium………………………………………………………… . 89
Gun Shot Wound……………………………………………… .. 58
Purpura…………………………………………………………… 89
Hansen’s Disease [ Leprosy]………………………………… .. 58
Pyelonephritis……………………………………………………… 89
Headache [ Cephalgia]………………………………………… . 58
Quadriplegia, Late Effect………………………………………… 89
Hemangioma…………………………………………………… .. 58
Rabies……………………………………………………………… 89
Hematuria………………………………………………………… 59
Reaction…………………………………………………………… 89
Hemophilia……………………………………………………… .. 59
Reflux……………………………………………………………… 90
Hemoptysis……………………………………………………… . 59
Retention…………………………………………………………… 90
Hemorrhage…………………………………………… ………… 59
Reticulosarcoma…………………………………………………… 90
Hemorrhoids……………………………………………………… 59
Rheumatism………………………………………………………… 91
Hepatitis………………………………………………………… ... 59
Rhinitis……………………………………………………………… . 91
Hepatomegaly…………………………………………………… . 60
Salmonellosis……………………………………………………… . 91
Hernia…………………………………………………………… .. 60
Sarcoma, primary , malignant, site unspecified………………… 91
Hiccoughs………………………………………………………… 60
Sarcoma, secondary , malignant, site unspecified…………… 92
Hodgkin’s Disease……………………………………………… . 60
Scar………………………………………………………………… 93
Hydronephrosis………………………………………………… .. 60
Schistosomiasis…………………………………………………… 93
Hyperacidity……………………………………………………… 60
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Hypercholesterolemia…………………………………………… 60
Hyperemesis Gravidarum………………………………………… . 60
Lymphosarcoma………………………………………………… .. 71
Hyperesthesia, Skin…………………………………………… .. 60
Malaria……………………………………………………………… 71
Hyperosmolar Coma
Malignancy………………………………………………………… 72
[ Hyperglycemic Hyperosmolar Syndrome]…………………. 61
Malnutrition………………………………………………………… 73
Hyperkalemia…………………………………………………… .. 61
Mass……………………………………………………………… .. 73
Hyperlipidemia…………………………………………………… . 61
Measles………………………………………………………… …. 73
Hyperplasia……………………………………………………… .. 61
Melanoma, Malignant, Skin……………………………………… 74
Hypersensitivity Reaction……………………………………… .. 61
Meningitis………………………………………………………… .. 74
Hypertension…………………………………………………… ... 61
Meningioma……………………………………………………… .. 74
Hyperthyroidism………………………………………………… .. 61
Metastases………………………………………………………… 74
Hypertrophy……………………………………………………… . 62
Migraine…………………………………………………………… . 75
Hyperuricemia…………………………………………………… . 62
Mumps…………………………………………………………… ... 75
Hypoglycemia…………………………………………………… .. 62
Myasthenia Gravis……………………………………………… .. 75
Hypokalemia……………………………………………………… 62
Myeloma…………………………………………………………… 75
Hypotension……………………………………………………… . 62
Myelomata………………………………………………………… 75
Ileitis……………………………………………………………… .. 62
Myocarditis………………………………………………………… 75
Ileus……………………………………………………………… .. 62
Myoma Uteri………………………………………………… ..…… 75
Imbalance………………….……………………………………… 62
Narrowing, rectal………………………………………………… .. 76
Impaction, Impacted………….………………………………… . 62
Nausea [ Vomiting ]……………………………………………… . 76
Incontinence…….……………………………………………… .. 62
Necrosis…………………………………………………………… 76
Indigestion….…………………………………………………… . 63
Nephritis…………………………………………………………… 76
Infarction………..………………………………………………… 63
Nephrolithiasis…………………………………………………… .. 76
Infection………………………………………………………… ... 63
Nephropathy……………………………………………………… . 76
Influenza………………………………………………………… .. 64
Neurodermatitis…………………………………………………… 76
Injury……………………………………………………………… 67
Neuropathy………………………………………………………… 76
Insufficiency……………………………………………………… 68
New Growth ……………………………… ……………………… . 76
Jaundice………………………………………………………… .. 68
Nodules…………………………………………………………… .. 77
Ketoacidosis…………………………………………………… .. 68
Obesity…………………………………………………………… .. 77
Koch’s Disease, Koch’s Infection…………………………… .. 68
Obstruction………………………………………………………… 77
Labor…………………………………………………………… .. 68
Oliguria…………………………………………………………… .. 77
Laryngitis………………………………………………………… 68
Orchitis……………………………………………………………… 77
Leprosy [ Hansen’s Disease]………………………………… .. 69
Orthopnea………………………………………………………… . 77
Leukemia………………………………………………………… 69
Osteoarthritis……………………………………………………… . 77
Ligation………………………………………………………… … 69
Osteoporosis……………………………………………………… 78
Lipoma…………………………………………………………… 70
Otitis………………………………………………………………… 78
Lumbago………………………………………………………… 70
Pain………………………………………………………………… 78
Palpitations………………………………………………………… 80
Lupus……….……………………………………………… ……… 70
Lymphoma………………………………………………………… 70
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DISEASES/C ONDITIONS ICD-10
NOTE: READ THE DISCLAIMER CAREFULLY FOR
CODE Sciatica……………………………………………………………… . 93
GUIDANCE Sclerosis………………………………… ………………………… 93
Induced Abortion O06.9 Seizures…………………………………………………………… 93
See also notes Septicemia [ Sepsis ]………………………………………… . 93
under Sinusitis……………………………………………………………… 93
“Abortion” Spherocystosis……………………………………………………… 94
Imminent Abortion O03. 90 Stab Wound………………………………………………………… . 94
See also notes Steatohepatitis, Non Alcoholic…………………………………… 94
Note: This is classified under spontaneous under Stroke……………………………………………………………… 94
abortion, however, an additional 5th “Abortion”
character “0” is included to distinguish
Syndrome………………………………………………………… .. 95
imminent from inevitable abortion Tachycardia………………………………………………………… 95
Tetanus……………………………………………………………… 95
Inevitable Abortion O03. 91 Thyroid Storm……………………………………………………… 95
See also notes Tonsilitis…………………………………………………………… 95
Note: This is classified under spontaneous under Tonsillopharyngitis…………………………… …………………… 96
abortion, however, an additional “Abortion” Toxicosis………………………………………………… .………… 96
5th character “1” is included to distinguish Transient Ischemic Attack………………………………………… . 96
imminent from inevitable abortion Tuberculosis of Lung, [ Pulmonary Tuberculosis]……………... 96
Tympanomastoiditis……………………………………………… .. 96
Non-Induced Abortion O03. 99 Ulcer………………………………………………………………… 97
See also notes Uremia…………………………………… ………………………… 97
under Urolithiasis………………………………………………………… . 97
“Abortion” Urosepsis…………………………………………………………… . 97
Spontaneous Abortion O03. 99 Vasculitis…………………………………………………………… 97
See also notes Vertigo [Dizziness]………………………………………………… . 97
under Vomiting…………………………………………………………… 97
“Abortion”
Weakness………………………………………………………… . 97
Weight Loss, Abnormal…………………………………………… . 97
Missed Abortion O02.1 Wound, Open……………………………………………………… 98
Threatened Abortion O20.0
Ill Defined Conditions in terms of ICD-10 Code
ABRUPTIO PLACENTA O45.9 Assignment………………………………………………………… . 99
ABSCESS L02.9 WHO Official Updates to ICD-10 100

Anorectal Abscess K61.2
References 109
Cerebellar Abscess G06.0
Cerebral Abscess G06.0
Liver Abscess K75.0
Amoebic Liver Abscess A06.4
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GUIDANCE
CODE
ABNORMALITY
Electrolyte Abnormality E87.8
[ Electrolyte Imbalance]
Urine Abnormality R82.9
Asymptomatic Urine Abnormality R82.9
ABORTION O06.9
Note: If other information such as the completeness
or incompleteness of abortion and its
associated complication/s are indicated, a
th
more appropriate 4 character should be
assigned instead of “9”.
Refer to the sub-classification below for other

applicable 4th character.
The following 4th character subdivisions are for

use with categories O03- O06 to indicate
complications and whether the abortion is
complete or incomplete:
.0 - incomplete, complicated by genital tract and

pelvic infection
.1 - incomplete, complicated by delayed or
excessive hemorrhage
.2 - incomplete complicated by embolism
.3 - incomplete with other and unspecified
complications
.4 - incomplete, without complication
.5 - complete or unspecified, complicated by
genital tract and pelvic
infection
delayed or excessive hemorrhage
embolism
.8 - complete or unspecified, with other and
unspecified complications
.9 - complete or unspecified, without complication
1
GUIDANCE
CODE DISEASES/C ONDITIONS ICD-10
AIDS/HIV resulting in Multiple Malignant B21.7 GUIDANCE
CODE
Neoplasm
Amoebic Liver Abscess with Brain Abscess A06.6†
Note: Supplemental code/s within B21 G07*
subcategories should be added to
indicate the code for HIV resulting to
Amoebic Liver Abscess with Brain Abscess A06.6†
specific malignant neoplasm if other and Lung Abscess G07*
specific information is indicated. Amoebic Liver Abscess with Lung Abscess A06.5†
J99.8*
Refer to ICD-10 Vols. 1 & 3
for other specific codes to consider.
Lung Abscess J85.2
AIDS/HIV resulting in Encephalopathy B22.0 Amoebic Lung Abscess with Liver Abscess A06.5†
See also notes J99.8*
under “AIDs/HIV Lung Abscess with Pneumonia J85.1
causing
mycobacterial
Pharyngeal Abscess J39.1
infection” Perineal Abscess L02.2
AIDS/HIV resulting in Lymphoid Interstitial B22.1 Peritonsillar Abscess J36
Pneumonitis See also notes Scrotal Abscess N49.2
under “AIDs/HIV
causing
mycobacterial
infection” ACCIDENT, CEREBROVASCULAR (CVA) I64
AIDS/HIV resulting in Wasting Syndrome B22.2 Cardioembolic CVA I64
See also notes
under “AIDs/HIV Note: A more specific code instead of “I64” should
causing be assigned if the specific artery involved is
mycobacterial indicated.
infection”
AIDS/HIV resulting in Multiple Diseases B22.7 Refer to ICD-10 Vols. 1 & 3 for other specific
codes to consider.
Note: Supplemental code/s within B20-B24
indicate the code for HIV resulting to
specific disease other specific information CVA with Paralysis I64, G83.9
is indicated. CVA with Right Hemiplegia I64, G81.9
CVA Infarct I63.9
Refer to ICD-10 Vols. 1 & 3 for other more
specific codes to consider.
CVA with Infarction I63.9
AIDS/HIV resulting in Generalized B23.1 Hemorrhagic CVA I61.9
Lymphadenopathy Old or healed CVA with Paralysis G83.9 I69.8
6
3
GUIDANCE
ACQUIRED IMMUNE DEFICIENCY B24 GUIDANCE
CODE
SYNDROME (AIDS) / AIDS/HIV resulting in Candidiasis B20.4
HUMAN IMMUNODEFICIENCY See also notes
SYNDROME (HIV) under “AIDs/HIV
causing
Note: A more specific code should be assigned mycobacterial
instead of “B24” if there are other infection”
resulting conditions indicated.
AIDS/HIV resulting in Pneumocystis Carinii B20.6
Refer to ICD-10 Vols. 1 & 3 for other Pneumonia See also notes
specific codes to consider. under “AIDs/HIV
causing
Acute HIV Infection Syndrome B23.0 mycobacterial
infection”
AIDS/HIV with Infection (Unspecified Infection) B20.9

AIDS/HIV resulting in Multiple Infections B20.7
Note: Supplemental code/s within B20
AIDS/HIV causing Mycobacterial Infection B20.0 indicate the code for HIV resulting to specific
infection if other specific information is
Note: Supplemental code/s should be added to indicated.
indicate the code for the specific resulting
condition/s if other specific details of the Refer to ICD-10 Vols. 1 & 3 for other specific
resulting condition is indicated. codes to consider.
AIDS/HIV resulting in Malignant Neoplasms B21.9

AIDS/HIV causing Tuberculosis B20.0 (unspecified)
See also notes
under “AIDs/HIV
AIDS/HIV resulting in Kaposi’s Sarcoma B21.0
causing See also notes
under “AIDs/HIV
Mycobacterial
causing
infection”
mycobacterial
infection”
AIDS/HIV causing Cytomegaloviral Disease B20.2

See also notes
AIDS/HIV resulting in Burkitt’s Lymphoma B21.1
See also notes
under “AIDs/HIV
causing under “AIDs/HIV
causing
Mycobacterial
mycobacterial
infection”
infection”
4
5
GUIDANCE
Malarial Anemia (Plasmodium Falciparum) B50.8† GUIDANCE
CODE
D63.8* AIDS Related Complex (ARC) B24
Malarial Anemia (Plasmodium Vivax) B51.8†
D63.8* ADENOCARCINOMA C80
Malarial Anemia (Plasmodium Malariae) B52.8† M8140/3
D63.8* Endometrial Adenocarcinoma C54.1
Non-autoimmune Hemolytic Anemia due to D59.2 M8140/3
Drugs
Note: Supplemental code from V01 – Y98 for the ADENOMA D36.9
external cause should be added to D59.2 to M8940/0
identify the specific drug/medicine, if drug is Pleomorphic Adenoma (site unspecified) D36.9
specified.
Note: A more specific site code should be assigned M8940/0
Refer to ICD-10 Vols. 1 & 3 for the instead of “D36.9” if the site is indicated.
appropriate code to consider.
Refer to ICD-10 Vols. 1 & 3 for the
appropriate site code to consider.
Pernicious Anemia D51.0
Post Hemorrhagic Anemia D50.0
Severe Anemia D64.9 ALLERGY T78.4
ANGINA PECTORIS I20.9 Note: Codes within the category T78 is to be used
Unstable Angina I20.0 as the primary code to identify the effects
not elsewhere classifiable, of unknown,
undetermined or ill-defined causes.
ANOREXIA [LOSS OF APETITE] R63.0
Dust Allergy J30.3
ANURIA [ OLIGURIA ] R34 Dust Allergy with Asthma J45.0
Epidermal Allergy J30.3
ANXIETY STATE F41.1 Food Allergy T78.1
See also notes
under “Allergy”
Gastrointestinal Allergy K52.2
AMOEBIASIS A06.9
Amoebiasis Colitis A06.0
Amoebic Dysentery A06.0
10
7
GUIDANCE
Chronic Intestinal Amoebiasis A06.1 GUIDANCE
CODE
Intestinal Amoebiasis A06.0 Anemia with Hypotension D64.9,
I95.9
ANEMIA D64.9 Anemia with Chronic Hypotension I95.8†
Note: A more specific code should be assigned
D63.8*
instead of “D64.9” if other specific details Aplastic Anemia D61.9
on anemia is indicated. Autoimmune Hemolytic Anemia due to Drugs D59.0
Refer to ICD-10 Vols. 1 & 3 for the Note: Supplemental code from V01 – Y98 for
appropriate code to consider. the external cause should be added to
D59.0 to identify the specific drug/
medicine, if drug is specified.
Acute Post Hemorrhagic Anemia D62
Anemia complicating Pregnancy / Childbirth / O99.0
Puerperium
Note: Supplemental code/s for the specific type of
anemia should be added to “O99.0”, if Chronic Blood Loss Anemia D50.0
other specific information on anemia is Chronic Post Hemorrhagic Anemia D50.0
indicated. Hemolytic Anemia due to Drugs D59.2
Refer to ICD-10 Vols. 1 & 3 for the Note: Supplemental code from V01 – Y98 for
appropriate code/s to consider . the external cause should be added to
D59.2 to identify the specific drug/
Anemia secondary to Bronchogenic Ca C34.9† medicine, if drug is specified.
D63.0*
M8010/3 Refer to ICD-10 Vols. 1 & 3 for the
Anemia secondary to Hepatoma C22.0†
Hemolytic Anemia secondary to Infection D59.4
D63.0*
M8170/3
Iron-deficiency Anemia D50.9
Anemia secondary to Upper Gastro Intestinal D50.0, Malarial Anemia B54†
Bleeding K92.2 D63.8*
Anemia secondary to Acute Blood Loss D62 Note: A more appropriate code should be
Anemia secondary to Acute Hemorrhage D62 assigned instead of “B54” if other
specific details on malaria is indicated.
Anemia secondary to Chronic Blood Loss D50.0
Anemia secondary to Chronic Hemorrhage D50.0 Refer to the other codes on Malarial
Anemia below or the ICD-10 Vols. 1 & 3
for the appropriate code to consider.
8
9
GUIDANCE
ATELECTASIS J98.1 GUIDANCE
CODE
Pulmonary Atelectasis J98.1
APPENDICITIS K37
ATRESIA
Biliary Atresia Q44.2 Note: A more appropriate code should be
Pulmonary Valve Atresia Q22.0 assigned instead of “K37” if other specific
details on appendicitis is indicated.
Tricuspid Valve Atresia Q22.4
Refer to the other codes on Appendicitis
ATTACK below or the ICD-10 Vols. 1 & 3 for the
Transient Ischemic Attack (TIA) G45.9
BEDSORE L89 Acute Appendicitis K35.9

