It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. In most cases the manifestation codes will have in the code title, "in diseases. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. b. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. R50. Adherence to these guidelines when assigning ICD-9-CM diagnosis and procedure codes is required under the Health Insurance Portability and Accountability Act (HIPAA). What is the ICD-10-CM code for nausea? R11. use additional code for any associated physical or developmental disorders. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Study with Quizlet and memorize flashcards containing terms like List the three diagnoses that are included as described by the "inclusion note" for code R56. E11. The “code first” note is an instructional note. 2x-3y=-2. You must use the applicable 7th character for all ICD-10-CM codes within the category or as notes in the Tabular List instruct. true false An additional codes instructional note is listed under code 33881. When a code does not exist that accurately describes the procedure/treatement, the coder should report an unlisted code. Instructional notes indicate the proper sequencing order of these conditions-etiology (underlying condition) followed by manifestation. Example. e. 0-). instructional notes. Best answers. There is an instructional note use additional code to identify organism. ) Courtesy of the Centers for Medicare & Medicaid Services, 3-1d See Also Instructional Note Another cross-reference note used in ICD-10-CM, the See Also note refers the coder to another location in the Alphabetic Index when the initial listing does not contain all the. There is a "Use Additional Code" notation at the etiology code and a "Code First" note at the manifestation code whenever such a combination exists. the mainifestaion code will have a "code first" instructional note, and the eitiology code will have a " use additonal code" note in the tabular list. What is the instruction provided in the note below code E10. The coder must use the main term Infection, bacterial, as cause of disease classified, Klebsiella to locate the additional code of B96. 1. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The implementation of ICD-10-CM coding brought about significant changes to the world of coding. An instructional note will be found at the infection code advising that an additional organism code is required. Create flashcards for FREE and quiz yourself with an interactive flipper. use additional code for. In most cases the manifestation codes will have in the code title, "in diseases. 0. 001. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. Explain the use of V and E codes. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. provide general information on usage in a specific section. After work-up it was determined that he has a benign neoplasm of the temporal lobe of his brain. A use additional code note is present at category D70 which instructs to “Use additional code for any associated: fever (R50. D33. The "use additional code" note is. 96 is a valid billable ICD-10 diagnosis code for Alcohol use, unspecified with alcohol-induced persisting amnestic disorder . Learn your Medical Coding Conventions and Guidelines. N30. 890 is a valid billable ICD-10 diagnosis code for Other specified postprocedural states . This note signals that an additional code is necessary to fully. Multiple codes are required when two codes, the second in brackets and italics, appear after a main term. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Z71. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. 22)” applies to All codes in ICD-10-CM Chapter 10. 1 directs to use an additional code to identify pneumonia or other manifestations. instructs the coder to use an additional code to identify the manifestation that is present. 8. A postcoordination instructional note labeled “Has manifestation (use additional code, if desired)” is a reminder to the user that, depending on the case being coded, it is allowable to post-coordinate any manifestations with the underlying condition. The additions. Select one: True False. ↓ See below for any exclusions, inclusions or special notations. Brackets An instructional note with code N39. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The words indicate an instructional note that directs the coder to sequence the underlying condition before the manifestation. 2 25 Excludes _____ note is used when two conditions cannot be used together. Most notable was the escalation of available diagnosis codes from 14,000 to 68,000 when ICD-10-CM was first initiated in 2015 (CMS, 2015). These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. For such codes, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code and the rules for sequencing apply The Code Also note is used in ICD-10-CM to instruct the coder that two codes may be needed to fully code a diagnostic phrase. If the coder sees a "see" note, they should follow the cross-reference to where it tells you to go to review extra entries in the index. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. The note, however, does not provide sequencing. b. 0) CONVENTIONS 12 • Instructional Notes •“Code also” ‐alerts coder that more than one code may be required to describe the condition ‐does not provide sequencing directionsmanifestation. Pelvic and perineal pain Billable Code. = cause of disease. All codes in ICD-10-CM Chapter 10. underlying disease, such as: amyloidosis E85Question options: 1 / 1 point What additional code(s) are we advised to use?. In most cases the manifestation codes will have in the code title, 'in diseases. