HCC Quick Coder 2012
ICD9
584.9
584.9
303.91
303.90
303.93
571.3
V49.71
V49.70
V49.74
997.69
997.60
997.62
V49.72
V49.76
V49.75
V49.73
284.9
284.89
282.60
441.4
441.9
442.9
441.2
413.9
413.9
411.1
Acute renal failure
Acute renal failure, NOS
Alcohol dependence chronic
Alcohol dependence, unspec.
Alcohol dependent remission
Alcoholic Liver Damage, Unspecified
Amputation - great toe status
Amputation lower limb status, NOS
Amputation Status Ankle, disarticulation
Amputation Stump Complication NEC
Amputation Stump Complication NOS
Amputation Stump Infection
Amputation -toe(s) status
Amputation-above knee/leg status
Amputation-below knee status
Amputation-foot status
Anemia aplastic unspec.
Anemia, aplastic, other
Anemia, sickle cell, NOS
Aneurysm Aorta Abdom. w/o rupture (AAA)
Aneurysm Aorta unspec
Aneurysm site unspec.
Aneurysm, thoracic
Angina equivalent
Angina unspec.
Angina unstable
HCC
Level
131
131
52
52
52
26
177
177
177
177
177
177
177
177
177
177
44
44
44
105
105
105
105
83
83
82
720.0
Ankylosing spondylitis
38
284.11
Antineoplastic chemotherapy induced
pancytopenia
Aorta sclerosis
440.0
Diagnosis
Empirical Risk Management
Notes
Added to Part C CY2012
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
45
105
Category
Renal Failure
Renal Failure
Drug/Alcohol Dependence
Drug/Alcohol Dependence
Drug/Alcohol Dependence
Cirrhosis of Liver
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Amp Stat,Lower Limb/Amp Comp
Severe Hematological Disorders
Severe Hematological Disorders
Severe Hematological Disorders
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Angina Pectoris/Old MI
Angina Pectoris/Old MI
Unstable Angina / Oth Acute
Ischemic Heart Disease
Rh Arthritis and Inflam Conn
Disease
Disorders of Immunity
Vascular Disease
HCC Quick Coder 2012
V44.52
444.9
446.5
447.6
720.0
714.9
V44.9
493.20
440.0
440.20
427.31
427.32
426.0
136.1
296.80
730.90
427.2
427.81
491.9
491.20
799.4
259.2
425.4
425.4
579.0
343.9
356.1
428.0
585.1
585.2
585.3
Appendico-vesicostomy
Arterial embolism or thrombosis unspec.
Arteritis, temporal/Giant cell
Arteritis, unspec.
Arthritis of spine, Rheumatoid
Arthritis, inflammatory/inflammatory polyarthritis
Artificial opening status unspec.
Asthma, chronic obstructive
Atherosclerosis of aorta
Atherosclerosis of extrm. unspec.
Atrial fibrillation
Atrial flutter
AV block complete (3rd degree)
Behcet's syndrome
Bipolar disorder unspec. / Manic-depressive
Bone infection, NOS
Bouveret-Hoffman syndrome
Bradycardia, severe or persistent or chronic
Bronchitis chronic
Bronchitis chronic obstructive
Cachexia
Carcinoid syndrome
Cardiomyopathy, dilated or non ischemic
Cardiomyopathy, NOS
Celiac disease/gluten intolerance/sprue
Cerebral Palsy, NOS
Charcot Marie Tooth disease
CHF Congestive Heart Failure
Chronic Kidney Disease 1 (GFR>90) (code only if kidney
damage)
Chronic Kidney Disease 2 (Mild-GFR 60-89) (code only if
kidney damage)
Chronic Kidney Disease 3 (Mod-GFR 30-59)*
Empirical Risk Management
unspec
*Not of the valve
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
176
104
38
105
38
38
176
108
105
105
92
92
92
38
55
37
92
92
108
108
21
10
80
80
32
101
71
80
131
Artif Opening-Feeding/Elimin
Vascular Disease with Com plica
Rh Arthritis and Inflam Conn Disease
Vascular Disease
Rh Arthritis and Inflam Conn Disease
Rh Arthritis and Inflam Conn Disease
Artif Opening-Feeding/Elimin
COPD
Vascular Disease
Vascular Disease
Specified Heart Arrhythmias
Specified Heart Arrhythmias
Specified Heart Arrhythmias
Rh Arthritis and Inflam Conn Disease
Mjr Depr,Bipolar,Paranoid Dsrd
Bone/Joint/Muscle Inf/Necr
Specified Heart Arrhythmias
Specified Heart Arrhythmias
COPD
COPD
Protein-Calorie Malnutrition
Brst,Prst,Clrectal,Oth CA/TU
Congestive Heart Failure
Congestive Heart Failure
Pancreatic Disease
CP and Other Paralytic Syndr
Polyneuropathy
Congestive Heart Failure
Renal Failure
131
Renal Failure
131
Renal Failure
HCC Quick Coder 2012
Empirical Risk Management
585.4
585.5
585.9
585.6
518.83
571.2
571.5
443.9
204.10
556.9
710.9
733.13
V44.3
733.13
336.9
710.9
Chronic Kidney Disease 4 (Severe GFR 15-29)
Chronic Kidney Disease 5 (GFR less than 15)
CKD / CRI chronic renal insuff unspec*
CKD End stage renal disease (ESRD)
Chronic Respiratory Failure
Cirrhosis alcohol related
Cirrhosis NOS
Claudication, NOS
Cll Chronic lymphoid leukemia
Colitis, ulcerative, NOS
Collagen Disease
Collapse of vertebra NOS (pathologic)
Colostomy status
Compression FX of Vertebra NOS
Compression, spinal cord (not fracture)
Connective tissue disease, unspec.
