Computerized Tomography (CAT Scans) (L28544)
Contractor Information
|
Contractor Name Wisconsin Physicians Service Insurance Corporation |
Contractor Number 00951, 00952, 00953, 00954, 52280, 05101, 05201, 05301, 05401, 05102, 05202, 05302, 05402 |
Contractor Type Carrier - FI - MAC |
LCD Information
Document Information
L28544 LCD Title Computerized Tomography (CAT Scans) Contractor's Determination Number RAD-033 AMA CPT/ADA CDT Copyright Statement CPT codes, descriptions and other data only are copyright 2011 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current Dental Terminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright by the American Dental Association. © 2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply. |
Primary Geographic Jurisdiction
Oversight Region Original Determination Effective Date For services performed on or after 03/25/2009 Original Determination Ending Date Revision Effective Date For services performed on or after 01/01/2012 Revision Ending Date |
CMS National Coverage Policy
CMS Pub, 100-3 Ch.1, Part 4 §220.1
Indications and Limitations of Coverage and/or Medical Necessity
Computerized
Tomography (CT) is a form of x-ray, which creates cross-sectional
images. X-ray beams pass through the body at different angles and are
then recorded by detectors and channeled into a computer, which produces
cross sectional views at different planes.
Diagnostic examination performed by computerized tomography (CT) scanners are covered by Medicare Part B if it is reasonable and necessary for the individual patient and if the scanning device is FDA approved.
This service can be provided in a hospital, office or in a mobile unit, which is appropriately licensed in the State. A physician is expected to be in attendance for clinical decisions during imaging procedures which require a level of supervision greater than the general category as defined in the physician's fee schedule database.
I. Computed tomography (CT) is a proven radiologic modality that provides clinical information in the detection, differentiation and demarcation of disease. CT is the primary diagnostic modality for a variety of presenting problems and is widely accepted as a supplement to other imaging techniques.
(See "ICD-9 Codes that Support Medical Necessity")
Diagnostic examination performed by computerized tomography (CT) scanners are covered by Medicare Part B if it is reasonable and necessary for the individual patient and if the scanning device is FDA approved.
This service can be provided in a hospital, office or in a mobile unit, which is appropriately licensed in the State. A physician is expected to be in attendance for clinical decisions during imaging procedures which require a level of supervision greater than the general category as defined in the physician's fee schedule database.
I. Computed tomography (CT) is a proven radiologic modality that provides clinical information in the detection, differentiation and demarcation of disease. CT is the primary diagnostic modality for a variety of presenting problems and is widely accepted as a supplement to other imaging techniques.
(See "ICD-9 Codes that Support Medical Necessity")
Coding Information
Bill Type Codes:
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the policy does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the policy should be assumed to apply equally to all claims.
| 012x | Hospital Inpatient (Medicare Part B only) |
| 013x | Hospital Outpatient |
| 085x | Critical Access Hospital |
Revenue Codes:
Revenue codes 096X, 097X and 098X are to be used only by Critical Access Hospitals (CAHs) choosing the optional payment method (also called Option 2 or Method 2) and only for services performed by physicians or practitioners who have reassigned their billing rights. When a CAH has selected the optional payment method, physicians or other practitioners providing professional services at the CAH may elect to bill their carrier or assign their billing rights to the CAH. When professional services are reassigned to the CAH, the CAH must bill the FI using revenue codes 096X, 097X or 098X.
CPT/HCPCS Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory; unless specified in the policy services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the policy should be assumed to apply equally to all Revenue Codes.
Please note that not all revenue codes apply to each CPT/HCPCS code. Providers are encouraged to refer to the FISS HCPCS file for allowable revenue codes.Revenue codes 096X, 097X and 098X are to be used only by Critical Access Hospitals (CAHs) choosing the optional payment method (also called Option 2 or Method 2) and only for services performed by physicians or practitioners who have reassigned their billing rights. When a CAH has selected the optional payment method, physicians or other practitioners providing professional services at the CAH may elect to bill their carrier or assign their billing rights to the CAH. When professional services are reassigned to the CAH, the CAH must bill the FI using revenue codes 096X, 097X or 098X.
