Pediatrics ICD-10 CM Training - PowerPoint Presentation

1. PediatricsICD-10 CM Training

2. ICD-10-CM will be valid for dates of service on or after October 1, 2015Outpatient dates of service of October 1, 2015 and beyond. Inpatient hospital service claims, is effective for dates of discharge after September 30, 2015ICD-10-CM Compliance Dates

3. Covered EntitiesEveryone covered by the Health Insurance Portability Accountability Act (HIPAA)Non-Covered EntitiesWorker’s CompensationAuto InsuranceNon covered HIPAA entities are exempt but are encouraged to adapt the new code setCovered and Non-Covered Entities

4. 21 ChaptersAlpha-numeric codes; not case-sensitiveCodes begin with Alpha letter, A-Z, excluding UCommon errorsI verses 1O verses 0“x” Placeholder3 to 7 characters Decimal following 3rd characterICD-10 Code Structure

5. Placeholder “x”Used for future expansion of a codeFills in empty characters when a 6th and/or 7th character applyThe placeholder may be used in different scenarios but should never serve as the final character.Example: W19.XXXA Unspecified fall, Initial EncounterICD-10 Code Structure

6. 7th CharacterProvides specified information regarding the clinical visitIs required for certain categories and must be reported in the seventh positionMay be alpha or numericHas different meanings depending on the coding categoryICD-10 Code Structure

7. LateralitySome ICD-10-CM codes indicate laterality, specifying whether the condition occurs on the left, right or is bilateral. If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side. If the side is not identified in the medical record, assign the code for the unspecified side. OGCR section 1.B.13ICD-10 Code Structure

8. “Other” CodesCodes titled “other” or “other specified” are for use when the information in the medical record provides detail for which a specific code does not exist.“Unspecified” CodesCodes titled “unspecified” are for use when the information in the medical record is insufficient to assign a more specific code.OGCR section 1.A.9.a.bICD-10 Code Structure

9. Excludes NotesExcludes1A type 1 Excludes note is a pure excludes noteIt means “NOT CODED HERE”The code excluded should never be used at the same timeWhen two conditions cannot occur togetherExcludes2Represents “Not included here”The condition excluded is not part of the condition represented by the codeIt is acceptable to use both the code and the excluded code together, when appropriateOGCR section 1.A.12.a.bICD-10 Structure

10. “Code First” and “Use Additional Code”ICD-10 has a coding convention that requires the underlying condition be sequenced first followed by the manifestation.These instructional notes indicate the proper sequencing order of the codes.OGCR section 1.A.13The “-” indicates there are additional reporting optionsICD-10 Code Structure

11. From top tool barBillingICDICD-9-CM to ICD-10-CM Conversion Utility (GEMs)ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW

12. Type in ICD-9-CM CodeSelect- Map to ICD-10-CMICD-10-CM Code will appearIF code is not a one-to-to conversion, modifier selections will appear to narrow search.ICD-9-CM to ICD-10-CM Conversion Utility (GEMs) in eCW

13. IMO is a registered trademark for Intelligent Medical Objects. Integrates software in the practice management systems to allow for a quick search of medical terms and codes.Allows for a search using physician verbiage, partial terms or ICD codes. System integrates with eCWSmart Search is the result of IMO functionality within a practice management system. Is available at no costIs found in the assessment section of the progress noteAllows easier search of codes (ICD-9 to ICD-10)IMO/Smart Search

14. Most Common Diagnosis Codes

15. Routine Infant or Child Health ExaminationICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2V20.2Z00.129Encounter for routine child health examination without abnormal findingsEncounter for routine child health examination NOSEncounter for development testing of infant or childHealth check (routine) for child over 28 days oldHealth check for child under 29 days old (Z00.11-)Health supervision of foundling or other health infant or child (Z76.1-Z76.2)Newborn health examination (Z00.11-)N/AV20.2Z00.121Encounter for routine child health examination with abnormal findingsUse additional code to identify abnormal findingsHealth check for child under 29 days old (Z00.11-)Health supervision of foundling or other health infant or child (Z76.1-Z76.2)Newborn health examination (Z00.11-)N/A

