Consolidated CMS/PWW Ambulance Condition

45 Pages·2015·0.39 MB·English

The Consolidated CMS/PWW
Ambulance Condition Code
ICD Crosswalk
Version 1.0
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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk

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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
Emergency Condition Codes ‐ ALS (Non trauma) 
K29.70 Gastritis, unspecified, without 
bleeding
K29.70 Gastritis, unspecified, without 
With other signs or symptoms.  bleeding
K29.90 Gastroduodenitis, unspecified, 
Nausea,vomiting,fainting, pulsatile 
without bleeding
mass, distention, rigid, tenderness  K29.90 Gastroduodenitis, unspecified, 
535.50 Severe abdominal pain  on exam, guarding. without bleeding R10.9 Unspecified abdominal pain
Potentially life‐threatening. 
Bradycardia, junctional and 
ventricular blocks,non‐sinus 
tachycardias, PVC’s >6, bi and 
trigeminy, ventricular tachycardia, 
Abnormal Cardiac  ventricular fibrillation, atrial 
rhythm/cardiac  flutter, PEA, asystole, AICD/AED 
427.9 dysrhythmia Fired I49.9 Cardiac arrhythmia, unspecifed I49.9 Cardiac arrhythmia, unspecifed
R61 Generalized hyperhidrosis
Diaphorhesis, cyanosis, delayed 
780.8 Abnormal skin signs  cap refill, poor turgor, mottled. R61 Generalized hyperhidrosis R23.8 Other skin changes
796.4 Abnormal vital signs With or without symptoms R68.89 Other general symptoms and signs R68.89 Other general symptoms and signs
T78.2XXA Anaphylactic shock, unspecified, 
initial encounter T78.2XXA Anaphylactic shock, unspecified, 
Potentially life‐threatening. Other  initial encounter
emergency conditions, rapid  T88.6XXA Anaphylactic reaction due to adverse 
progression of symptoms, prior hx.  effect of correct drug or medicament 
of anaphylaxis, wheezing, properly administered, initial 
995.0 Allergic reaction  difficulty swallowing. encounter T78.40XA Allergy, unspecified, initial encounter
Abnormal <80 or >250, with 
R73.01 Impaired fasting glucose
symptoms. Altered mental status, 
790.21 Blood glucose  vomiting, signs of dehydration R73.01 Impaired fasting glucose R73.09 Other abnormal blood glucose
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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
Apnea, hypoventilation requiring 
ventilatory assistance and airway 
799.1 Respiratory arrest  management. R09.2 Respiratory arrest  R09.2 Respiratory arrest 
786.05 Difficulty breathing R06.02 Shortness of Breath R06.02 Shortness of Breath
I46.2 Cardiac arrest due to underlying 
cardiac condition
I46.8 Cardiac arest due to other underlying 
Cardiac arrest ‐  condition
resuscitation in 
427.5 progress I46.9 Cardiac arrest, cause unspecified I46.9 Cardiac arrest, cause unspecified
Dull, severe, crushing, substernal, 
epigastric, left sided chest pain 
associated with pain of the jaw, 
left arm, neck, back, and nausea, 
vomiting, palpitations, pallor, 
786.50 Chest pain  diaphoresis, decreased LOC. R07.9 Chest pain, unspecified R07.9 Chest pain, unspecified
R06.5 Mouth breathing
R06.7 Sneezing
R06.89 Other abnormalities of breathing T17.200A Unspecified foreign body in pharynx 
Airway obstructed or partially  causing asphyxiation, initial 
784.99 Choking episode obstructed R19.6 Halitosis encounter
Potentially life or limb threatening
Cold exposure life/limb Temperature < 95F, deep frost 
991.6 threatening bite, other emergency conditions T68.XXXA Hypothermia, initial encounter T68.XXXA Hypothermia, initial encounter
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User bears all responsibility for use and for compliance with all applicable laws and regulations.
Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
R41.82 Altered Mental Status, unspecified
R41.0 Disorientation, unspecified R40.241 Glasgow coma scale score 13‐15
Acute condition with Glascow  R40.242 Glasgow coma scale score 9‐12
780.97 Altered LOC  Coma Scale < 15. R41.82 Altered mental status, unspecified R40.243 Glasgow coma scale score 3‐8
Seizing, immediate post‐seizure, 
postictal, or at risk of seizure and 
requires medical 
780.39 Convulsions/Seizures monitoring/observation. R56.9 Unspecified convulsions R56.9 Unspecified convulsions
I67.9 Cerebrovascular disease, unspecified
Non‐traumatic  With neurologic distress conditions  G44.89 Other headache syndrome
437.9 headache or sudden severe onset I67.9 Cerebrovascular disease, unspecified R51 Headache
785.1 Cardiac symptoms  Palpitations, skipped beats R00.2 Palpitations R00.2 Palpitations
Persistent nausea and vomiting, 
weakness, hiccups, pleuritic pain,  R11.10 Vomiting, unspecified
feeling of impending doom, and  R09.1 Pleurisy
536.2 Cardiac symptoms other emergency conditions. R11.10 Vomiting, unspecified I20.0 Unstable angina
Hot and dry skin, Temp>105, 
T67.5XXA Heat Exhaustion, unspecified, initial 
neurologic distress, signs of heat 
encounter
Heat exposure ‐  stroke or heat exhaustion, 
potentially life  orthostatic vitals, other emergency T67.5XXA Heat Exhaustion, unspecified, initial  T67.0XXA Heatstroke and sunstroke, initial 
992.5 threatening conditions. encounter encounter
Uncontrolled or significant signs of 
shock or other emergency 
conditions. Severe, active vaginal, 
rectal bleeding, hematemesis, 
hemoptysis, epistaxis, active post‐  R58 Hemorrhage, Not Elsewhere  R58 Hemorrhage, Not Elsewhere 
459.0 Hemorrhage surgical bleeding. Classified (NEC) Classified (NEC)