| 0255 | Pharmacy - Drugs Incident to Radiology |
| 0350 | CT Scan - General Classification |
| 0351 | CT Scan - CT - Head Scan |
| 0352 | CT Scan - CT - Body Scan |
| 0359 | CT Scan - CT Other |
| 0960 | Professional Fees - General Classification |
| 0969 | Professional Fees - Other Professional Fee |
| 0972 | Professional Fees - Radiology - Diagnostic |
| 0982 | Professional Fees - Outpatient Services |
| 0983 | Professional Fees - Clinic |
| 70450 - 70498 | COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 70460 | COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S) |
| 70470 | COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 70480 | COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRAST MATERIAL |
| 70481 | COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITH CONTRAST MATERIAL(S) |
| 70482 | COMPUTED TOMOGRAPHY, ORBIT, SELLA, OR POSTERIOR FOSSA OR OUTER, MIDDLE, OR INNER EAR; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 70486 | COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL |
| 70487 | COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITH CONTRAST MATERIAL(S) |
| 70488 | COMPUTED TOMOGRAPHY, MAXILLOFACIAL AREA; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 70490 | COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL |
| 70491 | COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITH CONTRAST MATERIAL(S) |
| 70492 | COMPUTED TOMOGRAPHY, SOFT TISSUE NECK; WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 70496 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, HEAD, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 70498 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, NECK, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 71250 - 71270 | COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 71260 | COMPUTED TOMOGRAPHY, THORAX; WITH CONTRAST MATERIAL(S) |
| 71270 | COMPUTED TOMOGRAPHY, THORAX; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72125 - 72133 | COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72126 | COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST MATERIAL |
| 72127 | COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72128 | COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL |
| 72129 | COMPUTED TOMOGRAPHY, THORACIC SPINE; WITH CONTRAST MATERIAL |
| 72130 | COMPUTED TOMOGRAPHY, THORACIC SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72131 | COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL |
| 72132 | COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITH CONTRAST MATERIAL |
| 72133 | COMPUTED TOMOGRAPHY, LUMBAR SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72191 - 72194 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, PELVIS, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING - COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 72192 | COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL |
| 72193 | COMPUTED TOMOGRAPHY, PELVIS; WITH CONTRAST MATERIAL(S) |
| 72194 | COMPUTED TOMOGRAPHY, PELVIS; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 73200 - 73206 | COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHIC ANGIOGRAPHY, UPPER EXTREMITY, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 73201 | COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITH CONTRAST MATERIAL(S) |
| 73202 | COMPUTED TOMOGRAPHY, UPPER EXTREMITY; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 73206 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, UPPER EXTREMITY, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 73700 - 73706 | COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 73701 | COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITH CONTRAST MATERIAL(S) |
| 73702 | COMPUTED TOMOGRAPHY, LOWER EXTREMITY; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 73706 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, LOWER EXTREMITY, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 74150 - 74175 | COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 74160 | COMPUTED TOMOGRAPHY, ABDOMEN; WITH CONTRAST MATERIAL(S) |
| 74170 | COMPUTED TOMOGRAPHY, ABDOMEN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS |
| 74175 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMEN, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
| 74176 - 74178 | COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL - COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS IN ONE OR BOTH BODY REGIONS |
| 74177 | COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITH CONTRAST MATERIAL |
| 74178 | COMPUTED TOMOGRAPHY, ABDOMEN AND PELVIS; WITHOUT CONTRAST MATERIAL IN ONE OR BOTH BODY REGIONS, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS IN ONE OR BOTH BODY REGIONS |
| 75635 | COMPUTED TOMOGRAPHIC ANGIOGRAPHY, ABDOMINAL AORTA AND BILATERAL ILIOFEMORAL LOWER EXTREMITY RUNOFF, WITH CONTRAST MATERIAL(S), INCLUDING NONCONTRAST IMAGES, IF PERFORMED, AND IMAGE POSTPROCESSING |
ICD-9 Codes that Support Medical Necessity
Note: ICD-9 codes V67.00, V67.09, V67.1, V67.2 and V71.1 are non-specific and require an additional ICD-9 code for payment.