Acute Appendicitis with Generalized Peritonitis K35.0
BELL’S PALSY G51.0 Acute Appendicitis with Peritonitis K35.0
Acute Ruptured Appendicitis K35.0
BLEEDING [ HEMORRHAGE ] R58 Acute Suppurative Appendicitis K35.9
Gastro Intestinal Bleeding K92.2 Appendicitis with Generalized Peritonitis K35.0
Lower Gastro Intestinal Bleeding K92.2 Appendicitis with Peritoneal Abscess K35.1
Upper Gastro Intestinal Bleeding (UGIB) K92.2 Appendicitis with Peritonitis K35.0
Post Menopausal Bleeding (PMB) N95.0 Chronic Appendicitis K36
Uterine Bleeding, not due to Menstruation N93.9 Inflamed Ruptured Appendicitis K35.0
Uterine hemorrhage, not due to Menstruation N93.9 Recurrent Appendicitis K36
Dysfunctional Uterine Bleeding (DUB) N93.8 Ruptured Appendicitis K35.0
Ruptured Inflamed Appendix K35.0
BLIGHTED OVUM O02.0
ARREST
BLOCK Cardiac Arrest I46.9
Left Bundle Branch Block (LBBB) I44.7 Cardio Respiratory Arrest I46.9
Left Bundle Branch Hemiblock I44.6 Respiratory Arrest R09.2
Left Bundle Branch Posterior Hemiblock I44.5
Left Bundle Branch Anterior Hemiblock I44.4 ARTERIOSCLEROSI S I70.9
[ATHEROSCLEROSIS]
BRONCHIECTASIS J47
Arteriosclerotic Cardiovascular Disease (ASCVD) I25.0
Atherosclerotic Cardiovascular Disease (ASCVD) I25.0
14
11
GUIDANCE
Arteriosclerotic Cerebrovascular Disease I67.2 GUIDANCE
CODE
Atherosclerotic Cerebrovascular Disease I67.2 Acute Rheumatoid Arthritis M06.99
Arteriosclerotic Heart Disease (ASHD) I25.1 See also notes
Atherosclerotic Heart Disease (ASHD) I25.1 under “Arthritis”
Coronary Artery Disease (CAD) I25.1 Chronic Rheumatoid Arthritis M06.99
Generalized Arteriosclerosis I70.9 See also notes
under “Arthritis”
Peripheral Arteriosclerotic Extremities I70.2
Septic Arthritis M00.99
See also notes
ARTHRALGIA (site unspecified) M25.59 under “Arthritis”
Note: A more appropriate 5th character site code

should be assigned instead of “9” if the
ASCITES, ABDOMINAL R18
site is indicated.
ASPHYXIA, NEONATORUM P21.9
Refer to the other site codes on ICD-10 Vol.
1 for the appropriate site code to consider.
ASTHMA J45.99
Psychogenic Arthralgia F45.4 Note: A 5th character code is added to category
“J45.9” to indicate the presence/absence of
exacerbation.
ARTHRITIS, (site unspecified) M13.99
th
Note: A more appropriate 5 character site code
Asthmatic Bronchitis J45.99
should be assigned instead of “9” if the See also notes
site is indicated. under “Asthma”
Bronchial Asthma J45.99
Refer to ICD-10 Vol. 1 for the appropriate site See also notes
code to consider. under “Asthma”
Bronchial Asthma in Exacerbation J45.90
Gouty Arthritis M10.09 See also notes
See also notes under “Asthma”
under “Arthritis”
Juvenile Rheumatoid Arthritis M08.09 Bronchial Asthma in Acute Exacerbation J45.90
See also notes (BAIAE) See also notes
under “Arthritis” under “Asthma”
Rheumatoid Arthritis M06.99
See also notes Extrinsic Allergic Asthma J45.0
under “Arthritis” Intrinsic Non-allergic Asthma J45.1
12
13
GUIDANCE
GUIDANCE
CODE
Burns, multiple (at least one burn of third T29.3 BRONCHITIS (not specified as acute or chronic J40
degree) See also notes and patient is 15 years of age or above)
under “Burns,
multiple,
unspecified BRONCHITIS (not specified as acute or chronic J20.9
degree” and patient is less than 15 years of age)
Burn, shoulder and/or upper limb except wrist T22.0
and hand See also notes Acute Asthmatic Bronchitis J46
under “Burn” Acute Bronchitis J20.9
Burn, trunk T21.0
See also notes Acute Bronchitis with Asthmatic Component J45.99
under “Burn” See also notes
Burn, wrist and/or hand T23.0 under “Asthma
See also notes Acute Bronchitis with Hyperactive Airways J45.99
under “Burn” See also notes
under “Asthma”
CALCIFICATIONS, RENAL N28.8 Asthmatic Bronchitis J45.99
See also notes
under “Asthma”
CALCULUS
Bile Duct Calculus K80.5
Chronic Asthmatic Bronchitis J44.8
Bile Duct Calculus with Cholangitis K80.3
Chronic Asthmatic Bronchitis with Acute Lower J44.0
Respiratory Infection
Bile Duct Calculus with Cholecystitis K80.4
Congenital Renal Calculus Q63.8 Chronic Asthmatic Bronchitis with Acute J44.1
Congenital Staghorn Calculus Q63.8 Exacerbation
Renal Calculus N20.0 Chronic Bronchitis J42
Staghorn Calculus N20.0 Chronic Bronchitis primarily Emphysematous J44.8
Component
CANCER, Primary Site (morphology and Chronic Bronchitis primarily Emphysematous J44.0
behavior codes: M8000/3) Component with Acute Lower Respiratory
Infection
Note: The coders need to determine whether the Chronic Bronchitis primarily Emphysematous J44.1
cancer site is primary, secondary Component with Acute Exacerbation
(metastatic), in situ, benign, etc. so that the Emphysematous Bronchitis J44.8
appropriate behavior and site codes can be
assigned. Emphysematous Bronchitis with Acute Lower J44.0
18
15
GUIDANCE
Emphysematous Bronchitis with Acute J44.1 GUIDANCE
CODE
Exacerbation assigned if the site of burn is indicated.
Severe Asthmatic Bronchitis J46
Refer to ICD-10 Vols. 1 & 3 for the appropriate
code to consider. Notes under T31 category
BRONCHOPNEUMONIA (BPN) J18.0 in ICD-10 Vol. 1 should also be considered.
Bronchopneumonia due to Haemophilus J14
Influenzae (H. Influenzae) Burn, ankle and/or foot T25.0
Congenital Bronchopneumonia due to P23.6 See also notes
Haemophilus Influenzae (H. Influenzae) under “Burn”
Bronchopneumonia due to S. Pneumoniae J13 Burn, head and/or neck T20.0
Congenital Bronchopneumonia due to P23.6 See also notes
S. Pneumoniae under “Burn”
Bronchopneumonia with Measles B05.2† Burn, hip and/or lower limb, except ankle and T24.0
foot See also notes
J17.1* under “Burn”
Bronchopneumonia with Pleural Effusion J18.0† J91* Burns, multiple (unspecified degree) T29.0
Postmeasles Bronchopneumonia B05.2† See also notes
J17.1* Note: Category “T29” includes burns and under “Burn”
corrosions classifiable to more
than one of the categories T20-T28.
BURN (unspecified site and degree) T30.0
Supplemental codes for the individual burn
Note: A more appropriate 4th character should be
assigned instead of “0” if the degree of
should be included.
burn is indicated.
Refer to the sub- classification below for appropriate code to consider.
other applicable 4th character code.
Burns, multiple (no more than first degree) T29.1
The following 4th character subdivisions are See also notes
for use with categories T20- T25 to under “Burns,
indicate the degree of burn: multiple,
unspecified
.0 - unspecified degree degree”
.1 - first degree (erythema)
.2 - second degree (blisters, epidermal loss)
.3 - third degree (full thickness, skin loss) Burns, multiple (no more than second degree) T29.2
- deep third degree (deep necrosis of See also notes
underlying tissue)
under “Burns,
multiple,
Moreover, a more appropriate code from
unspecified
categories T20-T29 should be
degree”
16
17
GUIDANCE
Carcinoma, breast, malignant, primary site C50.9, GUIDANCE
CODE
Note: If the specific part of the breast is M8010/3
indicated, a more specific site code See also notes Refer to ICD-10 Vol. 1 for additional
should be assigned instead of C50.9. under specific coding guidelines.
“Carcinoma”
Refer to ICD-10 Vols. 1 & 3 for the The term “cancer” when modified by an
appropriate site code to consider. adjective or adjectival phrase indicating a
morphological type, should be coded in the
same manner as “carcinoma” with that
Carcinoma, cervical, malignant, primary site C53.9, adjective or phrase. Thus, “squamous cell
M8010/3 cancer” is coded in the same manner as
Note: If the specific part of the cervix is “squamous cell carcinoma”. A more specific
indicated, a more specific site code See also notes
under morphology code should be assigned
should be assigned instead of C53.9. instead of M8000 if the specific
“Carcinoma”
morphological variety is identified.
Cancer, bladder, primary, malignant C67.9,
Carcinoma, colorectal, malignant, primary site C19, M8000/3
Note: If the specific part of the bladder is See also notes
M8010/3 indicated, a more specific site code under “Cancer”
See also notes should be assigned instead of C67.9.
under
“Carcinoma” Refer to ICD-10 Vols. 1 & 3 for the
Carcinoma, gastric, malignant, primary site C16.9,
M8010/3 Cancer, breast, primary, malignant C50.9,
Note: If the specific part of the stomach is See also notes M8000/3
indicated, a more specific site code under Note: If the specific part of the breast is indicated, See also notes
should be assigned instead of C16.9. “Carcinoma” a more specific site code should be under “Cancer”
assigned instead of C50.9.
appropriate site code to consider. Refer to ICD-10 Vols. 1 & 3 for the
Carcinoma, head and neck, malignant, primary C44.4, Cancer, colon, primary, malignant C18.9,
Site M8010/3 M8000/3
See also notes Note: If the specific part of the colon is indicated, See also notes
under a more specific site code should be under “Cancer”
“Carcinoma” assigned instead of C18.9.

22
19
GUIDANCE
GUIDANCE
CODE
Cancer, follicular thyroid C73, Cancer, papillary thyroid C73,
M8330/3 M8050/3
Cancer, gastric, primary, malignant C16.9, Cancer, prostate, primary, malignant C61,
M8000/3 M8000/3
Note: If the specific part of the stomach is See also notes
indicated, a more specific site code should See also notes
under “Cancer”
be assigned instead of C16.9. under “Cancer”
Refer to ICD-10 Vols. 1 & 3 for the Cancer, thyroid, primary, malignant C73,
appropriate site code to consider. M8000/3
See also notes
Cancer, liver, primary, malignant C22.9, under “Cancer”
M8000/3
See also notes
under “Cancer”
CARCINOMA , Primary site
Cancer, lung, primary, malignant C34.9, Note: The morphology code may vary for other
M8000/3 specific types of Carcinoma
Note: If the specific part of the lung is indicated, a See also notes (ex. squamous cell, lobular, etc).
more specific site code should be assigned under “Cancer”
instead of C34.9. Refer to ICD-10 Vols. 1 & 3 for other
specific morphology codes to consider.
appropriate site code to consider. Likewise , for carcinoma with other
specified behavior ( ex. malignant
secondary, in situ, etc.), a more
Cancer, nasopharyngeal, primary, malignant C11.9, appropriate behavior and site codes
M8000/3 should be assigned.
Note: If the specific part of the nasopharynx is See also notes
indicated, a more specific site code should under “Cancer” Refer to ICD-10 Vols. 1 & 3 for the
be assigned instead of C11.9. appropriate codes and additional specific
guidelines.
20
21
GUIDANCE
Cataract (patient’s age ≥ 50) H25.99 GUIDANCE
CODE
Cataract, left (patient’s age ≥ 50) H25.90 Carcinoma , hepatocellular, malignant, primary C22.0,
Cataract, right (patient’s age ≥ 50) H25.91 site M8170/3
Cataract, bilateral (patient’s age ≥ 50) H25.92 See also notes
under
Cataract, immature, (patient’s age ≥ 50) H25.99 “Carcinoma”
Cataract, immature, left (patient’s age ≥ 50) H25.90
Carcinoma, lung, malignant, primary site C34.9,
M8010/3
Cataract, immature, right (patient’s age ≥ 50) H25.91 Note: If the specific part of the lung is See also notes
Cataract, immature, bilateral (patient’s H25.92 indicated, a more specific site code under
age ≥50) should be assigned instead of C34.9. “Carcinoma”

