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ICD-10 Training
\ Why we need to understand ICD-10
If we receive non-compliant codes (problem in the provider space) OR incorrectly associate ICD-10 diagnosis codes in our systems (problem in the payer space)…. then there is major disruption…and if there’s disruption…
Provider has to call the payer→ Payer has to answers questions, requests other information →Claims are delayed →Disruption in cash flows →No one is happy
It is in everyone’s best interest to work toward a seamless transition
ICD-9 VERSUS ICD-10
ICD-9• 3-5 Numbers in length• Alpha E and V on 1st character• 13,000 codes• Based on outdated technology• Limited space for adding new codes• Generic terms for body parts• Lacks detail• Lacks laterality• Difficult to analyze data due to non-
specific codes• Combination codes limited• Not used by other countries
ICD-10• 3-7 Alphanumeric characters in
length• Alpha or numeric for any character• 87,000 codes• Reflects current usage of medical
terminology and devices• Flexibility to add new codes• Detailed descriptions for body parts• Very specific• Laterality• Specificity improves coding accuracy
and depth of data for analysts• Combination codes common
CODING CHAPTERS ICD Chapters ICD-9-CM ICD-10-CM1 Certain Infectious and Parasitic Diseases 001–139 A00–B992 Neoplasms 140–239 C00–D49
3
Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism
280–289 (only includes diseases of blood and blood-forming organs)
D50–D89
4Endocrine, Nutritional, and Metabolic Diseases 240-279 (also includes
immunity disorders)E00–E89
5 Mental and Behavioral Disorders 290–319 F01–F996 Diseases of the Nervous System 320–389 (Diseases of the
Nervous System and Sense Organs)
G00–G997 Diseases of the Eye and Adnexa H00–H598 Diseases of the Ear and Mastoid Process H60–H959 Diseases of the Circulatory System 390–459 I00–I9910 Diseases of the Respiratory System 460–519 J00–J9911 Diseases of the Digestive System 520–579 K00–K9412 Diseases of the Skin and Subcutaneous Tissue 680–709 L00–L99
13
Diseases of the Musculoskeletal System and Connective Tissue 710–739 M00–M99
14 Diseases of the Genitourinary System 580–629 N00–N99
15
Pregnancy, Childbirth, and the Puerperium 630–677 (Complications of Pregnancy, Childbirth, and the Puerperium)
O00–O9a
16Certain Conditions Originating in the Perinatal Period 760–779 P00–P96
17Congenital Malformations, Deformations, and Chromosomal Abnormalities
740–759 (Congenital Anomalies)
Q00–Q99
18
Symptoms, Signs, and Abnormal Clinical Laboratory Findings, Not Elsewhere Classified
780–799 (Symptoms, Signs, and Ill-Defined Conditions)
R00–R99
19Injury Poisoning and Certain Other Consequences of External Causes 800–999 (Injury and
Poisoning)S00–T98
20 External Causes of Morbidity E800–E999 V00–Y98
21
Supplementary Classification of External Causes of Injury and Poisoning Factors Influencing Health Status and Contact with Health Services
V01–V83 Supplementary Classification of Factors Influencing Health Status and Contact with Health Services
Z00–Z99
MEDICAL CONDITIONS CHANGES WITH ICD-10Clinical Area ICD-9 Codes ICD-10 Codes
Fractures 747 17099
Poisoning and toxic effects 244 4662
Pregnancy related conditions 1104 2155
Brain Injury 292 574
Diabetes 69 239
Migraine 40 44
Bleeding disorders 26 29
Mood related disorders 78 71
Hypertensive disease 33 14
End Stage Renal Disease 11 5
Chronic respiratory failure 7 4
ICD-9 VERSUS ICD-10Coding Structure
Major Change with ICD-10
36 % of all ICD-10 codes distinguish right vs left
• 50 % of the codes are related to musculosketal
• 25% of the codes are related to fractures62% of the fracture codes distinguish right versus left
Chapter 1-Infectious DiseaseCodes starting with A-B
