Signs and Symptoms

Codes Discussed: R00-R99 (Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified), R50 (Fever of unknown origin category), R50.9 (Fever, unspecified), R87.62 (Abnormal cytological findings in vaginal specimens), T85.848A (Pain due to internal prosthetic devices, implants and grafts, initial encounter), R09.A (Foreign body sensation category), R10-R19 (Symptoms and signs involving the digestive system and abdomen), R10.0 (Acute abdomen), R10.8 (Other abdominal pain category), R10.33 (Periumbilical pain), R19.35 (Periumbilical abdominal rigidity), R11 (Nausea and vomiting category), R11.10 (Vomiting, unspecified), R11.15 (Cyclical vomiting syndrome unrelated to migraine), G43.A (Cyclical vomiting associated with migraine category), R22 (Localized swelling, mass, and lump category), R25-R29 (Symptoms and signs involving the nervous and musculoskeletal systems), R29.6 (Repeated falls), Z91.81 (History of falling), R40-R46 (Symptoms and signs involving cognition, perception, emotional state, and behavior), R40.2A (Nontraumatic coma due to underlying condition), R40.24 (Glasgow coma scale, total score category), R40.2111 (Coma scale, eyes open, never, in the field), R40.2211 (Coma scale, best verbal response, none, in the field), R40.2311 (Coma scale, best motor response, none, in the field), R40.2431 (Glasgow coma scale, total score 3-8, in the field), R40.211 (Invalid coma scale code without 7th character), R40.221 (Invalid coma scale code without 7th character), R40.231 (Invalid coma scale code without 7th character), R65.1 (Systemic inflammatory response syndrome of noninfectious origin category), R65.10 (SIRS of noninfectious origin without acute organ dysfunction), R65.11 (SIRS of noninfectious origin with acute organ dysfunction), R65.2 (Severe sepsis category), R65.20 (Severe sepsis without septic shock), R65.21 (Severe sepsis with septic shock), A41.9 (Sepsis, unspecified organism), A41.51 (Sepsis due to Escherichia coli), B96.20 (Unspecified Escherichia coli as cause of diseases classified elsewhere), R70-R79 (Abnormal findings on examination of blood, without diagnosis), R78 (Findings of drugs and other substances not normally found in blood category), R78.2 (Finding of cocaine in blood), R78.81 (Bacteremia), R74 (Abnormal serum enzyme levels category), R74.01 (Elevation of levels of liver transaminase levels), R74.02 (Elevation of levels of lactic acid dehydrogenase), R80-R82 (Abnormal findings on examination of urine), R82.81 (Sterile pyuria), R82.998 (Other abnormal findings in urine), R83-R89 (Abnormal findings on examination of other body fluids, substances, and tissues, without diagnosis), R84 (Abnormal findings in specimens from respiratory organs and thorax category), R92 (Abnormal and inconclusive findings on diagnostic imaging of breast category), R92.0 (Mammographic microcalcification), R92.1 (Mammographic calcification), R92.2 (Inconclusive mammogram), R92.8 (Other abnormal and inconclusive findings on diagnostic imaging of breast), R99 (Ill-defined and unknown cause of mortality), J18.9 (Pneumonia, unspecified organism), R07.9 (Chest pain, unspecified), R06.02 (Shortness of breath), T20.39XA (Burn of third degree of multiple sites of head, face, and neck, initial encounter), J96.00 (Acute respiratory failure, unspecified whether with hypoxia or hypercapnia), I46.9 (Cardiac arrest, cause unspecified), I71.8 (Aortic aneurysm of unspecified site, ruptured), N17.9 (Acute kidney failure, unspecified), S06.5X9A (Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter), I25.110 (Atherosclerotic heart disease of native coronary artery with unstable angina pectoris), R57.0 (Cardiogenic shock), R41.0 (Disorientation, unspecified)

Topics Covered: ICD-10-CM signs and symptoms coding, ICD-10-CM abnormal findings coding, ICD-10-CM Chapter 18 coding, R codes ICD-10-CM, symptoms signs and abnormal clinical and laboratory findings, sign vs symptom coding, objective signs, subjective symptoms, chief complaint coding, history of present illness coding, physical exam findings coding, definitive diagnosis coding, integral signs and symptoms, Chapter 18 code structure, Excludes1 notes, Excludes2 notes, fever of unknown origin coding, abnormal cytology coding, HPV risk coding, coding signs and symptoms without confirmed diagnosis, green light symptom coding, yellow light symptom coding, red light symptom coding, medical necessity coding, symptom coding for payer edits, combination codes with symptoms, breast implant pain coding, foreign body sensation coding, abdominal pain coding, acute abdomen coding, abdominal tenderness coding, rebound tenderness coding, abdominal quadrants, abdominal regions, vomiting coding, cyclical vomiting coding, localized swelling coding, mass and lump coding, nervous system symptoms coding, musculoskeletal symptoms coding, repeated falls coding, history of falling coding, National Institutes of Health Stroke Scale coding, NIHSS score coding, stroke severity coding, clinician documentation for stroke scale, Glasgow Coma Scale coding, GCS coding, coma scale 7th character, traumatic brain injury coding, pediatric Glasgow Coma Scale coding, total GCS score coding, SIRS coding, systemic inflammatory response syndrome coding, SIRS due to noninfectious process, acute organ dysfunction coding, severe sepsis coding, sepsis sequencing rules, underlying systemic infection coding, acute respiratory failure coding, acute renal failure coding, abnormal blood findings coding, drug findings in blood coding, cocaine in blood coding, bacteremia coding, abnormal serum enzyme coding, liver transaminase coding, ALT coding, AST coding, LDH coding, abnormal lab findings coding, provider query for abnormal findings, abnormal urine findings coding, proteinuria coding, glycosuria coding, sterile pyuria coding, abnormal respiratory specimen coding, abnormal sputum coding, bronchial washings coding, abnormal mammogram coding, inconclusive mammogram coding, mammographic microcalcifications coding, dense breast tissue coding, death NOS coding, dead on arrival coding, cardiac arrest coding, Code Purple practice, Code Red assessment, ICD-10-CM coding scenarios