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Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC Emergency Condition Codes ‐ ALS (Non trauma)  K29.70 Gastritis, unspecified, without  bleeding K29.70 Gastritis, unspecified, without  With other signs or symptoms.  bleeding K29.90 Gastroduodenitis, unspecified,  Nausea,vomiting,fainting, pulsatile  without bleeding mass, distention, rigid, tenderness  K29.90 Gastroduodenitis, unspecified,  535.50 Severe abdominal pain  on exam, guarding. without bleeding R10.9 Unspecified abdominal pain Potentially life‐threatening.  Bradycardia, junctional and  ventricular blocks,non‐sinus  tachycardias, PVC’s >6, bi and  trigeminy, ventricular tachycardia,  Abnormal Cardiac  ventricular fibrillation, atrial  rhythm/cardiac  flutter, PEA, asystole, AICD/AED  427.9 dysrhythmia Fired I49.9 Cardiac arrhythmia, unspecifed I49.9 Cardiac arrhythmia, unspecifed R61 Generalized hyperhidrosis Diaphorhesis, cyanosis, delayed  780.8 Abnormal skin signs  cap refill, poor turgor, mottled. R61 Generalized hyperhidrosis R23.8 Other skin changes 796.4 Abnormal vital signs With or without symptoms R68.89 Other general symptoms and signs R68.89 Other general symptoms and signs T78.2XXA Anaphylactic shock, unspecified,  initial encounter T78.2XXA Anaphylactic shock, unspecified,  Potentially life‐threatening. Other  initial encounter emergency conditions, rapid  T88.6XXA Anaphylactic reaction due to adverse  progression of symptoms, prior hx.  effect of correct drug or medicament  of anaphylaxis, wheezing, properly administered, initial  995.0 Allergic reaction  difficulty swallowing. encounter T78.40XA Allergy, unspecified, initial encounter Abnormal <80 or >250, with  R73.01 Impaired fasting glucose symptoms. Altered mental status,  790.21 Blood glucose  vomiting, signs of dehydration R73.01 Impaired fasting glucose R73.09 Other abnormal blood glucose Page 1 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC Apnea, hypoventilation requiring  ventilatory assistance and airway  799.1 Respiratory arrest  management. R09.2 Respiratory arrest  R09.2 Respiratory arrest  786.05 Difficulty breathing R06.02 Shortness of Breath R06.02 Shortness of Breath I46.2 Cardiac arrest due to underlying  cardiac condition I46.8 Cardiac arest due to other underlying  Cardiac arrest ‐  condition resuscitation in  427.5 progress I46.9 Cardiac arrest, cause unspecified I46.9 Cardiac arrest, cause unspecified Dull, severe, crushing, substernal,  epigastric, left sided chest pain  associated with pain of the jaw,  left arm, neck, back, and nausea,  vomiting, palpitations, pallor,  786.50 Chest pain  diaphoresis, decreased LOC. R07.9 Chest pain, unspecified R07.9 Chest pain, unspecified R06.5 Mouth breathing R06.7 Sneezing R06.89 Other abnormalities of breathing T17.200A Unspecified foreign body in pharynx  Airway obstructed or partially  causing asphyxiation, initial  784.99 Choking episode obstructed R19.6 Halitosis encounter Potentially life or limb threatening Cold exposure life/limb Temperature < 95F, deep frost  991.6 threatening bite, other emergency conditions T68.XXXA Hypothermia, initial encounter T68.XXXA Hypothermia, initial encounter Page 2 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC R41.82 Altered Mental Status, unspecified R41.0 Disorientation, unspecified R40.241 Glasgow coma scale score 13‐15 Acute condition with Glascow  R40.242 Glasgow coma scale score 9‐12 780.97 Altered LOC  Coma Scale < 15. R41.82 Altered mental status, unspecified R40.243 Glasgow coma scale score 3‐8 Seizing, immediate post‐seizure,  postictal, or at risk of seizure and  requires medical  780.39 Convulsions/Seizures monitoring/observation. R56.9 Unspecified convulsions R56.9 Unspecified convulsions I67.9 Cerebrovascular disease, unspecified Non‐traumatic  With neurologic distress conditions  G44.89 Other headache syndrome 437.9 headache or sudden severe onset I67.9 Cerebrovascular disease, unspecified R51 Headache 785.1 Cardiac symptoms  Palpitations, skipped beats R00.2 Palpitations R00.2 Palpitations Persistent nausea and vomiting,  weakness, hiccups, pleuritic pain,  R11.10 Vomiting, unspecified feeling of impending doom, and  R09.1 Pleurisy 536.2 Cardiac symptoms other emergency conditions. R11.10 Vomiting, unspecified I20.0 Unstable angina Hot and dry skin, Temp>105,  T67.5XXA Heat Exhaustion, unspecified, initial  neurologic distress, signs of heat  encounter Heat exposure ‐  stroke or heat exhaustion,  potentially life  orthostatic vitals, other emergency T67.5XXA Heat Exhaustion, unspecified, initial  T67.0XXA Heatstroke and sunstroke, initial  992.5 threatening conditions. encounter encounter Uncontrolled or significant signs of  shock or other emergency  conditions. Severe, active vaginal,  rectal bleeding, hematemesis,  hemoptysis, epistaxis, active post‐  R58 Hemorrhage, Not Elsewhere  R58 Hemorrhage, Not Elsewhere  459.0 Hemorrhage surgical bleeding. Classified (NEC) Classified (NEC) Page 3 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC T59.811A Toxic effect of