Commonly-Used ICD-10 Codes The commonly-used ICD-10 diagnosis codes provided below are for informational purposes only. Always adhere to the coding policies recommended by your insurance carrier or billing specialist. It is the sole responsibility of the ordering provider to ensure compliance with all applicable laws, regulations, coverage decisions, policies, and contractual obligations that may govern coverage and payment for services performed. HealthTrackRx does not provide coding advice to providers. HealthTrackRx recommends that providers contact third-party payors directly to inquire about appropriate coding and billing policies related to the provision of medical items and services. RESPIRATORY ICD Code URINARY TRACT INFECTION Description ICD Code Description J00 Acute nasopharyngitis [common cold] N30.00 Acute cystitis without hematuria J01.90 Acute sinusitis N30.01 Acute cystitis with hematuria J06.9 Acute upper respiratory infection, unspecified Urinary tract infection, site not specified J10.1 Influenza due to other identified influenza virus with other respiratory manifestations N39.0 N39.1 Persistent proteinuria, unspecified J20.9 Acute bronchitis R30.0 Dysuria R05.1 Acute cough R30.9 Painful micturition, unspecified R05.8 Other specified cough R31.0 Gross hematuria R06.2 Wheezing R35.0 Frequency of micturition R07.0 Pain in throat R82.9 Other and unspecified abnormal findings in urine R09.81 Nasal congestion R50.9 Fever, unspecified R82.998 Other abnormal findings in urine Z11.52 Encounter for screening for COVID-19 Z87.440 Personal history of urinary (tract) infections Z11.59 Encounter for screening for other viral diseases Z20.822 Contact with and (suspected) exposure to COVID-19 Z20.828 Contact with and (suspected) exposure to other viral communicable diseases PHARYNGITIS / LARYNGITIS ICD Code Description GENITOURINARY & URETHRITIS / DISCHARGE ICD Code N89.9 Noninflammatory disorder of vagina, unspecified R10.9 Unspecified abdominal pain R30.0 Dysuria R30.9 Painful micturition, unspecified R31.9 Hematuria, unspecified R36.9 Urethral discharge, unspecified A49.1 Streptococcal infection, unspecified site J02.9 Acute pharyngitis J20.9 Acute bronchitis R05.1 Acute cough R05.9 Cough, unspecified Z01.419 R50.9 Fever, unspecified Z11.3 Z20.822 Contact with and (suspected) exposure to COVID-19 J02.9, R05.9 J02.9, R05.1, Z20.822 J02.9, R50.9, Z20.822 Z00.129 Acute pharyngitis, Cough, unspecified Acute pharyngitis, Acute cough, Contact with and (suspected) exposure to COVID-19 Acute pharyngitis, Fever, unspecified, Contact with and (suspected) exposure to COVID-19 VAGINITIS ICD Code Description N76.0 Acute vaginitis N76.1 Subacute and chronic vaginitis N76.89 Other specified inflammation of vagina and vulva N93.9 Abnormal uterine and vaginal bleeding, unspecified R30.0 Dysuria Z72.51 High risk heterosexual behavior Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission Customer Care: 866.287.3218 Description Z20.2 Encounter for routine child health examination without abnormal findings Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for screening for infections with a predominantly sexual mode of transmission Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission Z72.51 High risk heterosexual behavior Z72.52 High risk homosexual behavior OTOLARYNGOLOGY ICD Code Description J02.0 Streptococcal pharyngitis J02.9 Acute pharyngitis J32.0 Chronic maxillary sinusitis J32.8 Other chronic sinusitis J32.9 Chronic sinusitis, unspecified K12.1 Other forms of stomatitis K12.2 Cellulitis and abscess of mouth Z20.822 Contact with and (suspected) exposure to COVID-19 Z20.828 Contact with and (suspected) exposure to other viral communicable diseases Getting People Healthier Faster V1240-030323 © Copyright 2023 HealthTrackRx pg 1 The commonly-used ICD-10 diagnosis codes provided below are for informational purposes only. Always adhere to the coding policies recommended by your insurance carrier or billing specialist. It is the sole responsibility of the ordering provider to ensure compliance with all applicable laws, regulations, coverage decisions, policies, and contractual obligations that may govern coverage and payment for services performed. HealthTrackRx does not provide coding advice to providers. HealthTrackRx recommends that providers contact third-party payors directly to inquire about appropriate coding and billing policies related to the provision of medical items and services. TINEA ICD Code GASTROINTESTINAL