The Recipe for Choosing the Correct ICD-10 Treatment Diagnosis Code(s)

Transcription

1 December 2, 2016 The Recipe for Choosing the Correct ICD-10 Treatment Diagnosis Code(s) The following information may or may not be appropriate to your clinical setting. Please review the information and determine the appropriateness of the content prior to sharing with your staff. Eligible for LMS Credit: Yes Often times, therapists are not choosing the appropriate ICD-10 treatment diagnosis when they evaluate a patient which can lead to false information, lack of medical necessity, billing errors and a claim being denied. When following the guidelines and examples below, you will feel confident your diagnosis decision will be correct. First: Remember these three key ingredients when choosing the correct treatment diagnosis 1. Assess impairment/s and document your findings 2. Establish and document related short and long term goals 3. Select the treatment code/s and check the definitions to ensure they match the impairments* *Make sure selected codes are MAC approved if applicable Second: ICD-10 codes chosen must be medically necessary, appropriate and relate to the therapy discipline specific service. Third: Distinguish between a medical diagnosis and a treatment diagnosis. Medical Diagnoses Medicare A The medical diagnosis code/s is the reason for which the patient was hospitalized. The code should be taken from the hospital transfer/discharge face sheet or discharge summary provided to the facility AND the medical diagnosis code/s should be the same for each discipline per episode of care. Often times the MDS coordinator will give direction on the appropriate medical diagnosis to document. Check with your facility on their procedure. Medicare B The medical diagnosis code/s must be supported by the medical record documentation and relate to the therapy treatment diagnosis. It should be taken from the facility face sheet in the patient s medical record or physician progress notes if recent physician visit prompted referral. If there isn t a medical diagnosis that does not support a treatment diagnosis, ask the physician for a specific code. For outpatient IL/AL, diagnoses may be taken from physician s order/script. Treatment Diagnoses (All Payers) The treatment diagnosis code/s must be discipline specific and reflect the patient s recent impairment/s that have been assessed and short and long term goal/s established to address the impairment/s. 1 Page

2 Four: Therapy documentation must support the following: Dominant side Anatomic detail Site specificity Specific body part Thorough assessment of functional deficits and impairments, barriers identified and POC including short and long term goals to support the treatment diagnoses Include information from the ICD-10 description Five: Please check your Medicare Administrative Contractor s therapy Local Coverage Determinations (LCDs) to see if they list specific ICD-10 codes they require you to use exclusively. The list can be found on Knect>Kindred Rehabilitation Services>Clinical Services>Skilled Nursing (RHB)>Coding>Medicare Administrative Contractor (MAC) Approved ICD-10 Code listings and links to their LCDs Code to the highest level of specificity, represent the current medical condition and/or co-morbidities impacting rehab Code ALL diagnoses that impact rehab. Sequence the codes in order of amount and complexity of care provided Try to avoid unspecified codes, if possible. Codes titled unspecified are for use when the information in the medical record is insufficient to assign a more specific code. For those categories for which an unspecified code is not provided, the other specified code may represent both other and unspecified Refer to the Common for Physical Therapy, Occupational Therapy and Speech Language Pathology: Knect>Kindred Rehabilitation Services>Clinical Services>Skilled Nursing (RHB)>Coding>OT and PT Common and SLP Common ICD-10 Treatment Diagnosis Codes Common Examples and Definitions of Therapy Treatment Diagnoses with Required Supporting Documentation R Difficulty Walking (Walking disability excludes falling R29.6 and unsteadiness on feet R26.81) Evaluate gait with inclusion of specific ROM/strength deficits, gait deviations as well as gait distance, level of assist and assistive device with goal for gait. M53.1 Muscle Weakness (Arm weakness- right arm, left arm or BUEs, Asthenia, Leg weakness right leg, left leg or BLEs, Weakness as late effects of stroke, Weakness as a late effect of cerebrovascular accident, Weakness of extremities as late effects of CVA, Weakness of extremities as late effects of stroke). Excludes age-related weakness (R54 ), generalized muscle weakness (M62.8- ), sarcopenia (M62.84 ), senile asthenia (R54 ). Remember muscle weakness is 3-/5 or below. Provide a detailed assessment of strength (MMT) in each joint of the extremities with relationship to functional deficits with goal for strengthening. Choosing the Correct ICD-10 Treatment Diagnosis Code(s) Page

