- certain conditions originating in the perinatal period (
ICD-10-CM Diagnosis Code P04
Newborn affected by noxious substances transmitted via placenta or breast milk
2016 2017 - Revised Code 2018 2019 2020 Non-Billable/Non-Specific Code
Includes- nonteratogenic effects of substances transmitted via placenta
Type 2 Excludes- congenital malformations (Q00-Q99)
- encounter for observation of newborn for suspected diseases and conditions ruled out (Z05.-)
- neonatal jaundice from excessive hemolysis due to drugs or toxins transmitted from mother (P58.4)
- newborn in contact with and (suspected) exposures hazardous to health not transmitted via placenta or breast milk (Z77.-)
P04-ICD-10-CM Diagnosis Code P96
Other conditions originating in the perinatal period
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
P96) - certain infectious and parasitic diseases (A00-B99
ICD-10-CM Range A00-B99
Certain infectious and parasitic diseases
- A00-A09 Intestinal infectious diseases
- A15-A19 Tuberculosis
- A20-A28 Certain zoonotic bacterial diseases
- A30-A49 Other bacterial diseases
- A50-A64 Infections with a predominantly sexual m...
- A65-A69 Other spirochetal diseases
- A70-A74 Other diseases caused by chlamydiae
- A75-A79 Rickettsioses
- A80-A89 Viral and prion infections of the centra...
- A90-A99 Arthropod-borne viral fevers and viral h...
- B00-B09 Viral infections characterized by skin a...
- B10-B10 Other human herpesviruses
- B15-B19 Viral hepatitis
- B20-B20 Human immunodeficiency virus [HIV] disea...
- B25-B34 Other viral diseases
- B35-B49 Mycoses
- B50-B64 Protozoal diseases
- B65-B83 Helminthiases
- B85-B89 Pediculosis, acariasis and other infesta...
- B90-B94 Sequelae of infectious and parasitic dis...
- B95-B97 Bacterial and viral infectious agents
- B99-B99 Other infectious diseases
) - complications of pregnancy, childbirth and the puerperium (O00-O9A
ICD-10-CM Range O00-O9A
Pregnancy, childbirth and the puerperium
- O00-O08 Pregnancy with abortive outcome
- O09-O09 Supervision of high risk pregnancy
- O10-O16 Edema, proteinuria and hypertensive diso...
- O20-O29 Other maternal disorders predominantly r...
- O30-O48 Maternal care related to the fetus and a...
- O60-O77 Complications of labor and delivery
- O80-O82 Encounter for delivery
- O85-O92 Complications predominantly related to t...
- O94-O9A Other obstetric conditions, not elsewher...
) - congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99
ICD-10-CM Range Q00-Q99
Congenital malformations, deformations and chromosomal abnormalities
- Q00-Q07 Congenital malformations of the nervous ...
- Q10-Q18 Congenital malformations of eye, ear, fa...
- Q20-Q28 Congenital malformations of the circulat...
- Q30-Q34 Congenital malformations of the respirat...
- Q35-Q37 Cleft lip and cleft palate
- Q38-Q45 Other congenital malformations of the di...
- Q50-Q56 Congenital malformations of genital orga...
- Q60-Q64 Congenital malformations of the urinary ...
- Q65-Q79 Congenital malformations and deformation...
- Q80-Q89 Other congenital malformations
- Q90-Q99 Chromosomal abnormalities, not elsewhere...
) - diabetes mellitus related eye conditions (
ICD-10-CM Diagnosis Code E09.3
Drug or chemical induced diabetes mellitus with ophthalmic complications
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
E09.3-, ICD-10-CM Diagnosis Code E10.3
Type 1 diabetes mellitus with ophthalmic complications
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
E10.3-, ICD-10-CM Diagnosis Code E11.3
Type 2 diabetes mellitus with ophthalmic complications
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
E11.3-, ICD-10-CM Diagnosis Code E13.3
Other specified diabetes mellitus with ophthalmic complications
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
E13.3-) - endocrine, nutritional and metabolic diseases (
ICD-10-CM Diagnosis Code E00
Congenital iodine-deficiency syndrome
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- subclinical iodine-deficiency hypothyroidism (E02)
Use Additional- code (F70-F79) to identify associated intellectual disabilities.