16. Identify routine health checkAdultChildNewbornUnder 8 days old8-28 days oldIdentify presence/absence of abnormal findingsWith abnormal findingsWithout abnormal findingsUse an additional code for any abnormal findingsWell Examination Documentation Tips

17. Encounter for examination of ears and hearingICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2V72.19Z01.10Encounter for examination of ears and hearing without abnormal findingsencounter for examination for administrative purposes (Z02.-)encounter for examination for suspected conditions, proven not to exist (Z03.-)encounter for laboratory and radiologic examinations as a component of general medical examinations(Z00.0-)encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to thesign(s) or symptom(s)N/AThere are more specific code choice selections below:Z01.110Encounter for hearing examination following failed hearing screeningZ01.118Encounter for examination of ears and hearing with other abnormal findingsUse additional code to identify abnormal findings

18. Identify presence/absence of abnormal findingsWith abnormal findingsWithout abnormal findingsUse an additional code for any abnormal findingsIdentify previous failed hearing screeningZ01 codes are not to be used if the examination is for diagnosis of a suspected condition or for treatment purposes.During a routine exam, should a diagnosis or condition be discovered, it should be coded as an additional code. Pre-existing and chronic conditions and history codes may also be included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.Examination of ears and hearingDocumentation Tips

19. Encounter for examination of eyes and visionICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2V72.0Z01.00Encounter for examination of eyes and vision without abnormal findingsEncounter for examination of eyes and vision NOSencounter for examination for administrative purposes (Z02.-)encounter for examination for suspected conditions, proven not to exist (Z03.-)encounter for laboratory and radiologic examinations as a component of general medical examinations(Z00.0-)encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)screening examinations (Z11-Z13)Z01.01Encounter for examination of eyes and vision with abnormal findingsUse additional code to identify abnormal findings

20. Identify presence/absence of abnormal findingsWith abnormal findingsWithout abnormal findingsUse an additional code for any abnormal findingsIdentify high risk medicationIdentify diabetes and diabetes retinopathyZ01 codes are not to be used if the examination is for diagnosis of a suspected condition or for treatment purposes.During a routine exam, should a diagnosis or condition be discovered, it should be coded as an additional code. Pre-existing and chronic conditions and history codes may also be included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.Examination of eyeDocumentation Tips

21. AsthmaICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2493.00, 493.10J45.20Mild intermittent asthma, uncomplicated or NOSbronchitis due to chemicals, gases, fumes and vapors (J68.0)cystic fibrosis (E84.-)493.01, 493.11J45.22Mild intermittent asthma with status asthmaticusN/AN/A493.02, 493.12J45.21Mild intermittent asthma with (acute) exacerbationN/AN/A493.82J45.991Cough variant asthmaN/AN/A493.90J45.909J45.998Unspecified asthma, uncomplicatedOther asthmaN/AN/A493.91J45.902Unspecified asthma with status asthmaticusbronchitis due to chemicals, gases, fumes and vapors (J68.0)cystic fibrosis (E84.-)493.92J45.901Unspecified asthma with (acute) exacerbationbronchitis due to chemicals, gases, fumes and vapors (J68.0)cystic fibrosis (E84.-)

22. Asthma Severity ChartINTERMITTENTMILD PERSISTENTMODERATE PERSISTENTSEVERE PERSISTENTSYMPTOMS2 or less daysper weekMore than 2days perweekDailyThroughoutthe dayNIGHTIME AWAKENINGS2 x’s permonth or less3 – 4 x’s permonthMore thanonce perweek but notnightlyNightlyRESCUE INHALER USE2 or less daysper weekMore than 2days perweek, but notdailyDailySeveral timesper dayINTERFERENCE WITH NORMAL ACTIVITYNoneMinorlimitationSomelimitationExtremelylimitedLUNG FUNCTIONFEVI>80% predicted and normal between exacerbationsFEV1>80%predictedFEV1 60 –80%predictedFEV1 lessthan 60%predicted

