Questionable Admission Codes
ICD-10-CM principal diagnoses considered questionable for acute-care admission by MCE edit logic.
Source: Definitions of Medicare Code Edits v44.0, edit 8A.
Advertisements
Codes on this list
30 codes.
- E11.9Type 2 diabetes mellitus without complications
- E11.AType 2 diabetes mellitus without complications in remission
- E13.9Other specified diabetes mellitus without complications
- E66.09Other obesity due to excess calories
- E66.1Drug-induced obesity
- E66.811Obesity, class 1
- E66.812Obesity, class 2
- E66.89Other obesity not elsewhere classified
- E66.9Obesity, unspecified
- H61.20Impacted cerumen, unspecified ear
- H61.21Impacted cerumen, right ear
- H61.22Impacted cerumen, left ear
- H61.23Impacted cerumen, bilateral
- I10Essential (primary) hypertension
- I44.4Left anterior fascicular block
- I44.5Left posterior fascicular block
- I44.60Unspecified fascicular block
- I44.69Other fascicular block
- I44.7Left bundle-branch block, unspecified
- I45.0Right fascicular block
- I45.10Unspecified right bundle-branch block
- I45.19Other right bundle-branch block
- R03.0Elevated blood-pressure reading, without diagnosis of hypertension
- R97.20Elevated prostate specific antigen [PSA]
- R97.21Rising PSA following treatment for malignant neoplasm of prostate
- Z21Asymptomatic human immunodeficiency virus [HIV] infection status
- Z45.010Encounter for checking and testing of cardiac pacemaker pulse generator [battery]
- Z45.018Encounter for adjustment and management of other part of cardiac pacemaker
- Z45.02Encounter for adjustment and management of automatic implantable cardiac defibrillator
- Z45.09Encounter for adjustment and management of other cardiac device