August 3, 2015

Coding a Summer Wedding in ICD-10

By Wendy Aiken, PMI-ACP

Summer is the most popular time for tying the knot and other celebrations that tend to see people get carried away and sometimes end up with the need for a little medical attention. So to help you prepare for the wonderful season of love, marriage, and the chaos that follows, we compiled a list of ICD-10 codes for summer weddings.

Cold Feet 

Committing to one person for the rest of your life can lead to a moment of panic, and perhaps a last-minute change of plans. If this happens, and the betrothed does their best to reenact scenes from The Graduate, Runaway Bride, or Sex and the City, you’d better have these codes handy:

F41.0- Panic Disorder (episodic paroxysmal anxiety) without agoraphobia

R68 – Chills (without fever)

R26.81 – Unsteadiness on feet


Weddings have the uncanny ability to bring out the waterworks – in the bride, the groom, mother of the bride, father of the bride, guests, and, well, you get the misty picture. If a wad of tissues and a couple of “I do’s” don’t stop the tears, you might need this code:

R45.83 – Excessive crying of adult

HO4.213 – Epiphora (watery eyes) due to excess lacrimation (flow of tears), bilateral

F43.25 – Adjustment disorder with mixed disturbance of emotions and conduct


Some poor souls have such a fear of public speaking that the thought of making a toast at their best friend’s wedding leads them to increase their champagne consumption. If the “liquid courage” gets the best of the best man, you are going to need these codes:

R47.81 – Slurred speech

F10.10 – Alcohol abuse, uncomplicated

F10.129 – Alcohol abuse with intoxication


Wedding receptions (and an open bar) tend to bring out a primitive desire to shake everything you’ve got. With wild gyrations, compromised balance, and slick parquet dance floors, you are bound to need these codes:

Y93.41 – Activity, dancing

Y93.41 – Activity, other involving dancing and rhythmic movements

Throwing the Bouquet and Garter 

The party’s not over until the bride jettisons her bouquet and the groom tosses the garter into a frenzied crowd of single women and men, all jockeying to be next in line for wedded bliss. For these traditions, some of these codes might be needed:

W20.8XXA – Other cause of strike by thrown, projected or falling object

S00.80XA – Unspecified superficial injury of other part of head

R26.81 – Unsteadiness on feet

Left Ring Finger

Marriage and its symbol of love take some getting used to, in many cases. If the ring begins to pinch or tingle and that left finger is looking like a German bratwurst, there are codes for that:

S60.445A – External constriction of left ring finger

S64.495 – Injury of digital nerve of left ring finger

With these codes, any possible calamity that might occur during these memorable times can be easily taken care of, so the happy couple can start their honeymoon knowing their guests are receiving only the best of care.

About the Author

Wendy Aiken, PMI-ACP, has been at AdvancedMD since 2011 as a product manager. Having worked on the front lines of the medical industry for more than two decades, Aiken is now adding her real-world expertise to the medical software industry.

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