Cataract, immature (patient’s age < 50) H26.099 appropriate site code to consider.
Cataract, immature, left (patient’s age < 50) H26.090
Cataract, immature, right (patient’s age < 50) H26.091 Carcinoma, nasopharyngeal, malignant, C11.9,
Cataract, immature, bilateral (patient’s H26.092 primary site M8010/3
age < 50) See also notes
Note: If the specific part of the nasopharynx under
is indicated, a more specific site code “Carcinoma”
Cataract, mature, (patient’s age <50) H26.099 should be assigned instead of C11.9.
Cataract, mature, left (patient’s age <50) H26.090
Cataract, mature, right (patient’s age <50) H26.091 Refer to ICD-10 Vols. 1 & 3 for the
Cataract, mature, bilateral (patient’s age <50) H26.092 appropriate site code to consider.
Cataract, mature, (patient’s age ≥ 50) H25.99

Carcinoma, oral, malignant, primary site C06.9,
M8010/3
Cataract, mature, left (patient’s age ≥ 50) H25.90 Note: If the specific part of the mouth is See also notes
Cataract, mature, right (patient’s age ≥ 50) H25.91 indicated, a more specific site code under
Cataract, mature, bilateral (patient’s age ≥ 50) H25.92 should be assigned instead of C06.9. “Carcinoma”

Cataract, senile H25.99 appropriate site code to consider.
Cataract, senile, left H25.90
Cataract, senile, right H25.91
Cataract, senile, bilateral H25.92 Carcinoma, ovary, malignant, primary site C56,
M8010/3
See also notes
under
“Carcinoma”
26
23
GUIDANCE
Carcinoma, prostate, malignant, primary site C61, GUIDANCE
CODE
M8010/3
See also notes
under CARDIOMEGALY I51.7
“Carcinoma” Cardiomegaly with Hypertension I11.9
Cardiomegaly with Hypertension without Heart I11.9
Carcinoma, thyroid (gland), malignant, primary C73, Failure
site M8010/3
See also notes Cardiomegaly with Hypertension with Heart I11.0
under Failure
“Carcinoma”
CARDIOMYOPATHY I42.9
Carcinoma, follicular, thyroid (gland), C73, Dilated Cardiomyopathy I42.0
malignant, primary site M8330/3 Cardiomyopathy Complicating Pregnancy O99.4, I42.9
See also notes
under
Cardiomyopathy in the Puerperium O90.3
“Carcinoma”
CATARACT
Carcinoma, papillary, thyroid (gland), C73,
Note: For conditions related to cataract, laterality
malignant, primary site M8050/3
is considered. An additional character is
See also notes
placed in the last position of the assigned
under
code for the specific cataract condition .
“Carcinoma”
The laterality codes are as follows:
Carcinoma, follicular with papillary, thyroid C73,
(gland), malignant, primary site M8340/3 0 - left (OS)
See also notes 1 - right (OD)
under 2 - bilateral (OU)
“Carcinoma” 9 - unspecified
Carcinoma, uterus, malignant, primary site C55, Cataract (patient’s age <50) H26.099
M8010/3 Cataract, left (patient’s age <50) H26.090
Note: If the specific part of the uterus is See also notes Cataract, right (patient’s age <50) H26.091
indicated, a more specific site code under
should be assigned instead of C55.
Cataract, bilateral (patient’s age <50) H26.092
“Carcinoma”

24
25
GUIDANCE
GUIDANCE
CODE
CHOLERA A00.9 Cataract, senile, hypermature H25.29
Classical Cholera A00.0 Cataract, senile, hypermature, left H25.20
Cholera due to Vibrio Cholerae 01, biovar A00.0 Cataract, senile, hypermature, right H25.21
Cholera
Cataract, senile, hypermature , bilateral H25.22
Cholera due to Vibrio Cholerae 01, biovar eltor A00.1
Cholera eltor A00.1
Cataract, senile, immature H25.99
Cataract, senile, immature, left H25.90
CHOLECYSTITIS K81.9
Cataract, senile, immature, right H25.91
Acute Cholecystitis K81.0
Cataract, senile, immature, bilateral H25.92
Acute Cholecystitis with Cholelithiasis K80.0
Chronic Calculus Cholecystitis K80.1
Cataract, senile, mature H25.99
Chronic Cholecystitis K81.1
Cataract, senile, mature, left H25.90
Chronic Cholecystitis with Cholelithiasis K80.1
Cataract, senile, mature, right H25.91
Gallstone Cholecystitis K80.1
Cataract, senile, mature, bilateral H25.92
CHOLECYSTOLITHIASIS K80.2
Cataract, senile, Morgagnian type H25.29
Cholecystolithiasis without Cholecystitis K80.2
Cataract, senile, Morgagnian type, left H25.20
Cataract, senile, Morgagnian type, right H25.21
CHOLELITHIASIS K80.2
Cataract, senile, Morgagnian type, bilateral H25.22
Cholelithiasis without Cholecystitis K80.2
Cholelithiasis with Cholecystitis K80.1
Congenial Cataract Q12.09
Cholelithiasis with Acute Cholecystitis K80.0
Congenial Cataract, left Q12.00
Congenial Cataract, right Q12.01
CIRRHOSIS K74.6
Congenial Cataract, bilateral Q12.02
Alcoholic Liver Cirrhosis K70.3
Congenital Liver Cirrhosis P78.8
Diabetic Cataract E14.3†
Liver Cirrhosis K74.6
Note: Appropriate code from E10-E13 should H28.09*
Syphilitic Liver Cirrhosis A52.7†
be used instead of E14 if the specific
K77.0* type of diabetes is indicated.
CLEFT LIP Q36.9 Refer to ICD-10 Vols. 1 & 3 for the

Likewise, a more specific laterality code

should be assigned instead of “9” for
30
27
GUIDANCE
GUIDANCE
CODE
H28.0 code if the laterality of the
cataract is specified. Uveitic Cataract H26.219
Uveitic Cataract, left H26.210
Infantile Cataract, immature H26.099 Uveitic Cataract, right H26.211
Infantile Cataract, immature, left H26.090 Uveitic Cataract, bilateral H26.212
Infantile Cataract, immature, right H26.091
Infantile Cataract, immature, bilateral H26.092 CELLULITIS L03.9
Infantile Cataract, mature H26.099 Note: If the site of the cellulitis is indicated, a
more specific code from L03
Infantile Cataract, mature, left H26.090 subcategories should be assigned
Infantile Cataract, mature, right H26.091 instead of L03.9.
Infantile Cataract, mature, bilateral H26.092
Juvenile Cataract, immature H26.099
Juvenile Cataract, immature, left H26.090
CEPHALGIA [ HEADACHE ] R51
Juvenile Cataract, immature, right H26.091
Juvenile Cataract, immature, bilateral H26.092
CHALAZION H00.1
Juvenile Cataract, mature H26.099
CHECK UP, HEALTH Z00.0
Juvenile Cataract, mature, left H26.090
[ EXAMINATION, HEALTH ]
Juvenile Cataract, mature, right H26.091 Note: Refer to ICD-10 Vols. 1 & 3 for other specific
Juvenile Cataract, mature, bilateral H26.092 codes for Check-up of a particular population
for a specified purpose/reason.
Annual Physical Check Up Z00.0
Presenile Cataract, immature H26.099
Annual Physical Examination Z00.0
Presenile Cataract, immature, left H26.090
Dental Check Up Z01.2
Presenile Cataract, immature, right H26.091
General Medical Examination Z00.0
Presenile Cataract, immature, bilateral H26.092
General Medical Check Up Z00.0
Infant Check Up Z00.1
Presenile Cataract, mature H26.099
Periodic Physical Check Up Z00.0
Presenile Cataract, mature, left H26.090
Routine Child Check Up Z00.1
Presenile Cataract, mature, right H26.091
Presenile Cataract, mature, bilateral H26.092
CHEMOTHERAPHY, MAINTENANCE FOR Z51.1
NEOPLASM
28
29
GUIDANCE
Psychogenic Cough F45.3 GUIDANCE
CODE
Whooping Cough A37.9 Cleft Lip, unilateral Q36.9
Whooping Cough due to Bordetella Pertussis A37.0 Cleft Lip, bilateral Q36.0
Whooping Cough due to Bordetella A37.1 Cleft Lip, medial Q36.1
Parapertussis
CLEFT PALATE Q35.9
CRISIS
Cleft Palate, medial Q35.5
Adrenocortical Crisis E27.2
Cleft Palate, soft Q35.3
Adrenal Crisis E27.2
Cleft Palate, hard Q35.1
Cleft Palate, hard, with Cleft soft palate Q35.5
CYANOSIS R23.0
CLEFT PALATE WITH CLEFT LIP Q37.9
CYST
Cleft Hard Palate with Bilateral Cleft Lip Q37.0
Bartholin’s Cyst N75.0
Cleft Hard Palate with Unilateral Cleft Lip Q37.1
Breast Cyst N60.0
Cleft Hard Palate with Cleft Lip Q37.1
Colon Cyst K63.8
Cleft Soft Palate with Bilateral Cleft Lip Q37.2
Congenital Cystic lung Q33.0
Cleft Soft Palate with Unilateral Cleft Lip Q37.3
Congenital Liver Cyst Q44.7
Cleft Soft Palate with Cleft Lip Q37.3
Cystic Lung Disease J98.4
Cleft Hard and Soft Palate with Bilateral Q37.4
Cyst of Tendon M67.8 Cleft Lip
Ectopic Endometrial Cyst N80.9 Cleft Hard and Soft Palate with Unilateral Cleft Q37.5
Endometrial Cyst N85.8 Lip
Endometrial Cyst, Ovary N80.1 Cleft Hard and Soft Palate with Cleft Lip Q37.5
Epidermal Cyst L72.0 Cleft Palate with Bilateral Cleft Lip Q37.8
Epidermoid Cyst L72.0 Cleft Palate with Unilateral Cleft Lip Q37.9
Ganglion Cyst M67.4
Keratinous Cyst L98.8 COAGULOPATHY [COAGULATION DEFECT] D68.9
Liver Cyst K76.8 Disseminated Intravascular Coagulopathy D65
Ovarian Cyst N83.2 Disseminated Intravascular Coagulation D65
Scrotal Cyst L72.9
Sebaceous Breast Cyst N60.8 COLD J00
Sebaceous Cyst L72.1 Acute Nasopharyngitis J00
Uterine Cyst N85.8 Common Cold J00
Vaginal Cyst N89.8
34
31
GUIDANCE
COLITIS A09 GUIDANCE
CODE
Colitis due to Radiation K52.0
Infectious Colitis A09 CONTUSION T14.0
Ulcerative Colitis K51.9
Note: Supplemental code from V01-Y98 is needed to
indicate external cause of concussion for
COMATOSE R40.2 morbidity coding.
For mortality coding the following codes for

COMPLICATIONS contusion should never be used as underlying
Complication of Colostomy K91.4 cause code, they may only be considered as
supplemental codes.
Complication of Ileostomy K91.4
Complication of Tracheostomy J95.0 Refer to ICD-10 Volume 2 for additional
guidelines.
CONCUSSION S06.00 Cerebral Contusion without Open Intracranial S06.20

Wound
Note: Supplemental code from V01-Y98 is needed to Contusion without Open Intracranial Wound S06.20
indicate external cause of concussion for Focal Contusion without Open Intracranial S06.30
morbidity coding.
Wound
For mortality coding the following codes for Cerebral Contusion with Open Intracranial S06.21
concussion should never be used as underlying Wound
cause code, they may only be considered as
supplemental codes.
Contusion with Open Intracranial Wound S06.21
Focal Cerebral Contusion with Open S06.31
Refer to ICD-10 Volume 2 for additional Intracranial Wound
guidelines.
Cerebral Concussion without Open Intracranial S06.00 CONVULSION R56.8
Wound
Concussion without Open Intracranial Wound S06.00
Convulsion, newborn P90
Cerebral Concussion with Open Intracranial S06.01
Febrile Convulsion R56.0
Wound Benign Febrile Convulsion, BFC R56.0
Concussion with Open Intracranial Wound S06.01 Epileptic Convulsion G40.9
Epileptic Seizure G40.9
CONJUNCTIVITIS H10.9
Acute Conjunctivitis H10.3 COR PULMONALE I27.9
Chronic Conjunctivitis H10.4
Blepharoconjunctivitis H10.5 COSTOCHONDRITIS M94.08
CONSTIPATION K59.0 COUGH R05

