ICD-9-CM to ICD-10-CM Crosswalk

ICD-9-CM to ICD-10-CM Crosswalk St. Jude Medical provides this reference for information purposes only. This reference does not serve as reimbursement...
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ICD-9-CM to ICD-10-CM Crosswalk St. Jude Medical provides this reference for information purposes only. This reference does not serve as reimbursement or legal advice, nor is it intended to increase payment by any payor. Nothing in this reference guarantees that the levels of reimbursement, payment, or charges are accurate or that reimbursement will be received. The physician or provider is responsible for obtaining reimbursement and for verifying the accuracy and veracity of all claims submitted to third-party payors. Laws, regulations, and coverage policies are complex and updated frequently, and therefore physicians and providers should consult their local carriers, administrative contractors, or a reimbursement specialist with reimbursement or billing questions. This document is intended to provide reimbursement assistance only where products have been used according to their FDA-approved or cleared indications. Where reimbursement is being requested in conjunction with use of a product that is inconsistent with, or not expressly granted in, the FDA-approved labeling (which may be found in the clinician’s manual, user’s guide or directions for use), please consult your billing personnel or the payor for instructions on the proper handling of this type of claim. Some payors may restrict such claims or services. Contact your Medicare contractor or other payor for any questions regarding coverage, coding and payment. On October 1, 2014, the ICD-9-CM code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10-CM code sets. The transition to ICD-10-CM is occurring because ICD-9-CM produces limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9-CM is currently 30 years old, has outdated terms, and is inconsistent with current medical practice. The structure of ICD-9-CM limits the number of new codes that can be created, and many ICD-9-CM categories are full and have no room for expansion. The table below highlights the differences in ICD-9-CM and ICD-10-CM and the major reasons for the transition. ICD-9-CM Diagnosis Codes

ICD-10-CM Diagnosis Codes

3–5 characters in length

3–7 characters in length

Approximately 14,025 codes

Approximately 69,125 codes

First digit may be alpha (e or v) or numeric. Digits 2–5 are numeric

Digit 1 is alpha; digits 2 and 3 are numeric; digits 4–7 are alpha or numeric

Limited space for new codes

Flexible for adding new codes

Lack detail

Very specific

Lack laterality

Have laterality

Difficult to analyze data due to non-specific codes

Specificity improves coding accuracy and depth of data for analysis

ICD-10-CM will affect diagnosis coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims. Everyone covered by HIPAA must also switch to Version 5010 transaction standards. The change to ICD-10-CM does not affect CPT coding for outpatient procedures. ICD-10-CM diagnosis codes must be used for all healthcare services provided in the U.S. on or after October 1, 2014. Claims with ICD-9-CM codes for services provided on or after October 1, 2014, will not be paid. All ICD-10-CM books are still in draft form. The following is a crosswalk from the ICD-9-CM diagnosis codes for spinal cord stimulation to their current ICD-10-CM counterparts. For more information about the ICD-10-CM transition and tips on implementation, please refer to the websites below. http://www.aapc.com/ICD-10/ http://www.who.int/classifications/icd/en/ https://www.cms.gov/ICD10/

ICD-9-CM to ICD-10-CM Crosswalk Primary Diagnosis Codes ICD-9-CM

ICD-10-CM

Descriptor

338.21

G89.21

Chronic pain due to trauma

338.28

G89.28

Other chronic postprocedural pain

338.4

G89.4

Chronic pain syndrome

Secondary Diagnosis Codes ICD-9-CM

ICD-10-CM

Descriptor

053.12

B02.22

Postherpetic trigeminal neuralgia

053.19

B02.29

Other postherpetic nervous system involvement

322.9

G03.9

Meningitis, unspecified

337.21

G90.519

Complex regional pain syndrome I of unspecified upper limb

337.22

G90.529

Complex regional pain syndrome I of unspecified lower limb

337.29

G90.59

Complex regional pain syndrome I of other specified site

353.0

G54.0

Brachial plexus disorders

353.1

G54.1

Lumbosacral plexus disorders

353.6

G54.6

Phantom limb syndrome with pain

353.8

G54.8

Other nerve root and plexus disorders

354.4

G56.40

Causalgia of unspecified upper limb

354.8

G56.80

Other specified mononeuropathies of unspecified upper limb

354.9

G56.90

Unspecified mononeuropathy of unspecified upper limb

355.71

G57.70

Causalgia of unspecified lower limb

355.79

G57.80

Other specified mononeuropathies of unspecified lower limb

355.8

G57.90

Unspecified mononeuropathy of unspecified lower limb

440.22

I70.229

Atherosclerosis of native arteries of extremities with rest pain, unspecified extremity