3 Common Examples and Definitions of Therapy Treatment Diagnoses with Required Supporting Documentation - continued M62.81 Muscle Weakness (generalized) (A disorder characterized by a reduction in the strength of muscles in multiple anatomic sites). Excludes muscle weakness in sarcopenia. Two examples are myasthenic and quadriparesis. Remember muscle weakness is 3-/5 or below. Provide a detailed assessment of strength (MMT) in each joint of the extremities with relationship to functional deficits with goal for strengthening. R27.8 Other Lack of Coordination Include a detailed assessment fine motor/gross motor coordination in relation to a functional activity with a goal for coordination and an appropriate standardized test to support such as the Standard Finger to Nose (SFTN), Heel to Shin, Rapid Alternating Movements (RAMs), Point to Point Movement Evaluation. R26.89 Other Abnormalities of Gait and Mobility (Cautious gait, Gait disorder due to weakness, Gait disorder-multifactorial, Gait disorder-painful gait, Gait disorder- postural instability, Gait disturbancesenile, Limp in childhood, Limp occurring during childhood, Limping, Toe-walking gait, Unsteady when walking). Must include the gait deviations, ROM/strength deficits, balance, BOS, speed, cadence, antalgia, gait obstacles as well as level of assistance, assistive device and gait distance with goal for gait. R Cognitive Communication Deficit (Cognitive deficit in communication skills) Include a standardized cognitive / linguistic test, SLUMs or MOCA, statement of severity of impairments for attention, concentration, memory, receptive and expressive language, safety awareness, problem solving and new learning capability with a goal for communication and expression. References: ICD-10-CM Official Guidelines for Coding and Reporting FY 2017 (October 1, September 30, 2017) APTA web site ICD10 Data.com Chapter 18 of ICD-10-CM: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified Choosing the Correct ICD-10 Treatment Diagnosis Code(s) Page

4 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Amputation Phantom limb syndrome with G54.6 pain Apraxia Phantom limb syndrome without pain Apraxia: Excludes1: Apraxia following cerebrovascular disease (I69. with final characters -90) G54.7 R48.2 Apraxia following non-traum I69.090,.190,.290,.390,.890,.990 Ataxia Early-onset cerebellar ataxia G11.0 Late-onset cerebellar ataxia G11.1 Cerebellar ataxia in diseases G32.81 not classified elsewhere Ataxia following nontraumatic subarachnoid Ataxia following nontraumatic intracerebral Ataxia following other nontraumatic intracerebral Ataxia following cerebral infarction Ataxia following other Cerebrovascular disease Ataxia following unspecified Cerebrovascular disease I I I I I I Review* Ataxia, unspecified R27.0 Bursitis Rheumatoid bursitis M M06.29 Carpal Tunnel Syndrome Bursitis various locations (includes lower extremities) M M70.72 Other Bursopathies M M71.9 Bursitis of unspecified shoulder M75.50 Bursitis of right shoulder M75.51 Bursitis of left shoulder M75.52 Carpal tunnel syndrome, G56.00 unspecified upper limb OT/PT Common 2016/17 Page 1 of

5 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Carpal Tunnel Carpal tunnel syndrome, right G56.01 Syndrome (Con t) upper limb Cognition Carpal tunnel syndrome, left upper limb Carpal tunnel syndrome, bilateral Mild cognitive impairment, so stated Memory loss NOS / other amnesia Altered mental status, unspecified Attention and concentration deficit: Cognitive deficit in attention or concentration. Excludes Attention deficit hyperactivity disorders (F90-) G56.02 G56.03 G31.84 R41.3 R41.82 R Visuospatial deficit: Cognitive deficit in visuospatial function Psychomotor deficit: Cognitive deficit in psychomotor function Frontal lobe and executive function deficit: Cognitive deficit in executive function Other symptoms and signs involving cognitive functions and awareness: Anosognosia R R R R41.89 Contracture Contracture of joint M M Palmar fascial fibromatosis: M72.0 Dupuytren Contusions Contusion of Upper arm S40.021A - S40.029S Contusion of shoulder S40.011A - S40.019S Contusion of elbow S50.00XA - S50.02XS Contusion of wrist and hand S60.00XA - S60.229S OT/PT Common 2016/17 Page 2 of