32
33
GUIDANCE
Caesarean Delivery due to Abruptio Placentae O45.9 GUIDANCE
CODE
O82.0
(add outcome
of delivery CYSTITIS N30.9
code) Acute Cystitis N30.0
Caesarean Delivery due to Arrest in Descent O63.1 Interstitial Cystitis N30.1
O82.1 Irradiation Cystitis N30.4
( the method of delivery in this case is always (add outcome
considered emergency caesarean delivery) of delivery
code)
CYSTOLITHIASIS N21.0
Emergency Caesarean Delivery due to arrest O63.1
in descent O82.1 CYSTORECTOCELE [CYSTOCELE]
(add outcome Cystorectocele, Female N81.1
of delivery Cystorectocele, Male N32.8
code)
Elective Caesarean Delivery due to Breech O32.1 DEFICIENCY
Presentation O82.0 Vitamin deficiency E56.9
(add outcome
of delivery Vitamin A deficiency E50.9
code) Vitamin B deficiency E53.9
Vitamin B6 deficiency E53.1
Emergency Caesarean Delivery due to Breech O64.1 Vitamin B12 deficiency E53.8
Presentation O82.1 Vitamin C deficiency E54
(add outcome Vitamin D deficiency E55.9
of delivery
code)
Vitamin E deficiency E56.0
Vitamin K deficiency E56.1
Elective Caesarean Delivery due to Cephalo- O33.9 Riboflavin deficiency E53.0
Pelvic Disproportion (CPD) O82.0 Iron deficiency E61.1
(add outcome
of delivery DEFICIT
code) Reversible Ischemic Neurologic Deficit I67.8 G93.8
Emergency Caesarean Delivery due to O65.4
DEHYDRATION E86.9
Cephalo-Pelvic Disproportion (CPD) O82.1
(add outcome
Mild Dehydration E86.0
of delivery Moderate Dehydration E86.1
code) Severe Dehydration E86.2
38
35
GUIDANCE
GUIDANCE
CODE
DELIVERY
Note: The delivery conditions listed below are The use of the codes O80-O84 for the method
sanitized version of the actual diagnostic of delivery as primary code in morbidity
statements recorded on the patient’s coding is limited only to situation where there is
chart. The Philippine Obstetrical and no other maternal conditions/indications
Gynecological Society (POGS) is recorded. If there are other maternal
adopting a standard way of writing indications recorded, then codes O80-O84
delivery conditions as diagnoses, thus, should be used as additional codes only.
for coding purposes only the vital
information (such as maternal indication/ For cesarean delivery, it is important for the
complication, method and outcome of physician to indicate if it is elective or
delivery) necessary for the assignment of emergency (with obstructed labor) so that the
ICD-10 codes were extracted from the most appropriate code/s would be assigned.
actual diagnostic statement.
Codes must be assigned for the following Normal Spontaneous Delivery O80.9
delivery conditions in the given order of
(add outcome
priority:
of delivery
1
st
- indication or any condition affecting labor code)
and delivery, if any (particularly for cesarean Normal Spontaneous Cephalic Delivery O80.0
delivery). If there is no indication or other (add outcome
maternal condition recorded then only the of delivery
method and outcome should be coded code)
nd
2 - method of delivery (O80 – O84) Elective Caesarean Delivery O82.0
(add outcome
rd
3 - outcome of delivery (Z37.0 – Z37.9) of delivery
code)
Outcome of Delivery Code: Emergency Caesarean Delivery O82.1
(add outcome
Z37.0 Single live birth of delivery
Z37.1 Single stillbirth code)
Z37.2 Twins, both liveborn
Z37.3 Twins, one liveborn, one stillborn
Primary Elective Caesarean Delivery O82.0
Z37.4 Twins, both stillborn (add outcome
Z37.5 Other multiple births, all liveborn of delivery
Z37.6 Other multiple births, some liveborn code)
Z37.7 Other multiple births, all stillborn Repeat Caesarean Delivery O34.2
Z37.9 Outcome of delivery, unspecified O82.0
(add outcome
of delivery
code)
36
37
GUIDANCE
Senile Dementia F03 GUIDANCE
CODE
Caesarean Delivery due to Cord Prolapse O69.0
DEPRESSION F32.9 O82.0
Neurotic Depression F34.1 (add outcome
of delivery
DEPRESSIVE REACTION code)
Brief Depressive Reaction F32.9
Emergency Caesarean Delivery due to Cord O69.0
Grief Reaction F32.9 Prolapse O82.1
Prolonged Depressive Reaction F33.9 (add outcome
of delivery
DERMATITIS L30.9 code)
Allergic Dermatitis L23.9
Contact Dermatitis L25.9
Contact Irritant Dermatitis L24.9 Caesarean Delivery due to Eclampsia in Labor O15.1
Dermatitis due to drugs or medicines L27.0 O82.1
considered emergency caesarean delivery) code)
Note: Supplemental code from V01 – Y98 for
the external cause should be added to
L27.0 to identify the specific drug/ Caesarean Delivery due to Elderly Primi O82.0
medicine, if drug is specified. (add outcome
Note: If other indication is recorded then the of delivery
code for the recorded indication should code)
Dermatitis due to Radiation L59.8 be assigned as the main condition code.
Exfoliative Dermatitis L26
Seborrhic Dermatitis L21.9 Refer to ICD-10 Vols. 1 & 3 for the
appropriate code/s.
DIABETES MELLITUS (Unspecified type) E14.9
See categories
Caesarean Delivery due to Fetal Distress O68.9
Note: A more appropriate code from E10-E13 below for other O82.1
should be used instead of “E14” if the ( the method of delivery in this case is always (add outcome
specified type
specific type of Diabetes is indicated. See considered emergency caesarean delivery) of delivery
of diabetes
categories below for other specified type of code)
diabetes or refer to the ICD-10 Vol.1 pp.278-
279 and Vol.3 for other specific codes to
consider.
Elective Caesarean Delivery due to Failure in O32.4
Descent O82.0
Moreover, if there is complication/s of (add outcome
th
Diabetes recorded, a more specific 4 of delivery
character should be assigned instead of “9”. code)
42
39
GUIDANCE
Emergency Caesarean Delivery due to Failure O64.9 GUIDANCE
CODE
in Descent O82.1 Caesarean Delivery due to Placenta Previa O44.0
(add outcome
of delivery
w/o Hemorrhage O82.0
code) (add outcome
of delivery
Emergency Caesarean Delivery due to Fetal O68.9 code)
Distress O82.1 Caesarean Delivery due to Pre-eclampsia O14.9
(add outcome
of delivery O82.0
code) (add outcome
of delivery
Elective Caesarean Delivery due to O32.9 code)
Malpresentation O82.0 Caesarean Delivery due to Prolonged Labor O63.9
(add outcome
of delivery O82.1
code)
considered emergency caesarean delivery) of delivery
Emergency Caesarean Delivery due to O64.9 code)
Malpresentation O82.1 Caesarean Delivery due to Prolonged Second O63.1
(add outcome
of delivery
Stage of Labor O82.1
code) (add outcome
( the method of delivery in this case is always of delivery
considered emergency caesarean delivery) code)
Elective Caesarean Delivery due to Meconium O36.3 Elective Caesarean Delivery due to Transverse O32.3
Stained Baby O82.0 Lie or Presentation O82.0
(add outcome (add outcome
of delivery of delivery
code) code)
Emergency Caesarean Delivery due to O64.8
Emergency Caesarean Delivery due to O68.1 Transverse Lie or Presentation O82.1
Meconium Stained Baby O82.1 (add outcome
(add outcome code)
of delivery Non-institutional Delivery [Care and Z39.0
code)
Examination immediately after Delivery]
Caesarean Delivery due to Placenta Previa w/ O44.1 Preterm Delivery O60.1
Hemorrhage O82.0 (add method &
(add outcome outcome of
of delivery delivery codes)
code)
DEMENTIA F03
Presenile Dementia F03
40
41
GUIDANCE
Fibrocystic Disease, Breast N60.1 GUIDANCE
CODE
Fibrocystic Liver Disease Q44.6
Gallbladder Disease K82.9 th
Refer to the 4 character subcategories
Gastroesophageal Reflux Disease K21.9 below for the appropriate code to consider.
Heart Disease (organic) I51.9 th
The following 4 character subdivisions are
Hyperactive Airways Disease J68.3 for use with categories E10- E14 to indicate the
complications of diabetes mellitus:
Hypertensive Atherosclerotic Cardiovascular I11.9
Disease .0 - with coma
Hypertensive Cardiovascular Disease (HCVD) I11.9
.1 - with ketoacidosis
Hypertensive Heart Disease I11.9
Ischemic Heart Disease (IHD) I25.9 .2† - with renal complications
Diabetic nephropathy (N08.3*)
Pelvic Inflammatory Disease (PID) N73.9 Intracapillary glomerulonephrosis (N08.3*)
Peptic Ulcer Disease (PUD) K27.9 Kimmelstiel-W ilson syndrome (N08.3*)
Peripheral Vascular Occlusive Disease I73.9 .3† - with ophthalmic complications
Rheumatic Heart Disease I09.9 Diabetic:
Thyrotoxic Heart Disease E05.9† o Cataract (H28.0*)
o Retinopathy (H36.0*)
I43.8*
Tuberculous Disease A16.9 .4† - with neurological complications
Diabetic:
Viral Disease B34.9 o Amyotrophy (G73.0*)
o autonomic neuropathy (G99.0*)
o mononeuropathy (G59.0*)
DISLOCATION, HIP, TRAUMATIC S73.0 o polyneuropathy (G63.2*)
o polyneuropathy, autonomic (G99.0*)
Note: For morbidity coding, supplemental code from
V01 – Y98 should be added to the code for the .5 - with peripheral circulatory complications
dislocation to indicate the external cause of the Diabetic:
condition. o gangrene
o peripheral angiopathy† (I79.2*)
Refer to ICD-10 Vols. 1 & 3 for the o ulcer
.6 - with other specified complications
However, for mortality coding, S73.0 should Diabetic arthropathy† (M14.2*)
never be used as underlying cause code, it may o neuropathic† (M14.2*)
only be included as a supplemental code.
.7 - with multiple complications
.8 - with unspecified complications

DISORDER
Sleep Disorder G47.9 .9 - without complications
46
43
GUIDANCE
Insulin Dependent Diabetes Mellitus (IDDM) E10. 9 GUIDANCE
CODE
(Type I) See also notes
under
Diarrhea with mild Dehydration A09, E86.0
“Diabetes Diarrhea with moderate Dehydration A09, E86.1
Mellitus” Diarrhea with marked Dehydration A09, E86.1
Non-Insulin Dependent Diabetes Mellitus E11.9 Infectious Diarrhea with moderate Dehydration A09, E86.1
(NIDDM) (Type II) See also notes Infectious Diarrhea with marked Dehydration A09, E86.1
under
“Diabetes Infectious Diarrhea with severe Dehydration A09, E86.2
Mellitus” Diarrhea with severe Dehydration A09, E86.2
Malnutrition-Related Diabetes Mellitus E12.9 Diarrhea with no Dehydration A09
See also notes Infectious Diarrhea with no Dehydration A09
under
“Diabetes
Non-infectious Diarrhea K52.9
Mellitus” Non-infectious Neonatal Diarrhea P78.3
Diabetic Foot E14.5
See also notes DIPTHERIA A36.9
under
“Diabetes DISEASE
Mellitus” Acid Peptic Disease (APD) K31.9
Diabetic Ketoacidosis E14.1
See also notes
Alcoholic Liver Disease K70.9
under Atherosclerotic Cardiovascular Disease I25.0
“Diabetes Atherosclerotic Heart Disease I25.1
Mellitus” Bleeding Peptic Ulcer Disease (PUD bleeding) K27.4
Chronic Liver Disease K76.9
Chronic Obstructive Pulmonary Disease J44.9
DIARRHEA [ GASTROENTERITIS ] A09 (COPD)
Infectious Diarrhea A09 Chronic Obstructive Lung Disease J44.9
Diarrhea with Dehydration ( level of A09, E86.9 Chronic Obstructive Pulmonary Disease J44.8
Dehydration not specified) (COPD) primarily Emphysematous
Infectious Diarrhea with Dehydration ( level of A09, E86.9 Component
Dehydration not specified) Chronic Renal Disease N03.9
Cerebrovascular Disease I67.9
Diarrhea with some Dehydration A09, E86.0 Cerebrovascular Disease, Thrombotic Infarct I63.9
Infectious Diarrhea with mild Dehydration A09, E86.0 Congenital Heart Disease Q24.9
Infectious Diarrhea with some Dehydration A09, E86.0 Coronary Artery Disease I25.1
End Stage Renal Disease (ESRD) N18.0
44
45
GUIDANCE
EPILEPSY G40.9 GUIDANCE
CODE
Epileptic Convulsions G40.9
Epileptic Fits G40.9 DISTENTION
Epileptic Seizures G40.9 Abdominal Distention R14
Epileptic Seizures related to Alcohol G40.5
Epileptic Seizures related to Drugs G40.5 DISTRESS
Grand Mal Status Epilepticus G41.0 Abdominal Distress R10.4
Status Epilepticus G41.9 Epigastric Distress R10.1
Fetal Distress P20.9
EPISTAXIS [ NOSEBLEED ] R04.0 Fetal Distress first noted before onset of labor P20.0
Fetal Distress first noted during labor and P20.1
ERYSIPELAS A46 Delivery
Gastrointestinal Distress K30
ERYTHEMA L53.9 Intestinal Distress K59.9
Respiratory Distress R06.0
ESOPHAGEAL REFLUX K21.9 Respiratory Distress, adult J80
Esophageal Reflux with Esophagitis K21.0 Respiratory Distress, newborn P22.9
ESOPHAGITIS K20 DIZZINESS [ VERTIGO ] R42

Tuberculous Esophagitis A18.8†
K23.0* DOGBITE T14.1,
W54.99
EXAMINATION, HEALTH Z00.0 Note: If the part of the body bitten is indicated, a more
specific code should be assigned instead of
Examination for Medico-legal Purposes Z04.8 “T14.1”. Refer to ICD-10 Vols. 1 & 3 for the
Health Examination for Administrative Purpose Z02.9 appropriate code to consider.
Health Examination for Potential Organ Donor Z00.5
Likewise, if the place and activity of
Health Examination for Pre-employment Z02.1 occurrence is indicated, a more specific 4
th
th
Occupational Health Examination Z10.0 and 5 characters for the external cause code
W54 should be assigned instead of “99”.
Pregnancy Examination, unconfirmed Z32.0
Pregnancy Examination, confirmed Z32.1 Refer to ICD-10 Vol. 1 for the specific place
of occurrence and activity codes.
Postpartum Examination immediately after Z39.0
Delivery For mortality coding, the code T14.1 should
Routine Follow-up Postpartum Examination Z39.2 never be used as underlying cause code, it
may only be included as a supplemental
code .
50
47
GUIDANCE
GUIDANCE
CODE
DYSARTHRIA R47.1 EFFUSION, PLEURA J90
Malignant Pleural Effusion C78.2,
DYSCRASIA, BLOOD D75.9 M8000/6
Parapneumonic Pleural Effusion J18.9† J91*
DYSLIPIDEMIA E78.9
DYSPEPSIA K30.9 EMBOLISM I74.9
Uninvestigated Dyspepsia K30.9 Pulmonary Embolism I26.9
Non-ulcer Dyspepsia K30.1
Investigated Dyspepsia K30.1 EMESIS [ Vomiting ] R11
Psychogenic Dyspepsia F45.3
Nervous Dyspepsia F45.3 EMPYEMA J86.9
Neurotic Dyspepsia F45.3 Empyema not due to Tuberculosis J86.9
Empyema with fistula, not due to Tuberculosis J86.0
DYSPHAGIA R13 Empyema, Tuberculous, confirmed A15.6
bacteriologically/ histologically
DYSPLASIA
Cervical Dysplasia N87.9 ENCEPHALOPATHY G93.4
Cervix uterine Dysplasia N87.9 Alcoholic Encephalopathy G31.2
Epithelial Dysplasia N87.9 Hepatic Encephalopathy K72.9
Hypoxic Encephalopathy G93.1
DYSPNEA [SHORTNESS OF BREATH] R06.0 Hypoxic Ischemic Encephalopathy G93.1
DYSRHYTHMIA ENDOMETRIOSIS N80.9

Cardiac Dysrhythmia I49.9
Cerebral Dysrhythmia G40.9 ENTERITIS [ ILEITIS ] A09
DYSURIA [PAINFUL URINATION] R30.0 ENURESIS R32

