In outpatient care, the ICD code on medical documents is always appended with a diagnostic confidence indicator (A, G, V or Z): A (excluded diagnosis), G (confirmed diagnosis), V (tentative diagnosis) and Z (condition after a confirmed diagnosis).
Source
Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).
Advanced search lets you search selected properties of the classification. You could search all properties or a selected subset only
First, you need to provide keywords in the Search Text field then check the properties that you'd like to include in the search.
The system will search for the keywords in the properties that you've checked and rank the results similar to a search engine
The results will be displayed in the Search Results pane. If the search query hits more than 200 results, then only the top 200 will be displayed.
If you provide more than one keyword, the system will search for items that have all the keywords.
Wildcards: You may also use wildcard character * . see examples below.
OR operator : It's possible to have the results that have either one or another keyword. Please see the example 4.
Examples:
1. Search Text: diabetes {finds all that have the word "diabetes" in the searched fields}
2. Search Text: diabet* {finds all that have a word that start with "diabet" }
3. Search Text: diabet* mellitus {finds all that have a word that starts with "diabet" and also contains the word "mellitus"}
4. Search Text: tubercul* (lung OR larynx) { finds all that have a word that starts with "tubercul" and than has either lung OR larynx in it
Search Results
After the search the results are displayed at the lower right area of the screen. Here the porgram lists the titles of the ICD categories in which your search keywords are found.
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 principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
- code to identify control using:
- insulin (
ICD-10-CM Diagnosis Code Z79.4
Long term (current) use of insulin
- 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Type 2 Excludes
- long-term (current) use of injectable non-insulin antidiabetic drugs (Z79.85)
- long term (current) use of oral antidiabetic drugs (Z79.84)
- long term (current) use of oral hypoglycemic drugs (Z79.84)
- oral antidiabetic drugs (
ICD-10-CM Diagnosis Code Z79.84
Long term (current) use of oral hypoglycemic drugs
- 2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
- Long term (current) use of oral antidiabetic drugs
Type 2 Excludes
- long-term (current) use of injectable non-insulin antidiabetic drugs (Z79.85)
- long term (current) use of insulin (Z79.4)
- oral hypoglycemic drugs (
ICD-10-CM Diagnosis Code Z79.84
Long term (current) use of oral hypoglycemic drugs
- 2017 - New Code 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
Applicable To
- Long term (current) use of oral antidiabetic drugs
Type 2 Excludes
- long-term (current) use of injectable non-insulin antidiabetic drugs (Z79.85)
- long term (current) use of insulin (Z79.4)
Type 1 Excludes
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E11. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.