Map-A-Code™  ICD-9 to 10 and back again


View the general equivalency mappings (GEMs) between the ICD-9 and ICD-10 code sets.

Access to this feature is available in the following products:
  • Find-A-Code Professional/Premium/Elite
  • Find-A-Code Facility Base/Plus/Complete
  • HCC Standard/Pro

SAMPLE:

Map-A-Code uses the Medicare General Equivalence Mappings (GEMs) and Reimbursement Mappings (RMs) to map codes from ICD-9-CM (v1 and v3) to ICD-10-CM and ICD-10-PCS.

1. Select mapping type:

Forward Mappings (ICD-9 to ICD-10 GEMs)

Backward Mappings (ICD-10 to ICD-9 GEMs)

Reimbursement Mappings (ICD-10 to ICD-9 RMs)

Note: RMs no longer updated as of FY 2017.

 

ICD-9-CM Example:
001.0
754.35
806.00
ICD-9 v3 Example:
00.01
95.13
21.21
ICD-10-CM Example:    
A00.0
Q65.02
S12.000A
ICD-10-PCS Example:
6A750Z4
B845ZZZ
09JKXZZ

3. Map Codes

(Formerly ICD-9/10 Cross-A-Code™)

> 001.0 - Cholera due to vibrio cholerae

>A00.0 Cholera due to Vibrio cholerae 01, biovar cholerae

> 754.35 - Congenital dislocation of one hip with subluxation of other hip

Scenario 1
>Q65.01 Congenital dislocation of right hip, unilateral
AND
>Q65.32 Congenital partial dislocation of left hip, unilateral
--- OR ---
Scenario 2
>Q65.02 Congenital dislocation of left hip, unilateral
AND
>Q65.31 Congenital partial dislocation of right hip, unilateral

> 806.00 - Closed fracture of C1-C4 level with unspecified spinal cord injury

Scenario 1
>S14.101A Unspecified injury at C1 level of cervical spinal cord, initial encounter
AND
Choose one of:
>S12.000A Unspecified displaced fracture of first cervical vertebra, initial encounter for closed fracture
>S12.001A Unspecified nondisplaced fracture of first cervical vertebra, initial encounter for closed fracture
--- OR ---
Scenario 2
>S14.102A Unspecified injury at C2 level of cervical spinal cord, initial encounter
AND
Choose one of:
S12.100A Unspecified displaced fracture of second cervical vertebra, initial encounter for closed fracture
S12.101A Unspecified nondisplaced fracture of second cervical vertebra, initial encounter for closed fracture
--- OR ---
Scenario 3
S14.103A Unspecified injury at C3 level of cervical spinal cord, initial encounter
AND
Choose one of:
>S12.200A Unspecified displaced fracture of third cervical vertebra, initial encounter for closed fracture
>S12.201A Unspecified nondisplaced fracture of third cervical vertebra, initial encounter for closed fracture
--- OR ---
Scenario 4
>S14.104A Unspecified injury at C4 level of cervical spinal cord, initial encounter
AND
Choose one of:
>S12.301A Unspecified nondisplaced fracture of fourth cervical vertebra, initial encounter for closed fracture
>S12.300A Unspecified displaced fracture of fourth cervical vertebra, initial encounter for closed fracture

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