Functional Enuresis F98.0
ECLAMPSIA O15.9 Non-organic origin Enuresis F98.0
Eclampsia in Labor O15.1 Psychogenic Enuresis F98.0
Eclampsia in Pregnancy O15.0
Eclampsia in Puerperium O15.2
48
49
GUIDANCE
Fracture, hip, open S72.01 GUIDANCE
CODE
See also notes
under FAILURE
“Fracture” Acute Hepatic Failure K72.0
Acute Renal Failure N17.9
Fracture, humerus S42.30 Chronic Renal Failure (CRF) N18.9
See also notes Cardiorespiratory Failure R09.2
under
“Fracture” Congestive Heart Failure (CHF) I50.0
Heart Failure I50.9
Fracture, humerus,closed S42.30 Respiratory Failure J96.9
See also notes
under FEVER
“Fracture”
Typhoid Fever A01.0
Fracture, humerus, open S42.31 Dengue Fever (Dengue Fever Syndrome) A90
See also notes Dengue Hemorrhagic Fever A91.9
under Dengue Hemorrhagic Fever, Stage I A91.0
“Fracture” Dengue Hemorrhagic Fever, Stage II A91.1
Dengue Hemorrhagic Fever, Stage III A91.2
Fracture, intertrochanteric, femur S72.10
See also notes Dengue Hemorrhagic Fever, Stage IV A91.3
under (Dengue Shock Syndrome)
“Fracture” Fever of Unknown Origin (FUO) R50.9
Pyrexia R50.9
Fracture, intertrochanteric, femur, closed S72.10 Rheumatic Fever I00
See also notes Rheumatic Fever with Heart Involvement I01.9
under
“Fracture”
FIBROADENOMA
Fracture, intertrochanteric, femur, open S72.11 Fibroadenoma, Breast D24,
See also notes M9010/0
under
“Fracture”
FISTULA L98.8
Fracture, mandible S02.60 Anorectal Fistula K60.5
See also notes Carotid Cavernous Fistula I77.0
under Enterocutaneous Fistula K63.2
“Fracture” Fistula in Ano K60.3
54
51
GUIDANCE
Tracheoesophageal Fistula following J95.0 GUIDANCE
CODE
Tracheostomy
Fracture, fibula S82.40
See also notes
FRACTURE T14.20 under
“Fracture”
Note: For fracture due to external causes, both
the nature of the fracture and the Fracture, fibula, closed S82.40
circumstance of the external cause should
See also notes
be coded.
under
“Fracture”
For morbidity coding, the fracture code is
assigned as the primary code and the
external cause code from V01 – Y98 as Fracture, fibula, open S82.41
supplemental code. See also notes
under
However, for mortality coding, the code for “Fracture”
the fracture should never be used as Fracture, fibula, mid 3rd tibia S82.20
underlying cause code, it may only be See also notes
included as a supplemental code . under
“Fracture”
Refer to ICD-10 Vols. 1, 2 and 3 for the
appropriate code and additional
guidelines. Fracture, fibula, mid 3rd tibia, closed S82.20
See also notes
under
“Fracture”
Fracture, femur S72.90
See also notes Fracture, fibula, mid 3rd tibia, open S82.21
under See also notes
“Fracture” under
“Fracture”
Fracture, femur, closed S72.90
See also notes Fracture, hip S72.00
“Fracture”
Fracture, femur, open S72.91
See also notes Fracture, hip, closed S72.00
“Fracture”
52
53
GUIDANCE
GUIDANCE
CODE
GOUT M10.99 Fracture, mandible, closed S02.60
See also notes
Note: If the specific site of gout is indicated, a under
more appropriate 5th character site code “Fracture”
should be used instead of “9”.
Fracture, mandible, open S02.61
See also notes
Refer to ICD-10 Vol. 1 for the other
under
specific site codes to consider.
“Fracture”
Fracture, maxilla S02.40
See also notes
GLYCOSURIA R81 under
“Fracture”
GRAVE’S DISEASE E05.0
Fracture, maxilla, closed S02.40
See also notes
GUN SHOT WOUND [ WOUND, OPEN ] T14.1, under
W34.99 “Fracture”
Note: If the part of the body wounded is
indicated, a more appropriate injury Fracture, maxilla, open S02.41
code should be used instead of “T14.1”.
See also notes
under
Likewise, if the place and activity of
“Fracture”
occurrence is indicated, a more
specific 4th and 5th characters for the
external cause code “ W34” should be Fracture, multiple (unspecified) T02.9
assigned instead of “99”. See also notes
Note: Refer to ICD-10 Vol. 2 for additional under
guidelines “Fracture”
Refer to ICD-10 Vol. 1 for the specific
place of occurrence and activity codes.
Fracture, Pathologic M84.49
Note: If the specific site of fracture is
HANSEN’S DISEASE [ LEPROSY ] A30.9 indicated, a more appropriate 5th
character site code should be used
HEADACHE [ CEPHALGIA ] R51 instead of “9”.

HEMANGIOMA D18.0, specific site codes to consider.
M9120/0
58
55
GUIDANCE
Fracture, Pathologic with Osteoporosis M80.99 GUIDANCE
CODE
See note under
“Arthritis and
Acute Gastroenteritis (AGE) A09
Fracture, Acute Gastroenteritis (AGE), with Dehydration A09, E86.9
pathologic” (level unspecified)
Acute Gastroenteritis (AGE) with mild/some A09, E86.0
Fracture, tibia, condyles, closed S82.10 Dehydration
See notes Acute Gastroenteritis (AGE) with moderate/ A09, E86.1
under marked Dehydration
“Fracture” Acute Gastroenteritis (AGE) with severe A09, E86.2
Dehydration
GANGRENE R02 Acute Gastroenteritis (AGE) with no signs of A09
Atherosclerotic Gangrene I70.2 Dehydration
Diabetic Gangrene E14.5
Note: A more appropriate code from E10-E13 GLAUCOMA H40.9
should be used instead of “E14” if the
specific type of Diabetes is indicated. Open-angle Glaucoma H40.1
Congenital Glaucoma Q15.0
Refer to ICD-10 Vols.1 & 3 for the
GLIOMA C71.9,
M9380/3
Gangrene of foot R02
Pontine Glioma C71.7,
Note: If the cause of gangrene is specified, a M9380/3
more specific code should be assigned.
GLOMERULONEPHRITIS N05.9
Refer to ICD-10 Vols.1 & 3 for the
Acute Glomerulonephritis N00.9
Chronic Glomerulonephritis N03.9
GASTRITIS K29.7 GOITER E04.9

Acute Gastritis K29.1 Adenomatous Goiter E04.9
Acute Hemorrhagic Gastritis K29.0 Colloid Adenomatous Goiter E04.9
Chronic Gastritis K29.5 Cystic Goiter E04.2
Erosive Gastritis K29.1 Congenital Diffuse Goiter E03.0
Endemic Diffuse Goiter E01.0
GASTROENTERITIS A09 Nodular Goiter E04.9
56
57
GUIDANCE
HYPERTHYROIDISM E05.9 GUIDANCE
CODE
HYPERTROPHY HEMATURIA R31

Benign Prostatic Hypertrophy N40
HEMOPHILIA D66
HYPERURICEMIA E79.0 Hemophilia A D66
Hemophilia B D67
HYPOGLYCEMIA E16.2
HEMOPTYSIS R04.2
HYPOKALEMIA E87.6
HEMORRHAGE R58
HYPOTENSION I95.9 Cerebral Hemorrhage I61.9
Neurogenic Hypotension G90.3 Gastric Hemorrhage (gastrointestinal) K92.2
Post-partum Hemorrhage O72.1
ILEITIS [ ENTERITIS ] A09 Subarachnoid Hemorrhage I60.9
Typhoid Ileitis A01.0
HEMORRHOIDS I84.9
ILEUS K56.7 Internal Hemorrhoids I84.2
Paralytic Ileus K56.0 Internal Hemorrhoids, grade 1 I84.2
Internal Hemorrhoids, grade 2 I84.2
IMBALANCE R26.8 Internal Thrombosed Hemorrhoids I84.0
Electrolyte Imbalance E87.8 Internal Hemorrhoids, grade 3-4 I84.2
Electrolyte Imbalance following Abortion O08.5 Internal Hemorrhoids without Complication I84.2
Neonatal Electrolyte Imbalance P74.4 Internal Hemorrhoids, grade 1 without I84.2
Complication
IMPACTION, IMPACTED Internal Hemorrhoids, grade 2 without I84.2
Colon Impaction K56.4 Complication
Fecal Impaction K56.4 Internal Hemorrhoids, grade 3-4 without I84.2
Impacted Cerumen H61.2 Complication
INCONTINENCE R32 HEPATITIS K75.9

Fecal Incontinence R15 Acute Hepatitis K72.0
Stress Incontinence N39.3 Autoimmune Hepatitis K75.4
Urine Incontinence R32 Chronic Hepatitis K73.9
Chronic Viral Hepatitis B18.9
62
59
GUIDANCE
Chronic Viral Hepatitis, type B B18.1 GUIDANCE
CODE
Chronic Viral Hepatitis, type C B18.2
Drug Induced Hepatitis K71.6 HYPEROSMOLAR COMA E14.0
Viral Hepatitis B19.9 [HYPERGLYCEMIC HYPEROSMOLAR
Viral Hepatitis, type A B15.9 SYNDROME ]
Viral Hepatitis, type C B18.2
HYPERKALEMIA E87.5
HEPATOMEGALY R16.0
HYPERLIPIDEMIA E78.5
HERNIA K46.9
HYPERPLASIA
Inguinal Hernia K40.9 Benign Prostatic Hyperplasia N40
Indirect Inguinal Hernia K40.9 Hyperplasia of Endometrium N85.0
Proliferative Endometrium N85.0
HICCOUGHS R06.6
HYPERSENSITIVITY REACTION T78.4
HODGKIN’S DISEASE C81.9,
Note: For morbidity coding, supplemental code
M9650/3 from V01 – Y98 should be added to
T78.4 to indicate the external cause.
HYDRONEPHROSIS N13.3
Hydronephrosis with Pyelonephritis N11.1 However, for mortality coding, this code
should never be used as underlying cause
code, it may only be included as a
HYPERACIDITY K31.8 supplemental code.
HYPERCHOLESTEROLEMI A E78.0 Refer to ICD-10 Vol. 2 for additional

guidelines.
HYPEREMESIS GRAVIDARUM O21.0

Hyperemesis Gravidarum, mild (before the O21.0 HYPERTENSION (HPN) I10.9
end of 22 weeks)
Essential Hypertension I10.9
Hyperemesis Gravidarum, after the end of 22 O21.2
weeks Hypertension, stage I I10.0
Hypertension, stage II I10.1
Hypertensive heart disease I11.9
HYPERESTHESIA, SKIN R20.3 Malignant Hypertension I10.9
60
61
GUIDANCE
INFLUENZA (VIRUS IDENTIFIED EXCEPT H. J10.1 GUIDANCE
CODE
INFLUENZAE)
Bronchial Influenza (specific virus identified J10.1
except H. Influenzae)
INDIGESTION K30
Influenza with Acute Upper Respiratory J10.1
Infection (specific virus identified except H.
Influenzae) INFARCTION
Influenza with Laryngitis (specific virus J10.1 Acute Myocardial Infarction or with a stated I21.9
identified except H. Influenzae) duration of 4 weeks or less
Influenza with Pharyngitis (specific virus J10.1 Acute Myocardial Infarction, lateral wall I21.2
identified except H. Influenzae) Chronic Myocardial Infarction or with a stated I25.8
Influenza with Pleural Effusion (specific virus J10.1 duration of over 4 weeks
identified except H. Influenzae) Healed Myocardial Infarction I25.2
Influenza with Upper Respiratory Infection, J10.1 Myocardial Infarction I21.9
specific virus identified except H. Influenzae Old Myocardial Infarction I25.2
Old Myocardial Infarction, anterior wall I25.2
Viral Influenza (specific virus identified except J10.1
H. Influenzae)
Subsequent Myocardial Infarction I22.9
Subendocardial Infarction I21.4
Influenza with Pneumonia (specific virus J10.0
identified except H. Influenzae) INFECTION
Influenza with Bronchopneumonia (specific J10.0 Acute Lower Respiratory Tract Infection J22
virus identified except H. Influenzae) Acute Lower Respiratory Infection J22
Influenzal Bronchopneumonia (specific virus J10.0 Acute Respiratory Infection J22
identified except H. Influenzae) Acute Respiratory Tract Infection J22
Influenzal Pneumonia (specific virus identified J10.0 Acute Upper Respiratory Infection J06.9
except H. Influenzae)
Acute Upper Respiratory Tract Infection J06.9
Central Nervous System (CNS) Infection G04.9
Central Nervous System (CNS) Infection, Viral A89
Influenza with Gastroenteritis (specific virus J10.8
identified except H. Influenzae)
Chronic Respiratory Infection J98.8
Influenza with Enteritis (specific virus identified J10.8 Chronic Respiratory Tract Infection J98.8
except H. Influenzae) Lower Respiratory Infection J22
Lower Respiratory Tract Infection J22
Respiratory Infection J98.8
Respiratory Tract Infection J98.8
Systemic Viral Infection (SVI) B34.9
66
63
GUIDANCE
Upper Respiratory Infection J06.9 GUIDANCE
CODE
Upper Respiratory Tract Infection (URTI) J06.9 INFLUENZA, (VIRUS NOT IDENTIFIED) J11.1
Upper Respiratory Tract Infection, Viral J06.9
Urinary Tract Infection (UTI) N39.0 Bronchial Influenza (specific virus not J11.1
identified)
INFLUENZA J11.1 Influenza with Acute Upper Respiratory J11.1
Infection (specific virus not identified)
Avian Influenza J10.1 Influenza with Laryngitis (specific virus not J11.1
Avian Influenza with Pneumonia J10.0 identified)
Avian Influenza with Respiratory J10.1 Influenza with Pharyngitis (specific virus not J11.1
Manifestation/s except Pneumonia identified)
Avian Influenza with other Manifestations J10.8 Influenza with Pleural Effusion (specific virus J11.1
except Pneumonia and other not identified)
Respiratory Manifestation/s Influenza with Upper Respiratory Infection J11.1
(specific virus not identified)
H. Influenzae Infection A49.2
Viral Influenza (specific virus not identified) J11.1
Influenza-like Disease J11.1
Influenza-like Illness J11.1
Influenza with Encephalitis (specific virus not J11.8† Influenza with Pneumonia (specific virus not J11.0
identified) G05.1* identified)
Influenza with Encephalitis (specific virus J10.8† Influenzal Bronchopneumonia (specific virus J11.0
identified except H. Influenzae) G05.1* not identified)
Influenza with Encephalomyelitis (specific virus J10.8† Influenzal Pneumonia (specific virus not J11.0
identified except H. Influenzae) G05.1* identified)
Influenza with Encephalomyelitis (specific virus J11.8† Influenza with Bronchopneumonia (specific J11.0
not identified) G05.1* virus not identified)
Influenza with Myocarditis (specific virus not J11.8†
identified) I41.1*
Influenza with Enteritis (specific virus not J11.8
Influenza with Myocarditis (specific virus J10.8† identified)
identified except H. Influenzae) I41.1* Influenza with Gastroenteritis (specific virus J11.8
Influenza with Myelitis (specific virus not J11.8† not identified)
identified) G05.1* Influenza with Involvement of Gastrointestinal J11.8
Influenza with Myelitis (specific virus identified J10.8† Tract (specific virus not identified)
except H. Influenzae) G05.1* Influenzal Gastroenteritis (specific virus not J11.8
Influenza due to H. Influenzae A49.2 identified)
64
65
GUIDANCE
Myeloid Leukemia C92.9, GUIDANCE
CODE
M9860/3 Influenzal Gastroenteritis (specific virus J10.8
identified except H. Influenzae)
LIGATION Influenza with Involvement of Gastrointestinal J10.8
Bilateral Tubal Ligation Z30.2 Tract (specific virus identified except H.
Influenzae)
LIPOMA D17.9,
M8850/0
INJURY T14.9
LUMBAGO M54.59 Note: A more appropriate nature of injury code
should be used if the injury is specified as
Note: If the specific site of lumbago is indicated, to type, site, and laterality.
a more appropriate 5th character site code
should be used instead of “9”. Refer to ICD-10 Vols. 1 & 3 for the other
specific site codes to consider. For injury both the nature of the injury and
the circumstance of the external cause
should be coded.
LUPUS For morbidity coding, the fracture code is