496
416.9
555.9
438.20
438.40
COPD
Cor Pulmonale/Chronic Pulmonary Heart Dis
Crohn's disease, NOS
CVA sip with Hemiplegia/hemiparesis
CVA sip with monoplegia of lower limb
108
80
33
100
101
438.30
CVA sip with monoplegia of upper limb
101
277.00
V44.50
303.90
304.90
304.00
Cystic fibrosis, NOS
Cystostomy unspec.
Dependance, Alcohol, NOS
Dependance, Drug, NOS
Dependance, Opoid, NOS*
107
176
52
52
52
Renal Failure
Renal Failure
Renal Failure
Renal Failure
Cardio-Respir Failure/Shock
Cirrhosis of Liver
Cirrhosis of Liver
Vascular Disease
lymph,Hd/Neck, Brain,OthMaj CA
Inflammatory Bowel Disease
Rh Arthritis and Inflam Conn Disease
Vertebral Fract w/o Spinallnj
Artif Opening-Feeding/Elimin
Vertebral Fract w/o Spinallnj
Spinal Cord Disorders/Injuries
Rh Arthritis and Inflam Conn
Disease
COPD
Congestive Heart Failure
Inflammatory Bowel Disease
Hemiplegia/Hemiparesis
Cerebral Palsy/Paralytic
Syndromes
Cerebral Palsy/Paralytic
Syndromes
Cystic Fibrosis
Artif Opening-Feeding/Elimin
Drug/Alcohol Dependence
Drug/Alcohol Dependence
Drug/Alcohol Dependence
296.30
296.20
V45.11
Depression major, recurring
Depression major, single episode or unspec
Dialysis status
55
55
130
Mjr Depr,Bipolar,Paranoid Dsrd
Mjr Depr,Bipolar,Paranoid Dsrd
Dialysis Status
*Must say chronic renal insuff
*Acute condition
*Excludes long term prescribed use
(V59.69)
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
131
131
131
131
79
26
26
105
9
33
38
157
176
157
69
38
HCC Quick Coder 2012
344.2
996.42
Diplegia of Upper Limbs
Dislocated Hip Prosthesis*
835.00
250.00
250.20
250.40
Dislocated hip, traumatic
DM 2 w/o complications
DM 2 w / hyperosmolarity
DM 2 w/ renal manifestations
250.50
DM 2 w/ ophth manifestations*
250.60
DM 2 w/ neuro manifestations*
250.70
DM 2 w / peripheral circ disorder*
250.80
DM 2 w/ other specific manif not stated *
249.00
249.00
304.90
453.40
453.42
453.41
453.82
453.52
453.50
453.51
453.72
DM Secondary
DM Secondary w/o complications
Drug dependence, unspec.
DVT Acute or unspec, lower ext.*
DVT Acute, distal lower extremity
DVT Acute, proximal lower extremity
DVT Acute, upper ext. (brachial, radial, ulnar vein)
DVT Chronic, distal lower extremity
DVT Chronic, lower ext., NOS*
DVT Chronic, proximal lower extremity
DVT Chronic, upper ext. (brachial, radial, ulnar
vein)
Ectasia, Abdominal Aorta
Ectasia, Aorta, unspecified site
Ectasia, Thoracic Aorta
447.72
447.70
447.71
Empirical Risk Management
*Code also V43.64
*Code also CKD/CRI585.9, Nephropathy
583.81, or Nephrosis 581.81
*Code also Retinopathy 362.01 or Prolif.