•Includes diseases generally recognized as communicable or transmissible. •Sepsis (ICD-10-CM) has replaced Septicemia (ICD-9-CM) •Urosepsis is a nonspecific term and is not coded in ICD-10-CM. Should a provider use this term, he/she must be queried for clarification •“Late Effects” of Infectious and Parasitic Diseases (ICD-9-CM) is now “Sequela” of infectious and Parasitic Diseases in ICD-10-CM •Infections resistant to antibiotics requires the use of an additional code for any associated drug resistance only if the infection code does not identify drug resistance (Z16 category, resistance to antimicrobial drugs) •Many of the codes are combined conditions and common symptoms
Chapter 1-Infectious DiseaseExample
ICD-9 CODE• HIV 042
• HIV Positive V08
ICD-10 CODE• HIV B20
• HIV Positive Z21
Chapter 2-Neoplasms (Cancer)Codes starting with C-D
Key updates to the Neoplasm chapter include:
•Classification improvements
•Code expansions - Significant expansion in the malignant neoplasm of male breast codes
•Revisions to identify laterality for some of the neoplasm sites
Chapter 2- Cancer Example
Malignant Neoplasm Breast• 54 choices for male/female breast• Documentation must include: Laterality• Location• Example: C50.422 Malignant neoplasm of
upper-outer quadrant of the left male breast
Chapter 2-CancerExample
ICD-9 CODE• Breast Cancer, Male 175.9
ICD-10 CODE• Breast Cancer, Male• C50.221 Malignant neoplasm of upper-inner quadrant of right male
breast• C50.222 Malignant neoplasm of upper-inner quadrant of left male
breast• C50.229 Malignant neoplasm of upper-inner quadrant of unspecified
male breast• C50.321 Malignant neoplasm of lower-inner quadrant of right male
breast• C50.322 Malignant neoplasm of lower-inner quadrant of left male
breast• C50.329 Malignant neoplasm of lower-inner quadrant of unspecified
male breast• C50.421 Malignant neoplasm of upper-outer quadrant of right male
breast• C50.422 Malignant neoplasm of upper-outer quadrant of left male
breast• C50.429 Malignant neoplasm of upper-outer quadrant of unspecified
male breast• C50.521 Malignant neoplasm of lower-outer quadrant of right male
breast• C50.522 Malignant neoplasm of lower-outer quadrant of left male
breast• C50.529 Malignant neoplasm of lower-outer quadrant of unspecified
male breast
Chapter 3-Blood DisordersCodes starting with D
Anemia is the most common condition included in this chapter. The use of specific terminology is important in applying codes for this condition. Updates include: • Classification improvements • Code expansions • Updates to medical terminology
Chapter 3-Blood DisorderExamples
ICD-9 CODES• Anemia in Chronic Kidney
Disease 285.21
• Anemia 285.9
ICD-10 CODES• Anemia in Chronic Kidney
Disease D63.1
• Anemia D64.9
Chapter 4-Endocrine,NutritionCodes starting with E
Code expansions and updates to medical terminology The largest change noted is to the Diabetes Mellitus classification • Diabetes mellitus codes are now combination codes that
include the type of diabetes (1 or 2), the body system affected and complications affecting the body system (Retinopathy, Neuropathy, Arthropathy, Peripheral angiopathy with gangrene, etc.)
• As many codes within a particular category as are necessary to describe all of the complications of the disease may be used.
Chapter 4 ExampleDiabetic Complications
ICD-9• 250.50 Diabetes with
ophthalmic manifestations• 362.07 Diabetic macular
edema• 362.05 Moderate
nonproliferative diabetic retinopathy
ICD-10• E11.331 Type 2 diabetes
mellitus with moderate nonproliferative diabetic retinopathy with macular edema
A patient with diabetic chronic kidney disease, stage 3 and takes insulin on a daily basis.
ICD-9• 250.40 Diabetic
Nephropathy• 585.3 Chronic Kidney
Disease, Stage 3• V58.67 Long term use of
insulin
ICD-10• E11.22 Type II Diabetes with
diabetic kidney disease• N18.3 Chronic Kidney
Disease, Stage 3• Z79.4 Long term (current)
use of insulin
Chapter 4 Continued
The classification for overweight and obesity has been expanded It includes:• Obesity due to excess calories • Morbid (severe) obesity due to excess calories • Other obesity due to excess calories • Drug induced obesity • Morbid (severe) obesity due to alveolar hypoventilation • Overweight • Other obesity • Obesity unspecified • An additional code (Z68-) is used to identify the body mass index
(BMI), if known.