722.81 722.82

M96.1

Postlaminectomy syndrome, not elsewhere classified

M54.12

Radiculopathy, cervical region

M54.13

Radiculopathy, cervicothoracic region

M54.30

Sciatica, unspecified side

M54.14

Radiculopathy, thoracic region

M54.15

Radiculopathy, thoracolumbar region

M54.16

Radiculopathy, lumbar region

M54.17

Radiculopathy, lumbosacral region

722.83 723.4 724.3

724.4

ICD-9-CM to ICD-10-CM Crosswalk Secondary Diagnosis Codes ICD-9-CM

952.00

952.01

952.02

952.03

952.04

952.05

952.06

952.07

952.08

ICD-10-CM

Descriptor

S14.101A

Unspecified injury at C1 level of cervical spinal cord, initial encounter

S14.102A

Unspecified injury at C2 level of cervical spinal cord, initial encounter

S14.103A

Unspecified injury at C3 level of cervical spinal cord, initial encounter

S14.104A

Unspecified injury at C4 level of cervical spinal cord, initial encounter

S14.111A

Complete lesion at C1 level of cervical spinal cord, initial encounter

S14.112A

Complete lesion at C2 level of cervical spinal cord, initial encounter

S14.113A

Complete lesion at C3 level of cervical spinal cord, initial encounter

S14.114A

Complete lesion at C4 level of cervical spinal cord, initial encounter

S14.131A

Anterior cord syndrome at C1 level of cervical spinal cord, initial encounter

S14.132A

Anterior cord syndrome at C2 level of cervical spinal cord, initial encounter

S14.133A

Anterior cord syndrome at C3 level of cervical spinal cord, initial encounter

S14.134A

Anterior cord syndrome at C4 level of cervical spinal cord, initial encounter

S14.121A

Central cord syndrome at C1 level of cervical spinal cord, initial encounter

S14.122A

Central cord syndrome at C2 level of cervical spinal cord, initial encounter

S14.123A

Central cord syndrome at C3 level of cervical spinal cord, initial encounter

S14.124A

Central cord syndrome at C4 level of cervical spinal cord, initial encounter

S14.151A

Other incomplete lesion at C1 level of cervical spinal cord, initial encounter

S14.152A

Other incomplete lesion at C2 level of cervical spinal cord, initial encounter

S14.153A

Other incomplete lesion at C3 level of cervical spinal cord, initial encounter

S14.154A

Other incomplete lesion at C4 level of cervical spinal cord, initial encounter

S14.105A

Unspecified injury at C5 level of cervical spinal cord, initial encounter

S14.106A

Unspecified injury at C6 level of cervical spinal cord, initial encounter

S14.107A

Unspecified injury at C7 level of cervical spinal cord, initial encounter

S14.108A

Unspecified injury at C8 level of cervical spinal cord, initial encounter

S14.115A

Complete lesion at C5 level of cervical spinal cord, initial encounter

S14.116A

Complete lesion at C6 level of cervical spinal cord, initial encounter

S14.117A

Complete lesion at C7 level of cervical spinal cord, initial encounter

S14.118A

Complete lesion at C8 level of cervical spinal cord, initial encounter

S14.135A

Anterior cord syndrome at C5 level of cervical spinal cord, initial encounter

S14.136A

Anterior cord syndrome at C6 level of cervical spinal cord, initial encounter

S14.137A

Anterior cord syndrome at C7 level of cervical spinal cord, initial encounter

S14.138A

Anterior cord syndrome at C8 level of cervical spinal cord, initial encounter

S14.125A

Central cord syndrome at C5 level of cervical spinal cord, initial encounter

S14.126A

Central cord syndrome at C6 level of cervical spinal cord, initial encounter

S14.127A

Central cord syndrome at C7 level of cervical spinal cord, initial encounter

S14.128A

Central cord syndrome at C8 level of cervical spinal cord, initial encounter

ICD-9-CM to ICD-10-CM Crosswalk Secondary Diagnosis Codes ICD-9-CM

ICD-10-CM

Descriptor

S14.155A

Other incomplete lesion at C5 level of cervical spinal cord, initial encounter

S14.156A

