Peninsula Professional Coders

ICD10-CM 2019

Summary

• 279 New

• 51 Deleted

• 143 Revised

Conventions for the Guideline Changes

“With”

• The word “with” or “in” should be interpreted to mean “associated with” or “due to” when it appears in a code title, the Alphabetic Index (either under a main term or subterm), or an instructional note in the Tabular List. The classification presumes a causal relationship between the two conditions linked by these terms in the Alphabetic Index or Tabular List.

General Coding Guideline Changes

14. Documentation by Clinicians Other than the Patient's Provider Code assignment is based on the documentation by patient's provider (i.e., physician or other qualified healthcare practitioner legally accountable for establishing the patient's diagnosis). There are a few exceptions, such as codes for the Body Mass Index (BMI), …….

General Coding Guideline Changes

14. For social determinants of health, such as information found in categories Z55-Z65, Persons with potential health hazards related to socioeconomic and psychosocial circumstances, code assignment may be based on medical record documentation from clinicians involved in the care of the patient who are not the patient’s provider since this information represents social information, rather than medical diagnoses. The BMI, coma scale, NIHSS codes and categories Z55-Z65 should only be reported as secondary diagnoses.

Chapter Specific Guideline Changes

• Chapter 1 (Sepsis due to postprocedural infection)

• Chapter 2 (Current malignancy versus personal history of malignancy)

• Chapter 5 (Factious Disorder)

• Chapter 9 (Hypertension with Heart Disease; Hypertensive Chronic Kidney Disease; and Subsequent Acute Myocardial Infarction)

• Chapter 15 (Drug use during pregnancy, childbirth and the puerperium)

• Chapter 18 (Glascow coma scale)

Chapter 2 – Neoplasm

• Melanoma and other malignant neoplasms of skin (C43-C44)• C43.1 Malignant melanoma of eyelid, including canthus

• C4A.1 Merkel cell carcinoma of eyelid, including canthus

• C44.1 Other and unspecified malignant neoplasm of skin of eyelid, including canthus

• D03.1 Melanoma in situ of eyelid, including canthus

• D04.1 Carcinoma in situ of skin of eyelid, including canthus

• D22.1 Melanocytic nevi of eyelid, including canthus

• D23.1 Other benign neoplasm of skin of eyelid, including canthus

Chapter 4 – Endocrine, Nutritional and Metabolic Diseases

• Metabolic Disorders (E70-E88)• E72.81 Disorders of gamma aminobutyric acid metabolism

• E72.89 Other specified disorders of amino-acid metabolism

• E7526 Sulfatase deficiency

• E7841 Elevated Lipoprotein(a)

• E7849 Other hyperlipidemia

• E8802 Plasminogen deficiency

• E671 Hypercarotenemia

• E7253 Primary hyperoxaluria

Chapter 5 – Mental, Behavioral and Neurodevelopment Disorders

• Mental and behavorioral disorders due to psychoactive substance use (F10-F19)• F12.23 Cannabis dependence with withdrawal

• F12.93 Cannabis use, unspecified with withdrawal

Chapter 5 – Mental, Behavioral and Neurodevelopment Disorders

• Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59)• F530 Postpartum depression

• F531 Puerperal psychosis

Chapter 5 – Mental, Behavioral and Neurodevelopment Disorders

• Disorders of adult personality and behavior (F60-F69)• F68.A Factitious disorder imposed on another

• F68.10 Factitious disorder imposed on self, unspecified

• F68.11 Factitious disorder imposed on self, with predominantly psychological signs and symptoms

• F68.12 Factitious disorder imposed on self, with predominantly physical signs and symptoms

• F68.13 Factitious disorder imposed on self, with combined psychological and physical signs and symptoms

Chapter 6 – Diseases of the Nervous System

• Nerve, nerve root and plexus disorders (G50-G59)• G51.31 Clonic hemifacial spasm, right