Chapter 4 Endocrine continuedExample
ICD-9• BMI= 40 V85.41
• 278.01 Morbid Obesity
ICD-10• BMI= 40 Z68.40
• E66.01 Morbid Obesity
Chapter 5-Mental HealthCodes starting with F
Code expansions • Most notably, Other Isolated or Specific Phobias • Updates to medical terminology • Bipolar I disorder, single manic episode will change to
Manic episode • Undersocialized conduct disorders, aggressive will become
Conduct disorder childhood-onset type • Nicotine dependence updated to identify specific tobacco
products (cigarettes, chewing tobacco, other tobacco) • Alcohol abuse and dependence codes no longer identify
continuous or episodic use
Mental Health Chapter 5 Example
ICD-9• 314.00--Attention deficit
disorder, without mention of hyperactivity
• 314.01--Attention deficit
disorder, with hyperactivity
ICD-10• F90.0 -- Attention-deficit hyperactivity
disorder, predominantly inattentive type
• F90.1 -- Attention-deficit hyperactivity disorder, predominantly hyperactive type
• F90.2 -- Attention-deficit hyperactivity disorder, combined type
• F90.8 -- Attention-deficit hyperactivity disorder, other type
• F90.9 -- Attention-deficit hyperactivity disorder, unspecified type
Chapter 6-Nervous SystemCodes starting with G
The sense organs (eye/adnexa and ear/mastoid processes) have their own chapters in ICD-10-CM. • Classification improvements (significant changes to
sleep disorders) • Code expansions (e.g. Alzheimer’s, headaches) • Updates to medical terminology (epilepsy, seizures)
Nervous SystemChapter 6 Example
ICD-9• 338.4Chronic Pain Syndrome
• 345.90Epilepsy, unspecified
ICD-10• G89.4Chronic Pain Syndrome
• G40.901Epilepsy, unspecified, not intractable, with status epilepticus • G40.909Epilepsy, unspecified, not intractable, without status epilepticus
Chapter 7-Diseases of EyeCodes starting with H
Diseases of the Eye and Adnexa is a new chapter in ICD-10-CM.
• Terminology improvements (bringing terms up to date)
• ICD-10-CM contains codes for right side, left side and in some instances bilateral sides for diseases of the eye and adnexa.
• An unspecified site is also provided should the site not be identified in the medical record.
• If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side.
Chapter 7-Disease of the Eye Example
ICD-9 CODE ICD-10 CODE• 361.9 Retinal Detachment • H33.001 Unspecified retinal
detachment with retinal break, right eye
• H33.001 Unspecified retinal detachment with retinal break, left eye
• H33.003 Unspecified retinal detachment with retinal break, bilateral
• H33.009 Unspecified retinal detachment with retinal break, unspecified eye
Chapter 7-Disease of the Eye Example
ICD-9 CODE• 365.11Primary open angle glaucoma
ICD-10 CODE• H40.11X0Primary open-angle glaucoma stage unspecified• H40.11X1Primary open-angle glaucoma stage mild• H40.11X2Primary open-angle glaucoma stage moderate• H40.11X3Primary open-angle glaucoma stage severe• H40.11X4Primary open-angle glaucoma stage indeterminate
Chapter 8-Diseases of the EarCodes starting with H
This is a new chapter in ICD-10• Codes are grouped to make it easier to
identify the types of conditions • There is also a greater specificity and detail in
the codes • Many codes have laterality designation.
Chapter 8-Diseases of the EarExample
ICD-9 CODES• 381.3Chronic allergic otitis media
• 380.4Ear Impaction
ICD-10 CODES• H65.411 Chronic allergic otitis media,
right ear• H65.412 Chronic allergic otitis media,
left ear• H65.413 Chronic allergic otitis media,
bilateral• H65.419 Chronic allergic otitis media,
unspecified ear
• H61.20 Unspecified ear• H61.21 Right ear• H61.22 Left ear• H61.23 Bilateral
Chapter 9-CirculatoryCodes starting with I
Similar structure to ICD-9-CM, but there are classification changes to be aware of
Terminology used to describe several cardiovascular conditions has been revised to reflect more current medical practice
A major change is the classification of hypertension, which in ICD-9-CM was classified by type: benign, malignant or unspecified. That classification is not required in ICD-10-CM. The code for hypertension has been updated to one code for essential (primary) hypertension. That code is I10.