Systemic Lupus Erythematous (SLE) M32.9 external cause code from V01 – Y98 as
Systemic Lupus Erythematous (SLE) with M32.1† supplemental code.
Lung Involvement J99.1*
However, for mortality coding, the injury
Systemic Lupus Erythematous (SLE) with M32.1† code should never be used as
Renal Tubulo Interstitial Disease N16.4* underlying cause code, it may only be
included as a supplemental code to the
underlying cause code. Refer to ICD-10
Vols. 1 & 2 for additional guidelines.
LYMPHOMA C85.9,
M9590/3 Brain Injury with Open Intracranial Wound S06.91
Follicular Lymphoma C82.9, See also notes
M9690/3 under “Injury”
Malignant Lymphoma C85.9, Brain Injury without Open Intracranial Wound S06.90
M9590/3 See also notes
under “Injury”
Nodular Lymphoma C82.9,
Head Injury S09.9
M9690/3 See also notes
under “Injury”
70
67
GUIDANCE
Multiple Injuries T07 GUIDANCE
CODE
See also notes
Note: Refer to ICD-10 Vol. 2 for additional under “Injury” Refer to ICD-10 Vols. 1 & 3 for the
guidelines appropriate code to consider.
INSUFFICIENCY Acute Laryngitis J04.0

Acute Coronary Insufficiency I24.8 See also notes
Sub-Acute Coronary Insufficiency I24.8 under
“Laryngitis”
Vertebrobasilar Insufficiency G45.0 Chronic Laryngitis J37.0
See also notes
JAUNDICE R17 under
“Laryngitis”
KETOACIDOSIS E87.2
Diabetic Ketoacidosis (DKA) (Type of Diabetes E14.1 LEPROSY [ HANSEN’S DISEASE ] A30.9
unspecified) Macular Leprosy A30.9
Tuberculoid Leprosy A30.1
Note: A more appropriate code from E10-E13
specific type of Diabetes is indicated.
Refer to ICD-10 Vols.1 & 3 for LEUKEMIA C95.9,
the appropriate code to consider. M9800/3
Acute Lymphocytic Leukemia C91.0,
M9821/3
KOCH’S DISEASE, KOCH’S INFECTION A16.9 Acute Myelocytic Leukemia C92.0,
M9861/3
LABOR Chronic Myelocytic Leukemia C92.1,
False Labor (<37 weeks gestation) O47.0 M9863/3
False Labor (>37 weeks gestation) O47.1 Chronic Myelogenous Leukemia C92.1,
Preterm Labor , not resulting to Delivery O60.0 M9863/3
Preterm Labor, resulting to Delivery O60.1 Lymphatic Leukemia C91.9,
M9820/3
LARYNGITIS J04.0 Lymphosaroma cell Leukemia C94.7,
Note: A code from B95-B97 should be added M9850/3
to the code for the condition if the Monocytic Leukemia C93.9,
infectious agent is identified.
M9890/3
68
69
GUIDANCE
Measles with Bronchopneumonia B05.2+ GUIDANCE
CODE
J17.1* Non-Hodgkin’s Lymphoma C85.9,
Measles with Pneumonia B05.2+ M9591/3
J17.1*
Postmeasles Pneumonia B05.2+ LYMPHOSARCOMA C85.0,
J17.1* M9592/3
Postmeasles Bronchopneumonia B05.2+ Follicular Lymphosarcoma C82.9,
J17.1* M9690/3
Mixed Cell Type Follicular Lymphosarcoma C82.1,
MELANOMA, MALIGNANT, SKIN C43.9, M9691/3
M8720/3 Nodular Lymphosarcoma C82.9,
M9690/3
MENINGITIS G03.9
Bacterial Meningitis G00.9 MALARIA (Clinically diagnosed Malaria without B54
Haemophilus Meningitis G00.0 Parasitological confirmation)
Meningitis due to Haemophilus Influenzae G00.0
Note: For other malaria conditions with
Tuberculous Meningitis A17.0† parasitological confirmation consider
G01* the categories below or refer to ICD-10
Viral Meningitis A87.9 Vols. 1 & 3 for the other appropriate code
to consider.
MENINGIOMA D32.9,
M9530/0
Cerebral Malaria B50.0+
Sthenorbital Meningioma D32.0 G94.8*
M9530/0 Plasmodium Falciparum Malaria, without B50.9
Complication
Plasmodium Falciparum Malaria, with Cerebral B50.0
METASTASES Complications
Bone Metastases C79.5, Plasmodium Vivax Malaria, without B51.9
M8000/6 Complication
Note: A more specific morphology code should
be assigned instead of the “M8000”
Plasmodium Vivax Malaria, with Rupture of B51.0
code if the specific morphological variety Spleen
is indicated. Plasmodium Malariae Malaria, without B52.9
Complication
Refer to ICD-10 Vols. 1 & 3 for the Plasmodium Malariae Malaria, with B52.0
appropriate morphology code. Nephropathy
74
71
GUIDANCE
Severe Plasmodium Falciparum Malaria B50.8 GUIDANCE
CODE
Plasmodium Vivax Malaria with Ruptured B51.0+
Spleen D77* MALNUTRITION E46
1st degree Malnutrition E44.1
1st degree Protein-energy (calorie) Malnutrition E44.1
MALIGNANCY nd
Note: A more specific morphology code should be 2 degree Malnutrition E44.0
nd
assigned instead of the “M8000” code if 2 degree Protein-energy (calorie) Malnutrition E44.0
the specific morphological variety is rd
3 degree Malnutrition E43
indicated. rd
3 degree Protein-energy (calorie) Malnutrition E43
Refer to ICD-10 Vols. 1 & 3 for the Mild Malnutrition E44.1
appropriate morphology code. Mild Protein-energy (calorie) Malnutrition E44.1
Moderate Malnutrition E44.0
Colonic Malignancy C18.9, Moderate Protein-energy (calorie) Malnutrition E44.0
M8000/3 Protein- energy (calorie) Malnutrition E46
Note: If the specific part of the colon is See also notes
indicated, a more specific site code under
Severe Malnutrition E43
should be assigned instead of C18.9. “Malignancy, Severe Protein-energy (calorie) Malnutrition E43
Cancer and
Refer to ICD-10 Vols. 1 & 3 for the Carcinoma”
MASS
Abdominal Mass R19.0
Gastric Malignancy C16.9, Breast Mass N63
Note: If the specific part of the stomach is M8000/3 Liver Mass (Non-specific abnormal findings on R93.2
indicated, a more specific site code See also notes Diagnostic Imaging)
should be assigned instead of C16.9. under Liver Mass (without Diagnostic Imaging) K76.9
“Malignancy, Lung Mass (Non-specific abnormal findings on R91
Refer to ICD-10 Vols. 1 & 3 for Cancer and Diagnostic Imaging)
the appropriate site code to consider. Carcinoma”
Lung Mass (without Diagnostic Imaging) J98.4
Nasopharyngeal Mass D37.0
Liver Malignancy C22.9, M8000/1
M8000/3
See also notes
under Nasopharyngeal Cystic Mass J39.2
“Malignancy, Orbital Mass H05.9
Cancer and
Carcinoma”
MEASLES B05.9
German Measles B06.9
72
73
GUIDANCE
character site code should be used
GUIDANCE
CODE
instead of “9”.
Refer to ICD-10 Vol. 1 for the other MIGRAINE G43.9

specific site codes to consider. Classical Migraine G43.1
Common Migraine G43.0
OSTEOPOROSIS M81.99 Menstrual Migraine N94.3
Note: If the specific site of osteoporosis is
Ophthamoplegic Migraine (retinal) G43.8
indicated, a more appropriate 5th
character site code should be used MUMPS B26.9
instead of “9”. Mumps Orchitis B26.0+
N51.1*
Refer to ICD-10 Vol. 1 for the other Mumps Meningitis B26.1+
specific site codes to consider. G02.0*
Mumps Encephalitis B26.2+
Senile Osteoporosis M81.89 G05.1*
See also notes
under
“Osteoporosis” MYASTHENIA GRAVIS G70.0
OTITIS H66.9 MYELOMA C90.0,

Acute Otitis Media H66.9 M9732/3
Chronic Otitis Media H66.9 Multiple Myeloma C90.0,
Otitis Externa H60.9 M9732/3
Otitis Interna H83.0
Otitis Media H66.9 MYELOMATA C90.0,
M9732/3
PAIN R52.9 Multiple Myelomata C90.0,
Abdominal Pain R10.4 M9732/3
Anterior Chest Wall Pain R07.3
Arm Pain M79.69 MYOCARDITIS I51.4
Back Pain M54.99
Note: If a more specific site is indicated, a more MYOMA UTERI D25.9,
appropriate 5th character site code should M8890/0
be used instead of “9”. Uterine Myomata D25.9,
M8890/0
78
75
GUIDANCE
GUIDANCE
CODE
NARROWING, RECTAL K62.4 Note: For new growth with other specified
behavior ( ex. malignant secondary, in
NAUSEA [ VOMITING ] R11 situ, etc.), a more appropriate behavior
and site codes should be assigned.
NECROSIS R02 Refer to ICD-10 Vols. 1 & 3 for the

Liver Necrosis K72.9 appropriate codes and additional specific
guidelines.
NEPHRITIS N05.9
Ovarian New Growth, Malignant C56,
Lupus Nephritis M32.1†
M8000/3
N08.5*
Ovarian New Growth D39.1,
NEPHROLITHIASIS N20.0 M8000/1
NEPHROPATHY N28.9 NODULES

DM Nephropathy E14.2† Thyroid Nodules E04.1
N08.3* Thyroid Nodules with Hyperthyroidism E05.2
Note: A more appropriate code from E10-E13
should be used instead of “E14” Toxic Thyroid Nodules E05.2
if the specific type of Diabetes is
indicated. OBESITY E66.9
Refer to the ICD-10 Vols.1 & 3 for the
appropriate code to consider. OBSTRUCTION
Intestinal Obstruction K56.6
IgA Nephropathy N02.8 Renal Obstruction N13.8
NEURODERMATITIS L28.0 OLIGURIA [ ANURIA ] R34
NEUROPATHY G62.9 ORCHITIS N45.9

Autonomic Neuropathy G90.9
Peripheral Neuropathy G62.9 ORTHOPNEA R06.0
NEW GROWTH [NEOPLASM] D48.9, OSTEOARTHRITIS M19.99

(Unspecified site) M8000/1
Note: If the specific site of osteoarthritis is
th
indicated, a more appropriate 5
76
77
GUIDANCE
except H. Influenzae) GUIDANCE
CODE
PHYSICAL EXAMINATION [ CHECK-UP ] Z00.0 specific site codes to consider.
Bladder Pain R39.8
PLEURAL EFFUSION J90
Bone Pain M89.89
PLEURISY R09.1 Note: If a more specific site is indicated, a
Tuberculous Pleurisy (confirmed A15.6 th
more appropriate 5 character site code
bacteriologically or histologically) should be used instead of “9”.
Tuberculous Pleurisy (without mention of A16.5
bacteriological or histological confirmation)
PNEUMOCYSTOSIS B59
Chest Pain R07.4
Colon Pain R10.4
PNEUMONIA J18.9
Facial Pain R51
Note: If the organism is identified, a more specific code
should be considered.
Forearm Pain M79.63
Generalized Pain R52.9
Refer to ICD-10 Vols. 1 & 3 for the other Head Pain R51
Jaw Pain K10.8
Joint Pain M25.59
Aspiration Pneumonia J69.0
Note: If a more specific site is indicated, a
Note: If the cause (ie. food, oils, essences, th
etc.) is indicated, a more specific
code should be assigned instead of should be used instead of “9”.
J69.0.
Supplemental code from V01-Y98 should specific site codes to consider.
be added to J69.0 if the external cause
of the condition is indicated
Leg Pain M79.66
appropriate code/s to consider.
Community Acquired Pneumonia (CAP), J18.9

Organism not specified See also notes
under
“ Pneumonia”
82
79
GUIDANCE
Low Back Pain M54.49 GUIDANCE
CODE
Intestinal Parasitism B82.9
Note: If a more specific site is indicated, a more
appropriate 5th character site code should
be used instead of “9”. PARKINSON’S DISEASE G20
[PARKINSONISM]
Refer to ICD-10 Vol. 1 for the other Parkinson’s Disease due to Drugs(except G21.1
neuroleptic drugs)
Parkinsonism due to Drugs (except neuroleptic G21.1
Muscle Pain M79.19 drugs)
See note under Parkinson’s Disease due to Neuroleptic Drugs G21.0
“Back Pain”
Parkinsonismn due to Neuroleptic Drugs G21.0
Nerve Pain M79.29
See note under
Parkinson’s Disease due to Encephalitis G21.3
“Back Pain” Parkinsonismn due to Encephalitis G21.3
Rectal Pain K62.8
PAROTITIS K11.2
Sciatic Pain M54.39 Epidemic Parotitis B26.9
Infectious Parotitis B26.9
Note: If a more specific site is indicated, a
th
Post Operative Parotitis K91.8
should be used instead of “9”. Parotitis, Surgical K91.8
Refer to ICD-10 Vol. 1 for the other PELVIC INFLAMMATORY DISEASE N73.9
Acute Pelvic Inflammatory Disease N73.0
Stomach Pain R10.1
Chronic Pelvic Inflammatory Disease N73.1
Throat Pain R07.0
Pelvic Inflammatory Disease Complicating O23.5
Pregnancy
Tooth Pain K08.8 Pelvic Inflammatory Disease following Abortion O08.0
Upper arm Pain M79.62 Tuberculous Pelvic Inflammatory Disease A18.1†
N74.1*
PALPITATIONS R00.2
PHARYNGITIS J02.9
PARAPLEGIA G82.2 Acute Pharyngitis J02.9
Chronic Pharyngitis J31.2
PARASITISM B89 Viral Pharyngitis J02.8
Pharyngitis with Influenza (virus not identified) J11.1
Pharyngitis with Influenza (virus identified J10.1
80
81
GUIDANCE
See also notes
GUIDANCE
CODE
under
“Poisoning” Hypostatic Pneumonia J18.2
Hydrogen Sulfide Poisoning, intentional self T59.0
harm X67.99 Nosocomial Pneumonia J18.9, Y95
See also notes See also notes
under under
“Poisoning” “ Pneumonia”
Lead Poisoning, accidental T56.0 Pneumonia with Pleural Effusion J18.9†J91*
X49.99 Post Measles Pneumonia B05.2†
See also notes J17.1*
under Radiation Pneumonia J70.0
“Poisoning”
Lead Poisoning, intentional self harm T56.0
Streptococcal Lobar Pneumonia J15.4
X69.99
Streptococcal (Streptococcal pneumoniae) J13
Lobar Pneumonia
See also notes
under Streptococcal (Streptococcus Group B) Lobar J15.3
“Poisoning” Pneumonia
Mercury Poisoning, accidental T56.1 Tuberculous Pneumonia A16.2
X49.99
See also notes Tuberculous Pneumonia, confirmed by Sputum A15.0
under Microscopy with or without Culture
“Poisoning” Tuberculous Pneumonia, Bacteriologically and A16.0
Histologically negative
Mercury Poisoning, intentional self harm T56.1 Tuberculous Pneumonia, Bacteriological and A16.1
X69.99 Histological Examination not done
See also notes PNEUMONITIS J18.9
under
“Poisoning”
Acute Pneumonitis J18.9
Mussels Poisoning, accidental T61.2 PNEUMOTHORAX J93.9