6 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Contusions (Con t) Contusion of the hip-thigh S70.00XA - S70.12XS Contusion of knee S80.00XA - S80.12XS Contusion of ankle S90.00XA - S90.02XS Contusion of low back/pelvis S30.0XXA - S30.0XXS Disc Cervical Disc Disorder M50.00 M50.93 Thoracic Disc Disorder M51.04-M51.34 Lumbar-Sacral Disorders M51.35-M51.9 Dysphagia Dysphagia, unspecified R13.10 Dysphagia, oral phase R13.11 Dysphagia, oropharyngeal R13.12 phase Dysphagia, pharyngeal phase R13.13 Dyphagia, pharyngoesophageal R13.14 Other dysphagia R13.19 Facial weakness R Feeding difficulties R63.3 Edema Localized edema R60.0 Generalized edema R60.1 Edema, unspecified R60.9 Epicondylitis Medial epicondylitis, unspecified elbow M77.00 Medial epicondylitis, right M77.01 elbow Medial epicondylitis, left elbow M77.02 Lateral epicondylitis, M77.10 unspecified elbow Lateral epicondylitis, right M77.11 elbow Lateral epicondylitis, left elbow M77.12 Falls Falling: Repeated falls, falling, R29.6 tendency to fall. Excludes at risk Z Feeding Feeding difficulties R63.3 Gait Disturbance Ataxic gait: Staggering gait R26.0 Paralytic gait: Spastic gait R26.1 OT/PT Common 2016/17 Page 3 of

7 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Gait Disturbance Difficulty in walking, not R26.2 (Con t) elsewhere classified: Difficulty walking, Walking disability Excludes falling R29.6 and unsteadiness on feet R26.81 Unsteadiness on feet: Gait R26.81 unsteady, Unsteady gait Other abnormalities of gait and R26.89 mobility: Cautious gait, Gait disorder due to weakness, Gait disorder-multifactorial, Gait disorder-painful gait, Gait disorder- postural instability, Gait disorder-weakness, Gait disturbance-senile, Gait multifactorial, Gait painful, Gait postural instability, Gait weakness, Limp in childhood, Limp occurring during childhood, Limping, Limping child, Multifactorial gait, Multifactorial gait problem, Painful gait, Postural instability of gait, Senile gait disturbance, Toe walking, Toe-walking gait, Unsteady when walking, Weak gait Unspecified abnormalities of R26.9 gait and mobility: Abnormal gait, Functional gait abnormality, Gait abnormalityfunctional, Gait abnormalityfunctional (non physiologic) Hemiplegia Flaccid Hemiplegia, affecting unspecified side G81.00 Flaccid Hemiplegia affecting R dominate side Flaccid Hemiplegia affecting L dominant side Flaccid Hemiplegia affecting R non-dominate side G81.01 G81.02 G81.03 OT/PT Common 2016/17 Page 4 of

8 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Hemiplegia (Con t) Flaccid Hemiplegia affecting L G81.04 non-dominant side Impingement Syndrome -Shoulder Spastic Hemiplegia affecting unspecified side Spastic Hemiplegia affecting right dominant side Spastic Hemiplegia affecting left dominant side Spastic Hemiplegia affecting right non-dominant side Spastic Hemiplegia affecting left non-dominant side Hemiplegia, unspecified affecting unspecified side Hemiplegia, unspecified affecting right dominant side Hemiplegia, unspecified affecting left dominant side Hemiplegia, unspecified affecting right dominant side Hemiplegia, unspecified affecting left dominant side Additional Hemiplegia and Hemiparesis codes Impingement syndrome of shoulder G81.10 G81.11 G81.12 G81.13 G81.14 G81.90 G81.91 G81.92 G81.93 G81.94 Incontinence Stress Incontinence N39.3 Urge Incontinence N39.41 Incontinence w/o sensory awareness N38.42 Mixed incontinence N39.46 Other unspecified Urinary Incontinence I I M M75.42 N Urgency of Urination R39.15 OT/PT Common 2016/17 Page 5 of