HEAD, NECK, FACE, ORBIT, JAW (70450-70498)
| 013.00 - 013.46 | TUBERCULOUS MENINGITIS UNSPECIFIED EXAMINATION - TUBERCULOMA OF SPINAL CORD TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS) |
| 013.60 - 013.96 | TUBERCULOUS ENCEPHALITIS OR MYELITIS UNSPECIFIED EXAMINATION - UNSPECIFIED TUBERCULOSIS OF CENTRAL NERVOUS SYSTEM TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS) |
| 036.0 | MENINGOCOCCAL MENINGITIS |
| 036.1 | MENINGOCOCCAL ENCEPHALITIS |
| 036.3 | WATERHOUSE-FRIDERICHSEN SYNDROME MENINGOCOCCAL |
| 042 | HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE |
| 045.00 - 045.93 | ACUTE PARALYTIC POLIOMYELITIS SPECIFIED AS BULBAR UNSPECIFIED TYPE OF POLIOVIRUS - UNSPECIFIED ACUTE POLIOMYELITIS POLIOVIRUS TYPE III |
| 046.0 - 046.9 | KURU - UNSPECIFIED SLOW VIRUS INFECTION OF CENTRAL NERVOUS SYSTEM |
| 047.0 - 048 | MENINGITIS DUE TO COXSACKIE VIRUS - OTHER ENTEROVIRUS DISEASES OF CENTRAL NERVOUS SYSTEM |
| 049.0 - 049.9 | NON-ARTHOPOD BORNE LYMPHOCYTIC CHORIOMENINGITIS - UNSPECIFIED NON-ARTHROPOD-BORNE VIRAL DISEASES OF CENTRAL NERVOUS SYSTEM |
| 052.0 | POSTVARICELLA ENCEPHALITIS |
| 053.0 | HERPES ZOSTER WITH MENINGITIS |
| 053.10 - 053.13 | HERPES ZOSTER WITH UNSPECIFIED NERVOUS SYSTEM COMPLICATION - POSTHERPETIC POLYNEUROPATHY |
| 054.3 | HERPETIC MENINGOENCEPHALITIS |
| 054.40 - 054.72 | HERPES SIMPLEX WITH UNSPECIFIED OPHTHALMIC COMPLICATION - HERPES SIMPLEX MENINGITIS |
| 055.0 | POSTMEASLES ENCEPHALITIS |
| 056.01 | ENCEPHALOMYELITIS DUE TO RUBELLA |
| 062.0 - 062.9 | JAPANESE ENCEPHALITIS - MOSQUITO-BORNE VIRAL ENCEPHALITIS UNSPECIFIED |
| 063.0 - 064 | RUSSIAN SPRING-SUMMER (TAIGA) ENCEPHALITIS - VIRAL ENCEPHALITIS TRANSMITTED BY OTHER AND UNSPECIFIED ARTHROPODS |
| 066.2 | VENEZUELAN EQUINE FEVER |
| 072.1 | MUMPS MENINGITIS |
| 072.2 | MUMPS ENCEPHALITIS |
| 090.0 - 090.9 | EARLY CONGENITAL SYPHILIS SYMPTOMATIC - CONGENITAL SYPHILIS UNSPECIFIED |
| 091.0 - 091.9 | GENITAL SYPHILIS (PRIMARY) - UNSPECIFIED SECONDARY SYPHILIS |
| 092.0 - 092.9 | EARLY SYPHILIS LATENT SEROLOGICAL RELAPSE AFTER TREATMENT - EARLY SYPHILIS LATENT UNSPECIFIED |
| 093.0 - 093.9 | ANEURYSM OF AORTA SPECIFIED AS SYPHILITIC - CARDIOVASCULAR SYPHILIS UNSPECIFIED |
| 094.0 - 094.9 | TABES DORSALIS - NEUROSYPHILIS UNSPECIFIED |
| 095.0 - 096 | SYPHILITIC EPISCLERITIS - LATE SYPHILIS LATENT |
| 097.0 - 097.9 | LATE SYPHILIS UNSPECIFIED - SYPHILIS UNSPECIFIED |
| 100.81 | LEPTOSPIRAL MENINGITIS (ASEPTIC) |
| 112.83 | CANDIDAL MENINGITIS |
| 114.2 | COCCIDIOIDAL MENINGITIS |
