HCC- Quick Coding Reference 

Symptoms/Findings

Consider This

ICD-9

Value

Behavioral Health :      
Alcohol Abuse Alcohol Abuse/ Alcoholism 303.90 0.420
History of Alcohol Abuse or in remission Other and unspecified alcohol dependence in remission 303.93 0.420
Insomnia or Anxiety on Meds (Ambien, barbiturates,  Amitriptyline, Xanax, etc.) Sedative, Hypnotic or Anxiolytic Dependence   NOS 304.1X 0.420
Opioid Use /Chronic pain syndrome (T#3, Vicoden, etc.) Opiod Type Dependence 304.0X 0.420
Drug Abuse (cocaine, heroin, THC) Drug Dependence, NEC 304.90 0.420
Depression Major Depression, Single Episode 296.20 0.330
Major Depression no longer on med Major Depression full remission 296.26 0.330
Depression and Anxiety Episodic Mood Disorder Unsp. 296.90 0.330
Hematology :      
Low WBC/RBC/Platelet Pancytopenia 284.19 0.521
Low WBC/ Leukopenia (< 1500) Neutropenia NOS 288.00 0.521
Low Platelets Primary Thrombocytopenia Uns 287.3X %   0.252
Anemia due to Thalassemia Alpha/beta/other thalassemia 282.4X %   0.252
Sideroblastic Anemia Sideroblastic Anemia 285.0 %   0.252
 Oncology : * Please code the primary type of cancer if actively treating or 
 managing (with chemo etc.) OR with V code if in remission.
Chemotherapy Drug Induced Neutropenia 288.03 0.521
Metastatic Cancer Secondary Malignant Neoplasm 197.X- 198.X 2.484
Compression Fracture Pathologic vertebral compression fracture 733.13 0.497
Weight Loss/ Inability to eat Malnutrition of (mild-sever) Degree 263.x 0.713
Rheumatology:      
Dry Eyes Sicca Syndrome 710.20 0.374
Arthritis Rheumatoid Arthritis 714.0 0.374
Inflammatory Arthritis 714.9 0.374
Cardiovascular:       
Dyspnea on Exertion Other Pulmonary insufficiency 518.82 0.329
Home O2 Chronic Respiratory Failure 518.83 0.329
Paroxysmal Nocturnal Dyspnea CHF NOS 428.0 0.368
Dyspnea/ Orthopnea, echo EF < 55% Heart Failure, NOS 428.9 0.368
Chest Pain (either with CAD or treated with NTG) Angina Pectoris 413.9 0.141
Irregular Heartbeat/ Palpitations Paroxysmal Ventricular Tachycardia 427.1 0.295
Paroxysmal Tachycardia unspecified 427.2 0.295
Atrial Fibrillation 427.31 0.295
Elevated Pulm Artery Pressure (PAP > 25 mmHg) Chronic Pulmonary Heart Disease Unspecified 416.9 0.368
AV Block Atrioventricular Block 426.0 0.295
Bradycardia SA Node Dysfunction 427.81 0.295
Claudication/Angiopathy/PVD Intermittent Peipheral Vascular Disease 443.9 0.299
DVT DVT/ Embolism lower Extremity 453.40 0.299
Diabetes:      
Diabetes with no complications DM without complications 250.00 0.118
Diabetes with Effects on the Kidney, Proteinuria, Albuminuria, Abn. GFR, Nephropathy DM with Renal Manifestations +(also code renal manifestation)  250.40 0.368
Diabetes with Effects on the Eye, Cataract, Blindness, Glaucoma, Retinopathy, Vitreous Hemorrhage DM with Ophthalmic manifestation + (also code the optho. manifestaion, 2 noted )↓ 250.50 0.368
Cataract due to DM Diabetic cataract 366.41 % 0.368
Retinopathy due to DM Diabetic retinopathy NOS 362.01 0.368
Diabetes with Neurological Effects (Gastroparesis, monofilament test) DM with Neurological Manifestations               + (also code neuro. manifestaion) ↓ 250.60 0.368
Neuropathy due to DM Polyneuropathy in DM 357.2 0.327
Diabetes & Foot Ulcer, Peripheral Circulatory Disorder, PVD, PAD DM with Circulatory manifestation +          (also code vasc. manifestaion) ↓ 250.70 0.368
PAD or PVD due to DM Peripheral angiopathy in DM 443.81 0.299
