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FY2027
G47.00: Insomnia, unspecified
Insomnia with no documented type or cause is coded G47.00. What the chart must show, when G47.01 or F51.01 applies instead, and why no HCC weight attaches.
The ICD-10-CM code for insomnia when the diagnosis is confirmed but the record does not specify whether it is primary, secondary or due to a particular cause.
Insomnia ICD-10 Code G47.00 | Commure
I48.91: Unspecified atrial fibrillation
Atrial fibrillation with no documented subtype is coded I48.91. What the chart must show, when a paroxysmal or permanent code applies, and the HCC 238 mapping.
The ICD-10-CM code for atrial fibrillation when the diagnosis is confirmed but the record does not specify whether the rhythm is paroxysmal, persistent, longstanding persistent or permanent.
Atrial Fibrillation ICD-10 Code I48.91 | Commure
I25.10: Atherosclerotic heart disease of native coronary artery without angina pectoris
Coronary artery disease without angina is coded I25.10. What the record must show, when the with-angina and graft codes apply, and how HCC capture follows.
The ICD-10-CM code for coronary artery disease when atherosclerosis of the native coronary arteries is documented and no concurrent angina pectoris is present at the time of coding.
Coronary Artery Disease ICD-10 Code I25.10 | Commure
M25.511: Pain in right shoulder
Shoulder pain on the right side is coded M25.511. What the chart must document, how laterality decides the code, and when a definitive diagnosis replaces it.
The ICD-10-CM code for right shoulder pain when pain in the right shoulder is the primary presenting complaint and no definitive underlying diagnosis has been established at the time of coding.
Right Shoulder Pain ICD-10 Code M25.511 | Commure
R51.9: Headache, unspecified
Headache is coded R51.9 when no specific headache disorder is confirmed. What the record must show, when migraine or tension-type codes apply, and HCC status.
The ICD-10-CM code for headache when the complaint is documented and evaluated but no definitive headache disorder has been established at the time of coding.
Headache ICD-10 Code R51.9 | Commure
I73.9: Peripheral vascular disease, unspecified
Peripheral artery disease is coded I73.9 when no atherosclerotic cause is documented. What the chart must show, when I70.2 to I70.7 applies, and HCC status.
The ICD-10-CM code for peripheral artery disease when the record documents peripheral vascular disease without a documented atherosclerotic cause. No code from the I70.2 to I70.7 family applies.
Peripheral Artery Disease ICD-10 Code I73.9 | Commure
F41.1: Generalized anxiety disorder
Generalized anxiety disorder is coded F41.1. What the record must document, how it differs from panic disorder and unspecified anxiety, and the codes excluded.
The ICD-10-CM code for generalized anxiety disorder when the provider documents persistent, excessive worry across multiple domains of daily life occurring more days than not for at least six months.
Generalized Anxiety Disorder ICD-10 Code F41.1 | Commure
M47.816: Spondylosis without myelopathy or radiculopathy, lumbar region
Lumbar spondylosis without myelopathy or radiculopathy is coded M47.816. What the record must document, and when a radiculopathy code applies instead.
The ICD-10-CM code for lumbar spondylosis when degenerative changes of the lumbar spine are documented without myelopathy or radiculopathy.
Lumbar Spondylosis ICD-10 Code M47.816 | Commure
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