| 115.01 | HISTOPLASMA CAPSULATUM MENINGITIS |
| 115.11 | HISTOPLASMA DUBOISII MENINGITIS |
| 123.1 | CYSTICERCOSIS |
| 130.0 - 130.2 | MENINGOENCEPHALITIS DUE TO TOXOPLASMOSIS - CHORIORETINITIS DUE TO TOXOPLASMOSIS |
| 135 | SARCOIDOSIS |
| 136.1 | BEHCET'S SYNDROME |
| 139.0 | LATE EFFECTS OF VIRAL ENCEPHALITIS |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 210.0 - 210.9 | BENIGN NEOPLASM OF LIP - BENIGN NEOPLASM OF PHARYNX UNSPECIFIED |
| 211.0 | BENIGN NEOPLASM OF ESOPHAGUS |
| 211.9 | BENIGN NEOPLASM OF OTHER AND UNSPECIFIED SITE IN THE DIGESTIVE SYSTEM |
| 212.0 - 212.2 | BENIGN NEOPLASM OF NASAL CAVITIES MIDDLE EAR AND ACCESSORY SINUSES - BENIGN NEOPLASM OF TRACHEA |
| 212.5 | BENIGN NEOPLASM OF MEDIASTINUM |
| 212.6 | BENIGN NEOPLASM OF THYMUS |
| 212.8 | BENIGN NEOPLASM OF OTHER SPECIFIED SITES OF RESPIRATORY AND INTRATHORACIC ORGANS |
| 212.9 | BENIGN NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS SITE UNSPECIFIED |
| 213.0 | BENIGN NEOPLASM OF BONES OF SKULL AND FACE |
| 213.1 | BENIGN NEOPLASM OF LOWER JAW BONE |
| 213.3 | BENIGN NEOPLASM OF RIBS STERNUM AND CLAVICLE |
| 213.9 | BENIGN NEOPLASM OF BONE AND ARTICULAR CARTILAGE SITE UNSPECIFIED |
| 214.0 | LIPOMA OF SKIN AND SUBCUTANEOUS TISSUE OF FACE |
| 214.1 | LIPOMA OF OTHER SKIN AND SUBCUTANEOUS TISSUE |
| 215.0 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF HEAD FACE AND NECK |
| 215.8 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF OTHER SPECIFIED SITES |
| 216.0 - 216.4 | BENIGN NEOPLASM OF SKIN OF LIP - BENIGN NEOPLASM OF SCALP AND SKIN OF NECK |
| 224.0 - 224.9 | BENIGN NEOPLASM OF EYEBALL EXCEPT CONJUNCTIVA CORNEA RETINA AND CHOROID - BENIGN NEOPLASM OF EYE PART UNSPECIFIED |
| 225.0 - 226 | BENIGN NEOPLASM OF BRAIN - BENIGN NEOPLASM OF THYROID GLANDS |
| 227.1 | BENIGN NEOPLASM OF PARATHYROID GLAND |
| 227.3 - 227.6 | BENIGN NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT - BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA |
| 227.8 | BENIGN NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES |
| 228.00 - 228.03 | HEMANGIOMA OF UNSPECIFIED SITE - HEMANGIOMA OF RETINA |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 229.0 | BENIGN NEOPLASM OF LYMPH NODES |
| 229.8 | BENIGN NEOPLASM OF OTHER SPECIFIED SITES |
| 230.0 | CARCINOMA IN SITU OF LIP ORAL CAVITY AND PHARYNX |
| 230.1 | CARCINOMA IN SITU OF ESOPHAGUS |
| 231.0 | CARCINOMA IN SITU OF LARYNX |
| 231.1 | CARCINOMA IN SITU OF TRACHEA |
| 231.8 | CARCINOMA IN SITU OF OTHER SPECIFIED PARTS OF RESPIRATORY SYSTEM |