Retinopathy 362.02
*Code also Polyneuropathy 357.2,
gastroparesis 536.3, or other neuro
manifestation
*Code also PVD 443.81, gangrene 785.4,
or
other manifestation
Code also manifestation, such as:
Ulcerations 707.10-707.9, hypoglycemia
251.2, bone chgs 731.8; ED 607.84
*Unspecified vessel
*Must say chronic to continue coding
*Must say chronic to continue coding
*Must say chronic to continue coding
*Must say chronic to continue coding
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
101
164
158
19
17
15
CP and Other Paralytic Syndr
Major Compl. of Medical
Care/Trauma
Hip Fracture/Dislocation
Diabetes without Complication
DM with Acute Complications
DM w/ Renal or Periph Circ Man
18
DM w/ Ophth or Unspec Manifest
16
DM w / Neurologic or Oth Manif
15
DM w/ Renal or Periph Circ Man
16
DM w/ Other Manifestations
19
19
52
105
105
105
105
105
105
105
105
Diabetes without Complication
Diabetes without Complication
Drug / Alcohol Dependence
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
105
105
105
Vascular Disease
Vascular Disease
Vascular Disease
HCC Quick Coder 2012
447.73
453.84
453.86
453.87
453.85
444.1
444.22
444.21
444.9
453.74
Ectasia, Thoracoabdominal Aorta
Embolism/Thrombosis, Acute, axillary vein
Embolism/Thrombosis, Acute, internal jugular vein
Embolism/Thrombosis, Acute, other thoracic vein
Embolism/Thrombosis, Acute, subclavian vein
Embolism/Thrombosis, aorta thoracic
Embolism/Thrombosis, arteries of lower extremity
Embolism/Thrombosis, arteries of upper extremity
Embolism/Thrombosis, artery unspec
Embolism/Thrombosis, Chronic, axillary vein
453.77
Embolism/Thrombosis, Chronic, other thoracic vein
416.2
Embolism/Thrombosis, Chronic, pulmonary artery
453.76
Embolism/Thrombosis, Chronic,internal jugular vein
453.75
Embolism/Thrombosis, Chronic,subclavian vein
453.3
492.8
572.2
345.90
456.0
456.1
560.32
821.00
820.8
805.4
Embolism/Thrombosis, renal vein
Emphysema unspec
Encephalopathy
Epilepsy NOS / Seizure Disorder
Esophageal varices w/ bleeding
Esophageal varices w/o bleeding
Fecal Impaction
Fx. femur closed unspec.
Fx. hip closed / Fx. neck of femur
Fx. Lumbar vertebra closed NOS w/o spinal cord,
traumatic
Fx. Pelvis NOS closed
Fx. Vertebra cervical NOS closed
Fx. vertebra closed NOS w/o spinal cord injury,
808.8
805.00
805.8
Empirical Risk Management
*Acute condition
*Acute condition
*Acute condition
*Acute condition
*Must document chronic to continue
coding
*Must document chronic to continue
coding
*Must document chronic to continue
coding
*Must document chronic to continue
coding
*Must document chronic to continue
coding
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
105
105
105
105
105
104
104
104
104
105
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease
Vascular Disease with Com plica
Vascular Disease with Com plica
Vascular Disease with Com plica
Vascular Disease with Com plica
Vascular Disease
105
Vascular Disease
104
Vascular Disease with Com plica
105
Vascular Disease
105
Vascular Disease
105
108
25
74
25
25
31
158
158
157
Vascular Disease
COPD
End-Stage Liver Disease
Seizure Disorders / Convulsions
End-Stage Liver Disease
End-Stage Liver Disease
Intestinal Obstruction/ Perforation
Hip Fracture / Dislocation
Hip Fracture / Dislocation
Vertebral Fx. w/o Spinal Injury
158
157
157
Hip Fracture / Dislocation
Vertebral Fx. w/o Spinal Injury
Vertebral Fx. w/o Spinal Injury
HCC Quick Coder 2012
785.4
536.40
V44.1
V44.4
579.0
357.4
428.40
428.30
428.20
428.9
V42.1
342.91
342.92
342.90
438.20
432.9
070.32
070.54
571.40
V08
042.
201.90
traumatic
Fx. Vertebra pathologic / vertebra collapse /
compression
Gangrene
Gastrostomy complication, NOS
Gastrostomy status
GI opening, unspec.