Description ICD Code B35.0 Tinea barbae B35.1 Tinea unguium B35.3 Tinea pedis B35.4 Tinea corporis B35.8 Tinea faciei WOUND ICD Code Description L01.00 Impetigo, unspecified L02.214 Cutaneous abscess of groin L02.818 Cutaneous abscess of other sites L03.113 Cellulitis of right upper limb L03.114 Cellulitis of left upper limb L03.115 Cellulitis of right lower limb L03.116 Cellulitis of left lower limb L03.90 Cellulitis, unspecified L30.4 Erythema intertrigo L30.8 Other specified dermatitis L89.144 Pressure ulcer of left lower back L97.512 L97.522 R89.5 Description A04.72 Enterocolitis due to Clostridium difficile, not specified as recurrent A09 Infectious gastroenteritis and colitis, unspecified R10.13 Epigastric pain R10.30 Lower abdominal pain, unspecified R11.2 Nausea with vomiting, unspecified R14.0 Abdominal distension (gaseous) R19.7 Diarrhea, unspecified OPHTHALMOLOGY ICD Code Non-pressure chronic ulcer of other part of right foot with unspecified severity Non-pressure chronic ulcer of other part of left foot with fat layer exposed Abnormal microbiological findings in specimens from other organs, systems and tissues Description B00.50 Herpesviral ocular disease, unspecified B00.52 Herpesviral keratitis H10.31 Unspecified acute conjunctivitis, right eye H10.32 Unspecified acute conjunctivitis, left eye H10.33 Unspecified acute conjunctivitis, bilateral H16.001 Unspecified corneal ulcer, right eye H16.002 Unspecified corneal ulcer, left eye H16.011 Central corneal ulcer, right eye H16.012 Central corneal ulcer, left eye H16.041 Marginal corneal ulcer, right eye H16.042 Marginal corneal ulcer, left eye PELVIC INFLAMMATORY DISEASE S81.802A Unspecified open wound, left lower leg, initial encounter ICD Code S81.801A Unspecified open wound, right lower leg, initial encounter N89.9 Noninflammatory disorder of vagina, unspecified R10.30 Lower abdominal pain, unspecified N93.9 Abnormal uterine and vaginal bleeding R35.0 Frequency of micturition R30.0 Dysuria PROCTITIS ICD Code Description Description K62.89 Other specified diseases of anus and rectum K62.5 Hemorrhage of anus Z72.51 High risk heterosexual behavior Z72.52 High risk homosexual behavior ICD Code Encounter for screening for infections with a predominantly sexual mode of transmission Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission H92.09 Otalgia, unspecified ear H91.90 Unspecified hearing loss, unspecified ear H72.90 Unspecified perforation of tympanic membrane, unspecified ear H73.93 Unspecified disorder of tympanic membrane, bilateral H66.9 Otitis media, unspecified H65.23 Chronic serous otitis media, bilateral H70.0 Unspecified mastoiditis, unspecified ear Z11.3 Z20.2 ACUTE OTITIS MEDIA / MASTOIDITIS Customer Care: 866.287.3218 Description Getting People Healthier Faster V1240-030323 © Copyright 2023 HealthTrackRx pg 2 The commonly-used ICD-10 diagnosis codes provided below are for informational purposes only. Always adhere to the coding policies recommended by your insurance carrier or billing specialist. It is the sole responsibility of the ordering provider to ensure compliance with all applicable laws, regulations, coverage decisions, policies, and contractual obligations that may govern coverage and payment for services performed. HealthTrackRx does not provide coding advice to providers. HealthTrackRx recommends that providers contact third-party payors directly to inquire about appropriate coding and billing policies related to the provision of medical items and services. GENITAL LESION (INCLUDING FOR ADD-ONS) ICD Code HIGH RISK SEXUAL BEHAVIOR (INCLUDING FOR ADD-ONS) Description ICD Code N48.5 Ulcer of penis N76.6 Ulceration of vulva N50.9 Disorder of male genital organs, unspecified Description Encounter for screening for infections with a predominantly sexual mode of transmission Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission Z11.3 Z20.2 Z72.51 High risk heterosexual behavior Z72.52 High risk homosexual behavior Other specified noninflammatory disorders of vulva and perineum Encounter for screening for infections with a predominantly sexual mode of transmission Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission ICD Code Z72.51 High risk heterosexual behavior B35.1 Tinea unguium Z72.52 High risk homosexual behavior L60.1 Onycholysis L60.3 Nail dystrophy L60.8 Other nail disorder N90.89 Z11.3 Z20.2 Customer Care: 866.287.3218 ONYCHOMYCOSIS Description Getting People Healthier Faster V1240-030323 © Copyright 2023 HealthTrackRx pg 3
