Rheumatology RAF Home MIF Home MIF Physicians Resources Back to Guides Rheumatology Ch 3: Blood Disorders D50-D89 Ch 6: Pain Nervous System G00-G99 Ch 3: Blood DisordersICD-9-CM Most Intra-operative & Post- procedural complications are included in Chapter 17 – Injury and Poisoning. Ch 3: Blood DisordersICD-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 DisordersNotes Intra-operative & Post-procedural complications are also included in other chapters based on specific site/system documentation. Ch 6: Pain Nervous SystemICD-9-CM Type Site Ch 6: Pain Nervous SystemICD-10-CM Requirements General Documentation: Type of pain: – Acute or chronic – Post-procedural (specify procedure) – Due to trauma – Neoplasm related (specify neoplasm and site) Site specificity, when applicable Laterality (right, left, bilateral), when applicable Dominant or Non-dominant side, when applicable Chronic Pain: Central pain syndrome and Chronic pain syndrome are different than the term ‘chronic pain’ and will be coded based on your specific documentation. Migraine, document: With or without aura Intractable or not intractable With or without status migrainosus Epilepsy, document: Localization related or generalized Intractable or not intractable With or w/o status epilepticus – Limited to breakdown of skin – With fat layer exposed – With necrosis of muscle – With necrosis of bone Ch 6: Pain Nervous SystemNotes “Pain” is also included in other chapters based on specific documentation (site, not specified as acute or chronic). Additional Resources MLN Matters® Article SE1518 Coding for ICD-10-CM: More of the Basics MLN Connects Video 2016 ICD-10-CM and GEMs For more information contact the AMA.