| 232.0 - 232.4 | CARCINOMA IN SITU OF SKIN OF LIP - CARCINOMA IN SITU OF SCALP AND SKIN OF NECK |
| 232.8 | CARCINOMA IN SITU OF OTHER SPECIFIED SITES OF SKIN |
| 234.0 | CARCINOMA IN SITU OF EYE |
| 234.8 | CARCINOMA IN SITU OF OTHER SPECIFIED SITES |
| 235.0 | NEOPLASM OF UNCERTAIN BEHAVIOR OF MAJOR SALIVARY GLANDS |
| 235.1 | NEOPLASM OF UNCERTAIN BEHAVIOR OF LIP ORAL CAVITY AND PHARYNX |
| 235.6 - 235.8 | NEOPLASM OF UNCERTAIN BEHAVIOR OF LARYNX - NEOPLASM OF UNCERTAIN BEHAVIOR OF PLEURA THYMUS AND MEDIASTINUM |
| 237.0 - 237.9 | NEOPLASM OF UNCERTAIN BEHAVIOR OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED PARTS OF NERVOUS SYSTEM |
| 238.0 - 238.2 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE - NEOPLASM OF UNCERTAIN BEHAVIOR OF SKIN |
| 238.8 | NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER SPECIFIED SITES |
| 239.1 - 239.3 | NEOPLASM OF UNSPECIFIED NATURE OF RESPIRATORY SYSTEM - NEOPLASM OF UNSPECIFIED NATURE OF BREAST |
| 239.6 - 239.89 | NEOPLASM OF UNSPECIFIED NATURE OF BRAIN - NEOPLASMS OF UNSPECIFIED NATURE, OTHER SPECIFIED SITES |
| 240.0 - 240.9 | GOITER SPECIFIED AS SIMPLE - GOITER UNSPECIFIED |
| 241.0 - 241.9 | NONTOXIC UNINODULAR GOITER - UNSPECIFIED NONTOXIC NODULAR GOITER |
| 242.00 - 242.41 | TOXIC DIFFUSE GOITER WITHOUT THYROTOXIC CRISIS OR STORM - THYROTOXICOSIS FROM ECTOPIC THYROID NODULE WITH THYROTOXIC CRISIS OR STORM |
| 242.90 | THYROTOXICOSIS WITHOUT GOITER OR OTHER CAUSE AND WITHOUT THYROTOXIC CRISIS OR STORM |
| 242.91 | THYROTOXICOSIS WITHOUT GOITER OR OTHER CAUSE WITH THYROTOXIC CRISIS OR STORM |
| 245.0 - 245.9 | ACUTE THYROIDITIS - THYROIDITIS UNSPECIFIED |
| 246.0 | DISORDERS OF THYROCALCITONIN SECRETION |
| 250.60 - 250.63 | DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED - DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED |
| 252.00 - 252.9 | HYPERPARATHYROIDISM, UNSPECIFIED - UNSPECIFIED DISORDER OF PARATHYROID GLAND |
| 253.0 - 253.9 | ACROMEGALY AND GIGANTISM - UNSPECIFIED DISORDER OF THE PITUITARY GLAND AND ITS HYPOTHALAMIC CONTROL |
| 254.0 - 254.9 | PERSISTENT HYPERPLASIA OF THYMUS - UNSPECIFIED DISEASE OF THYMUS GLAND |
| 256.0 | HYPERESTROGENISM |
| 259.3 | ECTOPIC HORMONE SECRETION NOT ELSEWHERE CLASSIFIED |
| 289.3 | LYMPHADENITIS UNSPECIFIED EXCEPT MESENTERIC |
| 290.0 - 290.9 | SENILE DEMENTIA UNCOMPLICATED - UNSPECIFIED SENILE PSYCHOTIC CONDITION |
| 291.0 - 291.9 | ALCOHOL WITHDRAWAL DELIRIUM - UNSPECIFIED ALCOHOL-INDUCED MENTAL DISORDERS |
| 292.0 - 292.9 | DRUG WITHDRAWAL - UNSPECIFIED DRUG-INDUCED MENTAL DISORDER |