Gluten Intolerance / Celiac Disease
Gouty Neuritis
Heart failure, combined, unspec
Heart Failure, diastolic, unspec
Heart failure, systolic, unspec
Heart failure, unspec
Heart transplant status
Hemiplegia dmnt side unspec.
Hemiplegia non-dmnt unspec.
Hemiplegia side unspec.
Hemiplegia/Hemiparesis from CVA, side unspec.
Hemorrhage Intracranial, NOS
Hepatitis B chronic
Hepatitis C chronic
Hepatitis chronic unspec.
HIV asymptomatic
HIV symptomatic
Hodgkin's disease unspec.
572.3
416.8
416.8
402.91
403.91
404.91
404.93
Hypertension, portal
Hypertension, pulmonary
Hypertension, pulmonary, secondary
Hypertensive Heart Dz wL Heart Failure*
Hypertensive CKD V or ESRD*
Hypertensive Heart & CKD I-IV or unspec wL HF*
Hypertensive Heart & CKD V-ESRD wL HF*
733.13
Empirical Risk Management
*Can code w/ DM w PVD 250.70 + 443.81
*Code in addition to 274.89
*Must document chronic to code
*Must document chronic to code
*Must document chronic to code
*Use add'i code 428.0 CHF
*Use add'i code 585.5 or 585.6
*Use add'i codes 585.9 + 428.0
*Use add'i codes 585.5 or 585.6 +
428.0
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
157
Vertebral Fx. w/o Spinal Injury
104
176
176
176
32
71
80
80
80
80
174
100
100
100
100
95
27
27
27
1
1
9
Vascular Disease w/ Complications
Artif Opening – Feeding / Elimin
Artif Opening – Feeding / Elimin
Artif Opening – Feeding / Elimin
Pancreatic Disease
Polyneuropathy
Congestive Heart Failure
Congestive Heart Failure
Congestive Heart Failure
Congestive Heart Failure
Major Organ Transplant Status
Hemiplegia/Hemiparesis
Hemiplegia/Hemiparesis
Hemiplegia/Hemiparesis
Hemiplegia/Hemiparesis
Cerebral Hemorrhage
Chronic Hepatitis
Chronic Hepatitis
Chronic Hepatitis
HIV/AIDS
HIV/AIDS
Lymph,Hd/Neck, Brain,OthMaj
CA
End-Stage Liver Disease
Congestive Heart Failure
Congestive Heart Failure
Congestive Heart Failure
Renal Failure
Congestive Heart Failure
Renal Failure
25
80
80
80
131
80
131
HCC Quick Coder 2012
Empirical Risk Management
404.92
425.11
799.02
V44.2
560.1
279.3
560.30
714.9
Hypertensive Heart & CKD V-ESRD w/out HF*
Hypertrophic obstructive cardiomyopathy
Hypoxemia/Hypoxia/Anoxia
Ileostomy status
Ileus/Paralysis of intestine or colon
Immunity deficiency/disorder unspec.
Impaction of intestine/colon unspec.
Inflammatory Polyarthropathy, NOS
V58.67
579.9
560.9
586
208.92
Insulin long term use (same as DM)
Intestinal malabsorption unspec.
Intestinal obstruction unspec.
Kidney failure, NOS
Leukemia in relapse
19
32
31
131
9
208.91
208.90
V42.7
710.0
202.80
579.9
263.9
569.62
996.47
Leukemia in remission
Leukemia unspec.
Liver transplant status
Lupus
Lymphoma unspec.
Malabsorption syndrome
Malnutrition, NOS
Mechanical Complication Colostomy/Enterostomy
Mechanical Complication Prosthetic Joint Implant,
Other
Meningioma, unspec
Merkel cell carcinoma, face
Old MI
Monoplegia from CV A lower limb, side unspec.
Monoplegia from CV A upper limb, side unspec.