• G51.32 Clonic hemifacial spasm, left

• G51.33 Clonic hemifacial spasm, bilateral

• G51.39 Clonic hemifacial spasm, unspecified

Chapter 6 – Diseases of the Nervous System

• Diseases of myoneural junction and muscle (G70-G73)• G71.00 Muscular dystrophy, unspecified

• G71.01 Duchenne or Becker muscular dystrophy

• G71.02 Facioscapulohumeral muscular dystrophy

• G71.09 Other specified muscular dystrophies

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H01.00A Unspecified blepharitis right eye, upper and lower eyelids

• H01.00B Unspecified blepharitis left eye, upper and lower eyelids

• H01.01A Ulcerative blepharitis right eye, upper and lower eyelids

• H01.01B Ulcerative blepharitis left eye, upper and lower eyelids

• H01.02A Squamous blepharitis right eye, upper and lower eyelids

• H01.02B Squamous blepharitis left eye, upper and lower eyelids

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H02.151 Paralytic ectropion of right upper eyelid

• H02.152 Paralytic ectropion of right lower eyelid

• H02.153 Paralytic ectropion of right eye, unspecified eyelid

• H02.154 Paralytic ectropion of left upper eyelid

• H02.155 Paralytic ectropion of left lower eyelid

• H02.156 Paralytic ectropion of left eye, unspecified eyelid

• H02.159 Paralytic ectropion of unspecified eye, unspecified eyelid

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H02.20A Unspecified lagophthalmos right eye, upper and lower eyelids

• H02.20B Unspecified lagophthalmos left eye, upper and lower eyelids

• H02.20C Unspecified lagophthalmos, bilateral, upper and lower eyelids

• H02.21A Cicatricial lagophthalmos right eye, upper and lower eyelids

• H02.21B Cicatricial lagophthalmos left eye, upper and lower eyelids

• H02.21C Cicatricial lagophthalmos, bilateral, upper and lower eyelids

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H02.22A Mechanical lagophthalmos right eye, upper and lower eyelids

• H02.22B Mechanical lagophthalmos left eye, upper and lower eyelids

• H02.22C Mechanical lagophthalmos, bilateral, upper and lower eyelids

• H02.23A Paralytic lagophthalmos right eye, upper and lower eyelids

• H02.23B Paralytic lagophthalmos left eye, upper and lower eyelids

• H02.23C Paralytic lagophthalmos, bilateral, upper and lower eyelids

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H02.881 Meibomian gland dysfunction right upper eyelid

• H02.882 Meibomian gland dysfunction right lower eyelid

• H02.883 Meibomian gland dysfunction of right eye, unspecified eyelid

• H02.884 Meibomian gland dysfunction left upper eyelid

• H02.885 Meibomian gland dysfunction left lower eyelid

• H02.886 Meibomian gland dysfunction of left eye, unspecified eyelid

• H02.889 Meibomian gland dysfunction of unspecified eye, unspecified eyelid

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H02.88A Meibomian gland dysfunction right eye, upper and lower eyelids

• H02.88B Meibomian gland dysfunction left eye, upper and lower eyelids

• H10.821 Rosacea conjunctivitis, right eye

• H10.822 Rosacea conjunctivitis, left eye

• H10.823 Rosacea conjunctivitis, bilateral

• H10.829 Rosacea conjunctivitis, unspecified eye

Chapter 7– Diseases of the Eye and Adnexa

• Disorders of eyelid, lacrimal system and orbit (H00-H05)• H57.811 Brow ptosis, right

• H57.812 Brow ptosis, left

• H57.813 Brow ptosis, bilateral

• H57.819 Brow ptosis, unspecified

• H57.89 Other specified disorders of eye and adnexa

Chapter 7– Diseases of the Eye and Adnexa

• H04.201 Unspecified epiphora, right side

• H04.202 Unspecified epiphora, left side

• H04.203 Unspecified epiphora, bilateral

• H04.209 Unspecified epiphora, unspecified side

• H04.221 Epiphora due to insufficient drainage, right side

• H04.222 Epiphora due to insufficient drainage, left side

• H04.223 Epiphora due to insufficient drainage, bilateral

• H042.29 Epiphora due to insufficient drainage, unspecified side

Chapter 9 – Diseases of the Circulatory System• Cardiovascular diseases (I60-I69)