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. additional instruction. Z71. 110, ASHD, native artery with unstable angina is a ______ code. ” These scenarios can be confusing. ) • Use additional code to identify resistance to antimicrobial drugs (Z16) • New section called infections with a predominantly sexual mode of transmission (A50–A64) • When coding sepsis or AIDS, it is important to review the Coding Guidelines and the notes at the category level of ICD-10-CMThe “use additional code” note appears at the etiology and a “code first” note at the manifestation code. -) Use additional code to identify stage of chronic kidney disease ( N18. R14. In most cases the manifestation codes will have in the code title, "in diseases. Codee F10. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Whenever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. In most cases the manifestation codes will have in the code title, 'in diseases. includes general notes, inclusion and exclusion notes, "code first" notes, "use additional code" notes and "code also" notes. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. When you look up this code in the Tabular List, you’ll find an instructional note to “Code also” adrenal adenoma (D35. Additional Instructional Notes Excludes -1 Under a three digit category code, an Excludes 1 designation means that the code is NOT CODED HERE and indicates that two codes are mutually exclusive and therefore cannot be coded as separate codes in same encounter (example E66). It is necessary to go to the main term referenced with the "see" note to locate the correct code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. View Feedback 1 / 1 point If this were a subsequent encounter for treatment, would the place of injury be reported? Question options: 1 / 1 point What additional code(s) are we advised to use? Question options: e additional code to indicate other abnormalities of forces of labor 062. 30. that it is a pure excludes note. In the tabular list, code first and use additional code instructional notes indicate the proper sequencing order of what conditions Certain conditions that have both an underlying etiology and multiple body system manifestations due to the underlying etiology instructional notes indicate a proper sequencing order of these conditions etiology. It is used in the alphabetical Index of ICD-10-CM and instructs the coder that another term should be referenced. A component of. 0. ( True/False) Question. 9. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. ↓ See below for any exclusions, inclusions or special notations. 10 is a valid billable ICD-10 diagnosis code for Social phobia, unspecified . Question: The Code First note instructs the coder to select a code to represent the etiology that caused the manifestation. 2. Hypertension With Heart Disease. The instructional notes to code first the underlying physiological condition are found at the category level. True Which of the following is a valid ICD-10-CM code from the Tabular List of Diseases and Injuries? “Code first” notes are under certain codes that are not specifically manifestation codes but may be due to an underlying cause. (Schraffenberger, 2018, 439)referenced with the “see” note to locate the correct code. 3. Brackets enclose all but which one of the following? essential modifiers. For influenza NOS (not otherwise specified), ICD-10 directs you to use J11. If coded incorrectly and missing the instructional notations, it could result in a claim denial or medical record review. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . b. Below are general descriptions of these coding conventions. -) Use additional code to identify stage of chronic kidney disease ( N18. The instructional notation "USE ADDITIONAL CODE" instructs the coder to: Add a second code to fully code the diagnosis. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. are introduced by the word "includes" when placed at the beginning of a chapter or section. Some people are interpreting a "use additional code" note to mean that the secondary code must always appear in the diagnosis field immediately following the. g. assign an additional code only if the “additional” condition is documented in the health record as being present. Parallel ICD-9-CM Code Guidelines Increased Instruction Notes (Code first; Use Additional Code) Enhanced Combination Codes Updated Terminology to Reflect Current Medical Practices COPD (J44-J45) Acute exacerbation is a worsening or decompensation of a chronic condition An acute exacerbation is NOT equivalent to an infectionin ICD-10-CM/PCS uses an indented arrangement. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Whenever such a combination exists, there is a use an additional code note at the etiology code, and a code first note at the manifestation code. There are multiple additional codes for identified influenza virus infections, including novel A types (avian, swine. The additional code is always listed after the primary code. -). c. that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. -) •Tobacco use (Z72. Located at the etiology code and directs you to assign a manifestation code. The point dash appears to signal to the coder that _____. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. For such codes, a "use additional code" note will still be present and the rules for sequencing still apply. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. 20 is assigned a tthe direction of the "use additional code to identify alcohol use and dependence (F10. use additional code for any associated physical or developmental disorders. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. The International Classification of Diseases (ICD) is published by the World Health Organization (WHO) and is used to classify:In the Tabular List at the beginning of Chapter 1, Certain Infectious and Parasitic Diseases (A00-B99) there is a note to use an additional code. J96. combination. 6 exists, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. 6. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. True. There is an instructional note that states to "Use additional code to identify the stage of chronic kidney disease (N18. Patient present with anemia and is admitted for transfusion. 01 Conn’s syndrome. 1 should be reported as the principal or first diagnosis, regardless of whether the patient's most recent COVID-19. R13. What is the correct 7th character for single gestation? 0. …The instructional note “Use additional code” (B95–B97) is found in the Tabular List of ICD- 10-CM under Code N39. 4. There is an instructional note under category code K70 to use additional code to identify alcohol abuse and dependence. Table of Drugs and Chemicals. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Code Also –A “code also” note instructs that two codes may be required to fully describe a condition, but the sequencing of the two codes depends on the severity of the conditions and the reason for the encounter. F43. K90. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9-CM. “See” and “See Also” –The “see” instruction following a main term in theCategory I10-I16 has an instructional note to use an additional code to identify tobacco exposure. 11, there is a “Code first” instruction for complications of bone marrow transplant and stem cell transplant complication. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. In most cases the manifestation codes will have in the code title, "in diseases. At the beginning of Chapter 15 there is a note to use an additional code from Category Z3A Weeks of gestation, to identify the weeks of gestation for codes O00-O9A. Instructional notes Punctuation marks Abbreviations Symbols. 1 - N18. The "use additional code" note will be found under the associated condition code in the "Tabular List of Diseases. Notice the instructional notes tell the coder to assign a code for diabetes first (code first any associated diabetic chronic kidney disease). true false Modifiers are used to identify when no procedure is done. A list of abbreviations, punctuation, symbols, typefaces, and instructional notes appears at the beginning of the ICD-9. exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the. -). When there is a "code first" note and an underlying. 0 is a valid billable ICD-10 diagnosis code for Abdominal distension (gaseous) . 9. This notation indicates that use of an additional code. These instructional notes indicate the proper sequencing order of the codes, etiology flowed by. The International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is a morbidity classification published by the Centers for Medicare and Medicaid Services. True The "Excludes 1" note _____. N18. the code does not contain additional characters. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. "Code first" notes are also under certain codes that are not specifically manifestation codes but may be due to an underlying cause. All ICD-10-CM Index to Diseases and Injuries subterms associated with an index entry's main term are indented two spaces, with any 2nd and 3rd qualifiers associated with the main term further indented by two and four spaces, respectively. Standard Coding Process (4)A benign neoplasm is a (n): H66. " ICD-10-CM Coding Conventions The conventions for ICD-10-CM are the general rules for using the classification independent of the guidelines. code set based on a system maintained by the World Health Organization. Alphabetic Index. 0-). Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. A note under category J01 Acute sinusitis states that an additional code (B95-B97) is used to identify the infectious agent, if known. In most cases the manifestation codes will have in the code title, "in diseases. Some codes in chapter 10 have been expanded to include notes indicating that an additional code should be assigned or an associated condition should be sequenced first. instructional notes. Look at code E10. Study with Quizlet and memorize flashcards containing terms like combination codes for. 3. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. code first any associated physical or developmental disorders. In most cases the manifestation codes will have in the code title, "in diseases. Check the solution algebraically . code first underlying disease. Dysphagia, unspecified Billable Code. , Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. References A postcoordination instructional note labeled “Has manifestation (use additional code, if desired)” is a reminder to the user that, depending on the case being coded, it is allowable to post-coordinate any manifestations with the underlying condition. b. The diagnosis codes (Volumes 1-2) have been adopted under HIPAA for all healthcare settings. 