23. Identify SeverityMild intermittentMild persistentModerate persistentSevere persistentUnspecifiedComplicationWith acute exacerbationWith status asthmaticusUncomplicatedDue toAllergiesFumesWhen a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40). Use additional code, where applicable, to identify:exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)history of tobacco use (Z87.891)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)Asthma Documentation Tips

24. Undiagnosed Cardiac MurmursICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2785.2R01.1Cardiac murmur, unspecifiedApplicable to:Cardiac bruit NOSHeart murmur NOScardiac murmurs and sounds originating in the perinatal period (P29.8)N/AThere are more specific code choice selectionsR01.0Benign and innocent cardiac murmursFunctional cardiac murmurR01.2Other cardiac soundsCardiac dullness, increased or decreasedPrecordial friction

25. IMO Smart Search

26. R00-R99 codes that describe symptoms and signs are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.R00-R99 codes for signs and symptoms may be reported in addition to a related definitive diagnosis when the sign or symptom is not routinely associated with that diagnosis, such as the various signs and symptoms associated with complex syndromes. The definitive diagnosis code should be sequenced before the symptom code.R01.0 – undiagnosed cardiac murmurDocumentation Tips

27. Acute upper respiratory infection, unspecifiedICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2465.9J06.9Acute upper respiratory infection, unspecifiedApplicable To:Upper respiratory disease, acuteUpper respiratory infection NOSacute respiratory infection NOS (J22)streptococcal pharyngitis (J02.0)N/AUse additional code, where applicable, to identify:exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)history of tobacco use (Z87.891)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)

28. Otitis media, unspecifiedICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2382.9H66.90Otitis media, unspecified, unspecified earOtitis media NOSAcute otitis media NOSChronic otitis media NOSUse additional code for any associated perforated tympanic membrane (H72.-)N/AN/AThere are more specific code choice selections382.9H66.91Otitis media, unspecified, right ear382.9H66.92Otitis media, unspecified, left ear382.9H66.93Otitis media, unspecified, bilateral

29. Otitis Media TypeLateralityChronicityRecurrenceSpontaneous tympanic membrane ruptureSuppurative otitis media locationUse an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear conditionUse additional code to identify:exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)history of tobacco use (Z87.891)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0)Documentation Tips

30. Acute pharyngitis, unspecifiedICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2462J02.9Acute pharyngitis, unspecifiedApplicable To:Gangrenous pharyngitis (acute)Infective pharyngitis (acute) NOSPharyngitis (acute) NOSSore throat (acute) NOSSuppurative pharyngitis (acute)Ulcerative pharyngitis (acute)acute laryngopharyngitis (J06.0)peritonsillar abscess (J36)pharyngeal abscess (J39.1)retropharyngeal abscess (J39.0)chronic pharyngitis (J31.2)There are more code choices below:J02.0Streptococcal pharyngitisJ02.8Acute pharyngitis due to other specified organismUse additional code (B95-B97) to identify infectious agentUse additional code, where applicable, to identify:exposure to environmental tobacco smoke (Z77.22)exposure to tobacco smoke in the perinatal period (P96.81)history of tobacco use (Z87.891)occupational exposure to environmental tobacco smoke (Z57.31)tobacco dependence (F17.-)tobacco use (Z72.0

31. Type of pharyngitisIdentify infectious agentStreptococcusOther organismIdentify acute or chronic. Chronic pharyngitis code J31.2When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).Acute pharyngitis, unspecifiedDocumentation Tips

32. Cystic fibrosisICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2277.00 E84.9Cystic fibrosis, unspecifiedIncludes:mucoviscidosisN/AN/AThere are more specific code choice selections below:E84.0Cystic fibrosis with pulmonary manifestationsUse additional code to identify any infectious organism present, such as: Pseudomonas (B96.5)E84.11Meconium ileus in cystic fibrosisExcludes1: meconium ileus not due to cystic fibrosis (P76.0)E84.19Cystic fibrosis with other intestinal manifestationsDistal intestinal obstruction syndromeE84.8Cystic fibrosis with other manifestations

