Questionable As Principal Diagnosis ICD-10-CM Codes

Questionable As Principal Diagnosis ICD-10-CM Codes

Questionable As Principal Diagnosis ICD-10-CM Codes

The following 27 ICD-10-CM codes are not usually sufficient justification for admission to an acute care hospital when used as a principal diagnosis.

  • E11.9  Type 2 diabetes mellitus without complications
  • E13.9  Other specified diabetes mellitus without complications
  • E66.09  Other obesity due to excess calories
  • E66.1  Drug-induced obesity
  • E66.8  Other obesity
  • E66.9  Obesity, unspecified
  • H61.20  Impacted cerumen, unspecified ear
  • H61.21  Impacted cerumen, right ear
  • H61.22  Impacted cerumen, left ear
  • H61.23  Impacted cerumen, bilateral
  • I10  Essential (primary) hypertension
  • I44.4  Left anterior fascicular block
  • I44.5  Left posterior fascicular block
  • I44.60  Unspecified fascicular block
  • I44.69  Other fascicular block
  • I44.7  Left bundle-branch block, unspecified
  • I45.0  Right fascicular block
  • I45.10  Unspecified right bundle-branch block
  • I45.19  Other right bundle-branch block
  • R03.0  Elevated blood-pressure reading, without diagnosis of hypertension
  • R97.20  Elevated prostate specific antigen [PSA]
  • R97.21  Rising PSA following treatment for malignant neoplasm of prostate
  • Z21  Asymptomatic human immunodeficiency virus [HIV] infection status
  • Z45.010  Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
  • Z45.018  Encounter for adjustment and management of other part of cardiac pacemaker
  • Z45.02  Encounter for adjustment and management of automatic implantable cardiac defibrillator
  • Z45.09  Encounter for adjustment and management of other cardiac device