4 , N18. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. 13. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Wherever such a combination exists, there is a “use additional code” note at the etiology code and a “code first” note at the manifestation code. In most cases the manifestation codes will have in the code title, "in diseases. 2). Instructional note under I12. 6). In most cases the manifestation codes will have in the code title, "in diseases. The principal diagnosis for this case is reported with code _____. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. The Instructional Note under code U07. . A “code also” note alerts the coder that more than. Excludes1: irradiation cystitis (N30. ) Courtesy of the Centers for Medicare & Medicaid Services, 3-1d See Also Instructional Note Another cross-reference note used in ICD-10-CM, the See Also note refers the coder to another location in the Alphabetic Index when the initial listing does not contain all the necessary information to. 5. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Instructs that there is another main term that may also be referenced that may provide additional alphabetic index entries that may be useful. ↓ See below for any exclusions, inclusions or special notations. 2. Instructional Notes General notes Inclusion and exclusion notes Code first notes Use additional code notes, and Etiology/manifestation convention (code first, use additional code and in diseases classified elsewhere notes): Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . 890. 0 would be reported in chapter ____ of ICD-10-CM. Another important instructional note is “Use additional code,” which can lead to querying for clarification of organ dysfunction that may be present, see the. Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. Use additional code *indicates that an additional code should be used, if available *additional code is always listed after the primary code. 82) exposure to environmental tobacco smoke (Z77. Codes with this phrase are never used as a first-listed or principal diagnosis. The 7th character must always be the 7th character in the data field. 1. These conventions are incorporated within the Index and Tabular List of the ICD-10-CM as instructional notes. ICD-10-CM;The instructional note: Use additional code (B95–B97) to identify infectious agent appears under several codes in the tabular. This is where you may see a “Use additional” note, or a note that states “Code first”. followed by the manifestation. 40 is a valid billable ICD-10 diagnosis code for Major depressive disorder, recurrent, in remission, unspecified . algebra2. Study with Quizlet and memorize flashcards containing terms like When a code does not exist that accurately describes the procedure/treatement, the coder should report an unlisted code. 44- there is an instructional note that states “use additional code to identify the sepsis. Fully searchable through Find-A-Code's Comprehensive Search. N30. instructional notes. requires the reporting of multiple codes for a case. Chronic kidney disease, stage 3b Billable Code. b. The “code first” note appears in the Tabular List under the. 9 is a valid billable ICD-10 diagnosis code for Obesity, unspecified . The EXCLUDES 2 note represents all of the following except _____. 9 ) In the example, we see three distinct conditions listed individually in the Assessment and Plan that are all represented in one combination code. [E. a. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. In most cases the manifestation codes will have in the code title, "in diseases. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. When there is a "Code first" note and an underlying condition is present the:-instructional note (Code first) should be followed. This indicates the sequencing. 0) 11The “code first” note is your hint that two codes may be needed, along with sequencing direction. Answer: The Use Additional Code note instructs the coder to use an additional code to identify the manifestation that is present. Added instructional notes and inclusion terms Code Description G97. –In the index both conditions are listed together with the. 7th Character Certain ICD-10-CM categories have applicable 7th characters. ) Assign combination codes when available. In the tabular, code G31. An instructional note in the Tabular List instructs us to use an additional code to identify alcohol and/or tobacco use and/or dependence, history of tobacco dependence, and/or exposure to tobacco smoke. false. the etiology/ manifestation guideline B. The other instructional note is under category code I85 which says to use an additional code to report alcohol abuse and dependence. In ICD coding, the code first is not used. sometimes used to inform, describe circumstances or give additional information about a term or. -underlying condition should be sequenced first. What diagnosis code(s) should be reported for acute and chronic cystitis? a. instructional notes. ICD-10-CM guideline I. use both the code and the excluded code together. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. 