Monoplegia/Paralysis, arm
Monoplegia/Paralysis, leg
Mood Disorder
Mood Swings
9
9
174
38
9
32
21
176
164
225.2
209.31
412
438.40
438.30
344.40
344.30
296.90
296.99
*Use add'i code 585.5 or 585.6
Added to Part C CY2012
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
131
80
79
176
31
45
31
38
10
10
83
101
101
101
101
55
55
Renal Failure
Congestive Heart Failure
Cardio-Respir Failure/Shock
Artif Opening-Feeding/Elimin
Intestinal Obstructn/Perforatn
Disorders of Immunity
Intestinal Obstructn/Perforatn
Rh Arthritis and Inflam Conn
Disease
Diabetes without Complication
Pancreatic Disease
Intestinal Obstructn/Perforatn
Renal Failure
Lymph,Hd/Neck, Brain,OthMaj CA
Lymph,Hd/Neck, Brain,OthMaj CA
Lymph,Hd/Neck, Brain,OthMaj CA
Major Organ Transplant Status
Rh Arthritis and Inflam Conn Disease
Lymph,Hd/Neck, Brain,OthMaj CA
Pancreatic Disease
Protein-Calorie Malnutrition
Artif Opening-Feeding/Elimin
Major Compl. of Medical
Care/Trauma
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Angina Pectoris/Old MI
CP and Other Paralytic Syndr
CP and Other Paralytic Syndr
CP and Other Paralytic Syndr
CP and Other Paralytic Syndr
Mjr Depr,Bipolar,Paranoid Dsrd
Mjr Depr,Bipolar,Paranoid Dsrd
HCC Quick Coder 2012
340
359.1
358.00
238.75
203.00
203.02
336.9
410.92
Empirical Risk Management
Multiple sclerosis
Muscular dystrophy, NOS
Myasthenia Gravis, NOS
Myelodysplastic syndrome, unspec.
Myeloma, multiple, not stated as in remission or
relapsed
Myeloma, Mutiple in relapse
72
70
71
44
9
69
82
Multiple Sclerosis
Muscular Dystrophy
Polyneuropathy
Severe Hematological Disorders
Lymph,Hd/Neck, Brain,OthMaj
CA
Lymph,Hd/Neck, Brain,OthMaj
CA
Spinal Cord Disorders/Injuries
Unstbl Ang/Oth Acute IHD
82
Unstbl Ang/Oth Acute IHD
80
80
71
71
71
37
10
7
Congestive Heart Failure
Congestive Heart Failure
Polyneuropathy
Polyneuropathy
Polyneuropathy
Bone/Joint/Muscle Inf/Necr
Brst,Prst,Clrectal,Oth CA/TU
Metastatic CA and Acute Leukem
7
Metastatic CA and Acute Leukem
7
7
7
7
7
Metastatic CA and Acute Leukem
Metastatic CA and Acute Leukem
Metastatic CA and Acute Leukem
Metastatic CA and Acute Leukem
Metastatic CA and Acute Leukem
Lymph,Hd/Neck, Brain,OthMaj
CA
Brst,Prst,Clrectal,Oth CA/TU
Lymph,Hd/Neck, Brain,OthMaj
9
198.5
198.3
197.7
197.0
196.9
Myelopathy/Cord compression
Myocardial infarction, NOS, subsequent up to 8
weeks*
Myocardial infarction, NSTEMI, subsequent up to
8 weeks
Myocarditis degeneration
Myocarditis unspec.
Myopathy in disease*
Myopathy unspec.
Myotonic disorders, other
Necrosis, avascular, of bone
Neoplasm Brain, unspecified nature
Neoplasm secondary malignant Lymph Node
NOS
Neoplasm secondary malignant Lymph NodeMultiple
Neoplasm secondary site Bone/Bone marrow
Neoplasm secondary site Brain
Neoplasm secondary site Liver
Neoplasm secondary site Lung
Neoplasm secondary site Lymph node(s), NOS
194.0
Neoplasm, malignant Adrenal
9
188.9
170.9
Neoplasm, malignant Bladder, NOS
Neoplasm, malignant Bone, NOS
10
9
410.72
429.1
429.0
359.6
359.9
359.29
733.40
239.6
196.9
196.8
*Refer to ICD-9-CM for specific
STEMI location
*Code also underlying disease
*unspecified if benign or malignant
* Code if active treatment or adjunct
treatment. Code also if refusing
treatment.
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
Empirical Risk Management
191.9
Neoplasm, malignant Brain, NEC
9
174.9
175.9
153.9
171.9
10
10
10
9
150.9
Neoplasm, malignant Breast - female, NOS
Neoplasm, malignant Breast - male
Neoplasm, malignant Colon, NOS
Neoplasm, malignant Connective & soft tissue,
NOS
Neoplasm, malignant Esophagus, NOS
155.0
Neoplasm, malignant Liver, primary
9
162.9
Neoplasm, malignant Lung/Bronchus, NOS
8
183.0
Neoplasm, malignant Ovarian
9
158.9
Neoplasm, malignant Peritoneum, NOS
8
185
Neoplasm, malignant Prostate
154.1
189.0
165.9
Neoplasm, malignant Rectal
Neoplasm, malignant Renal
Neoplasm, malignant Respiratory tract, NOS
10
10
9
172.9
186.9
189.9
580.9
582.9
583.9
583.0
583.81
581.1
581.9
Neoplasm, malignant Skin, Melanoma, NOS
Neoplasm, malignant Testis
Neoplasm, malignant Urninary, NOS
Nephritis/Nephropathy acute
Nephritis/Nephropathy chronic
Nephritis/Nephropathy unspec
Nephritis/Nephropathy w/ lesion proliferative
Nephropathy in DM
Nephrotic syndrome w/ lesion
Nephrotic syndrome w/ lesion or edema unspec.
