ICD-10 PRIME CHECK

PRIME Referral — ICD-10 Selector

RTM Referral — ICD-10 Selector

Check the same boxes marked on the completed referral form. A fixed clinical crosswalk suggests the matching ICD-10 code as you go.

Coding support tool, not a coding authority — verified once, not live. Every code below was individually checked on Sept 17, 2026 against the CMS/NCHS ICD-10-CM FY2026 code set (effective Oct 1, 2025), via web search against CMS's own posted files and coding references that cite them directly. It is a fixed, point-in-time crosswalk — not a live connection to CMS — so it will not automatically reflect the FY2027 update (effective Oct 1, 2026) or any mid-year addenda. A qualified coder or clinician should still confirm the final code before billing, especially for fractures, meniscus/cartilage pathology, "other" diagnoses, and anything flagged below.

Referral type

Body Area / Region

Body Side

Procedure Description

Primary Diagnosis

Suggested ICD-10 Code

Upload a form and/or make selections above to see a suggested code.
Built for internal RTM/PRIME referral workflow use. Codes verified Sept 17, 2026 against CMS/NCHS ICD-10-CM FY2026 (effective Oct 1, 2025). Re-verify against the current ICD-10-CM code set and your payer policy before submission, and after each October/April CMS update cycle.