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Record Layout / Sample Data

File Description / Details:

Description: ICD-10-CM Codes & Descriptions (over 91,000 records)

*ICD-10-CM Diagnosis Reimbursement Mapping 

*ICD-10-CM GEM (General Equivalent Mapping from ICD10 to ICD9 over 79000 records)

Formats: .xlsx, .mdb, .txt  
File Name:

ICD10CM_20YY_Standard.zip 

ICD10CM_20YY_Professional.zip

* Professional Version Only


ICD-10-CM Standard Record Layout:
Field Type Size  Description
ICD10 Text 8 ICD-10-CM Diagnosis Code Period Included: Format ABC.DEFG
Status Text 1 ICD10 Status:

N - Code Added

R - Long Description Revision

S - Short Description Revision

SDesc Text 100 Short ICD-10-CM Diagnosis Description
LDesc Text 255 Long ICD-10-CM Diagnosis Description 
 

 Sample ICD-10-CM Data Standard File:

 
ICD10 SDesc LDesc Status
I65.01 Occlusion and stenosis of right vertebral artery Occlusion and stenosis of right vertebral artery
I65.02 Occlusion and stenosis of left vertebral artery Occlusion and stenosis of left vertebral artery
I65.03 Occlusion and stenosis of bilateral vertebral arteries Occlusion and stenosis of bilateral vertebral arteries
I65.09 Occlusion and stenosis of unspecified vertebral artery Occlusion and stenosis of unspecified vertebral artery
I65.1 Occlusion and stenosis of basilar artery Occlusion and stenosis of basilar artery
I65.21 Occlusion and stenosis of right carotid artery Occlusion and stenosis of right carotid artery
I65.22 Occlusion and stenosis of left carotid artery Occlusion and stenosis of left carotid artery
I65.23 Occlusion and stenosis of bilateral carotid arteries Occlusion and stenosis of bilateral carotid arteries
I65.29 Occlusion and stenosis of unspecified carotid artery Occlusion and stenosis of unspecified carotid artery
I65.8 Occlusion and stenosis of other precerebral arteries Occlusion and stenosis of other precerebral arteries
I65.9 Occlusion and stenosis of unspecified precerebral artery Occlusion and stenosis of unspecified precerebral artery
I66.01 Occlusion and stenosis of right middle cerebral artery Occlusion and stenosis of right middle cerebral artery
I66.02 Occlusion and stenosis of left middle cerebral artery Occlusion and stenosis of left middle cerebral artery
I66.03 Occlusion and stenosis of bilateral middle cerebral arteries Occlusion and stenosis of bilateral middle cerebral arteries
I66.09 Occlusion and stenosis of unspecified middle cerebral artery Occlusion and stenosis of unspecified middle cerebral artery
I66.11 Occlusion and stenosis of right anterior cerebral artery Occlusion and stenosis of right anterior cerebral artery
I66.12 Occlusion and stenosis of left anterior cerebral artery Occlusion and stenosis of left anterior cerebral artery
I66.13 Occlusion and stenosis of bi anterior cerebral arteries Occlusion and stenosis of bilateral anterior cerebral arteries
I66.19 Occlusion and stenosis of unsp anterior cerebral artery Occlusion and stenosis of unspecified anterior cerebral artery
I66.21 Occlusion and stenosis of right posterior cerebral artery Occlusion and stenosis of right posterior cerebral artery
I66.22 Occlusion and stenosis of left posterior cerebral artery Occlusion and stenosis of left posterior cerebral artery
I66.23 Occlusion and stenosis of bi posterior cerebral arteries Occlusion and stenosis of bilateral posterior cerebral arteries
I66.29 Occlusion and stenosis of unsp posterior cerebral artery Occlusion and stenosis of unspecified posterior cerebral artery
I66.3 Occlusion and stenosis of cerebellar arteries Occlusion and stenosis of cerebellar arteries
I66.8 Occlusion and stenosis of other cerebral arteries Occlusion and stenosis of other cerebral arteries
I66.9 Occlusion and stenosis of unspecified cerebral artery Occlusion and stenosis of unspecified cerebral artery