9 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Incoordination Other Lack of coordination: R27.8 Dysgraphia, Dysmetria, Dyspraxia, Neuromuscular disorder-dysmetria, Neuromuscular disorderdyspraxia, stumbling due to lack of coordination, Asterixis, Asynergia, Incoordinateincoordinate muscular, Lack of coordination Unspecified Lack of R27.9 Coordination: Incoordination, Lack of coordination Muscle Spasm Muscle spasm of back M Muscle spasm of calf M Other muscle spasm M Cramp and spasm R25.2 Neglect Neurologic neglect syndrome Applicable to: asomatognosia, hemi-akinesia, hemiinattention, hemispatial neglect, left-sided neglect, sensory neglect, visuospatial neglect R41.4 Pain Other Chronic Pain G89.29 Chronic Pain Syndrome G89.4 Pain unspecified R52 Low back pain M54.5 Pain in shoulder M M M Pain in elbow M M M Pain in wrist M M M OT/PT Common 2016/17 Page 6 of

10 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Pain (Con t) Pain in hip M M M Pain in knee M M M Pain in ankle and joints of foot M M M Causalgia of upper limb G56.40-G56.42 Causalgia of lower limb G57.70-G57.72 Complex regional pain syndrome I (CRPS I) G90.50-G90.59 Pain in limb, hand, foot, fingers and toes M M Sciatica, unspecified side M54.30 Sciatica, right side M54.31 Sciatica, left side M54,32 Myalgia M79.1 Fibromyalgia M79.7 Causalgia of upper limb G G56.42 Causalgia of lower limb G G57.72 Headache R51 Other headache syndromes G G44.89 Trigeminal neuralgia G50.0 Atypical face pain G50.1 Neuralgia and neuritis, unspecified M79.2 Plantar fascitis M72.2 Positioning Abnormal Posture R29.3 Respiratory Dyspnea, unspecified R06.00 Other forms of dyspnea R06.09 Sensation Disturbance of sensation R20.0-R20.9 Stiffness of Joint Ankylosis of Joint M M Ankylosing Spondylitis M45.0-M45.9 Torticollis M43.6 Soft Tissue Disorders Synovitis and tenosynovitis M65.20-M65.9 OT/PT Common 2016/17 Page 7 of

11 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Soft Tissue Disorders Other unspecified soft tissue M79.89 (Con t) disorders Soft tissue disorder, unspecified Other disorders of synovium and tendon M79.9 M67.00-M67.99 Spondylosis Spondylosis M M47.9 Tendonitis Achilles tendinitis M76.60-M76.62 Tendinitis M M65.29 Vertigo/Vestibular Epidemic vertigo A88.1 Dysfunction Meniere s disease H81.0 Other peripheral vertigo H81.3 Visual Deficits Other visual disturbances H53.8 Blindness, one eye, low vision other eye H54.1 Weakness Low vision, both eyes H54.2 Blindness, one eye H54.4 Low vision, one eye H54.5 Unqualified visual loss, one eye H54.6 Legal blindness, as defined in H54.8 USA Muscle Weakness: Arm weakness- right arm, left arm or both sides, Asthenia,, Leg weakness right leg, left leg or both sides, Weakness as late effects of stroke, Weakness as a late effect of cerebrovascular accident, Weakness of extremities as late effects of CVA, Weakness of extremities as late effects of stroke Excludes age-related weakness (R54 ), generalized muscle weakness (M62.8- ), sarcopenia (M62.84 ), senile asthenia (R54). Remember muscle weakness is 3-/5 or below. R53.1 Weakness is 3-/5 or below OT/PT Common 2016/17 Page 8 of