Chapter 9-CirculatoryExample
ICD-9 CODESHypertension• 401.0 Malignant• 401.1 Benign• 401.9 Unspecified
ICD-10 CODESHypertension• I10
Chapter 10- RespiratoryCodes starting with J
Modifications have been made to specific categories that bring the terminology up-to-date with current medical practice.
• Emphysema now contains codes with panlobular and centrilobular in their titles
• Asthma is now classified as mild intermittent, mild persistent, moderate persistent and severe persistent.
• Specificity increased for diseases like influenza, acute bronchitis
• Coding guidelines updates to require the coder to include information about tobacco use/dependence, where applicable.
Chapter 10Respiratory Example
ICD-9
• 493.12Intrinsic Asthma with acute exacerbation
• 496 COPD
ICD-10
• J45.51 Severe persistent asthma with acute exacerbation
• J44.9 COPD
Chapter 10Respiratory Example
ICD-9• 493.01 Extrinsic asthma with status asthmaticus
ICD-10• J45.22 Mild intermittent
asthma with acute status asthmaticus
• J45.32 Mild persistent asthma with acute status asthmaticus
• J45.42 Moderate persistent asthma with acute status asthmaticus
• J45.52 Severe persistent asthma with acute status asthmaticus
Chapter 11-DigestiveCodes starting with K
A number of new subchapters have been added to this chapter (including liver diseases)
• Some terminology changes and revisions to the classification of specific digestive conditions:
The term hemorrhage is used when referring to ulcers
The term bleeding is used when classifying gastritis, duodenitis, diverticulosis and diverticulitis
• There is new specificity to conditions like Crohn’s disease, which have been expanded to specify site, if a complication is present, and what the complication is.
Chapter 11-DigestiveExample
ICD-9• 530.81 GERD Reflux Disease
ICD-10• K21.0Gastro-esophageal reflux disease with esophagitis
• K21.9Gastro-esophageal reflux disease without esophagitis
Chapter 12-SkinCodes starting with L
This chapter has been completely restructured to bring together groups of diseases that are related to one another in some way. • Greater specificity has been added to many of the codes at
the 4th, 5th or 6th character level. • It has 9 subchapters (compared to 3 in ICD-9-CM) • There are many changes to the ulcers section- pressure
ulcer codes are combination codes that identify site and stage of the ulcer.
• Procedural complications of the skin and subcutaneous tissue are included.
Chapter 12-SkinCodesExample
ICD 9• 707.13Ulcer of the ankleRight side
ICD 10• L97.311Non-pressure chronic ulcer of right ankle, limited to breakdown of skin• L97.312Non-pressure chronic ulcer of right ankle with fat layer exposed• L97.313 Non-pressure chronic ulcer of right ankle with necrosis of muscle• L97.314 Non-pressure chronic ulcer of right ankle with necrosis of bone• L97.319 Non-pressure chronic ulcer of right ankle with unspecified severity
Chapter 13-MusclosketalCodes starting with M
Most of the codes within this chapter have site and laterality designations. • ICD-10-CM identifies three different causes for
pathological fractures: neoplastic disease, osteoporosis, and other specified disease.
• ICD-10-CM introduces the 7th character that describes type of encounter or the state of the fracture’s healing and any sequela. Some of the codes in this chapter have a 7th character applied.
Chapter 13-MusclosketalCodes
ICD 9• 724.2 Back pain
• 719.41Shoulder pain
ICD 10• M54.5Low back pain
• M25.511 Shoulder pain, right
• M25.512 Shoulder pain, left• M25.519 Shoulder pain,
unspecified
Chapter 14-GenitourinaryCodes starting with N
Procedural complications affecting the genitourinary system are included in this chapter.• Laterality is used to identify conditions under
N60 category, benign mammary dysplasia. • In some of the categories, specificity is based
on the gender of the patient.