E00-ICD-10-CM Diagnosis Code E88
Other and unspecified metabolic disorders
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- histiocytosis X (chronic) (C96.6)
Use Additional- codes for associated conditions
E88) - injury (trauma) of eye and orbit (
ICD-10-CM Diagnosis Code S05
- S05 Injury of eye and orbit
- S05.0 Injury of conjunctiva and corneal abrasion wi...
- S05.00 Injury of conjunctiva and corneal abrasion wi...
- S05.00XA Injury of conjunctiva and corneal abrasion wi...
- S05.00XD Injury of conjunctiva and corneal abrasion wi...
- S05.00XS Injury of conjunctiva and corneal abrasion wi...
- S05.01 Injury of conjunctiva and corneal abrasion wi...
- S05.01XA Injury of conjunctiva and corneal abrasion wi...
- S05.01XD Injury of conjunctiva and corneal abrasion wi...
- S05.01XS Injury of conjunctiva and corneal abrasion wi...
- S05.02 Injury of conjunctiva and corneal abrasion wi...
- S05.02XA Injury of conjunctiva and corneal abrasion wi...
- S05.02XD Injury of conjunctiva and corneal abrasion wi...
- S05.02XS Injury of conjunctiva and corneal abrasion wi...
- S05.1 Contusion of eyeball and orbital tissues
- S05.10 Contusion of eyeball and orbital tissues, uns...
- S05.10XA Contusion of eyeball and orbital tissues, uns...
- S05.10XD Contusion of eyeball and orbital tissues, uns...
- S05.10XS Contusion of eyeball and orbital tissues, uns...
- S05.11 Contusion of eyeball and orbital tissues, rig...
- S05.11XA Contusion of eyeball and orbital tissues, rig...
- S05.11XD Contusion of eyeball and orbital tissues, rig...
- S05.11XS Contusion of eyeball and orbital tissues, rig...
- S05.12 Contusion of eyeball and orbital tissues, lef...
- S05.12XA Contusion of eyeball and orbital tissues, lef...
- S05.12XD Contusion of eyeball and orbital tissues, lef...
- S05.12XS Contusion of eyeball and orbital tissues, lef...
- S05.2 Ocular laceration and rupture with prolapse o...
- S05.20 Ocular laceration and rupture with prolapse o...
- S05.20XA Ocular laceration and rupture with prolapse o...
- S05.20XD Ocular laceration and rupture with prolapse o...
- S05.20XS Ocular laceration and rupture with prolapse o...
- S05.21 Ocular laceration and rupture with prolapse o...
- S05.21XA Ocular laceration and rupture with prolapse o...
- S05.21XD Ocular laceration and rupture with prolapse o...
- S05.21XS Ocular laceration and rupture with prolapse o...
- S05.22 Ocular laceration and rupture with prolapse o...
- S05.22XA Ocular laceration and rupture with prolapse o...
- S05.22XD Ocular laceration and rupture with prolapse o...
- S05.22XS Ocular laceration and rupture with prolapse o...
- S05.3 Ocular laceration without prolapse or loss of...
- S05.30 Ocular laceration without prolapse or loss of...
- S05.30XA Ocular laceration without prolapse or loss of...
- S05.30XD Ocular laceration without prolapse or loss of...
- S05.30XS Ocular laceration without prolapse or loss of...
- S05.31 Ocular laceration without prolapse or loss of...
- S05.31XA Ocular laceration without prolapse or loss of...
- S05.31XD Ocular laceration without prolapse or loss of...
- S05.31XS Ocular laceration without prolapse or loss of...
- S05.32 Ocular laceration without prolapse or loss of...
- S05.32XA Ocular laceration without prolapse or loss of...
- S05.32XD Ocular laceration without prolapse or loss of...
- S05.32XS Ocular laceration without prolapse or loss of...
- S05.4 Penetrating wound of orbit with or without fo...
- S05.40 Penetrating wound of orbit with or without fo...