• I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery

• I63.239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery

• I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries

• I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries

Chapter 9 – Diseases of the Circulatory System

• I63.81 Other cerebral infarction due to occlusion or stenosis of small artery

• I63.89 Other cerebral infarction

• I67.85 Hereditary cerebrovascular disease

• I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy

• I67.858 Other hereditary cerebrovascular

Chapter 10 – Diseases of the Respiratory System• Other respiratory diseases principally affecting the interstitium (J80-

J84)• J84848 Other interstitial lung diseases of childhood

Chapter 11 - Diseases of the Digestive System

• Diseases of the appendix (K35-K38)• K35.20 Acute appendicitis with generalized peritonitis, without abscess

• K35.21 Acute appendicitis with generalized peritonitis, with abscess

• K35.30 Acute appendicitis with localized peritonitis, without perforation or gangrene

• K35.31 Acute appendicitis with localized peritonitis and gangrene, without perforation

• K35.32 Acute appendicitis with perforation and localized peritonitis, without abscess

• K35.33 Acute appendicitis with perforation and localized peritonitis, with abscess

Chapter 11 - Diseases of the Digestive System

• Diseases of the appendix (K35-K38)• K35.890 Other acute appendicitis without perforation or gangrene

• K35.891 Other acute appendicitis without perforation, with gangrene

• K43.5 Parastomal hernia without obstruction or gangrene

Chapter 11 - Diseases of the Digestive System

• Other diseases of intestines (K55-K64)• K61.31 Horseshoe abscess

• K61.39 Other ischiorectal abscess

• K61.5 Supralevator abscess

Chapter 11 - Diseases of the Digestive System

• Disorders of gallbladder, biliary tract and pancreas (K80-K87)• K82.A Disorders of gallbladder in diseases classified elsewhere

• K82.A1 Gangrene of gallbladder in cholecystitis

• K82.A2 Perforation of gallbladder in cholecystitis

• K83.01 Primary sclerosing cholangitis

• K83.09 Other cholangitis

Chapter 12 Diseases of the Skin and Subcutaneous Tissue• Other disorders of the skin and subcutaneous tissue (L80-L99)

• L98.495 Non-pressure chronic ulcer of skin of other sites with muscle involvement without evidence of necrosis

• L98.496 Non-pressure chronic ulcer of skin of other sites with bone involvement without evidence of necrosis

• L98.498 Non-pressure chronic ulcer of skin of other sites with other specified severity

Chapter 13 – Diseases of the Musculoskeletal System and Connective Tissue• Other soft tissue disorders (M70-M79)

• M79.10 Myalgia, unspecified site

• M79.11 Myalgia of mastication muscle

• M79.12 Myalgia of auxiliary muscles, head and neck

• M79.18 Myalgia, other site

• M79.1 Myalgia

Chapter 14 - Diseases of the Genitourinary System

• Other disorders of kidney and ureter (N25-N29)• N35016 Post-traumatic urethral stricture, male, overlapping sites

• N35116 Postinfective urethral stricture, not elsewhere classified, male, overlapping sites

• N35.811 Other urethral stricture, male, meatal

• N35.812 Other urethral bulbous stricture, male

• N35.813 Other membranous urethral stricture, male

• N35.814 Other anterior urethral stricture, male, anterior

• N35.816 Other urethral stricture, male, overlapping sites

• N35.819 Other urethral stricture, male, unspecified site

Chapter 14 - Diseases of the Genitourinary System

• Other disorders of kidney and ureter (N25-N29)• N35.82 Other urethral stricture, female

• N35.911 Unspecified urethral stricture, male, meatal

• N35.912 Unspecified bulbous urethral stricture, male

• N35.913 Unspecified membranous urethral stricture, male

• N35.914 Unspecified anterior urethral stricture, male

• N35.916 Unspecified urethral stricture, male, overlapping sites

• N35.919 Unspecified urethral stricture, male, unspecified site

• N35.92 Unspecified urethral stricture, female

• Intraoperative and postprocedural complications and disorders of genitourinary system, NEC (N99)• N99.116 Postprocedural urethral stricture, male, overlapping sites

