Ch 3: Blood Disorders
ICD-9-CM
Most Intra-operative & Post- procedural complications are included in Chapter 17 – Injury and Poisoning.
Ch 3: Blood Disorders
ICD-10-CM Requirements
Anemia, document:
- Nutritional, specify:
– Iron deficiency
– Vitamin B12 deficiency
– Folate deficiency (dietary or drug-induced)
– Other (protein, megaloblastic) - Hemolytic, specify:
– Due to enzyme disorders
– Sickle-cell disorders
– Other hereditary or acquired - Aplastic
- In other chronic diseases (specify the underlying disease)
Spleen document Intra-operative & Post-procedural complications, specify:
- Intra-operative (during) or Post-procedural (following)
- Hemorrhage, hematoma, accidental puncture or accidental laceration of the spleen
- Procedure on the spleen or other procedure
Ch 3: Blood Disorders
Notes
Intra-operative & Post-procedural complications are also included in other chapters based on specific site/system documentation.
Ch 4: Diabetes & Metabolic Disorders
ICD-9-CM
Diabetes: Distinguished as “Uncontrolled” or “Not stated as uncontrolled”.
Ch 4: Diabetes & Metabolic Disorders
ICD-10-CM Requirements
Diabetes, document:
- Type 1 diabetes mellitus
- Type 2 diabetes mellitus (default, if not specified)
- Drug or chemically induced diabetes mellitus
- Secondary diabetes mellitus (specify the cause)
- Specify complication(s), when applicable
- Specify use of insulin, when applicable
Obesity, document:
- Due to excess calories
- Drug-induced
- Identify body mass index
Ch 4: Diabetes & Metabolic Disorders
Notes
Diabetes: Distinguished as “With complications” or “Without complications”.
Gestational diabetes (in pregnancy) is reported in Chapter 15.
Additional Resources
Coding for ICD-10-CM: More of the Basics MLN Connects Video
For more information contact the AMA.