ICD-10-CM Book 2024 Edition


Table of Contents
1A00-B99Certain infectious and parasitic diseases
3D50-D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
4E00-E89Endocrine, nutritional and metabolic diseases
5F01-F99Mental, Behavioral and Neurodevelopmental disorders
6G00-G99Diseases of the nervous system
7H00-H59Diseases of the eye and adnexa
8H60-H95Diseases of the ear and mastoid process
9I00-I99Diseases of the circulatory system
10J00-J99Diseases of the respiratory system
11K00-K95Diseases of the digestive system
12L00-L99Diseases of the skin and subcutaneous tissue
13M00-M99Diseases of the musculoskeletal system and connective tissue
14N00-N99Diseases of the genitourinary system
15O00-O9APregnancy, childbirth and the puerperium
16P00-P96Certain conditions originating in the perinatal period
17Q00-Q99Congenital malformations, deformations and chromosomal abnormalities
18R00-R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
19S00-T88Injury, poisoning and certain other consequences of external causes
20V00-Y99External causes of morbidity
21Z00-Z99Factors influencing health status and contact with health services
22U00-U85Codes for special purposes
Instructional Notations
The word 'Includes' appears immediately under certain categories to further define, or give examples of, the content of the category.
Excludes Notes
The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.
A type 1 Excludes note is a pure excludes. It means 'NOT CODED HERE!' An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents 'Not included here'. An excludes2 note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together.
Code First/Use Additional Code notes (etiology/manifestation paired codes)
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
In most cases the manifestation codes will have in the code title, 'in diseases classified elsewhere.' Codes with this title are a component of the etiology/ manifestation convention. The code title indicates that it is a manifestation code. 'In diseases classified elsewhere' codes are never permitted to be used as first listed or principal diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
Code Also
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
7th characters and placeholder X
For codes less than 6 characters that require a 7th character a placeholder X should be assigned for all characters less than 6. The 7th character must always be the 7th character of a code