Chapter 15 - Pregnancy, Childbirth and the Puerperium• Pregnancy with abortive outcome (O00-O08)

• O00212 Left ovarian pregnancy with intrauterine pregnancy

• Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-048)• O30.131 Triplet pregnancy, trichorionic/triamniotic, first trimester

• O30.132 Triplet pregnancy, trichorionic/triamniotic, second trimester

• O30.133 Triplet pregnancy, trichorionic/triamniotic, third trimester

• O30.139 Triplet pregnancy, trichorionic/triamniotic, unspecified trimester

Chapter 15 - Pregnancy, Childbirth and the Puerperium• Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-048)• O30.131 Triplet pregnancy, trichorionic/triamniotic, first trimester

• O30.132 Triplet pregnancy, trichorionic/triamniotic, second trimester

• O30.133 Triplet pregnancy, trichorionic/triamniotic, third trimester

• O30.139 Triplet pregnancy, trichorionic/triamniotic, unspecified trimester

• O30.231 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, first trimester

• O30.232 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, second trimester

• O30.233 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, third trimester

• O30.239 Quadruplet pregnancy, quadrachorionic/quadra-amniotic, unspecified trimester

Chapter 15 - Pregnancy, Childbirth and the Puerperium• Maternal care related to the fetus and amniotic cavity and possible delivery problems (O30-048)• O30.831 Other specified multiple gestation, number of chorions and amnions are both

equal to the number of fetuses, first trimester

• O30.832 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, second trimester

• O30.833 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, third trimester

• O30.839 Other specified multiple gestation, number of chorions and amnions are both equal to the number of fetuses, unspecified trimester

Chapter 15 - Pregnancy, Childbirth and the Puerperium• Complications predominately related to the puerperium (O85-O92)• O86.00 Infection of obstetric surgical wound, unspecified

• O86.01 Infection of obstetric surgical wound, superficial incisional site

• O86.02 Infection of obstetric surgical wound, deep incisional site

• O86.03 Infection of obstetric surgical wound, organ and space site

• O86.04 Sepsis following an obstetrical procedure

• O86.09 Infection of obstetric surgical wound, other surgical site

Chapter 16 - Certain Conditions Originating in the Perinatal Period• Newborn affected by maternal factors and by complications of pregnancy,

labor and delivery (P00-P04)• P02.70 Newborn affected by fetal inflammatory response syndrome

• P02.78 Newborn affected by other conditions from chorioamnionitis

• P04.11 Newborn affected by maternal antineoplastic chemotherapy

• P04.12 Newborn affected by maternal cytotoxic drugs

• P04.13 Newborn affected by maternal use of anticonvulsants

• P04.14 Newborn affected by maternal use of opiates

• P04.15 Newborn affected by maternal use of antidepressants

• P04.16 Newborn affected by maternal use of amphetamines

• P04.17 Newborn affected by maternal use of sedative-hypnotics

Chapter 16 - Certain Conditions Originating in the Perinatal Period

• P04.1A Newborn affected by maternal use of anxiolytics

• P04.18 Newborn affected by other maternal medication

• P04.19 Newborn affected by maternal use of unspecified medication

• P04.40 Newborn affected by maternal use of unspecified drugs of addiction

• P04.42 Newborn affected by maternal use of hallucinogens

• P04.81 Newborn affected by maternal use of cannabis

• P04.89 Newborn affected by other maternal noxious substances

Chapter 16 - Certain Conditions Originating in the Perinatal Period• Infection specific to the perinatal period (P35-P39)

• P35.4 Congenital Zika virus disease

• Transitory endocrine and metabolic disorders specific to newborn (P70-P74)• P74.21 Hypernatremia of newborn