Other incomplete lesion at C6 level of cervical spinal cord, initial encounter

S14.157A

Other incomplete lesion at C7 level of cervical spinal cord, initial encounter

S14.158A

Other incomplete lesion at C8 level of cervical spinal cord, initial encounter

S24.101A

Unspecified injury at T1 level of thoracic spinal cord, initial encounter

S24.102A

Unspecified injury at T2-T6 level of thoracic spinal cord, initial encounter

S24.111A

Complete lesion at T1 level of thoracic spinal cord, initial encounter

S24.112A

Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter

S24.131A

Anterior cord syndrome at T1 level of thoracic spinal cord, initial encounter

S24.141A

Anterior cord syndrome at T2-T6 level of thoracic spinal cord, initial encounter

S24.151A

Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter

S24.152A

Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter

S24.151A

Other incomplete lesion at T1 level of thoracic spinal cord, initial encounter

S24.152A

Other incomplete lesion at T2-T6 level of thoracic spinal cord, initial encounter

S24.103A

Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter

S24.104A

Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter

S24.113A

Complete lesion at T7-T10 level of thoracic spinal cord, initial encounter

S24.114A

Complete lesion at T11-T12 level of thoracic spinal cord, initial encounter

S24.133A

Anterior cord syndrome at T7-T10 level of thoracic spinal cord, initial encounter

S24.134A

Anterior cord syndrome at T11-T12 level of thoracic spinal cord, initial encounter

S24.153A

Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter

S24.154A

Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter

S24.153A

Other incomplete lesion at T7-T10 level of thoracic spinal cord, initial encounter

S24.154A

Other incomplete lesion at T11-T12 level of thoracic spinal cord, initial encounter

952.2

S34.109A

Unspecified injury to unspecified level of lumbar spinal cord, initial encounter

952.3

S34.139A

Unspecified injury to sacral spinal cord, initial encounter

952.4

S34.3XXA

Injury of cauda equina, initial encounter

952.8

S34.139A

Unspecified injury to sacral spinal cord, initial encounter

S14.109A

Unspecified injury at unspecified level of cervical spinal cord, initial encounter

S24.109A

Unspecified injury at unspecified level of thoracic spinal cord, initial encounter

S34.109A

Unspecified injury to unspecified level of lumbar spinal cord, initial encounter

S34.139A

Unspecified injury to sacral spinal cord, initial encounter

953.0

S14.2XXA

Injury of nerve root of cervical spine, initial encounter

953.1

S24.2XXA

Injury of nerve root of thoracic spine, initial encounter

953.2

S34.21XA

Injury of nerve root of lumbar spine, initial encounter

953.3

S34.22XA

Injury of nerve root of sacral spine, initial encounter

952.09

952.10

952.11

952.12

952.13

952.14

952.15

952.16

952.17

952.18

952.19

952.9

ICD-9-CM to ICD-10-CM Crosswalk Secondary Diagnosis Codes ICD-9-CM

ICD-10-CM

Descriptor

953.4

S14.3XXA

Injury of brachial plexus, initial encounter

953.5

S34.4XXA

Injury of lumbosacral plexus, initial encounter

S14.2XXA

Injury of nerve root of cervical spine, initial encounter

S24.2XXA

Injury of nerve root of thoracic spine, initial encounter

S34.21XA

Injury of nerve root of lumbar spine, initial encounter

S34.22XA

Injury of nerve root of sacral spine, initial encounter

S34.4XXA

Injury of lumbosacral plexus, initial encounter

S14.2XXA

Injury of nerve root of cervical spine, initial encounter

S24.2XXA

Injury of nerve root of thoracic spine, initial encounter

S34.21XA

Injury of nerve root of lumbar spine, initial encounter

S34.22XA

Injury of nerve root of sacral spine, initial encounter

S34.4XXA

Injury of lumbosacral plexus, initial encounter

953.8

953.9

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