1 states: Hypertension with heart conditions classified to I50. ICD-10-CM Coding Conventions The conventions for ICD-10-CM are the general rules for using the classification independent of the guidelines. note is not actually needed under the proposed new code at all, since there is already an instructional note regarding the use of additional codes for associated mani festations at the category level, and additional instructional notes are not generally included under existing syndrome codes in this category. List the instructional. d. The two codes are to be sequenced as listed in the "Index to Diseases. 1 Code First note 8. 6). Make sure to review pairs of ‘Use additional code’ notes at the etiology code, and ‘Code first’ notes at the manifestation code to ensure proper sequencing order in the guidance,” Blanchard adds. Etiology or the first disease must be coded first. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. E66. Select one: a. general notes, inclusion and exclusion notes, code first notes, use additional code notes, and code also notes. In most cases the manifestation codes will have in the code title, "in diseases. 8 e additional. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. " In the "Index to Diseases," the multiple coding requirement is indicated by the use of the slanted brackets. Use additional code for any associated fecal incontinence ( R15 . The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice. In the Alphabetic Index, following the main term “sequela,” is the direction term “see also condition” to remind the coder that other entries in the Alphabetic Index are. 2. You are directed to R11. At the beginning of Chapter 15 there is a note to use an additional code from Category Z3A Weeks of gestation, to identify the weeks of gestation for codes O00-O9A. 10. It instructs you to code first underlying disease, which in this case, is the cirrhosis of the liver from the alcohol. The see also instruction in the ICD-10-CM index follows a subterm and refers the coder to another main term that: a. Manifestation code = “code 1st” These instructional notes indicate the proper sequencing order of the codes 3. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. Possible conventions to include with codes include the following: Notes: Extra information to define or clarify code choice. 5 Chronic kidney disease, stage 5 states that this code excludes “chronic kidney disease, stage 5 requiring chronic dialysis (N18. 1 states to not assign codes from category Z34 with Chapter 15 codes. 1 states to not assign codes from category Z34 with Chapter 15 codes. In most cases the manifestation codes will have in the code title, "in diseases. 10. 5 is reported for stage 5 CKD. In most cases the manifestation codes will have in the code title, "in diseases. The instructional notation that appears for the code for a drug induced fever is ________ . Code First/Use Additional Code notes (etiology/manifestation paired codes) Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. The abbreviation NEC appears with main terms for which no specific code exists. 9 ) In the example, we see three distinct conditions listed individually in the Assessment and Plan that are all represented in one combination code. 00, N30. It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . These instructional notes indicate the proper sequencing order of the codes, etiology flowed by manifestation if applicable Use additional code, where applicable, to identify: history of tobacco dependence (Z87. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. Wherever such a combination exists, there is a “use additional code” note at the etiology code, and a “code first” note at the manifestation code. 96. The underlying disease must be first sequenced, accompanied by the manifestation, according to the ICD-10-CM coding rule. The additions for FY 2021 presently pushing the number of codes to over 70,000. 891) tobacco dependence (F17. CODING CONVENTIONS. B) the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. They may appear independently of each other or to designate certain etiology/manifestation paired codes. The code for alcohol dependence is located by indexing the main term "Alcoholism". ↓ See below for any exclusions, inclusions or special notations. 890 is exempt from POA reporting ( Present On Admission). 011, Postthrombotic syndrome with ulcer of right lower extremity, and L97. are designated in the ICD-10-CM index by brackets. Appear in both the tabular list and alphabetic index of ICD-10-CM. Wherever such a combination exists there is a 'use additional code' note at the etiology code, and a 'code first' note at the manifestation code. 891) tobacco dependence (F17. detail to ensure the code assignment is not affected. , An additional codes instructional note is listed under code 33881. - Codes also specify the _____ of vessels to identify the specific location of disease. "See" and "See Also": The "see" instruction following a main term in the Alphabetic Index shows that. When a coder encounters a "Use additional code" note, the coder should NOT assign a code from the list unless it is documented in the record. There is advice at the beginning of this chapter to use an additional code to identify resistance to antimicrobial drugs using. Use additional code to indicate outcome of delivery Z37. Watch the instructional notes carefully. Look for Cirrhosis/liver/alcoholic and you are directed to K70. Instructional notes appear in both the Tabular List and Alphabetic Index of ICD-10-CM. R10. and more. 22, Type 1 diabetes mellitus with diabetic chronic kidney disease.