BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI01-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis
5010X837IA2.ecs 77 For internal use only CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI02-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI02-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI
data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI03-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI03-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI04-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
5010X837IA2.ecs 79 For internal use only
Y Yes
HI05 C022 Health Care Code Information O Comp Situational 1
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI05-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI05-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI06-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI07-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
5010X837IA2.ecs 81 For internal use only
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI07-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1
Situational Rule: Required as directed by the NUBC billing manual.
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI
data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI08-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
Code Name
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI09-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
5010X837IA2.ecs 83 For internal use only CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI10-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI11-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
HI11-09 1073 Yes/No Condition or Response Code X ID 1/1 Situational 1 Situational Rule: Required as directed by the NUBC billing manual.
N No
Situational Rule: Required when it is necessary to report an additional diagnoses and the preceding HI data elements have been used to report other diagnoses. If not required by this implementation guide, do not send.
BF International Classification of Diseases Clinical Modification (ICD-9-CM) Diagnosis CODE SOURCE:
131: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
ABF International Classification of Diseases Clinical Modification (ICD-10-CM) Diagnosis This code set is not allowed for use under HIPAA at the time of this writing. The qualifier can only be used:
If a new rule names the ICD-10-CM as an allowable code set under HIPAA, OR
The Secretary grants an exception to use the code set as a pilot project as allowed under the law,
OR
For claims which are not covered under HIPAA.
CODE SOURCE:
897: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
HI12-02 1271 Industry Code M AN 1/30 Required 1
ExternalCodeList
Name: 897
Description: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
ExternalCodeList
Name: 131D
Description: International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM)
Required when other condition(s) coexist or develop(s) subsequently during the patient’s treatment. If not required by this implementation guide, do not send.
TR3 Notes:
1. Do not transmit the decimal points in the diagnosis codes. The decimal point is assumed.
TR3 Example:
HI*BF:4821:::::::N*HI*BF:25000:::::::Y~
HI*ABF:J151:::::::N*ABF:E119:::::::Y~
5010X837IA2.ecs 85 For internal use only