smoke, accidental  (unintentional), initial encounter T59.812A Toxic effect of smoke, intentional self‐ harm, initial encounter T59.813A Toxic effect of smoke, assault, initial encounter T59.814A Toxic effect of smoke, undetermined,  initial encounter T59.891A Toxic effect of other specified gases,  fumes and vapors, accidental  (unintentional), initial encounter T59.892A Toxic effect of other specified gases,  fumes and vapors, intentional self‐ harm, initial encounter T59.893A Toxic effect of other specified gases,  fumes and vapors, assault, initial encounter Hazmat Toxic fume or liquid exposure via  T59.894A Toxic effect of other specified gases,  (Continued on next  inhalation, absorption, oral,  fumes and vapors, undetermined,  987.9 page)  radiation, smoke inhalation. initial encounter Page 4 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC T59.91XA Toxic effect of unspecified gases,  fumes and vapors, accidental  (unintentional), initial encounter T59.92XA Toxic effect of unspecified gases,  fumes and vapors, intentional self‐ harm, initial encounter T59.93XA Toxic effect of unspecified gases,  fumes and vapors, assault, initial  encounter Toxic fume or liquid exposure via  T59.94XA Toxic effect of unspecified gases,  T59.94XA Toxic effect of unspecified gases,  inhalation, absorption, oral,  fumes and vapors, undetermined,  fumes and vapors, undetermined,  987.9 Hazmat (Continued) radiation, smoke inhalation. initial encounter initial encounter Page 5 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC T82.119A Breakdown (mechanical) of  unspecified cardiac electronic device,  initial encounter T82.129A Displacement of unspecified cardiac electronic device, initial  encounter T82.199A Other mechanical complication of  unspecified cardiac device, initial  encounter T82.519A Breakdown (mechanical) of  unspecified cardiac and vascular  devices and implants, initial  encounter T82.529A Displacement of unspecified cardiac  and vascular devices and implants,  initial encounter T82.539A Leakage of unspecified cardiac and  vascular devices and implants, initial  Life or limb threatening  encounter malfunction, failure, or  complication. Malfunction of  T82.599A Other mechanical complication of  T82.599A Other mechanical complication of  ventilator, internal pacemaker,  unspecified cardiac and vascular  unspecified cardiac and vascular  internal defibrillator, implanted  devices and implants, initial  devices and implants, initial  996.00 Medical device failure  drug delivery service. encounter encounter Page 6 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC I67.89 Other cerebrovascular disease Facial drooping; loss of vision;  I69.920 Aphasia following unspecified  aphasia; difficulty swallowing;  cerebrovascular disease numbness; tingling extremity;  R40.2241 Coma scale, best verbal response,  stupor, delirium, confusion,  confused conversation in the field  hallucinations; paralysis, paresis  [EMT or ambulance] (focal weakness); abnormal  movements; vertigo; unsteady  [PWW NOTE: See additional codes  gait/balance; slurred speech,  related to specific GCS elements  436 Neurological distress uanble to speak.  I67.89 Other cerebrovascular disease under R40] Acute onset, unable to ambulate  or sit due to intensity of pain. Pain is the reason for the  transport. Use severity scale (7‐10  for severe pain) or patient  R52 Pain, unspecified Pain, severe, not  receiving pharmalogic  780.96 otherwise specified  intervention. R52 Pain, unspecified G89.11 Acute pain due to trauma Suspect cardiac or vascular  etiology. Other emergency  conditions, absence of or  decreased leg pulses, pulsatile  M54.89 Other dorsalgia M54.9 Dorsalgia, unspecified Back pain, non‐ abdominal mass, severe tearing  724.5 traumatic  abdominal pain. M54.9 Dorsalgia, unspecified M54.89 Other dorsalgia Page 7 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations. Consolidated CMS/PWW Ambulance Condition Code ICD Crosswalk Version 1.0 e  d e D‐9  on Co CMS ICD‐9 Condition  ICD‐9 Condition Code Examples D‐10  on  ICD‐10 Code Definition kGuid Codes ICD‐10 Code Definition MS IC nditi Code  Definition MS IC nditi des c Qui D‐10  C Co C Co Co ab IC M43.20 Fusion of spine, site unspecified M43.21 Fusion of spine, occipito‐atlanto‐axial  region M43.22 Fusion of spine, cervical region M43.23 Fusion of spine, cervicothoracic  region M43.24 Fusion of spine, thoracic region M43.25 Fusion of spine, thoracolumbar  region M43.26 Fusion of spine, lumbar region M43.27 Fusion of spine, lumbosacral region M43.28 Fusion of spine, sacral and  sacrococcygeal region Back pain, non‐ M43.8X9 Other specified deforming  traumatic Sudden onset of new neurologic  dorsopathies, site unspecified symptoms. (Continued on next  M53.80 Other specified dorsopathies, site  724.9 page) Neurologic distress list. unspecified Page 8 of 43 Prepared by PWW Media, Inc. ‐ October 2015 This is an educational tool only and does not constitute legal advice. User bears all responsibility for use and for compliance with all applicable laws and regulations.