Icd-10 Diagnosis Coding Cheat Sheet For Cdsas
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4CHEAT SHEET FOR CDSAs: ICD-10 DIAGNOSIS CODING
(For services occurring on or after 10-01-2015)
Codes That Can Be Used By Any Evaluator:
F88
*Most commonly used - Choose from among these four descriptors:
Development
Other specified delay in development -most common – for delays in one or more domain
th
(this is the
14
choice
on the menu of descriptors)
th
Delayed social & emotional development (for suspected autism-not diagnosed-
4
on the list)
th
Global developmental delay(for delays in all or almost all domains –
9
on the list)
Sensory processing difficulty (use rarely – (controversial)-
second from last
on the list)
Z03.89 Encounter for observation for other suspected diseases & conditions, ruled out
(Use when no delays or abnormalities are found; i.e. child not eligible)
R26.2
Difficulty in walking, not elsewhere classified
R26.9
Abnormality of gait and mobility
R27.8
Other lack of coordination
R29.818 Other symptoms and signs involving the nervous system
R29.898 Other symptoms and signs involving the musculoskeletal system
R47.9
Speech disturbance
R63.3
Feeding difficulties
(use for suspected autism not yet dx’ed)
F94.9
Childhood disorder of social functioning
Z00.70
Encounter for examination for period of delayed growth in childhood without abnormal findings
(Use for billing after 12 months of age for children entering with perinatal “P-codes” who do not
have documented delays or other billable medical diagnoses…per Medicaid)
Behavior
R45.4
Irritability and anger
R45.87 Impulsiveness
R45.89 Other symptoms and signs involving emotional state
R46.3
Overactivity
(this is NOT an ADHD diagnosis)
th
F91.9
Behavior disturbance
*(this is the
7
choice on the menu of descriptors)
F51.9
Sleep disorder not due to a substance or known physiological condition, unspecified
(use for behavioral sleep problems)
Note that ICD 10 has no general symptom codes for behavior or sleep “problems” or “concerns” – just these
concerns about a child’s environment,
Social
Z60.9
Problem related to social environment, unspecified (e.g.,
DSS is involved, but the child remains in the situation)
Z62.819 History of abuse in childhood
(this must be substantiated, not just suspected)
Z62.812 Personal history of neglect in childhood
(this must be substantiated, not just suspected)
nd
choice on the menu – can also use for kinship care)
Z62.21
Child in foster care
*(this is the
2
Z59.9
Problems related to housing and economic circumstances
Z91.89
Other specified personal risk factors, NEC (e.g., at risk of neglect - may pair with Z60.9)
th
Other
P96.1
Neonatal abstinence syndrome *(this is the
12
choice on the menu-can be used for infants
withdrawing from maternal drugs as well as those weaned from prescribed pain/sedation, i.e. post-op)
nd
Z93.0
Dependence on tracheostomy *(this is the
2
choice on the menu)
th
Z93.1
Feeding by G-tube
*(this is the
4
choice on the menu)
F98.3
Pica of infancy and childhood
V2 9-17-2015
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