Chapter 14-GenitourinaryExample
ICD-9• 585.6End Stage Renal Disease
• 600.00Enlarge Prostate
ICD-10• N18.6End Stage Renal Disease
• N40.0Enlarge Prostate
Chapter 15-Obsterics/GynecologyCodes starting with O
Trimester is now the axis of classification rather than the current episode of care, i.e. delivered, antepartum, postpartum• The majority of codes in this chapter have a final character
for trimester of pregnancy. • Trimesters
1st Less than 14 weeks 0 days 2nd 14 weeks 0 days to less than 28 weeks 0
days 3rd 28 weeks 0 days until delivery
Chapter 15-Obsterics/GynecologyExample
ICD-9• 642.4Unspecified pre-eclampsia
648.80Gestational Diabetes
ICD-10• O14.90 Unspecified pre-
eclampsia, unspecified trimester
• O14.92 Unspecified pre-eclampsia, second trimester
• 014.93 Unspecified pre-eclampsia, third trimester
O99.810Gestational Diabetes
Chapter 15-Obsterics/GynecologyExample
ICD-9 CODE• 642.00Pre-Existing hypertension
ICD-10 CODE• O10.011 Pre-Existing hypertension complicating pregnancy, first trimester
• O10.012 Pre-Existing hypertension complicating pregnancy, second trimester
• O10.013 Pre-Existing hypertension complicating pregnancy, third trimester
• O10.019 Pre-Existing hypertension complicating pregnancy, unspecified trimester
Chapter 15-Obsterics/GynecologyExample
ICD-9 CODE• V23.85Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester
ICD-10 CODE• O09.811 Supervision of pregnancy resulting from assisted reproductive technology, first trimester• O09.812 Supervision of pregnancy resulting from assisted reproductive technology, second trimester• O09.813 Supervision of pregnancy resulting from assisted reproductive technology, third trimester• O09.819 Supervision of pregnancy resulting from assisted reproductive technology, unspecified trimester
Chapter 16-PerinatalCodes starting with P
Codes from this chapter are for use on newborn records only, never on maternal records and include conditions that have their origin in the fetal or perinatal period (before birth through the first 28 days after birth) even if morbidity occurs later. • Different codes are used for “light for gestational
age” and “small for gestational age”. • Codes for assigning birth trauma have been
expanded to include more specificity.
Chapter 16-PerinatalExample
ICD-9• 760.79Newborn affected by exposure in utero to tobacco smoke
• 760.71 Newborn affected by maternal use of alcohol
• 772.2Subarachnoid hemorrhage due to birth trauma
ICD-10• P04.2Newborn affected by exposure in utero to tobacco smoke
• P04.3 Newborn affected by maternal use of alcohol
• P10.3Subarachnoid hemorrhage due to birth trauma
Chapter 17-Congenital Malformations, Deformations, and Chromosomal Abnormalities
Codes starting with Q
Modifications have been made to specific categories that bring the terminology up-to-date with current medical practice.
Other enhancements to Chapter 17 include classification changes that provide greater specificity than found in ICD-9-CM.
Chapter 17-Congenital Malformations, Deformations, and Chromosomal Abnormalities
Example
ICD-9
• 758.0 Downs Syndrome
ICD-10
• Q90.0 Trisomy 21, nonmosaicism
• Q90.1 Trisomy 21, mosaicism
• Q90.2 Trisomy 21, translocation
• Q90.9 Down syndrome, unspecified
Chapter 18-Symptoms, Signs, and Abnormal Clinical Laboratory Findings, Not Elsewhere Classified
Codes starting with R
This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
• Practically all categories in Chapter 18 could be designated as: Not otherwise specified Unknown etiology or Transient
• There are codes to identify a patient’s coma scale.
Chapter 18-Symptoms, Signs, and Abnormal Clinical Laboratory Findings, Not Elsewhere Classified
Example
ICD 9• 780.60 Fever
• 790.29Borderline DiabetesPre-Diabetes
• 796.2Elevated Blood Pressure
ICD 10• R50.9Fever
• R73.09Borderline DiabetesPre-Diabetes
• R03.0Elevated Blood Pressure
Chapter 19-Injury Poisoning and Certain Other Consequences of External Causes
Codes starting with S-T Injuries grouped by body part rather than category of injury in ICD-9 ICD-10-CM introduces a 7th character requirement that describes the type of encounter. Most categories in this chapter use the 7th character requirement. Many categories in this chapter have three 7th character values of: A – Initial encounter D – Subsequent encounter S – Sequela For traumatic fractures, there are additional 7th character requirements depending upon the type of fracture and complication. Some of these character descriptions are based on the Gustilo open fracture classification. Code for underdosing are new in ICD-10-CM. Underdosing refers to taking less of a medication than is prescribed by a provider or less than the manufacturer’s instructions.