X49.99 Pneumothorax of, fetus or newborn P25.1
See also notes Spontaneous Pneumothorax J93.1
under Traumatic Pneumothorax without Open Wound S27.00
“Poisoning” into Thoracic Cavity
Organophosphate Poisoning, accidental T60.0 Note: A supplemental code from V01-Y98

X48.99 should be added to S27.00 if the
See also notes external cause of the condition is
indicated.
86
83
GUIDANCE
GUIDANCE
CODE
appropriate code/s to consider. See also notes
under
Traumatic Pneumothorax with Open Wound S27.01 “Poisoning”
into Thoracic Cavity
Arsenic Poisoning, intentional self harm T57.0
Note: A supplemental code from V01-Y98 X68.99
should be added to S27.01 if the See also notes
external cause of the condition is under
indicated “Poisoning”
Ciguatera Fish Poisoning, accidental T61.0,
Refer to ICD-10 Vols. 1 & 3 for the X49.99
appropriate code/s to consider. See also notes
under
POISONING T65.9 “Poisoning”
Cyanide Poisoning, accidental T65.0
Note: Both the nature and circumstance of X49.99
poisoning should be coded. See also notes
under
For morbidity coding, the poisoning code is “Poisoning”
external cause code from X40-X49 as Cyanide Poisoning, intentional self harm T65.0
supplemental code.
X69.99
However, for mortality coding, the code for See also notes
poisoning should never be used as under
underlying cause code, it may only be “Poisoning”
included as a supplemental code.
Fish Poisoning, accidental T61.2
If the specific place of occurrence and X49.99
activity relative to the external cause is See also notes
indicated then more specific place of under
occurrence and activity codes should be “Poisoning”
used instead of the codes “.99”
Food Poisoning, accidental T62.9
Refer to ICD-10 Volume 1 for the X49.99
appropriate code and Volume 2 for See also notes
additional guidelines. under
“Poisoning”
Arsenic Poisoning, accidental T57.0
X48.99 Hydrogen Sulfide Poisoning, accidental T59.6
X47.99
84
85
GUIDANCE
Abnormal Reaction to Tuberculin Test R76.1 GUIDANCE
CODE
[ Abnormal Result of Mantoux Test] under
Blood Transfusion Reaction T80.9 “Poisoning”
REFLUX Organophosphate Poisoning, intentional self T60.0

Esophageal Reflux Disease K21.9 harm X68.99
Esophageal Reflux Disease with Esophagitis K21.0 See also notes
Esophageal Reflux Disease without K21.9 under
“Poisoning”
Esophagitis
Gastroesophageal Reflux Disease (GERD) K21.9
Seafood Poisoning, accidental T61.9
Gastroesophageal Reflux Disease (GERD) K21.0
with Esophagitis X49.99
See also notes
Gastroesophageal Reflux Disease (GERD) K21.9 under
without Esophagitis “Poisoning”
Laryngopharyngeal Reflux Disease (LPRD) K21.9
Laryngopharyngeal Reflux (LPRD) with K21.0 Shellfish Poisoning, accidental T61.2
Esophagitis
X49.99
Laryngopharyngeal Reflux (LPRD) without K21.9 See also notes
Esophagitis under
“Poisoning”
RETENTION R33
Psychogenic Urine Retention F45.3 Watusi Poisoning, accidental T65.8,T57.8,
Urine Retention R33 T57.1, T65.3
X49.99
RETICULOSARCOMA C83.9, See also notes
under
M9593/3 “Poisoning”
Watusi Poisoning, intentional self harm T65.8,T57.8,

T57.1, T65.3
X69.99
See also notes
under
“Poisoning”
POLIOMYELITIS A80.9
90
87
GUIDANCE
Acute Poliomyelitis A80.9 GUIDANCE
CODE
Congenital Poliomyelitis P35.8 Mitral Valve Prolapse I34.1
Non-paralytic Poliomyelitis A80.4 Prolapse of Uterus N81.4
Paralytic Poliomyelitis A80.3 Prolapse of Uterus, 1st degree N81.2
Poliomyelitis with paralysis A80.3 N81.2
Spinal Poliomyelitis A80.9 Prolapse of Uterus, 2nd degree
rd
Vaccine associated paralytic Poliomyelitis A80.0 Prolapse of Uterus, 3 degree N81.3
PSYCHOSIS F29
POLYP Typhoid Psychosis, culture proven A01.00
Endocervical Polyp N84.1 Typhoid Psychosis, clinically proven A01.01
POLYPOSIS PTERYGIUM H11.0

Nasal Polyposis J33.9
PURPURA D69.2
POLYURIA R35 Acute Idiopathic Thrombocytopenic Purpura D69.3
Psychogenic Polyuria F45.3 Chronic Idiopathic Thrombocytopenic Purpura D69.3
Eosinophilic Purpura D69.2
PREGNANCY
PYELONEPHRITIS N12
Note: For conditions complicating pregnancy or
aggravated by the pregnant state, priority
Acute Pyelonephritis N10
of coding should be given to the pregnant Chronic Pyelonephritis N11.9
state and the code/s for the specific Pyelonephritis with Calculus N20.9
condition/s should be used as Pyelonephritis with Calculus and N13.2
supplemental code/s if necessary.
Hydronephrosis
Refer to ICD-10 Vols. 1 & 3 for the Pyelonephritis complicating Pregnancy O23.0
appropriate code/s to consider.
QUADRIPLEGIA, LATE EFFECT G82.5
PRIMARY COMPLEX A16.7
RABIES A82.9
PROCIDENTIA UTERI N81.3 Sylvatic Rabies A82.0
Urban Rabies A82.1
PROLAPSE
REACTION
88
89
GUIDANCE
Acute Frontal Sinusitis J01.1 GUIDANCE
CODE
Acute Sinusitis J01.9 RHEUMATISM M79.09
Allergic Sinusitis J30.4
Note: If the specific site of rheumatism is
SPHEROCYSTOSIS D58.8 indicated, a more appropriate 5th
Hereditary Spherocystosis D58.8 character site code should be used
instead of “9”.
STAB WOUND T14.1 Refer to ICD-10 Vol. 1 for the other

Note: If the part of the body wounded is
specified the code would be different.
Refer to ICD-10 Vols.1 & 3 for the RHINITIS J31.0

appropriate code. Allergic Rhinitis J30.4
For morbidity coding a supplementary
Allergic Rhinitis with Asthma J45.0
code for the external cause of the
injury should be used. However, for SALMONELLOSIS A02.0
mortality coding this code should be
used as a supplemental code only.
SARCOMA, primary, malignant, site C49.9,
unspecified M8800/3
STEATOHEPATITIS, NON ALCOHOLIC K76.0 Note: The coders need to determine whether the
sarcoma is primary, secondary
STROKE I64 (metastatic), in situ, benign, etc. so that
the appropriate behavior and site codes
can be assigned.

appropriate site code to consider and
Vol. 1 for additional specific coding
guidelines.
Kaposi’s Sarcoma C46.9,
M9140/3
See also notes
under
“Sarcoma,
primary,
malignant”
Kaposi’s Sarcoma, connective tissue C46.1,
94
91
GUIDANCE
M9140/3 GUIDANCE
CODE
See also notes
under
“Sarcoma, SCAR L90.5
primary,
malignant” SCHISTOSOMIASIS B65.9
Kaposi’s Sarcoma, lymph nodes C46.3,
M9140/3 SCIATICA M54.39
See also notes
under
“Sarcoma, Note: If a more specific site is indicated, a more
primary, appropriate 5th character site code should
malignant” be used instead of “9”. Refer to ICD-10
Vol. 1 for the other specific site codes to
consider.
Kaposi’s Sarcoma, skin C46.0,
M9140/3
See also notes Sciatica with Lumbago M54.49
“Sarcoma, under
primary, “Sciatica”
malignant”
SCLEROSIS
Brain Sclerosis G37.9
SARCOMA, secondary, malignant , site C80, Cardiac Sclerosis I25.1
unspecified M8800/6
See also notes
Multiple Sclerosis G35
under Spinal Sclerosis G95.8
“Sarcoma,
primary, SEIZURES R56.8
malignant”
Post Stroke Seizures R56.8 I69.4
SARCOMATOSIS, site unspecified C80,
Seizure, newborn P90
M8800/6
See also notes SEPTICEMIA [ SEPSIS ] A41.9
under Postpartum Sepsis O85
“Sarcoma, Sepsis Neonatorum P36.9
primary,
malignant”
Septicemia, newborn P36.9
SINUSITIS J32.9
92
93
GUIDANCE
GUIDANCE
CODE
SYNDROME
WOUND, OPEN T14.1 Carpal Tunnel Syndrome G56.0
Hyperglycemic Hyperosmolar Syndrome E14.0
Note: If the part of the body wounded is [Hyperglycemic Hyperosmolar Coma]
indicated, a more specific code should
be assigned instead of “T14.1”. Note: A more appropriate code from E10-E13
Refer to ICD-10 Vols. 1 & 3 for the specific type of Diabetes is indicated.
Refer to ICD-10 Vol.1 for other specific
For morbidity coding a supplementary codes to consider.
code from V01-Y98 to indicate the Hypereosinophilic Syndrome D72.1
external cause of the injury should be Irritable Bowel Syndrome K58.9
added to T14.1.
Myelodysplastic Syndrome D46.9,
However, for mortality coding this code M9989/1
should be used as a supplemental Myofascial Pain Syndrome M79.08
code only. Nephrotic Syndrome N04.9
Respiratory Distress Syndrome, child P22.0
Respiratory Distress Syndrome, adult J80
Severe Acute Respiratory Syndrome (SARS) U04.9
Sudden Infant Death Syndrome R95
Thalassemia Syndrome D56.9
TACHYCARDIA R00.0
Paroxysmal Tachycardia I47.9
TETANUS A35
Tetanus Neonatorum A33
Obstetrical Tetanus A34
THYROID STORM E05.5
TONSILITIS J03.9
Acute Tonsilitis J03.9
98
95
GUIDANCE
Note: Refer to ICD-10 Vol.1 for additional
GUIDANCE
CODE
guidelines.
Chronic Tonsilitis J35.0 ULCER L98.4
Septic Tonsilitis J03.9 Bleeding Peptic Ulcer K27.4
Bleeding Peptic Ulcer with Perforation K27.6
TONSILLOPHARYNGITIS J06.8 Decubitus Ulcer L89
Acute Tonsillopharyngitis J06.8 Duodenal Bleeding K26.9
Gastric Ulcer with Hemorrhage K25.4
TOXICOSIS R68.8 Peptic Ulcer K27.9
Peptic Ulcer with Perforation K27.5
TRANSIENT ISCHEMIC ATTACK (TIA) G45.9 Skin Ulcer L98.4
Stasis Ulcers I83.0
TUBERCULOSIS OF LUNG , A16.2
[ PULMONARY TUBERCULOSIS (PTB)] UREMIA N19
PTB class 3 by Sputum Confirmation A15.0 Chronic Uremia N18.9
PTB class 3,4 by X-ray Confirmation and A16.0
Bacteriologically and Histologically negative UROLITHIASIS N20.9
PTB class 3,4 by X-ray Confirmation and A16.1
Bacteriological and Histological UROSEPSIS N39.0
examination not done
PTB A16.2 VASCULITIS I77.6
PTB class 3,4 by X-ray confirmation without A16.2
mention of Bacteriological and Histological
Confirmation
VERTIGO [ DIZZINESS ] R42
PTB class 5 Z03.0
Benign Paroxysmal Vertigo H81.1
PTB suspect Z03.0
Benign, Positional Vertigo H81.4
MDRTB without Culture Sensitivity Z03.0
Peripheral Vertigo H81.3
PTB class 1,2 Z20.1
Toxic Vertigo R42
MDRTB confirmed by Culture A15.1
Vertigo of Central Origin H81.4
TYMPANOMASTOIDITIS H73.9, VOMITING [ NAUSEA ] R11