PVD due or not due to DM Peripheral Vascular Disease 443.9 0.299
Diabetes with Hyperlipidemia Diabetic with other manifestaion 250.80 0.368
Erectile Dysfunction due to DM Erectile Dysfunction due to DM 250.80 0.368
Diabetes with hypoglycemic episode Diabetic Hypoglycemia 250.80 0.368
Lab Findings :      
Low Albumin/ Weight Loss Malnutrition of Mild Degree 263.1 0.713
Microalbuminuria/ kidney damage with normal GFR or incr GFR CKD I 585.1 %    0.353
Microalbuminuria/ kidney damage with mild decreased GFR CKD II 585.2 %    0.353
GFR is (30-59) last 2 blood tests CKD III 585.3 %    0.353
GFR is (15-29) last 2 blood tests CKD IV 585.4 0.224
Stage 5: GFR <14 last 2 blood tests CKD V 585.5 0.224
CKD on Hemodialysis Dialysis State V45.11 0.476
Increased Parathyroid Hormone Hyperparathyroidism Unspecified 252.0X 0.245
Elevated LFT Chronic Hepatitis, NOS 571.4 0.251
Elevated LFT and PT Liver Cirrhosis, NOS 571.5 0.399
Proteinuria with DM code both Diabetic Nephropathy (not HCC) 583.89 N/A
DM with Renal Manifestations 250.40 0.368
Radiology Findings :      
CT/X-ray/UTZ: Calcification of aorta Aortic Atherosclerosis 440.0 0.299
CT/X-ray/UTZ: Tortuous Aorta Stricture of Artery 447.1 0.299
CT/X-ray/UTZ: Aortic Aneurysm Aortic Aneurysm 441.9 0.299
ECG : Q waves or MI in the past documented Old MI 412 %   0.331
Abdominal Aneurysm Abd Aneur Without Mention Rupture 441.40 0.299
CXR: Enlarged chest cavity, hyperinflated COPD 496 0.346
flat diaphragm Emphysema 492.8 0.346
Cardiomegaly Cardiomyopathy in Other Disease 425.8 0.368
EF by echo < 55% CHF, NOS 428.0 0.368
Signs and Symptoms :      
Any artificial opening  (..ostomy) Gastro/colo/ileo (ostomy) Status V44.X 0.651
Tingling, sensational loss weakness, pain Idiopathic Peripheral Neuropathy 356.9 % 0.277
Weight loss/ Anorexia Malnutrition of Mild Degree 263.1 0.713
Wheezing, DOE COPD 496 0.346
Chronic cough > 3 months Chronic Bronchitis NOS 491.9 0.346
Varicose Ulcer + ulcer Varicose veins of lower extr. w/ulcer 452.0 0.410
Skin and Limb burning, ulceration, Decubitus Ulcer Refer to skin section
erythema Pressure Ulcer for site and codes
Ulcer of Lower Limb 707.1x-707.9 0.536
Pulmonary :      
Smoker with cough Smoker’s cough 491.0 0.399
repeated bouts of bronchitis Unspecified Chronic Bronchitis 491.9 0.399
Asthma (if chronic) Chronic Obstructive Asthma 493.20 0.399
COPD COPD 496 0.346
Transplant/Amputation :      
Amputation of  limbs, digits/sites Amputation (look up code for sites) V49.7X 0.779
Organ Transplant Organ Transplant Status V42.X 0.891
Immune Mechanism Disorder 279.9 0.521
Skin :       
Ulcer with full thickness Pressure Ulcer Stage 3 / unstageable 707.23/707.25 1.338
Ulcer Extending into Muscle or bone Pressure Ulcer Stage 4 707.24 2.488
BMI (V85.xx code)must be documented on All Patients once annually
BMI<19  V85.0 BMI 35 – 35.9 V85.35
BMI 19 – 24 V85.1 BMI 36 – 36.9 V85.36
BMI 25 – 25.9 V85.21 BMI 37 – 37.9 V85.37
BMI 26 – 26.9 V85.22 BMI 38 – 38.9 V85.38
BMI 27 – 27.9 V85.23 BMI 39 – 39.0 V85.39
BMI 28 – 28.9 V85.24 BMI 40 – 44.9 V85.41 Morbid
BMI 29 – 29.9 V85.25 BMI 45 – 49.9 V85.420 Obesity
BMI 30 – 30.9  V85.30 BMI 50 – 59.9 V85.43
BMI 31 – 31.9 V85.31 BMI 60 – 60.9 V85.44
BMI 32 – 32.9 V85.32 BMI > 70 V85.45
BMI 33 – 33.9  V85.33 Morbid Obesity 278.01 0.365
BMI 34 – 34.9 V85.34 *Use the appropriate morbid obesity                 (V 85.4x) code with 278.01