JOURNAL TRANSCRIPT

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ICD-9-CM to ICD-10-CM DIAGNOSIS CODE MAPPING Central Valley Public Health: Women's Way ICD-9-CM (Top 35)

ICD-10-CM ICD-10-CM Description

V10.3: Personal history of malignant neoplasm of breast

Z85.3

V10.41: Personal history of malignant V13.22: Personal history of cervical dysplasia V16.3: Family history of malignant neoplasm of breast V67.01: Follow-up vaginal pap smear

Z85.41 Z87.410

Z01.42

Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear Encounter for follow-up examination after completed treatment for malignant neoplasm Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm Encounter for screening for malignant neoplasm of cervix

Please see all available options. Concept has been altered.

Encounter for gynecological examination (general) (routine) with abnormal findings Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for general adult medical examination without abnormal findings

Use this code if pap smear is a part of a routine gynecological examination. Use this code if pap smear is a part of a routine gynecological examination. Added concept of whether abnormal findings are present. Use additional code(s) to identify abnormal findings when present.

Z12.4 Z01.411 Z01.419

V72.32: Encounter for Papanicolaou cervical smear to confirm findings of recent normal smear following initial abnormal smear

Personal history of malignant neoplasm of cervix uteri Personal history of cervical dysplasia Family history of malignant neoplasm of breast

Z09

V72.31: Routine gynecological examination

Personal history of malignant neoplasm of breast

Z83.0

Z08

V70.0: Routine general medical examination at a health care facility

COMMENTS

Z00.00

Z00.01

Encounter for general adult medical examination with abnormal findings

Z01.411

Encounter for gynecological examination (general) (routine) with abnormal findings

Z01.419

Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear

Z01.42

Added concept of whether abnormal findings are present. Use additional code(s) to identify abnormal findings when present.

V73.81: Screening for Human papillomavirus [HPV]

Z11.51

Encounter for screening for human papillomavirus (HPV)

V76.10: Screening for malignant neoplasm of breast

Z12.39

Encounter for other screening for malignant neoplasm of breast

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

If type of screening is mammogram, Z12.31 should be used.

V76.11: Screening mammogram for highrisk patient

Z12.31

Encounter for screening mammogram for malignant neoplasm of breast

Screening code no longer specifies whether the patient is high risk in ICD-10. If a personal or family history of neoplasm exists, it should be coded additionally with the appropriate history code.

V76.12: Other screening mammogram

Z12.31

V76.19: Other screening breast examination

Z12.39

Encounter for screening mammogram for malignant neoplasm of breast Encounter for other screening for malignant neoplasm of breast

V76.2: Screening for malignant neoplasm of the cervix

Z12.4

Encounter for screening for malignant neoplasm of cervix

V76.47: Screening for malignant neoplasm of the vagina

Z12.72

Encounter for screening for malignant neoplasm of vagina

V88.01: Acquired absence of both cervix and uterus

Z90.710

Acquired absence of both cervix and uterus

V88.02: Acquired absence of uterus with remaining cervical stump

Z90.711

Acquired absence of uterus with remaining cervical stump

V88.03:Acquired absence of cervix with remaining uterus 793.80: Abnormal mammogram, unspecified

Z90.712

Acquired absence of cervix with remaining uterus

793.81: Mammographic microcalcification

610.0: Solitary cyst of breast

R92.8

Other abnormal and inconclusive findings on diagnostic imaging of breast

R92.2

Inconclusive mammogram

R92.0

Mammographic microcalcification found on diagnostic imaging of breast

R92.1 N60.01

Mammographic calcification found on diagnostic imaging of breast Solitary cyst of right breast

N60.02

Solitary cyst of left breast

This code should only be used if the breast condition being screened for is malignancy. When pap smear is a part of a routine gynecological examination, use codes Z01.411 or Z01.419.