10
10
10
132
132
132
132
132
132
132
8
* Code if active treatment or adjunct
treatment. Code also if refusing
treatment.
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
10
CA
Lymph,Hd/Neck, Brain,OthMaj
CA
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Lymph,Hd/Neck, Brain,OthMaj
CA
Lng,Upr DigestTract,Other Sev
CA
Lymph,Hd/Neck, Brain,OthMaj
CA
Lng,Upr DigestTract,Other Sev
CA
Lymph,Hd/Neck, Brain,OthMaj
CA
Lng,Upr DigestTract,Other Sev
CA
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Lymph,Hd/Neck, Brain,OthMaj
CA
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Brst,Prst,Clrectal,Oth CA/TU
Nephritis
Nephritis
Nephritis
Nephritis
Nephritis
Nephritis
Nephritis
HCC Quick Coder 2012
288.00
304.00
Neutropenia, NOS
Opioid dependence, unspec*
730.20
Osteomyelitis unspec.
284.12
Other drug induced pancytopenia
425.18
Empirical Risk Management
45
52
Disorders of Immunity
Drug/Alcohol Dependence
37
Bone/Joint/Muscle Inf/Necr
Added to Part C CY2012
45
Disorders of Immunity
Other hypertrophic cardiomyopathy
Added to Part C CY2012
80
Congestive Heart Failure
284.19
Other pancytopenia
Added to Part C CY2012
45
Disorders of Immunity
577.9
Pancreatic disease, NOS
32
Pancreatic Disease
577.8
Pancreatic disease, other
32
Pancreatic Disease
577.0
Pancreatitis acute
32
Pancreatic Disease
577.1
Pancreatitis chronic
32
Pancreatic Disease
560.1
Paralysis of intestine or colon/Ileus
31
Intestinal Obstructn/Perforatn
438.50
Paralytic syndrome other unspec.
101
CP and Other Paralytic Syndr
297.9
Paranoid disorder unspec.
55
Mjr Depr,Bipolar,Paranoid Dsrd
344.1
Paraplegia
68
Paraplegia
332.0
Parkinson's disease
73
Parknsn's/Huntington's Disease
730.30
Periostitis w/o osteomyelitis
37
Bone/Joint/Muscle Inf/Necr
443.9
Peripheral arterial disease (PAD)
105
Vascular Disease
337.1
Periph. Autonomic Neuropathy in Diabetes*
71
Polyneuropathy
*Excludes long term prescribed use
(V58.69)
*Must be Autonomic. Code also
250.60
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
337.00
Periph. Autonomic Neuropathy, Idiopathic
356.9
Empirical Risk Management
*Must be Autonomic
71
Polyneuropathy
Peripheral neuropathy
71
Polyneuropathy
443.9
Peripheral vascular disease, unspec
105
Vascular Disease
443.81
Peripheral vascular/angiopathy in disease*
105
Vascular Disease
567.9
Peritonitis NOS
31
Intestinal Obstructn/Perforatn
353.6
Phantom limb syndrome
177
Amp Stat,Lower Limb/Amp Comp
451.83
Phlebitis arm deep vein
105
Vascular Disease
451.11
Phlebitis leg femoral vein
105
Vascular Disease
451.19
Phlebitis leg other deep
105
Vascular Disease
482.82
Pneumonia E. Coli
111
482.89
Pneumonia Other Specified Bacteria
111
481
Pneumonia pneumococcal
112
482.40
Pneumonia staphylococcus, NOS
111
482.30
Pneumonia streptococcus, NOS
112
446.0
Polyarteritis Nodosa
38
714.9
Polyarthropathy, inflammatory, NOS
38
714.89
Polyarthropathy, inflammatory, Other specified
38
725
Polymyalgia rheumatica
38
710.4
Polymyositis
38
356.9
Polyneuropathy and peripheral neuropathy
71
Aspiration & Specif. Bact.
Pneumonias
Aspiration & Specif. Bact.
Pneumonias
Pneumococl
Pneum,Empyema,Lung
Aspiration & Specif. Bact.