33. Identify:Anatomical siteManifestations (e.g. bronchopneumonia)Documentation Tips

34. Acute lymphoblastic leukemia not having achieved remissionICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2204.00C91.00Acute lymphoblastic leukemia not having achieved remissionApplicable to:Acute lymphoblastic leukemia with failed remissionAcute lymphoblastic leukemia NOSpersonal history of leukemia (Z85.6)N/AThere are more specific code choice selections below:C91.01Acute lymphoblastic leukemia, in remissionC91.02Acute lymphoblastic leukemia, in relapse

35. Code C91.0 should only be used for T-cell and B-cell precursor leukemiaIdentify:In remissionIn relapseAchieved remissionDocumentation Tips

36. Type 1 diabetes mellitus without complicationsICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2250.01E10.9Type 1 diabetes mellitus without complicationsApplicable to:brittle diabetes (mellitus)diabetes (mellitus) due to autoimmune processdiabetes (mellitus) due to immune mediated pancreatic islet beta-cell destructionidiopathic diabetes (mellitus)juvenile onset diabetes (mellitus)ketosis-prone diabetes (mellitus)diabetes mellitus due to underlying condition (E08.-)drug or chemical induced diabetes mellitus (E09.-)gestational diabetes (O24.4-)hyperglycemia NOS (R73.9)neonatal diabetes mellitus (P70.2)postpancreatectomy diabetes mellitus (E13.-)postprocedural diabetes mellitus (E13.-)secondary diabetes mellitus NEC (E13.-)type 2 diabetes mellitus (E11.-)N/A

37. Diabetes is a chronic condition that requires multi-specialty management. The documentation should indicate relevant details regarding the management of each case as it relates to the services rendered or actions taken to coordinate the patients care. The HPI, at a minimal, should include some indication of the historical timeline or duration of the illness, levels as it relates to the date of service, manifestations or impairments associated with the condition and effectiveness of current medication regimen. The examination should notate any physical signs related to the diabetic conditions. (Ulcers, nails, edema, discoloration, sensitivity to touch) Diabetes Documentation Tips

38. Indicate TypeIndicate additional conditions, manifestations, or complicationsCataractCirculatory complicationFoot ulcerGastroparesisNotate causal relationships (due to, with, secondary)State due to drugs or chemicalsDiabetes Documentation Tips

39. Malignant neoplasm of adrenal glandICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2194.0C74.90Malignant neoplasm of adrenal glandN/AN/AThere are more specific code choice selections below:C74.00Malignant neoplasm of cortex of unspecified adrenal glandC74.01Malignant neoplasm of cortex of right adrenal glandC74.02Malignant neoplasm of cortex of left adrenal glandC74.10Malignant neoplasm of medulla of unspecified adrenal glandC74.11Malignant neoplasm of medulla of right adrenal glandC74.12Malignant neoplasm of medulla of left adrenal glandC74.91Malignant neoplasm of unspecified part of right adrenal glandC74.92Malignant neoplasm of unspecified part of left adrenal gland

40. Identify:LateralityTypeSymptoms, signs, and ill-defined conditions listed in Chapter 18 (R00-R99) characteristic of, or associated with, an existing primary or secondary site malignancy cannot be used to replace the malignancy as principal or first-listed diagnosis, regardless of the number of admissions or encounters for treatment and care of the neoplasm. Documentation Tips

41. Encounter for screening for respiratory tuberculosisICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2V74.1Z11.1Encounter for screening for respiratory tuberculosisexaminations related to pregnancy and reproduction (Z30-Z36, Z39.-)N/A

42. The testing of a person to rule out or confirm a suspected diagnosis because the patient has some sing or symptom is a diagnostic examination, NOT A SCREENING.Should a condition be discovered during a screening then the code for the condition may be assigned as an additional diagnosis.Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94. Documentation Tips

43. CoughICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2786.2R05CoughCough with hemorrhage (R04.2)Smoker’s Cough (J41.0)N/A

44. Symptom Codes Codes that describe symptoms and signs are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.Use of a symptom code with a definitive diagnosis codeCodes for signs and symptoms may be reported in addition to a related definitive diagnosis when the sign or symptom is not routinely associated with that diagnosis code.Signs or symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.Cough Documentation Tips

45. Contact with and (suspected) exposure to tuberculosisICD-9 CodeICD-10 CodeDescriptionExcludes1Excludes2V01.1R01.1Contact with and (suspected) exposure to tuberculosiscarrier of infectious disease (Z22.-)diagnosed current infectious or parasitic disease -see Alphabetic Indexpersonal history of infectious and parasitic diseases (Z86.1-)

46. Category Z20 indicates contact with, and suspected exposure to, communicable diseases. These codes are for patients who do not show any sign or symptom of a disease but are suspected to have been exposed to it by close personal contact with an infected individual or are in an area where a disease is epidemic.Contact/exposure codes may be used as a first-listed code to explain an encounter for testing, or, more commonly, as a secondary code to identify a potential risk.Documentation Tips

47. GroupOne will submit ICD-10 CM test batch to Clearinghouse prior to October 1, 2015Update all eCW ICD-10 settings to be effective on October 1, 2015Clearinghouse Testing

48. On October 01, 2015 we will monitor claims for date of service rulesOutpatient claims cannot have crossover dates Outpatient claims will be coded according to date of serviceInpatient facility claims will be coded per date of dischargeWe will monitor claims to resolve any unanticipated problems with the submission processMonitor Claims

49. We will monitor for claim denialsWe will monitor editing trends for ICD-10 Coding guidelinesWe will provide feedback to the physicians regarding supporting documentation requirements We will monitor WC or Liability carriers for published rules on use of ICD-9 or ICD-10 code setsClaim Denial and Management

50. Client will need to update in eCWTemplatesOrder SetsSuperbillsFavoritesFuture Orders in eCWRemove ICD-9 code add ICD-10 codeClient Responsibilities

51. KnowledgeDocuments & VideosICD-10 InformationICD-10 VideosView videos ICD-10-01 Overview and SetupICD-10 -02 Assessment SearchICD-10-03 Order Sets and TemplatesICD-10-04 ICD and CPT Associations and ICD GroupsICD-10-05 Lab Req Forms and SuperbillsICD-10-06 Future Labs and Standing Ordershttps://my.eclinicalworks.com/eCRM/jsp/index.jsp

52. All Conditions treated or assessed must be documented in the medical record. In addition to the documentation tips reviewed, below are more areas to document that will ensure proper ICD-10-CM code selection.Site specificityDocument notation of qualifiersExacerbationManifestationsRelapseStatusStagesIndicate acute or chronicIndicate underlying or external cause factorsMedicationSmokeAccidentsMechanical failureLateralityBilateralRight LeftDocumentation – Start Now

53. Episode of Care for injuries, poisoning, external causes and other conditionsInitial EncounterUse while the patient is receiving active treatment of the conditionActive treatment includes surgical treatment, an emergency encounter, and evaluation and treatment by a new physicianSubsequent EncounterUsed on encounter after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase.Medication adjustments, aftercare, device adjustments, cast changeSequelaUsed for complications or conditions that arise as a direct result of a condition, late effectDocumentation – Start Now

54. Combination codes that captureEtiology and manifestationRelated conditionsDisease, injury or other medical condition and complicationsDisease or other medical conditions and common signs or symptomsDocumentation – Start Now