12 Occupational Therapy and Physical Therapy Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific. Category Diagnosis ICD-10 code Comments Weakness (Con t) Muscle Wasting & Atrophy: M M62.59 Amyotrophy, Atrophy of muscle due to disuse, Atrophy of muscle-idiopathic, Disuse muscle atrophy, Idiopathic muscle atrophy, Muscle atrophy Muscle Weakness Generalized: A disorder characterized by a M62.81 Weakness is 3-/5 or below reduction in the strength of muscles in multiple anatomic sites. A reduction in the strength of muscles in multiple anatomic sites. Excludes muscle weakness in sarcopenia. Two examples are myasthenic and quadriparesis. Remember weakness is 3-/5 or below. Wounds Pressure ulcers L L89.95 Non-pressure chronic ulcers L L Open wound of elbow and forearm S51.001A-S51.859S Open wound of wrist, hand and fingers S61.001A-S61.559S Open wound of hip and thigh S71.001A-S71.159S Open wound of knee and lower S81.001A-S81.859S leg Open wound of ankle, foot and toes S91.001A-S91.359S OT/PT Common 2016/17 Page 9 of

13 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Attention and concentration deficit: Cognitive deficit in R Cognitive-Linguistic attention or concentration. Excludes Attention deficit hyperactivity disorders (F90-) Cognitive communication deficit: Cognitive deficit in communication skills R Visuospatial deficit: Cognitive deficit in visuospatial function Psychomotor deficit: Cognitive deficit in psychomotor function Frontal lobe and executive function deficit: Cognitive deficit in executive function Other symptoms and signs involving cognitive functions and awareness: Anosognosia R R R R41.89 Agnosia: Tactile, Verbal, Auditory, Astereognosia (astereognosis), Autotopagnosia Excludes1: visual object agnosia (R48.3) Apraxia: Excludes1: Apraxia following cerebrovascular disease (I69. with final characters -90) R48.1 R48.2 Unspecified symbolic dysfunction: Dyslexia and other R48.9 symbolic dysfunctions Excludes: specific developmental disorders of scholastic skills Altered mental status, unspecified R41.82 Mild cognitive impairment, so stated G31.84 Retrograde amnesia R41.2 Other amnesia R41.3 Neurologic neglect syndrome R41.4 Aphasia: Excludes1: Aphasia following cerebrovascular R47.01 disease (I69. with final characters -20), progressive isolated aphasia (G31.01) Developmental Dysphasia: Excludes1: Dysphasia following cerebrovascular disease (I69. with final characters -21) R47.02 Autistic disorder: Excludes1: Asperger's syndrome (F84.5) F84.0 Asperger's syndrome F84.5 Other pervasive developmental disorders F84.8 Pervasive developmental disorder, unspecified F84.9 SLP Common 2016/17 Page 1 of

14 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Developmental (Con t) Selective mutism: Applicable to Elective mutism, Type 2 Excludes: pervasive developmental disorders (F84.- ), schizophrenia (F20.-), specific developmental disorders of speech and language (F80.-), transient mutism as part of separation anxiety in young children (F93.0) F94.0 Attention-deficit hyperactivity disorder, unspecified type F90.9 Attention-deficit hyperactivity disorder, predominantly F90.0 inattentive type Attention-deficit hyperactivity disorder, predominantly F90.1 hyperactive type Attention-deficit hyperactivity disorder, combined type F90.2 Attention-deficit hyperactivity disorder, other type F90.8 Attention-deficit hyperactivity disorder, unspecified type F90.9 Specific reading disorder: 'Backward reading', F81.0 Developmental dyslexia, Specific reading retardation Excludes1: alexia NOS (R48.0), dyslexia NOS (R48.0) Dyslexia and alexia R48.0 Disorder of written expression F81.81 Specific spelling disorder Mathematics disorder F81.2 Disorder of written expression F81.81 Specific spelling disorder Other developmental disorders of scholastic skills F81.89 Expressive language disorder F80.1 Mixed receptive-expressive language disorder F80.2 Central auditory processing disorder: Congenital auditory H93.25 imperception,word deafness (developmental) Excludes1: mixed receptive-expressive language disorder (F80.2) Speech and language developmental delay due to hearing loss Code also: type of hearing loss (H90.-, H91.-) F80.4 Childhood onset fluency disorder: Excludes1: Adult onset fluency disorder (F98.5), fluency disorder in conditions classified elsewhere (R47.82), fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters-23) F80.81 Phonological disorder F80.0 SLP Common 2016/17 Page 2 of

