Abrechnung und Kostenübernahme

Wann ICD-10-CM vorgeschrieben ist

Für US-Diagnoseabrechnungen nach HIPAA ist ICD-10-CM seit dem 1. Oktober 2015 vorgeschrieben.

Für ambulante und ärztliche Abrechnungen gilt das Leistungsdatum, für stationäre Krankenhausfälle das Entlassungsdatum. Frühere Behandlungen verwenden ICD-9-CM; auch der einzelne Code muss am maßgeblichen Datum gültig sein.

Offizielle Kodierrichtlinien → · CMS ↗

Alle Ausgaben

Gültig ab

Codeverlauf

FY2016

2015-10-01

Erstmals erfasst

FY2017

2016-10-01

Keine tabellarische Änderung

FY2018

2017-10-01

Keine tabellarische Änderung

FY2019

2018-10-01

Keine tabellarische Änderung

FY2020

2019-10-01

Keine tabellarische Änderung

FY2020 · April

2020-04-01

Keine tabellarische Änderung

FY2021

2020-10-01

Keine tabellarische Änderung

FY2021 · 01-01

2021-01-01

Keine tabellarische Änderung

FY2022

2021-10-01

Keine tabellarische Änderung

FY2022 · 04-01

2022-04-01

Keine tabellarische Änderung

FY2023

2022-10-01

Keine tabellarische Änderung

FY2023 · 04-01

2023-04-01

Keine tabellarische Änderung

FY2024

2023-10-01

Keine tabellarische Änderung

FY2024 · 04-01

2024-04-01

Keine tabellarische Änderung

FY2025

2024-10-01

Keine tabellarische Änderung

FY2025 · 04-01

2025-04-01

Keine tabellarische Änderung

FY2026

2025-10-01

Keine tabellarische Änderung

FY2026 · April

2026-04-01

Keine tabellarische Änderung

FY2027

2026-10-01

Keine tabellarische Änderung

Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

R90-R94 · Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

Includes

nonspecific abnormal findings on diagnostic imaging by computerized axial tomography [CAT scan]
nonspecific abnormal findings on diagnostic imaging by magnetic resonance imaging [MRI][NMR]
nonspecific abnormal findings on diagnostic imaging by positron emission tomography [PET scan]
nonspecific abnormal findings on diagnostic imaging by thermography
nonspecific abnormal findings on diagnostic imaging by ultrasound [echogram]
nonspecific abnormal findings on diagnostic imaging by X-ray examination

Excludes 1

abnormal findings on antenatal screening of mother (O28.-)
diagnostic abnormal findings classified elsewhere - see Alphabetical Index

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Excludes 2

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Note

This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Abnormal results of function studies

R90-R94 · Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (19)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

R90-R94 · Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

Spezifischere Codes

Verwandte Codes

Abnormal results of function studies

R90-R94 · Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Spezifischere Codes

Abrechnung und Kostenübernahme

Codeverlauf

Alle Ausgaben (19)

Hinweise zum Code

Hinweise übergeordneter Ebenen

Kapitel 18 · Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

R90-R94 · Abnormal findings on diagnostic imaging and in function studies, without diagnosis (R90-R94)

Spezifischere Codes

Verwandte Codes