Pneumonias
Pneumococl
Pneum,Empyema,Lung
Rh Arthritis and Inflam Conn
Disease
Rh Arthritis and Inflam Conn
Disease
Rh Arthritis and Inflam Conn
Disease
Rh Arthritis and Inflam Conn
Disease
Rh Arthritis and Inflam Conn
Disease
Polyneuropathy
*Code also underlying disease such
as diabetes, etc.
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
357.2
356.9
356.9
357.5
Polyneuropathy and peripheral neuropathy in
diabetes*
Polyneuropathy and peripheral neuropathy, NOS
Polyneuropathy and peripheral neuropathy,
unspec.
Polyneuropathy or peripheral neuropathy
alcoholic*
Empirical Risk Management
*Code also 250.60
71
Polyneuropathy
71
Polyneuropathy
71
Polyneuropathy
*Code also alcohol depend. or abuse
71
Polyneuropathy
*Code also SLE, RA
71
Polyneuropathy
357.1
Polyneuropathy or peripheral neuropathy due to
collagen vascular dis*
572.3
Portal Hypertension
25
End-Stage Liver Disease
714.4
Postrheumatic Arthropathy, Chronic
38
Rh Arthritis and Inflam Conn
Disease
263.9
Protein calorie malnutrition unspec. (alb<2.5)
21
Protein-Calorie Malnutrition
428.1
Pulmonary edema acute
415.19
Pulmonary embolism (PE)
416.2
Pulmonary embolism chronic
416.9
80
Congestive Heart Failure
*Acute
104
Vascular Disease with Com plica
*Must say chronic to continue coding
104
Vascular Disease with Com plica
Pulmonary heart disease chronic unspec.
80
Congestive Heart Failure
416.8
Pulmonary Hypertension, NOS
80
Congestive Heart Failure
427.1
PVT Parox~smal ventricular tachycardia*
92
Specified Heart Arrhythmias
344.00
Quadriplegia unspec.
67
Quad/Other Exten Paralysis
*Must be Paroxysmal
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
Empirical Risk Management
780.72
Quadriplegia, funct (due to fraility)
67
Quad/Other Exten Paralysis
337.20
Reflex sympathetic dystrophy (RSD) unspec
71
Polyneuropathy
555.9
Regional Enteritis, NOS
33
Inflammatory Bowel Disease
V45.11
Renal dialysis status
130
Dialysis Status
584.9
Renal failure acute
131
Renal Failure
440.1
Renal stenosis
105
Vascular Disease
593.81
Renal vascular disorder/renal thrombosis or
embolism
104
Vascular Disease with Com plica
518.81
Respiratory failure, acute or NOS
79
Cardio-Respir Failure/Shock
518.83
Respiratory failure, chronic
79
Cardio-Respir Failure/Shock
362.02
Retinopathy, prolif in Diabetes*
119
Prolif Diab Retinop/Vitr Hem
720.0
Rheumatoid Arthritis of Spine
38
Rh Arthritis and Inflam Conn
Disease
714.0
Rheumatoid Arthritis*
720.2
*Code also 250.50
*Code also manifestation 359.6 or
357.1
38
Rh Arthritis and Inflam Conn
Disease
Sacroiliitis unspec.
38
295.90
Schizophrenia unspec.
54
Rh Arthritis and Inflam Conn
Disease
Schizophrenia
710.1
Scleroderma/Systemic disease/CRST Syndrome
38
345.90
Seizure Disorder, NOS
74
Rh Arthritis and Inflam Conn
Disease
Seizure Disorders/Convulsions
780.39
Seizures NOS
74
Seizure Disorders/Convulsions
038.9
Septicemia
2
Septicemia/Shock
282.41
Sickle cell thalassemia without crisis
44
Severe Hematological Disorders
Added to Part C CY2012
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
427.81
Sinoatrial node dysfunction/SSS/TachycardiaBradycardia syndrome*
Empirical Risk Management
*Code if no pacemaker, or
92
Specified Heart Arrhythmias
Rh Arthritis and Inflam Conn
Disease
Rh Arthritis and Inflam Conn
Disease
Spinal Cord Disorders/Injuries
pacemaker AND meds
710.2
Sjogrens syndrome
38
710.0
SLE (Lupus)
38
334.9
Spinocerebellar disease unspec.
69
720.9
Spondylitis/inflammatory spondylopathy unspec.