15 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Other developmental disorders of speech and language F80.89 Developmental (con t) Developmental disorder of speech and language, unspecified: Communication disorder NOS, Language disorder NOS Feeding difficulties: Feeding problem (elderly) (infant) NOS Excludes1:feeding problems of newborn (P92.-), infant feeding disorder of nonorganic origin (F98.2-) F80.9 R63.3 Specific developmental disorder of motor function F82 Spastic diplegic cerebral palsy: Spastic cerebral palsy NOS G80.1 Spastic hemiplegic cerebral palsy G80.2 Spastic quadriplegic cerebral palsy: Congenital spastic G80.0 paralysis (cerebral) Other cerebral palsy: Mixed cerebral palsy syndromes G80.8 Dysphagia Spastic hemiplegic cerebral palsy G80.2 Ataxic cerebral palsy G80.4 Cerebral palsy, unspecified G80.9 Cough: Excludes I: Cough with (R04.2), R05 smoker's cough (J41.0) Dysphagia, unspecified: Difficulty in swallowing NOS R13.10 Language Dysphagia, oral phase R13.11 Dysphagia, oropharyngeal phase R13.12 Dysphagia, pharyngeal phase R13.13 Dysphagia, pharyngoesophageal phase R13.14 Other dysphagia: Cervical dysphagia, Neurogenic R13.19 dysphagia Slow feeding of newborn P92.2 Other feeding problems of newborn P92.8 Feeding problem of newborn, unspecified P92.9 Other symbolic dysfunctions: Abolition-language, R48.8 Acalculia, Agrammatism, Agraphia (absolute), Aminia, Amusia, Anomia, Asymbolia, Bianchi s syndrome, Blindness-psychic, Deafness-mental, Acalculia, Dyscalculia, Dysfunction symbolic, Echolalia, Gerstmann s syndrome, Palilalia, Perseveration (tonic) SLP Common 2016/17 Page 3 of

16 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Motor Speech Apraxia R48.2 Dysarthria and anarthria: Excludes1: Dysarthria following cerebrovascular disease (I69. with final characters -22) R47.1 Stroke: Cognition and Language Dyspnea, unspecified R06.00 Other forms of dyspnea R06.09 Other abnormalities of breathing: Breath-holding (spells), R06.89 Sighing Attention and concentration deficit following nontraumatic subarachnoid Frontal lobe and executive function deficit following nontraumatic subarachnoid Cognitive social or emotional deficit following nontraumatic subarachnoid **Include areas of function and safety in documentation Other symptoms and signs involving cognitive functions following nontraumatic subarachnoid Attention and concentration deficit following nontraumatic intracerebral Frontal lobe and executive function deficit following nontraumatic intracerebral Cognitive social or emotional deficit following nontraumatic intracerebral **Include areas of function and safety in documentation Attention and concentration deficit following other nontraumatic intracranial Frontal lobe and executive function deficit following other nontraumatic intracranial Cognitive social or emotional deficit following other nontraumatic intracranial **Include areas of function and safety in documentation Other symptoms and signs involving cognitive functions following other nontraumatic intracranial Attention and concentration deficit following cerebral infarction Frontal lobe and executive function deficit following cerebral infarction I I I I I I I I I I I I I SLP Common 2016/17 Page 4 of

17 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Cognitive social or emotional deficit following cerebral I Stroke: Cognition and infarction **Include areas of function and safety in Language (Con t) documentation Other symptoms and signs involving cognitive functions following cerebral infarction Attention and concentration deficit following other cerebrovascular disease Frontal lobe and executive function deficit following other cerebrovascular disease Cognitive social or emotional deficit following other cerebrovascular disease **Include areas of function and safety in documentation Other symptoms and signs involving cognitive functions following other cerebrovascular disease Attention and concentration deficit following unspecified cerebrovascular disease Frontal lobe and executive function deficit following unspecified cerebrovascular disease Cognitive social or emotional deficit following unspecified cerebrovascular disease **Include areas of function and safety in documentation Other symptoms and signs involving cognitive functions following unspecified cerebrovascular disease Other speech and language deficits following unspecified cerebrovascular disease Aphasia following nontraumatic subarachnoid Aphasia following nontraumatic intracerebral Aphasia following other nontraumatic intracranial I I I I I I I I I I I I I Aphasia following cerebral infarction I Aphasia following other cerebrovascular disease I Aphasia following unspecified cerebrovascular disease I Dysphasia following nontraumatic subarachnoid I Dysphasia following nontraumatic intracerebral I Dysphasia following other nontraumatic intracranial I SLP Common 2016/17 Page 5 of