H70.9
Chronic Tympanomastoiditis H73.1,
WEAKNESS R53
H70.1
WEIGHT LOSS, ABNORMAL R63.4
96
97
ICD-10 DISEASES/CONDITIONS Remarks
CODES and/or CATEGORY TITLES
(Updated) “ILL-DEFINED” CONDITIONS IN TERMS OF
E64.3 Kyphoscoliosis, Late Effect of - do -
Rickets ICD-10 CODE ASSIGNMENT:
E64.3 Kyphotic Late Effect of Rickets - do -
The use of the following as diagnostic
E64.3 Lordosis, Late Effect of Rickets - do - statements is not encouraged, however, if a more
specific diagnosis cannot be made then the ICD-10
E64.3 Rachitic Lordosis - do -
codes provided below should be assigned.
E64.3 Rachitic Spine Deformity - do -
E72.3 Pipecolic Acidemia Code revised, DISEASES/C ONDITIONS ICD-10

previously the CODE
condition was
coded to E71.3
F45.0 Briquet’s Disorder Added as CHRONIC RESPIRATORY R06.8
inclusion term INSUFFICIENCY
under existing DIABETIC GASTROPATHY E14.6, K31.9
category
G31.8 Lewy Body - do - DIABETIC HYPERMOTILITY E14.6, K31.9
DIABETIC MACROVASCULAR DISEASE E14.7 I21.9,
G31.8 Lewy Dementia - do - I63.9
ENTERIC FEVER A01.0
G31.8 Lewy Disease - do - GASTROPATHY K31.9
METABOLIC ENCEPHALOPATHY G93.4† E90*
G90.4 Autonomic Dysreflexia New Code
MULTIPLE ORGAN FAILURE R68.8
G92 Heroin Vapor Added under NON-ALCOHOLIC STEATOHEPATITIS K76.0
Leukoencephalopathy existing category (NASH)
H50.2 Hypertropia Code revised, NSAID GASTROPATHY K31.9 Y56.0
previously the
condition was RENAL SCAR N28.9
coded to H50.4 SOFT TISSUE MASS M35.9
H50.2 Hypotropia - do -
SOFT TISSUE RHEUMATISM M79.09
I27.8 Eisenmenger’s Complex Added under
existing category,
excluded from
category Q21.8
I27.8 Eisenmenger’s Syndrome - do -
102
99
WHO OFFICIAL UPDATE TO ICD-10* ICD-10 DISEASES/CONDITIONS Remarks
As of January 2006 CODES and/or CATEGORY TITLES
(Updated)
ICD-10 DISEASES/CONDITIONS Remarks C78.2 Malignant Pleural Effusion Added under
and/or CATEGORY TITLES (Site Code) existing category
CODES D13.1 Adenomatous polyp of stomach Code revised,
(Updated) (Site Code) previously the
A04.7 Foodborne intoxication by Added under condition was
Clostridium Difficile existing category coded to K31.7
A04.7 Pseudomembranous Colitis - do - D12.6 Adenomatous polyp of colon Added under
(Site Code) existing category
A07.8 Intestinal microsporidiosis Added under D12.6 Polyposis of colon Added under
existing category (Site Code) existing category
A48.1 Legionnaire’s Pneumonia Code revised, D57.2 Sickle Cell Thalassaemia Disease Code revised,
previously a previously the
Dagger and condition was
Asterisk Code coded to D56.1
A49.3 Pleuro-pneumonia like Organism Code revised, D59.1 Dyke-Young Anemia Code revised,
(PPLO) infection previously the previously the
condition was condition was
coded to A49.8 coded to D59.8
A81 Atypical Virus Infections of Central Title of existing D75.8 Myelofibrosis Added under
Nervous system category revised existing category,
excluded from
A81.8 Other Atypical Virus Infections of - do -
category M85.8
Central Nervous system
E14.4† Diabetic Neuritis Added under
A81.9 Atypical Virus Infections of Central - do - G63.2* existing category
Nervous system, unspecified
E14.4† Diabetic Neuropathy - do -
B18.2 Viral Hepatitis C Code revised, G63.2*
previously the
condition was E16.4 Abnormal secretion of gastrin New code
coded to B17.1
B77.0 Ascariasis infection with intestinal Added under E16.4 Hypergasterinemia New code,
complications existing category previously the
condition was
B77.8 Ascariasis infection with other - do -
coded to E16.8
complications
E16.4 Zollinger-Ellison Syndrome New code,
B77.9 Ascariasis Infection - do - previously the
condition was
B77.9 Ascariasis Infestation - do - coded to E16.8
E64.3 Curvature, Late effect of Rickets Code revised,
B82.0 Roundworm Infestation Code revised, previously a
previously the Dagger and
condition was Asterisk Code
coded to B77.9
100
101
ICD-10 DISEASES/CONDITIONS Remarks ICD-10 DISEASES/CONDITIONS Remarks
CODES and/or CATEGORY TITLES CODES and/or CATEGORY TITLES
(Updated) (Updated)
M79.7 Fibromyalgia Code revised, I49.1 Atrial Extrasystoles Code revised,
previously the previously the
condition was condition was
coded to M79.0 coded to I49.4
M79.7 Fibromyositis New Code I49.1 Auricular Extrasystoles Added under
existing category
M79.7 Fibrositis Code revised,
previously the I49.1 Junctional Extrasystoles - do -
condition was
coded to M79.0 I49.1 Ventricular Extrasystoles - do -
M79.7 Myofibrositis New Code
M85.8 Acquired Osteosclerosis Added under I85.9 Oesophageal Varices Added as
existing category inclusion term
M9442/3 Gliosarcoma Code revised, under existing
previously the category
condition was J34.1 Cyst and mucocele of nose and Title of existing
coded to M9380/3 nasal sinus category revised
N17.9 Acute Kidney Impairment Added as J44.0 Chronic Asthmatic Bronchitis with Added under
inclusion term Acute Lower Respiratory Infection existing category
under existing J44.0 Chronic Bronchitis with Acute - do -
category Lower Respiratory Infection
N17.9 Acute Renal Impairment Added as
inclusion term J44.0 Chronic Emphysematous - do -
Bronchitis with Acute Lower
under existing
category
N84.3 Pudendum Polyp Code revised, J44.0 Chronic Obstructive Bronchitis - do -
with Acute Lower Respiratory
previously the
Infection
condition was
coded to N84.8 J44.1 Chronic Asthmatic Bronchitis with - do -
Acute Exacerbation
N93.9 Uterine Bleeding Added under
existing category J44.1 Chronic Bronchitis with Acute - do -
O60.0 Preterm Labor without Delivery New Code Exacerbation
J44.1 Chronic Emphysematous - do -
O60.1 Preterm Labor with Delivery New Code Bronchitis with Acute
Exacerbation
O60.1 Preterm Labor with Preterm New ode
Delivery J44.1 Chronic Obstructive Bronchitis - do -
with Acute Exacerbation
O65.5 Labor Obstructed by Cicatrix of Added under
Cervix existing category J70.0 Acute Respiratory Inflammation - do -
P91.6 Hypoxic Ischemic Encephalopathy New Code due to Radiation
of Newborn K14.0 Exfoliativa Glossodynia - do -
Q15.0 Keratoglobus, congenital with Title of existing
glaucoma category revised
106
103
ICD-10 DISEASES/CONDITIONS Remarks ICD-10 DISEASES/CONDITIONS Remarks
CODES and/or CATEGORY TITLES CODES and/or CATEGORY TITLES
(Updated) (Updated)
K22.1 Barrett’s Ulcer Added as K85.8 Other Acute Pancreatitis New Code
inclusion term (This category includes other
under existing specified Pancreatitis not
category classified under categories
K22.7 Barrett’s Disease New Code K85.0-K85.3, K85.9)
K85.9 Acute Pancreatitis Code revised,
K22.7 Barrett’s Esophagus New Code previously the
condition was
K22.7 Barrett’s Syndrome New Code
coded to K85
K31.7 Polyp of stomach and duodenum New Code K85.9 Acute Hemorrhagic Pancreatitis - do -
K56.0 Neurogenic Ileus Code revised, K85.9 Acute Edematous Pancreatitis - do -

previously the
condition was
K85.9 Acute Recurrent Pancreatitis - do -
coded to K56.7 K85.9 Subacute Pancreatitis - do -
K56.0 Obstruction, Reflex Added under K85.9 Acute Necrotic Pancreas - do -

existing category
K70.1 Alcoholic Inflammatory Liver - do - K85.9 Suppurative Pancreatitis - do -
Disease
K85.9 Gangrenous Pancreatitis - do -
K74.6 Cruveilhier- Baumgarten Cirrhosis - do - K85.9 Abscess, Pancreas - do -
K74.6 Non-Alcoholic Cirrhosis - do - K85.9 Acute Necrosis of the Pancreas - do -
K75.4 Autoimmune hepatitis New Code K85.9 Infective Necrosis of the Pancreas - do -
K75.8 Bacterial Hepatitis Added under K85.9 Infection, Pancreas - do -
existing category
K85.0 Idiopathic Acute Pancreatitis New Code L64.8 Premature Alopecia Code revised,
previously the
K85.1 Acute Biliary Pancreatitis New Code condition was
coded to L65.9
K85.1 Acute Gallstone Pancreatitis New Code
M31.7 Microscopic Polyangiitis New Code
K85.1 Gallstone Pancreatitis New Code
M31.7 Microscopic Polyarteritis New Code
K85.2 Alcohol-Induced Acute New Code
Pancreatitis
M31.7 † Glomerular Microscopic New Code
N08.5* Polyangiitis Disease
K85.3 Drug-Induced Acute Pancreatitis New Code
M31.7 † Polyneuropathy in Microscopic New Code
(Use additional code to identify
drug if specified) N08.5* Polyangiitis
104
105
ICD-10 DISEASES/CONDITIONS Remarks
(Updated)
Q15.0 Macrocornea with glaucoma Added as
inclusion term
under existing
category
Q21.8 Eisenmenger’s Defect Inclusion term
under existing
category revised
Q43.1 Hirschsprung’s Disease Added under
existing category
Q43.1 Neurogenic Ileus Added under
existing category
Q75.4 Franceschetti Syndrome Added as
inclusion term
under existing
category
Q75.4 Treacher Collins Syndrome Code revised,
previously the
condition was
coded to Q87.0
Q76.4 Sacralization Code revised,
previously the
condition was
coded to M43.2
Q77.4 Congenital Osteosclerosis Added as
inclusion term
under existing
category
R00.0 Sinoauricular Tachycardia Added under
existing category
R00.0 Sinus Tachycardia - do -
R00.1 Sinoatrial Bradycardia - do -
R00.1 Sinus Bradycardia - do -
R00.1 Vagal Bradycardia - do -
R29.6 Tendency to Fall, Not Elsewhere New Code

Classified (Category Title)
110
107
ICD-10 DISEASES/CONDITIONS Remarks REFERENCES
(Updated) 1. Hospital Medical Records Management Manual, 2nd
R50.8 Fever with Chills Code revised, Edition, Manila, Department of Health, 1994.
previously the
condition was
coded to R50.0 2. ICD-10 Coding Fundamentals, 1st edition, M Sue
R50.8 Fever with Rigors - do - Meads, Faye Brown, California, Practice Management
R50.8 Persistent Fever Code revised, Information Corporation (PIMC),1997.
previously the
condition was
coded to R50.1
3. International Statistical Classification of Diseases and
R50.8 Persistent Pyrexia - do - Related Health Problems, Tenth Revision, Geneva,
World Health Organization, 1993.
S37 Injury of Urinary and Pelvic Title of existing
Organs category revised
T84.9 Complication of Arthroplasty Code revised, 4. International Statistical Classification of Diseases and
previously the Related Health Problems, Tenth Revision, 2nd edition
condition was
coded to T84.0 Geneva, World Health Organization, 2004.
U04.9 Severe Acute Respiratory New Code
Syndrome (SARS) 5. ICD-10 Student WorkBook, 3rd edition, Sue Walker and
W46 Contact with Hypodermic Needle New Code
Maryann Wood, Brisbane, National Centre for
Z52.6 Liver Donor New Code Classification in Health, 1997.
Z52.7 Heart Donor New Code
6. WHO – Update Reference Committee (URC) Report,
Z58.7 Exposure to Tobacco Smoke New Code
2004.
Z58.7 Passive Smoking New Code
Z92.6 Personal History of New Code

7. WHO – Update Reference Committee (URC) Report,
Chemotheraphy for Neoplastic 2005
Disease
Z98.1 Ankylosis, Arthrodesis Status Added as
8. www.info@ilds.org, “Application to Dermatology of
inclusion term
under existing International Classification of Diseases (ICD-10)”
category
* Extracted with permission from the WHO –Update
Reference Committee (URC) 2004 and 2005 Reports.
108
109
111
Let us continue to work for timely, truthful and
reliable health statistics to make our reforms more
responsive to our local needs. Quality health
information means quality health care for all Filipinos!
Mabuhay tayong lahat!
FRANCISCO T. DUQUE III, MD, MSc.

Secretary of Health
112
113

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REPUBLIC OF THE PHILIPPINES

JUAN M. LOPEZ, MD, MP H

FLORINDA G. TUVILLO, BSE

REGGIE R. GUILLEN, BSBS

Related Health Problems

CONTRIBUTORS: in Health Care Facilities

ENRIQUE A. TAYAG, MD, PHSAE, FPSMID, CEO VI

EUMELIA SALVA, MD, MPH

PHILIPPINE MEDICAL SPECIALTY SOCIETIES

PHILIPPINE HEALTH CARE FACILITIES October 2008

In the Philippines, the implementation of ICD-10 coding

reimbursement of cl aims. REGGIE R. GUILLEN, BSBS

Technical Working Group, in its efforts to assist health

With the current initiatives of the Department of Health

A global classification system for classifying mortality

PhilHealth’s adoption of ICD-10 has resulted to a faster

With great honor, I commend the people behind the

inputs to this undertaking. MODIFICATIONS was completed through the

ABSCESS L02.9 WHO Official Updates to ICD-10 100

Refer to the sub-classification below for other

The following 4th character subdivisions are for

.0 - incomplete, complicated by genital tract and

AIDS/HIV with Infection (Unspecified Infection) B20.9

AIDS/HIV resulting in Malignant Neoplasms B21.9

AIDS/HIV causing Cytomegaloviral Disease B20.2

BEDSORE L89 Acute Appendicitis K35.9

Note: A more appropriate 5th character site code

Refer to ICD-10 Vols. 1 & 3 for the

Refer to ICD-10 Vols. 1 & 3 for the

Cataract, mature, (patient’s age ≥ 50) H25.99

Refer to ICD-10 Vols. 1 & 3 for the

Refer to ICD-10 Vols. 1 & 3 for the

CLEFT LIP Q36.9 Refer to ICD-10 Vols. 1 & 3 for the

Likewise, a more specific laterality code

For mortality coding the following codes for

CONCUSSION S06.00 Cerebral Contusion without Open Intracranial S06.20

CONSTIPATION K59.0 COUGH R05

.8 - with unspecified complications

ESOPHAGITIS K20 DIZZINESS [ VERTIGO ] R42

DYSRHYTHMIA ENDOMETRIOSIS N80.9

DYSURIA [PAINFUL URINATION] R30.0 ENURESIS R32

Refer to ICD-10 Vol. 1 for the other

GASTRITIS K29.7 GOITER E04.9

HYPERTROPHY HEMATURIA R31

INCONTINENCE R32 HEPATITIS K75.9

HYPERCHOLESTEROLEMI A E78.0 Refer to ICD-10 Vol. 2 for additional

HYPEREMESIS GRAVIDARUM O21.0

LUPUS For morbidity coding, the fracture code is

INSUFFICIENCY Acute Laryngitis J04.0

Refer to ICD-10 Vol. 1 for the other MIGRAINE G43.9

OTITIS H66.9 MYELOMA C90.0,

NECROSIS R02 Refer to ICD-10 Vols. 1 & 3 for the

NEPHROPATHY N28.9 NODULES

NEURODERMATITIS L28.0 OLIGURIA [ ANURIA ] R34

NEUROPATHY G62.9 ORCHITIS N45.9

NEW GROWTH [NEOPLASM] D48.9, OSTEOARTHRITIS M19.99

Community Acquired Pneumonia (CAP), J18.9

Mussels Poisoning, accidental T61.2 PNEUMOTHORAX J93.9

Organophosphate Poisoning, accidental T60.0 Note: A supplemental code from V01-Y98

REFLUX Organophosphate Poisoning, intentional self T60.0

Watusi Poisoning, intentional self harm T65.8,T57.8,

POLYPOSIS PTERYGIUM H11.0

STAB WOUND T14.1 Refer to ICD-10 Vol. 1 for the other