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and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10 th Revision, Clinical Modification (ICD -10-CM). These guidelines should be used as a companion document to the official version of the ICD-10-CM as published on the NCHS website.
These guidelines should be used as a companion document to the official version of the ICD-10-CM as published on the NCHS website. The ICD-10-CM is a morbidity classification published by the United States for classifying diagnoses and reason for visits in all health care settings.
ICD-10-CM—the International Classification of Diseases, Tenth Revision, Clinical Modification—is used to code and classify medical diagnoses. ICD-10-CM is based on ICD-10, the system used to code and classify mortality data from death certificates. Use our free tool to search for ICD-10-CM codes.
The guidelines are organized into sections. Section I includes the structure and conventions of the classification and general guidelines that apply to the entire classification, and chapter-specific guidelines that correspond to the chapters as they are arranged in the classification.
The updated ICD-10-PCS code files include 34 new procedure codes effective April 01, 2023. 2023 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) – Updated 01/11/2023 2023 Official ICD-10-PCS Coding Guidelines (PDF)
General Coding Guidelines. Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) Chapter 2: Neoplasms (C00-D49) Chapter 3: Disease of the blood and blood-forming organs and certain disorders involving the immune mechanism. Chapter 4: Endocrine, Nutritional, and Metabolic Diseases (E00-E89)
ICD-10-CM Guidelines: Review the general guidelines included in the ICD-10-CM manual for specifics on coding conventions, including code sequencing and combination codes. Payer-Specific Requirements : Check for any additional guidelines set by insurance payers, as they may have specific coding requirements or restrictions.
These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required
9 ICD-10-CM Overview and Coding Guidelines •ICD-10-CM consists of: –Tabular lists containing cause-of-death titles and codes, Inclusion and exclusion terms for cause-of-death titles, Alphabetical index to diseases and nature of injury –External causes of injury –Table of drugs and chemicals description, guidelines, and coding rules
The documents below are International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) files released since October 2019. Most files are available for download in PDF and XML file formats. Older files are provided in the CDC Archive.