18 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Dysphasia following cerebral infarction I Stroke: Cognition and Language (Con t) Dysphasia following other cerebrovascular disease I Dysphasia following unspecified cerebrovascular disease I Dysarthria following nontraumatic subarachnoid I Dysarthria following nontraumatic intracerebral I Dysarthria following other nontraumatic intracranial I Dysarthria following cerebral infarction I Dysarthria following other cerebrovascular disease I Dysarthria following unspecified cerebrovascular disease I Fluency disorder following nontraumatic subarachnoid I : Stuttering following nontraumatic subarachnoid Fluency disorder following nontraumatic intracerebral I : Stuttering following nontraumatic intrcerebral Fluency disorder following other nontraumatic intracranial : Stuttering following other nontraumatic intracranial Fluency disorder following cerebral infarction: Stuttering following cerebral infarction Fluency disorder following other cerebrovascular disease: Stuttering following other cerebrovascular disease Fluency disorder following unspecified cerebrovascular disease: Stuttering following other cerebrovascular disease Other speech and language deficits following nontraumatic subarachnoid Other speech and language deficits following nontraumatic intracerebral Other speech and language deficits following other nontraumatic intracranial Other speech and language deficits following cerebral infarction Other speech and language deficits following other cerebrovascular disease I I I I I I I I I SLP Common 2016/17 Page 6 of

19 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Stroke: Cognition and Other speech and language deficits following unspecified I Language (Con t) cerebrovascular disease Apraxia following nontraumatic subarachnoid I Apraxia following nontraumatic intracerebral I Apraxia following other nontraumatic intracranial I Apraxia following cerebral infarction I Apraxia following other cerebrovascular disease I Apraxia following unspecified cerebrovascular disease I Dysphagia following nontraumatic subarachnoid I Dysphagia following nontraumatic intracerebral I Dysphagia following other nontraumatic intracranial I Dysphagia following cerebral infarction I Dysphagia following other cerebrovascular disease I Dysphagia following unspecified cerebrovascular disease I Facial weakness following nontraumatic subarachnoid I : Facial droop following nontraumatic subarachnoid Facial weakness following nontraumatic intracerebral I : Facial droop following nontraumatic intracerebral Facial weakness following other nontraumatic intracranial : Facial droop following other nontraumatic intracranial I Facial weakness following cerebral infarction: Facial droop following cerebral infarction Facial weakness following other cerebrovascular disease: Facial droop following other cerebrovascular disease Facial weakness following unspecified cerebrovascular disease: Facial droop following unspecified cerebrovascular disease I I I Ataxia following nontraumatic subarachnoid I Ataxia following nontraumatic intracerebral I SLP Common 2016/17 Page 7 of

20 Speech Language Pathology Common 2016/17 Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses Category ICD-10 Description ICD-10 Code Stroke: Cognition and Ataxia following other nontraumatic intracranial I Language (Con t) Ataxia following cerebral infarction I Ataxia following other cerebrovascular disease I Ataxia following unspecified cerebrovascular disease I Vocal Cord Paralysis of vocal cords and larynx, unspecified J38.00 Paralysis of vocal cords and larynx, unilateral J38.01 Paralysis of vocal cords and larynx, unilateral J38.01 Paralysis of vocal cords and larynx, bilateral J38.02 Paralysis of vocal cords and larynx, bilateral J38.02 Polyp of vocal cord and larynx J38.1 Edema of larynx: Edema (of) glottis, Subglottic edema, Supraglottic edema J38.4 Voice Stenosis of larynx J38.6 Laryngeal spasm J38.5 Unspecified voice and resonance disorder: Change in R49.9 voice NOS, Resonance disorder NOS, Speech resonance disorder Aphonia: Loss of voice R49.1 Dysphonia: Hoarseness R49.0 Hypernasality R49.21 Hyponasality R49.22 Other voice and resonance disorders R49.8 Unspecified voice and resonance disorder R49.9 SLP Common 2016/17 Page 8 of