- S05.40XA Penetrating wound of orbit with or without fo...
- S05.40XD Penetrating wound of orbit with or without fo...
- S05.40XS Penetrating wound of orbit with or without fo...
- S05.41 Penetrating wound of orbit with or without fo...
- S05.41XA Penetrating wound of orbit with or without fo...
- S05.41XD Penetrating wound of orbit with or without fo...
- S05.41XS Penetrating wound of orbit with or without fo...
- S05.42 Penetrating wound of orbit with or without fo...
- S05.42XA Penetrating wound of orbit with or without fo...
- S05.42XD Penetrating wound of orbit with or without fo...
- S05.42XS Penetrating wound of orbit with or without fo...
- S05.5 Penetrating wound with foreign body of eyebal...
- S05.50 Penetrating wound with foreign body of unspec...
- S05.50XA Penetrating wound with foreign body of unspec...
- S05.50XD Penetrating wound with foreign body of unspec...
- S05.50XS Penetrating wound with foreign body of unspec...
- S05.51 Penetrating wound with foreign body of right ...
- S05.51XA Penetrating wound with foreign body of right ...
- S05.51XD Penetrating wound with foreign body of right ...
- S05.51XS Penetrating wound with foreign body of right ...
- S05.52 Penetrating wound with foreign body of left e...
- S05.52XA Penetrating wound with foreign body of left e...
- S05.52XD Penetrating wound with foreign body of left e...
- S05.52XS Penetrating wound with foreign body of left e...
- S05.6 Penetrating wound without foreign body of eye...
- S05.60 Penetrating wound without foreign body of uns...
- S05.60XA Penetrating wound without foreign body of uns...
- S05.60XD Penetrating wound without foreign body of uns...
- S05.60XS Penetrating wound without foreign body of uns...
- S05.61 Penetrating wound without foreign body of rig...
- S05.61XA Penetrating wound without foreign body of rig...
- S05.61XD Penetrating wound without foreign body of rig...
- S05.61XS Penetrating wound without foreign body of rig...
- S05.62 Penetrating wound without foreign body of lef...
- S05.62XA Penetrating wound without foreign body of lef...
- S05.62XD Penetrating wound without foreign body of lef...
- S05.62XS Penetrating wound without foreign body of lef...
- S05.7 Avulsion of eye
- S05.70 Avulsion of unspecified eye
- S05.70XA Avulsion of unspecified eye, initial encounte...
- S05.70XD Avulsion of unspecified eye, subsequent encou...
- S05.70XS …… sequela
- S05.71 Avulsion of right eye
- S05.72 Avulsion of left eye
- S05.8 Other injuries of eye and orbit
- S05.8X Other injuries of eye and orbit
- S05.8X1 Other injuries of right eye and orbit
- S05.8X1A Other injuries of right eye and orbit, initia...
- S05.8X1D Other injuries of right eye and orbit, subseq...
- S05.8X1S Other injuries of right eye and orbit, sequel...
- S05.8X2 Other injuries of left eye and orbit
- S05.8X2A Other injuries of left eye and orbit, initial...
- S05.8X2D Other injuries of left eye and orbit, subsequ...
- S05.8X2S Other injuries of left eye and orbit, sequela...
- S05.8X9 Other injuries of unspecified eye and orbit
- S05.8X9A Other injuries of unspecified eye and orbit, ...
- S05.8X9D Other injuries of unspecified eye and orbit, ...
- S05.8X9S Other injuries of unspecified eye and orbit, ...
- S05.9 Unspecified injury of eye and orbit
- S05.90 Unspecified injury of unspecified eye and orb...
- S05.90XA Unspecified injury of unspecified eye and orb...
- S05.90XD Unspecified injury of unspecified eye and orb...
- S05.90XS Unspecified injury of unspecified eye and orb...
- S05.91 Unspecified injury of right eye and orbit
- S05.91XA Unspecified injury of right eye and orbit, in...
- S05.91XD Unspecified injury of right eye and orbit, su...
- S05.91XS Unspecified injury of right eye and orbit, se...
