Facturation et couverture

Quand ICD-10-CM est obligatoire

Pour les demandes de remboursement américaines soumises à HIPAA, ICD-10-CM est obligatoire pour les diagnostics depuis le 1er octobre 2015.

Utilisez la date des soins en ambulatoire et pour les actes professionnels, et la date de sortie pour les séjours hospitaliers. Les soins antérieurs relèvent d’ICD-9-CM ; chaque code doit aussi être valable à la date concernée.

Directives officielles de codage → · CMS ↗

Toutes les éditions

En vigueur dès le

Historique du code

FY2016

2015-10-01

Première observation

FY2017

2016-10-01

Aucun changement tabulaire

FY2018

2017-10-01

Aucun changement tabulaire

FY2019

2018-10-01

Aucun changement tabulaire

FY2020

2019-10-01

Aucun changement tabulaire

FY2020 · April

2020-04-01

Aucun changement tabulaire

FY2021

2020-10-01

Aucun changement tabulaire

FY2021 · 01-01

2021-01-01

Aucun changement tabulaire

FY2022

2021-10-01

Aucun changement tabulaire

FY2022 · 04-01

2022-04-01

Aucun changement tabulaire

FY2023

2022-10-01

Aucun changement tabulaire

FY2023 · 04-01

2023-04-01

Aucun changement tabulaire

FY2024

2023-10-01

Aucun changement tabulaire

FY2024 · 04-01

2024-04-01

Aucun changement tabulaire

FY2025

2024-10-01

Aucun changement tabulaire

FY2025 · 04-01

2025-04-01

Aucun changement tabulaire

FY2026

2025-10-01

Aucun changement tabulaire

FY2026 · April

2026-04-01

Aucun changement tabulaire

FY2027

2026-10-01

Aucun changement tabulaire

Instructions des niveaux supérieurs

Chapitres 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

Chapitres 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 findings on diagnostic imaging of other body structures

R90-R94 · Instructions des niveaux supérieurs

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

Codes plus précis

Facturation et couverture

Historique du code

Toutes les éditions (19)

Instructions du code

Instructions des niveaux supérieurs

Chapitres 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)

Codes plus précis

Codes associés

Abnormal findings on diagnostic imaging of other body structures

R90-R94 · Instructions des niveaux supérieurs

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

Codes plus précis

Facturation et couverture

Historique du code

Toutes les éditions (19)

Instructions du code

Instructions des niveaux supérieurs

Chapitres 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)

Codes plus précis

Codes associés