55. UnderdosingUnderdosing refers to taking less of a medication than is prescribed by a provider or a manufacturer’s instruction. For underdosing, assign the code from categories T36-T50 (fifth or sixth character “6”).Codes for underdosing should never be assigned as principal or first-listed codes. If a patient has a relapse or exacerbation of the medical condition for which the drug is prescribed because of the reduction in dose, then the medical condition itself should be coded.Noncompliance (Z91.12-, Z91.13-) or complication of care (Y63.6-Y63.9) codes are to be used with an underdosing code to indicate intent, if known.OGCR Section 1.C.19.e.5.cOfficial Guidelines for Coding and Reporting

56. V00- Z99 Codes External Causes of MorbidityV-codesTransport AccidentsW00-X58 codesOther External Causes of Accidental Injury X71-X99.9 codesIntentional Self-HarmY00-Y99.9 Other External Causes of MorbidityZ00-Z99 Factors influencing health status and contact with health services

57. V00-V99 CodesOther External Causes of Accidental InjuryCode RangeDescriptionV00-V09Pedestrian injuredV10-V19Pedal cycle injured in transport accidentV20-V29Motorcycle rider injured inV30-V39Occupant of three-wheeled motor vehicle injured in transport accidentV40-V49Car occupant injured in transport accidentV50-V59Occupant of pick-up truck or van injured in transport accidentV60-V69Occupant of heavy transport vehicle injured in transport accidentV70-V79Bus occupant injured in transport accidentV80-V89Other land transport accidentsV90-V94Water transport accidentsV95-V97Air and space transport accidentsV98Other and unspecified transport accidentsV99Unspecified transport accidents

58. W00-W99 CodesOther External Causes of Accidental InjuryCode RangeDescriptionW00-W19Slipping, Tripping, Stumbling, and FallsW20-W49Exposure to Inanimate Mechanical ForcesStruck by object due to collapse of buildingW50-W64Exposure to Animate Mechanical ForcesStruck by another personW65-W74Accidental non-transport drowning and submersionW85-W99Exposure to Electric Current, Radiation and Extreme Ambient Air Temperature and Pressure

59. X00-X99 CodesOther External Causes of Accidental InjuryCode RangeDescriptionX00-X08Exposure to Smoke, Fire and FlamesX10-X19Contact with Heat and Hot SubstancesX30-X39Exposure to Forces of NatureX52, X59Accidental Exposure to Other Specified FactorsX71-X83Intentional Self-HarmX92-Y09Assault

60. Y00-Y99.9 CodesOther External Causes of MorbidityCode RangeDescriptionY00-Y09AssaultMaltreatment and neglectY21-Y33Event of undetermined intentY35-Y38Legal Intervention, Operations of War, Military Operations, and TerrorismY62-Y69Misadventures to Patients During Surgical and Medical CareY70-Y82Medical Devices Associated with Adverse Incidents in Diagnostic and Therapeutic UseY83-Y84Surgical and other Medical Procedures as the Cause of Abnormal ReactionY92Place of occurrence of the external causeY93Activity codesY95Nosocomial conditionY99External cause status

61. Z00-Z99 Factors influencing health status and contact with health services Code RangeDescriptionZ00-Z13Persons encountering health services for examination and investigationZ14-Z15Genetic carrier and genetic susceptibility to diseaseZ16Infection with drug-resistant microorganismsZ17Estrogen receptor statusZ18Retained foreign body fragmentsZ20-Z28Persons with potential health hazards related to communicable diseaseZ30-Z39Persons encountering health services in circumstances related to reproductionZ40-Z53Persons encountering health services for specific procedures and health care

62. Z00-Z99 (Continue)Code RangeDescriptionZ40-Z53Persons encountering health services for specific procedures and health careZ55-Z65Persons with potential health hazards related to socioeconomic and psychosocial circumstanceZ66Do Not Resuscitate (DNR) statusZ67Blood typeZ68Body mass index (BMI)Z69-Z76Persons encountering health services in other circumstancesZ79-Z99Persons with potential health hazards related to family and personal history and certain conditions influencing health status

63. codingresource@g1hs.comCenters for Disease Control and Prevention (ICD-10-CM)http://www.cdc.gov/nchs/icd/icd10cm.htmQuestions