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User bears all responsibility for use and for compliance with all applicable laws and regulations.
Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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d e
D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
T59.811A Toxic effect of smoke, accidental 
(unintentional), initial encounter
T59.812A Toxic effect of smoke, intentional self‐
harm, initial encounter
T59.813A Toxic effect of smoke, assault,
initial encounter
T59.814A Toxic effect of smoke, undetermined, 
initial encounter
T59.891A Toxic effect of other specified gases, 
fumes and vapors, accidental 
(unintentional), initial encounter
T59.892A Toxic effect of other specified gases, 
fumes and vapors, intentional self‐
harm, initial encounter
T59.893A Toxic effect of other specified gases, 
fumes and vapors, assault, initial
encounter
Hazmat
Toxic fume or liquid exposure via  T59.894A Toxic effect of other specified gases, 
(Continued on next  inhalation, absorption, oral,  fumes and vapors, undetermined, 
987.9 page)  radiation, smoke inhalation. initial encounter
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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
e 
d e
D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
T59.91XA Toxic effect of unspecified gases, 
fumes and vapors, accidental 
(unintentional), initial encounter
T59.92XA Toxic effect of unspecified gases, 
fumes and vapors, intentional self‐
harm, initial encounter
T59.93XA Toxic effect of unspecified gases, 
fumes and vapors, assault, initial 
encounter
Toxic fume or liquid exposure via  T59.94XA Toxic effect of unspecified gases,  T59.94XA Toxic effect of unspecified gases, 
inhalation, absorption, oral,  fumes and vapors, undetermined,  fumes and vapors, undetermined, 
987.9 Hazmat (Continued) radiation, smoke inhalation. initial encounter initial encounter
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User bears all responsibility for use and for compliance with all applicable laws and regulations.
Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
T82.119A Breakdown (mechanical) of 
unspecified cardiac electronic device, 
initial encounter
T82.129A Displacement of unspecified
cardiac electronic device, initial 
encounter
T82.199A Other mechanical complication of 
unspecified cardiac device, initial 
encounter
T82.519A Breakdown (mechanical) of 
unspecified cardiac and vascular 
devices and implants, initial 
encounter
T82.529A Displacement of unspecified cardiac 
and vascular devices and implants, 
initial encounter
T82.539A Leakage of unspecified cardiac and 
vascular devices and implants, initial 
Life or limb threatening  encounter
malfunction, failure, or 
complication. Malfunction of  T82.599A Other mechanical complication of  T82.599A Other mechanical complication of 
ventilator, internal pacemaker,  unspecified cardiac and vascular  unspecified cardiac and vascular 
internal defibrillator, implanted  devices and implants, initial  devices and implants, initial 
996.00 Medical device failure  drug delivery service. encounter encounter
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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
e 
d e
D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
I67.89 Other cerebrovascular disease
Facial drooping; loss of vision;  I69.920 Aphasia following unspecified 
aphasia; difficulty swallowing;  cerebrovascular disease
numbness; tingling extremity;  R40.2241 Coma scale, best verbal response, 
stupor, delirium, confusion,  confused conversation in the field 
hallucinations; paralysis, paresis  [EMT or ambulance]
(focal weakness); abnormal 
movements; vertigo; unsteady  [PWW NOTE: See additional codes 
gait/balance; slurred speech,  related to specific GCS elements 
436 Neurological distress uanble to speak.  I67.89 Other cerebrovascular disease under R40]
Acute onset, unable to ambulate 
or sit due to intensity of pain.
Pain is the reason for the 
transport. Use severity scale (7‐10 
for severe pain) or patient  R52 Pain, unspecified
Pain, severe, not  receiving pharmalogic 
780.96 otherwise specified  intervention. R52 Pain, unspecified G89.11 Acute pain due to trauma
Suspect cardiac or vascular 
etiology. Other emergency 
conditions, absence of or 
decreased leg pulses, pulsatile  M54.89 Other dorsalgia M54.9 Dorsalgia, unspecified
Back pain, non‐ abdominal mass, severe tearing 
724.5 traumatic  abdominal pain. M54.9 Dorsalgia, unspecified M54.89 Other dorsalgia
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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0
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D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition
MS IC nditi Code  Definition MS IC nditi des c Qui D‐10 
C Co C Co Co ab IC
M43.20 Fusion of spine, site unspecified
M43.21 Fusion of spine, occipito‐atlanto‐axial 
region
M43.22 Fusion of spine, cervical region
M43.23 Fusion of spine, cervicothoracic 
region
M43.24 Fusion of spine, thoracic region
M43.25 Fusion of spine, thoracolumbar 
region
M43.26 Fusion of spine, lumbar region
M43.27 Fusion of spine, lumbosacral region
M43.28 Fusion of spine, sacral and 
sacrococcygeal region
Back pain, non‐ M43.8X9 Other specified deforming 
traumatic Sudden onset of new neurologic  dorsopathies, site unspecified
symptoms.
(Continued on next  M53.80 Other specified dorsopathies, site 
724.9 page) Neurologic distress list. unspecified
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