• P74.22 Hyponatremia of newborn

• P74.31 Hyperkalemia of newborn

• P74.32 Hypokalemia of newborn

• P74.41 Alkalosis of newborn

• P74.421 Hyperchloremia of newborn

• P74.422 Hypochloremia of newborn

• P74.49 Other transitory electrolyte disturbance of newborn

Chapter 17 - Congenital Malformations, Deformations, and Chromosomal Abnormalities

• Congenital malformations of genital organs (Q50-Q56)• Q51.20 Other doubling of uterus, unspecified

• Q51.21 Other complete doubling of uterus

• Q51.22 Other partial doubling of uterus

• Q51.28 Other doubling of uterus, other specified

• Chromosomal abnormalities, NEC (Q90-Q99)• Q93.51 Angelman syndrome

• Q93.59 Other deletions of part of a chromosome

• Q93.82 Williams syndrome

Chapter 18 - Symptoms, Signs and Abnormal Laboratory Findings• Symptoms and signs involving cognition, perception, emotional state

and behavior (R40-R46)• R40.2330 Coma scale, best motor response, abnormal flexion, unspecified

time

• R40.2331 Coma scale, best motor response, abnormal flexion, in the field [EMT or ambulance]

• R40.2332 Coma scale, best motor response, abnormal flexion, at arrival to emergency department

• R40.2333 Coma scale, best motor response, abnormal flexion, at hospital admission

• R40.2334 Coma scale, best motor response, abnormal flexion, 24 hours or more after hospital admission

Chapter 18 - Symptoms, Signs and Abnormal Laboratory Findings• Abnormal findings on examination of urine, without diagnosis (R80-

R82)• R82.991 Hypocitraturia

• R82.992 Hyperoxaluria

• R82.993 Hyperuricoscuria

• R82.994 Hypercalciuria

• R82.998 Other abnormal findings in urine

Chapter 18 - Symptoms, Signs and Abnormal Laboratory Findings• Abnormal findings on diagnostic imaging and in function studies,

without diagnosis (R90-R94)• R93.811 Abnormal radiologic findings on diagnostic imaging of right testicle

• R93.812 Abnormal radiologic findings on diagnostic imaging of left testicle

• R93.813 Abnormal radiologic findings on diagnostic imaging of testicles, bilateral

• R93.819 Abnormal radiologic findings on diagnostic imaging of unspecified testicle

• R93.89 Abnormal findings on diagnostic imaging of other specified body structures

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T43.641A Poisoning by ecstasy, accidental (unintentional), initial encounter

• T43.641D Poisoning by ecstasy, accidental (unintentional), subsequent encounter

• T43.641S Poisoning by ecstasy, accidental (unintentional), sequela

• T43.642A Poisoning by ecstasy, intentional self-harm, initial encounter

• T43.642D Poisoning by ecstasy, intentional self-harm, subsequent encounter

• T43.642S Poisoning by ecstasy, intentional self-harm, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T43.643A Poisoning by ecstasy, assault, initial encounter

• T43.643D Poisoning by ecstasy, assault, subsequent encounter

• T43.643S Poisoning by ecstasy, assault, sequela

• T43.644A Poisoning by ecstasy, undetermined, initial encounter

• T43644D Poisoning by ecstasy, undetermined, subsequent encounter

• T43644S Poisoning by ecstasy, undetermined, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T74.51XA Adult forced sexual exploitation, confirmed, initial encounter

• T74.51XD Adult forced sexual exploitation, confirmed, subsequent encounter

• T74.51XS Adult forced sexual exploitation, confirmed, sequela

• T74.52XA Child sexual exploitation, confirmed, initial encounter

• T74.52XD Child sexual exploitation, confirmed, subsequent encounter

• T74.52XS Child sexual exploitation, confirmed, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T74.61XA Adult forced labor exploitation, confirmed, initial encounter

• T74.61XD Adult forced labor exploitation, confirmed, subsequent encounter

• T74.61XS Adult forced labor exploitation, confirmed, sequela

• T74.62XA Child forced labor exploitation, confirmed, initial encounter

• T74.62XD Child forced labor exploitation, confirmed, subsequent encounter

• T74.62XS Child forced labor exploitation, confirmed, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T76.51XA Adult forced sexual exploitation, suspected, initial encounter

