ICD-10 Coding/Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified

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This lesson introduces ICD-10-CM Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified.

Objectives and Skills[edit]

Objectives and skills for this lesson include:

  1. Apply ICD-10-CM coding guidelines for accurate selection and sequencing of diagnosis codes commonly used to describe symptoms, signs, and abnormal clinical and laboratory findings
  2. Apply ICD-10-PCS coding guidelines for accurate selection of procedure codes commonly used to diagnose and treat symptoms, signs, and abnormal clinical and laboratory findings

Guidelines[edit]

Start Here[edit]

ICD-10-CM Official Guidelines for Coding and Reporting FY2019[edit]

Chapter 18 specific guidelines can be found on pages 73-75 of this document


Part 1: Diagnoses[edit]

Chapter 18 Guidelines with Clinical Scenarios



CG I.C.18 Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)[edit]

Chapter 18 Introduction Video

CG I.C.18.a. Use of symptom codes[edit]

I.C.18.a. Video

CG I.C.18.b. Use of a symptom code with a definitive diagnosis code[edit]

I.C.18.b. Video

CG I.C.18.c. Combination codes that include symptoms[edit]

I.C.18.c. Video

CG I.C.18.d. Repeated falls[edit]

I.C.18.d Video

CG I.C.18.e. Coma scale[edit]

I.C.18.e. Video

CG I.C.18.f. Functional quadriplegia[edit]

GUIDELINE HAS BEEN DELETED EFFECTIVE OCTOBER 1, 2017

CG I.C.18.g. SIRS due to Non-Infectious Process[edit]

I.C.18.g. Video

CG I.C.18.h. Death NOS[edit]

I.C.18.h. Video

CG I.C.18.i. NIHSS Stroke Scale[edit]

I.C.18.i. Video

See Section I.B.14 for NIHSS stroke scale documentation by clinicians other than patient's provider

Part 2: Procedures[edit]

Medical and Surgical Section[edit]

Control, Drainage, Excision, Inspection[edit]

Medical and Surgical-related Sections[edit]

Placement, Administration, Measurement and Monitoring[edit]

Ancillary Sections[edit]

Imaging, Nuclear Medicine[edit]

Learning Resources[edit]

Activities[edit]

Lesson Summary[edit]

Key Terms[edit]

See Also[edit]

References[edit]