ICD-10-CM Professional Record Layout:

Field Type Size  Description
*Code Text 8 ICD-10-CM Diagnosis Code: Format ABCDEFG
ICD10 Text 8 ICD-10-CM Diagnosis Code Period Included: Format ABC.DEFG
Status Text 1 ICD10 Status:

N - Code added

R - Long Description Revision

S - Short Description Revision

*Indicator Text 1

0 - ICD10CM Code Header, not valid for submission

1 - ICD10CM Code, valid for submission

SDesc Text 100 Short ICD-10-CM Diagnosis Description
LDesc Text 255 Long ICD-10-CM Diagnosis Description 
*ICD9 Number Text 1 Number of ICD9 codes the ICD10CM code maps to.  Value 1 through 6

*ICD9_1

Text 6 ICD10 to ICD9 Reimbursement Mapping.  First ICD9 Code
*ICD9_2 Text 6 ICD10 to ICD9 Reimbursement Mapping.  Second ICD9 Code
*ICD9_3 Text 6 ICD10 to ICD9 Reimbursement Mapping.  Third  ICD9 Code
*ICD9_4 Text 6 ICD10 to ICD9 Reimbursement Mapping.  Fourth ICD9 Code
*ICD9_5 Text 6 ICD10 to ICD9 Reimbursement Mapping.  Fifth  ICD9 Code
* Professional Version Only

Sample ICD-10-CM Data Professional File:

 
Code ICD10 Status Indicator SDesc LDesc ICD9 Number ICD9_1 ICD9_2 ICD9_3 ICD9_4 ICD9_5
L8932 L89.32
0 Pressure ulcer of left buttock Pressure ulcer of left buttock





L89320 L89.320
1 Pressure ulcer of left buttock, unstageable Pressure ulcer of left buttock, unstageable 2 707.05 707.25


L89321 L89.321
1 Pressure ulcer of left buttock, stage 1 Pressure ulcer of left buttock, stage 1 2 707.05 707.21


L89322 L89.322
1 Pressure ulcer of left buttock, stage 2 Pressure ulcer of left buttock, stage 2 2 707.05 707.22


L89323 L89.323
1 Pressure ulcer of left buttock, stage 3 Pressure ulcer of left buttock, stage 3 2 707.05 707.23


L89324 L89.324
1 Pressure ulcer of left buttock, stage 4 Pressure ulcer of left buttock, stage 4 2 707.05 707.24


L89329 L89.329
1 Pressure ulcer of left buttock, unspecified stage Pressure ulcer of left buttock, unspecified stage 2 707.05 707.20


L894 L89.4
0 Pressure ulcer of contiguous site of back, buttock and hip Pressure ulcer of contiguous site of back, buttock and hip





L8940 L89.40
1 Pressr ulc of contig site of back, buttock and hip, unsp stg Pressure ulcer of contiguous site of back, buttock and hip, unspecified stage 4 707.03 707.05 707.04 707.20
L8941 L89.41
1 Pressr ulcer of contig site of back, buttock and hip, stg 1 Pressure ulcer of contiguous site of back, buttock and hip, stage 1 4 707.03 707.05 707.04 707.21
L8942 L89.42
1 Pressr ulcer of contig site of back, buttock and hip, stg 2 Pressure ulcer of contiguous site of back, buttock and hip, stage 2 4 707.03 707.05 707.04 707.22
L8943 L89.43
1 Pressr ulcer of contig site of back, buttock and hip, stg 3 Pressure ulcer of contiguous site of back, buttock and hip, stage 3 4 707.03 707.05 707.04 707.23
L8944 L89.44
1 Pressr ulcer of contig site of back, buttock and hip, stg 4 Pressure ulcer of contiguous site of back, buttock and hip, stage 4 4 707.03 707.05 707.04 707.24
L8945 L89.45
1 Pressr ulc of contig site of back,buttock & hip, unstageable Pressure ulcer of contiguous site of back, buttock and hip, unstageable 4 707.03 707.05 707.04 707.25

