R10.0 Acute abdomen R10.10 Upper abdominal pain, unspecified R10.11 Right upper quadrant pain R10.12 Left upper quadrant pain R10.13 Epigastric pain R10.2 Pelvic and perineal pain R10.30 Lower abdominal pain R10.31 Right lower quadrant pain R10.32 Left lower quadrant pain R10.33 Periumbilical pain R10.84 Generalized abdominal pain R10.9* Unspecified abdominal pain.
J02.0 Streptococcal pharyngitis J02.8 Acute pharyngitis due to other specified organisms J02.9* Acute pharyngitis, unspecified
J30.0 Vasomotor rhinitis J30.1 Allergic rhinitis due to pollen J30.2 Other seasonal allergic rhinitis J30.5 Allergic rhinitis due to food J30.81 Allergic rhinitis due to animal (cat) (dog) hair and dander J30.89 Other allergic rhinitis J30.9* Allergic rhinitis, unspecified
E10.65 Type 1 diabetes mellitus with hyperglycemia E10.9 Type 1 diabetes mellitus without complications E11.65 Type 2 diabetes mellitus with hyperglycemia E11.9 Type 2 diabetes mellitus without complications
H65.111 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear H65.112 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear H65.113 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral H65.114 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear H65.115 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear H65.116 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral H65.117* Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear H65.119* Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear H65.191 Other acute nonsuppurative otitis media, right ear H65.192 Other acute nonsuppurative otitis media, left ear H65.193 Other acute nonsuppurative otitis media, bilateral H65.194 Other acute nonsuppurative otitis media, recurrent, right ear H65.195 Other acute nonsuppurative otitis media, recurrent, left ear H65.196 Other acute nonsuppurative otitis media, recurrent, bilateral H65.197* Other acute nonsuppurative otitis media recurrent, unspecified ear H65.199* Other acute nonsuppurative otitis media, unspecified ear.
The use of ICD-10 code K59.00 can also apply to: 1 Constipation (atonic) (neurogenic) (simple) (spastic) 2 Dyschezia
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.
Despite the availability of more specific codes, ICD-9 code 382.9 (unspecified otitis media) was frequently reported. Use of an unspecified code is appropriate when no further information is known at the time of the encounter; however, more specific reporting is appropriate when further information is known, and it typically better supports the level of service rendered.
Acknowledging this, the Centers for Medicare & Medicaid Services and the American Medical Association recently announced a one-year grace period during which Medicare claims will not be denied solely because the diagnosis code is not specific enough – as long as it is from the appropriate family of ICD-10 codes (the three-character category) and is a valid code.
An additional code from category I50 must be assigned to identify the type of heart failure in patients with hypertensive heart disease with heart failure.
The increased specificity required in your documentation and coding under ICD-10 may seem unnecessarily burdensome. However, diagnosis coding has a wider impact than you might immediately recognize.