Fractures
• Fracture codes require seventh character to identify if fracture is open or closed.
The fracture extensions are: • A Initial encounter for closed fracture • B Initial encounter for open fracture • D Subsequent encounter for fracture with routine healing • G Subsequent encounter for fracture with delayed healing • K Subsequent encounter for fracture with nonunion • P Subsequent encounter for fracture with malunion • S Sequelae
FracturesExample
ICD-9• 810.02Closed fracture of shaft clavicle
ICD-10• S42.022ADisplaced fracture of shaft of left clavicle initial encounter for closed fracture. Requires 7thcharacter A for initial encounter
• ICD-10-CM provides 50 different codes for complications of foreign body accidently left in body following a procedure
• Only one code in ICD-9-CM
Chapter 19
Chapter 19
ICD-9• 998.4Foreign Body Accidentally Left During a Procedure
ICD-10• T81.535-Perforation due to foreign body
accidently left in body following heart catheterization
• T81.530-Perforation due to foreign body accidently left in body following surgical operation
• T81.524-Obstruction due to foreign body accidently left in body following endoscopic examination
• T81.516-Adhesions due to foreign body accidently left in body following aspiration, puncture or other catheterization
Chapter 20- External CausesCodes starting with V-Y
External cause codes are intended to provide data for injury research and evaluation of injury prevention strategies. • These codes capture how the injury or health
condition was caused, the intent, the place where the event occurred, the activity of the patient at the time of the event, and the person’s status.
• These codes are secondary codes for use in any health care setting and can never be a principal (first listed) diagnosis.
Just how specific is ICD-10Examples
Patient treated for carpal tunnel syndrome from excessive, long-time computer keyboarding at work.G56.00 Carpal Tunnel Syndrome, unspecified
upper limbY93.C1 Activity, computer keyboardingY99.0 Civilian activity done for income or
pay
Just how specific is ICD-10Examples
• While playing tennis in a tournament at the Clay Court County Club, a male player sprained his right wrist and was treated in a hospital emergency department close to the courts
• S63.501 Unspecified sprain of right wrist, initial encounter
• Y93.73 Activity, racquet and hand sports• Y92.312 Tennis court as the place of
occurrence as the external cause
Chapter 21- Supplementary Classification of External Causes of Injury and Poisoning Factors Influencing Health Status
and Contact with Health Services Codes starting with Z
These codes are used in any healthcare setting. Z codes my be used as either a first listed (principal diagnosis code in the inpatient setting), or secondary code, depending upon the circumstances of the encounter. Certain Z codes may only be used as first listed or principal diagnosis in certain conditions-refer to official coding guidelines for details. • Categories include, contact/exposure, vaccinations, status
code, screening, aftercare • Aftercare note - In ICD-10-CM Aftercare Z codes should not be
used for aftercare of fractures. • For aftercare of a fracture, assign the acute fracture code with
the 7th character extension of D for subsequent encounter
Chapter 21- Supplementary Classification of External Causes of Injury and Poisoning Factors Influencing Health Status and Contact with Health Services
ICD-9• V70.0Routine general medical examination at a health care facility
• V72.31 Gynecology exam
ICD-10• Z00.00 Routine general adult medical examination at a health care facility without abnormal findings
• Z00.01 Routine general adult medical examination at a health care facility with abnormal findings
• Z01.411 Gynecology exam with abnormal findings
• Z01.419 Gynecology exam without abnormal findings
Chapter 21- Supplementary Classification of External Causes of Injury and Poisoning Factors Influencing Health Status and Contact with Health Services
ICD-9 CODE• V76.12 Encounter for screening
mammogram for malignant neoplasm of breast
• V76.51 Screening for colon cancer
• V80.1 Screening for Glaucoma• V80.2 Screening for other eye
conditions• V80.3 Screening for ear disease
ICD-10 CODE• Z12.31 Encounter for screening
mammogram for malignant neoplasm of breast
• Z12.11 Screening for colon cancer
• Z13.5 Encounters for screening for eye and ear disorders
Contact Information
65
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Phone: 818-702-0100
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