 

ICD-10-CM GEM Record Layout:  Professional Version 
Field Type Size  Description
I10 Text 8 ICD-10-CM Diagnosis Code Period Included: Format ABC.DEFG
I9 Text 6 ICD-9-CM Code
Approximate Text 1 Attribute in a GEM that when turned on indicates that the entry is not considered equivalent; 1= Yes /On O = No Off
No Map Text 1 Attribute in a GEM that when turned on indicates that a code in the source system is not linked to any code in the target system; 1= Yes /On O = No Off
Combination Text 1

Attribute in a GEM that when turned on indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system; 1= Yes /On O = No Off

Scenario Text 1 In a combination entry, a collection of codes from the target system containing the necessary codes that when combined as directed will satisfy the equivalent meaning of a code in the source system; 0-9
Choice List Text 1 In a combination entry, a list of one or more codes in the target system from which one code must be chosen to satisfy the equivalent meaning of a code in the source system; 0-9
ICD10 DESC Text 250 Full ICD-10-CM Description
ICD9 DESC Text 250 Full ICD-9-CM Description

The approximate flag is turned on when no one code in the target system or linked combination of codes in the target system expresses the same essential meaning as the code in the source system. The difference between the two systems is typically in level of detail between the codes, and in nearly all cases the I-10 code is more detailed than the I-9 code.

Sample ICD-10-CM GEM Data:

ICD-9 to ICD-10 Gem (I9CM_20YY_GEM)

 
I9 I10 Flags Approximate No Map Combination Scenario Choice List ICD10DESC ICD9DESC
830.0 S03.0XXA 10000 1 0 0 0 0 Dislocation of jaw, initial encounter Closed dislocation of jaw
830.1 S01.409A 10112 1 0 1 1 2 Unspecified open wound of unspecified cheek and temporomandibular area, initial encounter Open dislocation of jaw
830.1 S03.0XXA 10111 1 0 1 1 1 Dislocation of jaw, initial encounter Open dislocation of jaw
831.00 S43.006A 10000 1 0 0 0 0 Unspecified dislocation of unspecified shoulder joint, initial encounter Closed dislocation of shoulder, unspecified
831.01 S43.016A 10000 1 0 0 0 0 Anterior dislocation of unspecified humerus, initial encounter Closed anterior dislocation of humerus
831.02 S43.026A 10000 1 0 0 0 0 Posterior dislocation of unspecified humerus, initial encounter Closed posterior dislocation of humerus
831.03 S43.036A 10000 1 0 0 0 0 Inferior dislocation of unspecified humerus, initial encounter Closed inferior dislocation of humerus
831.04 S43.109A 10000 1 0 0 0 0 Unspecified dislocation of unspecified acromioclavicular joint, initial encounter Closed dislocation of acromioclavicular (joint)
831.09 S43.086A 10000 1 0 0 0 0 Other dislocation of unspecified shoulder joint, initial encounter Closed dislocation of shoulder, other
831.10 S41.009A 10112 1 0 1 1 2 Unspecified open wound of unspecified shoulder, initial encounter Open dislocation of shoulder, unspecified
831.10 S43.006A 10111 1 0 1 1 1 Unspecified dislocation of unspecified shoulder joint, initial encounter Open dislocation of shoulder, unspecified
831.11 S41.109A 10112 1 0 1 1 2 Unspecified open wound of unspecified upper arm, initial encounter Open anterior dislocation of humerus
831.11 S43.016A 10111 1 0 1 1 1 Anterior dislocation of unspecified humerus, initial encounter Open anterior dislocation of humerus
831.12 S41.109A 10112 1 0 1 1 2 Unspecified open wound of unspecified upper arm, initial encounter Open posterior dislocation of humerus
831.12 S43.026A 10111 1 0 1 1 1 Posterior dislocation of unspecified humerus, initial encounter Open posterior dislocation of humerus
831.13 S41.109A 10112 1 0 1 1 2 Unspecified open wound of unspecified upper arm, initial encounter Open inferior dislocation of humerus
831.13 S43.036A 10111 1 0 1 1 1 Inferior dislocation of unspecified humerus, initial encounter Open inferior dislocation of humerus
831.14 S41.009A 10112 1 0 1 1 2 Unspecified open wound of unspecified shoulder, initial encounter Open dislocation of acromioclavicular (joint)
831.14 S43.109A 10111 1 0 1 1 1 Unspecified dislocation of unspecified acromioclavicular joint, initial encounter Open dislocation of acromioclavicular (joint)
831.19 S41.009A 10112 1 0 1 1 2 Unspecified open wound of unspecified shoulder, initial encounter Open dislocation of shoulder, other
831.19 S43.086A 10111 1 0 1 1 1 Other dislocation of unspecified shoulder joint, initial encounter Open dislocation of shoulder, other