38
Rh Arthritis and Inflam Conn
Disease
447.1
Stricture of artery
105
Vascular Disease
V44.51
Suprapubic catheter/Cutaneous-vesicostomy
176
Artif Opening-Feeding/Elimin
427.0
Tachycardia, Parox~smal atrial (PAT)*
*Must be Paroxysmal
92
Specified Heart Arrhythmias
427.0
427.0
Tachycardia, Parox~smal atrioventricular (PAVT)*
Tachycardia, Parox~smal junctional*
*Must be Paroxysmal
*Must be Paroxysmal
92
92
Specified Heart Arrhythmias
Specified Heart Arrhythmias
427.0
Tachycardia, Parox~smal nodal*
*Must be Paroxysmal
92
Specified Heart Arrhythmias
427.0
Tachycardia, Parox~smal supraventricular
(PSVT)*
*Must be Paroxysmal
92
Specified Heart Arrhythmias
427.2
Tachycardia, Parox~smal unspec.*
*Must be Paroxysmal
92
Specified Heart Arrhythmias
427.1
Tachycardia, Parox~smal ventricular*
*Must be Paroxysmal. Ok to code with
AI CD / defibrillator
92
Specified Heart Arrhythmias
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
427.1
Tachycardia, Ventricular (paroxysmal)*
447.1
Empirical Risk Management
* Ok to code with AICD/defibrillator.
92
Specified Heart Arrhythmias
Torsion of artery (Aorta)
105
Vascular Disease
V44.0
Tracheostomy status
77
Respirator Depend/Trach Status
707.8
Ulcer Chronic Other Specified
149
Chronic Skin Ulcer,Excpt Decub
707.13
Ulcer of Ankle
149
Chronic Skin Ulcer,Excpt Decub
707.12
Ulcer of Calf
149
Chronic Skin Ulcer,Excpt Decub
707.14
Ulcer of Heel & Midfoot
149
Chronic Skin Ulcer,Excpt Decub
707.15
Ulcer of Other Part of Foot
149
Chronic Skin Ulcer,Excpt Decub
707.19
Ulcer of Other Part of Lower Limb
149
Chronic Skin Ulcer,Excpt Decub
707.11
Ulcer of Thigh
149
Chronic Skin Ulcer,Excpt Decub
707.9
Ulcer skin or ulcer chronic or ulcer tropic, site
unspec.*
*Code specific site, if known
149
Chronic Skin Ulcer,Excpt Decub
707.9
Ulcer, diabetic, site unspec*
*Code specific site, if known. Code
also 250.80.
149
Chronic Skin Ulcer,Excpt Decub
707.10
Ulcer, lower limb (NOT pressure or decubitis),
unspec site*
*Code specific site instead, if known
149
Chronic Skin Ulcer,Excpt Decub
707.21
Ulcer, pressure stage 1*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
707.22
Ulcer, pressure stage 11*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
Empirical Risk Management
707.23
Ulcer, pressure stage 111*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
707.24
Ulcer, pressure stage IV*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
707.20
Ulcer, pressure unspec stage*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
707.25
Ulcer, pressure unstageable*
* Code first Pressure Ulcer location
707.0x
148
Decubitus Ulcer of Skin
707.05
Ulcer, Pressure, Buttock*
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.01
Ulcer, Pressure, Elbow*
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.07
Ulcer, Pressure, Heel *
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.04
Ulcer, Pressure, Hip*
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.03
Ulcer, Pressure, Lower Back *
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.02
Ulcer, Pressure, Upper Back *
*Code also stage of ulcer 707.2x
148
Decubitus Ulcer of Skin
707.00
Ulcer,pressure/decubitis/bedsore/plaster ulcer,
site unspec.*
*Code specific site instead, if known
148
Decubitus Ulcer of Skin
585.9
Uremia, chronic
131
Renal Failure
586
Uremia/Renal failure NOS
131
Renal Failure
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book
HCC Quick Coder 2012
Empirical Risk Management
V44.6
Ureterostmy status
176
Artif Opening-Feeding/Elimin
557.9
Vascular Insufficiency of Intestine, Unspecified
105
Vascular Disease
427.41
Ventricular fibrillation
Acute condition
79
Cardio-Respir Failure/Shock
427.42
Ventricular flutter
Acute condition
79
Cardio-Respir Failure/Shock
427.1
Ventricular tachycardia*
* Ok to code with AICD/defibrillator
92
Specified Heart Arrhythmias
733.13
Vertebra fracture, Pathological
Acute condition
157
Vertebral Fract w/o Spinallnj
952.9
Vertebra, ruptured disks/nerve damage, traumatic
69
Spinal Cord Disorders/Injuries
379.23
Vitreous hemorrhage
119
Prolif Diab Retinop/Vitr Hem
*This reference is ONLY a guide. Follow all guidelines for coding per the 2012 ICD-9 Book