- S05.92 Unspecified injury of left eye and orbit
- S05.92XA Unspecified injury of left eye and orbit, ini...
- S05.92XD Unspecified injury of left eye and orbit, sub...
- S05.92XS Unspecified injury of left eye and orbit, seq...
S05.-) - injury, poisoning and certain other consequences of external causes (S00-T88
ICD-10-CM Range S00-T88
Injury, poisoning and certain other consequences of external causes
- S00-S09 Injuries to the head
- S10-S19 Injuries to the neck
- S20-S29 Injuries to the thorax
- S30-S39 Injuries to the abdomen, lower back, lum...
- S40-S49 Injuries to the shoulder and upper arm
- S50-S59 Injuries to the elbow and forearm
- S60-S69 Injuries to the wrist, hand and fingers
- S70-S79 Injuries to the hip and thigh
- S80-S89 Injuries to the knee and lower leg
- S90-S99 Injuries to the ankle and foot
- T07-T07 Injuries involving multiple body regions
- T14-T14 Injury of unspecified body region
- T15-T19 Effects of foreign body entering through...
- T20-T25 Burns and corrosions of external body su...
- T26-T28 Burns and corrosions confined to eye and...
- T30-T32 Burns and corrosions of multiple and uns...
- T33-T34 Frostbite
- T36-T50 Poisoning by, adverse effect of and unde...
- T51-T65 Toxic effects of substances chiefly nonm...
- T66-T78 Other and unspecified effects of externa...
- T79-T79 Certain early complications of trauma
- T80-T88 Complications of surgical and medical ca...
) - neoplasms (C00-D49
ICD-10-CM Range C00-D49
Neoplasms
- C00-C14 Malignant neoplasms of lip, oral cavity ...
- C15-C26 Malignant neoplasms of digestive organs
- C30-C39 Malignant neoplasms of respiratory and i...
- C40-C41 Malignant neoplasms of bone and articula...
- C43-C44 Melanoma and other malignant neoplasms o...
- C45-C49 Malignant neoplasms of mesothelial and s...
- C50-C50 Malignant neoplasms of breast
- C51-C58 Malignant neoplasms of female genital or...
- C60-C63 Malignant neoplasms of male genital orga...
- C64-C68 Malignant neoplasms of urinary tract
- C69-C72 Malignant neoplasms of eye, brain and ot...
- C73-C75 Malignant neoplasms of thyroid and other...
- C76-C80 Malignant neoplasms of ill-defined, othe...
- C7A-C7A Malignant neuroendocrine tumors
- C7B-C7B Secondary neuroendocrine tumors
- C81-C96 Malignant neoplasms of lymphoid, hematop...
- D00-D09 In situ neoplasms
- D10-D36 Benign neoplasms, except benign neuroend...
- D37-D48 Neoplasms of uncertain behavior, polycyt...
- D3A-D3A Benign neuroendocrine tumors
- D49-D49 Neoplasms of unspecified behavior
) - symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (
ICD-10-CM Diagnosis Code R00
Abnormalities of heart beat
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Type 1 Excludes- abnormalities originating in the perinatal period (P29.1-)
Type 2 Excludes- specified arrhythmias (I47-I49)
R00-ICD-10-CM Diagnosis Code R94
Abnormal results of function studies
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Includes- abnormal results of radionuclide [radioisotope] uptake studies
- abnormal results of scintigraphy
R94) - syphilis related eye disorders (
ICD-10-CM Diagnosis Code A50.01
Early congenital syphilitic oculopathy
2016 2017 2018 2019 2020 Billable/Specific Code
A50.01, ICD-10-CM Diagnosis Code A50.3
Late congenital syphilitic oculopathy
2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
A50.3-, ICD-10-CM Diagnosis Code A51.43
Secondary syphilitic oculopathy
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Secondary syphilitic chorioretinitis
- Secondary syphilitic iridocyclitis, iritis
- Secondary syphilitic uveitis
A51.43, ICD-10-CM Diagnosis Code A52.71
Late syphilitic oculopathy
2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To- Late syphilitic chorioretinitis
- Late syphilitic episcleritis
A52.71)