ICD-10 to ICD-9 Gem (I10CM_20YY_GEM)

 
I10 I9 Flags Approximate No Map Combination Scenario Choice List ICD10DESC ICD9DESC
T41.201A 968.4 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, accidental (unintentional), initial encounter Poisoning by other and unspecified general anesthetics
T41.201A E855.1 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, accidental (unintentional), initial encounter Accidental poisoning by other central nervous system depressants
T41.201D V58.89 10000 1 0 0 0 0 Poisoning by unspecified general anesthetics, accidental (unintentional), subsequent encounter Other specified aftercare
T41.201S 909.0 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, accidental (unintentional), sequela Late effect of poisoning due to drug, medicinal or biological substance
T41.201S E929.2 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, accidental (unintentional), sequela Late effects of accidental poisoning
T41.202A 968.4 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, intentional self-harm, initial encounter Poisoning by other and unspecified general anesthetics
T41.202A E950.0 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, intentional self-harm, initial encounter Suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics
T41.202D V58.89 10000 1 0 0 0 0 Poisoning by unspecified general anesthetics, intentional self-harm, subsequent encounter Other specified aftercare
T41.202S 909.0 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, intentional self-harm, sequela Late effect of poisoning due to drug, medicinal or biological substance
T41.202S E959 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, intentional self-harm, sequela Late effects of self-inflicted injury
T41.203A 968.4 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, assault, initial encounter Poisoning by other and unspecified general anesthetics
T41.203A E962.0 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, assault, initial encounter Assault by drugs and medicinal substances
T41.203D V58.89 10000 1 0 0 0 0 Poisoning by unspecified general anesthetics, assault, subsequent encounter Other specified aftercare
T41.203S 909.0 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, assault, sequela Late effect of poisoning due to drug, medicinal or biological substance
T41.203S E969 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, assault, sequela Late effects of injury purposely inflicted by other person
T41.204A 968.4 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, undetermined, initial encounter Poisoning by other and unspecified general anesthetics
T41.204A E980.4 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, undetermined, initial encounter Poisoning by other specified drugs and medicinal substances, undetermined whether accidentally or purposely inflicted
T41.204D V58.89 10000 1 0 0 0 0 Poisoning by unspecified general anesthetics, undetermined, subsequent encounter Other specified aftercare
T41.204S 909.0 10111 1 0 1 1 1 Poisoning by unspecified general anesthetics, undetermined, sequela Late effect of poisoning due to drug, medicinal or biological substance
T41.204S E989 10112 1 0 1 1 2 Poisoning by unspecified general anesthetics, undetermined, sequela Late effects of injury, undetermined whether accidentally or purposely inflicted

 

 

09/22/15