ICD-10 Coding/Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified

This lesson introduces ICD-10-CM Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified.

Objectives and Skills edit

Objectives and skills for this lesson include:

  1. Apply ICD-10-CM coding guidelines for accurate selection and sequencing of diagnosis codes commonly used to describe symptoms, signs, and abnormal clinical and laboratory findings
  2. Apply ICD-10-PCS coding guidelines for accurate selection of procedure codes commonly used to diagnose and treat symptoms, signs, and abnormal clinical and laboratory findings

Guidelines edit

Start Here edit

ICD-10-CM Official Guidelines for Coding and Reporting FY2019 edit

Chapter 18 specific guidelines can be found on pages 73-75 of this document


Part 1: Diagnoses edit

Chapter 18 Guidelines with Clinical Scenarios



CG I.C.18 Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) edit

Chapter 18 Introduction Video

CG I.C.18.a. Use of symptom codes edit

I.C.18.a. Video

CG I.C.18.b. Use of a symptom code with a definitive diagnosis code edit

I.C.18.b. Video

CG I.C.18.c. Combination codes that include symptoms edit

I.C.18.c. Video

CG I.C.18.d. Repeated falls edit

I.C.18.d Video

CG I.C.18.e. Coma scale edit

I.C.18.e. Video

CG I.C.18.f. Functional quadriplegia edit

GUIDELINE HAS BEEN DELETED EFFECTIVE OCTOBER 1, 2017

CG I.C.18.g. SIRS due to Non-Infectious Process edit

I.C.18.g. Video

CG I.C.18.h. Death NOS edit

I.C.18.h. Video

CG I.C.18.i. NIHSS Stroke Scale edit

I.C.18.i. Video

See Section I.B.14 for NIHSS stroke scale documentation by clinicians other than patient's provider

Part 2: Procedures edit

Medical and Surgical Section edit

Control, Drainage, Excision, Inspection edit

Medical and Surgical-related Sections edit

Placement, Administration, Measurement and Monitoring edit

Ancillary Sections edit

Imaging, Nuclear Medicine edit

Learning Resources edit

Activities edit

Lesson Summary edit

Key Terms edit

See Also edit

References edit