• T76.51XD Adult forced sexual exploitation, suspected, subsequent encounter

• T76.51XS Adult forced sexual exploitation, suspected, sequela

• T76.52XA Child sexual exploitation, suspected, initial encounter

• T76.52XD Child sexual exploitation, suspected, subsequent encounter

• T76.52XS Child sexual exploitation, suspected, sequela

• T76.61XA Adult forced labor exploitation, suspected, initial encounter

• T76.61XD Adult forced labor exploitation, suspected, subsequent encounter

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T7661XS Adult forced labor exploitation, suspected, sequela

• T7662XA Child forced labor exploitation, suspected, initial encounter

• T7662XD Child forced labor exploitation, suspected, subsequent encounter

• T7662XS Child forced labor exploitation, suspected, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T8140XA Infection following a procedure, unspecified, initial encounter

• T8140XD Infection following a procedure, unspecified, subsequent encounter

• T8140XS Infection following a procedure, unspecified, sequela

• T8141XA Infection following a procedure, superficial incisional surgical site, initial encounter

• T8141XD Infection following a procedure, superficial incisional surgical site, subsequent encounter

• T8141XS Infection following a procedure, superficial incisional surgical site, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T8142XA Infection following a procedure, deep incisional surgical site, initial

encounter

• T8142XD Infection following a procedure, deep incisional surgical site, subsequent encounter

• T8142XS Infection following a procedure, deep incisional surgical site, sequela

• T8143XA Infection following a procedure, organ and space surgical site, initial encounter

• T8143XD Infection following a procedure, organ and space surgical site, subsequent encounter

• T8143XS Infection following a procedure, organ and space surgical site, sequela

Chapter 19 - Poisoning, and Certain Other Consequences of External Causes• T8144XA Sepsis following a procedure, initial encounter

• T8144XD Sepsis following a procedure, subsequent encounter

• T8144XS Sepsis following a procedure, sequela

• T8149XA Infection following a procedure, other surgical site, initial encounter

• T8149XD Infection following a procedure, other surgical site, subsequent encounter

• T8149XS Infection following a procedure, other surgical site, sequela

• T814XXA Infection following a procedure, initial encounter

• T814XXD Infection following a procedure, subsequent encounter

• T814XXS Infection following a procedure, sequela

Chapter 20 - External Causes of Morbidity

• Y07.6 Multiple perpetrators of maltreatment and neglect

Chapter 21 - Factors Influencing Health Status and Contact with Health Services• Z04.81 Encounter for examination and observation of victim following

forced sexual exploitation

• Z04.82 Encounter for examination and observation of victim following forced labor exploitation

• Z04.89 Encounter for examination and observation for other specified reasons

Chapter 21 - Factors Influencing Health Status and Contact with Health Services• Z13.30 Encounter for screening examination for mental health and

behavioral disorders, unspecified

• Z13.31 Encounter for screening for depression

• Z13.32 Encounter for screening for maternal depression

• Z13.39 Encounter for screening examination for other mental health and behavioral disorders

Chapter 21 - Factors Influencing Health Status and Contact with Health Services• Z13.40 Encounter for screening for unspecified developmental delays

• Z13.41 Encounter for autism screening

• Z13.42 Encounter for screening for global developmental delays (milestones)

• Z13.49 Encounter for screening for other developmental delays

Chapter 21 - Factors Influencing Health Status and Contact with Health Services• Z20.821 Contact with and (suspected) exposure to Zika virus

• Z28.83 Immunization not carried out due to unavailability of vaccine

Chapter 21 - Factors Influencing Health Status and Contact with Health Services• Z62.813 Personal history of forced labor or sexual exploitation in

childhood

• Z83.430 Family history of elevated lipoprotein(a)

• Z83.438 Family history of other disorder of lipoprotein metabolism and other lipidemia

• Z91.42 Personal history of forced labor or sexual exploitation