Calcifications on mammogram should be specified as microcalcifications to report code R92.0. A unique code now exists for 'calcifications' found on mammogram.

Laterality has been added.

Inflammatory disorders of breast

Includes: abscess of areola, abscess of breast, mastitis, infective mastitis, carbuncle of breast.

N63 N87.9

Unspecified lump in breast Dysplasia of cervix uteri, unspecified

622.11: Mild dysplasia of cervix

N87.0

Mild cervical dysplasia

Includes: nodule(s) in breast NOS For most appropriate code selection, the severity of cervical dysplasia should be specified. Cervical intraepithelial neoplasia I

622.12: Moderate dysplasia of cervix 622.2: Leukoplakia of cervix (uteri) 623.0: Dysplasia of vagina

N87.1 N88.0 N89.0

Moderate cervical dysplasia Leukoplakia of cervix uteri Mild vaginal dysplasia

626.6: Metrorrhagia

N89.1 N89.3 N92.1

Moderate vaginal dysplasia Dysplasia of vagina, unspecified Excessive and frequent menstruation with irregular cycle

627.1: Postmenopausal bleeding

N95.0

Postmenopausal bleeding

611.0: Inflammatory disease of breast

N61

611.72: Lump or mass in breast 622.10: Dysplasia of cervix, unspecified

795.08: Unsatisfactory cervical cytology smear 785.6: Enlargement of lymph nodes

795.00: Abnormal glandular Papanicolaou smear of cervix

R87.615

Cervical intraepithelial neoplasia II Levels of severity may be captured in code selection in ICD10.

Unsatisfactory cytologic smear of cervix

R59.0

Localized enlarged lymph nodes

R59.1

Generalized enlarged lymph nodes

R59.9

Enlarged lymph nodes, unspecified

R87.619

Unspecified abnormal cytological findings in specimens from If abnormal findings may be specified as one of the below listed codes, a higher level specificity code should be selected. cervix uteri

R87.610

Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)

R87.611

Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H) Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL) High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL) Cytologic evidence of malignancy on smear of cervix

R87.612 R87.613 R87.614 R87.618

Other abnormal cytological findings on specimens from cervix uteri

174.9: Malignant neoplasm of breast (female), unspecified

C50.011

C50.012

Malignant neoplasm of nipple and areola, right female breast Concept of laterality has been added. Unspecified laterality option excluded. 174.9 by definition reflects an unspecified site: question appropriateness of this code reported at such high rates. Malignant neoplasm of nipple and areola, left female breast

C50.111

Malignant neoplasm of central portion of right female breast

C50.112

Malignant neoplasm of central portion of left female breast

C50.211

Malignant neoplasm of upper-inner quadrant of right female breast Malignant neoplasm of upper-inner quadrant of left female breast Malignant neoplasm of lower-inner quadrant of right female breast Malignant neoplasm of lower-inner quadrant of left female breast Malignant neoplasm of upper-outer quadrant of right female breast Malignant neoplasm of upper-outer quadrant of left female breast Malignant neoplasm of lower-outer quadrant of right female breast Malignant neoplasm of lower-outer quadrant of left female breast Malignant neoplasm of axillary tail of right female breast

C50.212 C50.311 C50.312 C50.411 C50.412 C50.511 C50.512 C50.611 C50.612 C50.811

180.9: Malignant neoplasm of Cervix uteri, unspecified

C50.812

Malignant neoplasm of axillary tail of left female breast Malignant neoplasm of overlapping sites of right female breast Malignant neoplasm of overlapping sites of left female breast

C50.911

Malignant neoplasm of unspecified site of right female breast

C50.912

Malignant neoplasm of unspecified site of left female breast

C53.9

Malignant neoplasm of cervix uteri, unspecified

C53.0

Malignant neoplasm of endocervix

C53.1

Malignant neoplasm of exocervix

Site should be specified to highest extent possible.

C53.8

Malignant neoplasm of overlapping sites of cervix uteri