| 293.0 - 293.9 | DELIRIUM DUE TO CONDITIONS CLASSIFIED ELSEWHERE - UNSPECIFIED TRANSIENT MENTAL DISORDER IN CONDITIONS CLASSIFIED ELSEWHERE |
| 294.0 - 294.9 | AMNESTIC DISORDER IN CONDITIONS CLASSIFIED ELSEWHERE - UNSPECIFIED PERSISTENT MENTAL DISORDERS DUE TO CONDITIONS CLASSIFIED ELSEWHERE |
| 298.8 | OTHER AND UNSPECIFIED REACTIVE PSYCHOSIS |
| 298.9 | UNSPECIFIED PSYCHOSIS |
| 310.0 - 310.9 | FRONTAL LOBE SYNDROME - UNSPECIFIED NONPSYCHOTIC MENTAL DISORDER FOLLOWING ORGANIC BRAIN DAMAGE |
| 319 | UNSPECIFIED INTELLECTUAL DISABILITIES |
| 320.0 - 320.9 | HEMOPHILUS MENINGITIS - MENINGITIS DUE TO UNSPECIFIED BACTERIUM |
| 321.0 - 321.8 | CRYPTOCOCCAL MENINGITIS - MENINGITIS DUE TO OTHER NONBACTERIAL ORGANISMS CLASSIFIED ELSEWHERE |
| 322.0 - 322.9 | NONPYOGENIC MENINGITIS - MENINGITIS UNSPECIFIED |
| 323.01 - 323.9 | ENCEPHALITIS AND ENCEPHALOMYELITIS IN VIRAL DISEASES CLASSIFIED ELSEWHERE - UNSPECIFIED CAUSES OF ENCEPHALITIS, MYELITIS, AND ENCEPHALOMYELITIS |
| 324.0 - 326 | INTRACRANIAL ABSCESS - LATE EFFECTS OF INTRACRANIAL ABSCESS OR PYOGENIC INFECTION |
| 330.0 - 330.9 | LEUKODYSTROPHY - UNSPECIFIED CEREBRAL DEGENERATION IN CHILDHOOD |
| 331.0 - 331.9 | ALZHEIMER'S DISEASE - CEREBRAL DEGENERATION UNSPECIFIED |
| 332.0 | PARALYSIS AGITANS |
| 332.1 | SECONDARY PARKINSONISM |
| 333.0 - 333.99 | OTHER DEGENERATIVE DISEASES OF THE BASAL GANGLIA - OTHER EXTRAPYRAMIDAL DISEASES AND ABNORMAL MOVEMENT DISORDERS |
| 334.0 - 334.9 | FRIEDREICH'S ATAXIA - SPINOCEREBELLAR DISEASE UNSPECIFIED |
| 335.20 - 335.29 | AMYOTROPHIC LATERAL SCLEROSIS - OTHER MOTOR NEURON DISEASES |
| 337.00 | IDIOPATHIC PERIPHERAL AUTONOMIC NEUROPATHY, UNSPECIFIED |
| 337.01 | CAROTID SINUS SYNDROME |
| 337.09 | OTHER IDIOPATHIC PERIPHERAL AUTONOMIC NEUROPATHY |
| 339.00 - 339.89 | CLUSTER HEADACHE SYNDROME, UNSPECIFIED - OTHER HEADACHE SYNDROMES |
| 340 | MULTIPLE SCLEROSIS |
| 341.0 - 341.9 | NEUROMYELITIS OPTICA - DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM UNSPECIFIED |
| 342.00 - 342.92 | FLACCID HEMIPLEGIA AND HEMIPARESIS AFFECTING UNSPECIFIED SIDE - UNSPECIFIED HEMIPLEGIA AND HEMIPARESIS AFFECTING NONDOMINANT SIDE |
| 343.0 - 343.9 | CONGENITAL DIPLEGIA - INFANTILE CEREBRAL PALSY UNSPECIFIED |
| 345.00 - 345.91 | GENERALIZED NONCONVULSIVE EPILEPSY WITHOUT INTRACTABLE EPILEPSY - EPILEPSY UNSPECIFIED WITH INTRACTABLE EPILEPSY |
| 346.00 - 346.93 | MIGRAINE WITH AURA, WITHOUT MENTION OF INTRACTABLE MIGRAINE WITHOUT MENTION OF STATUS MIGRAINOSUS - MIGRAINE, UNSPECIFIED, WITH INTRACTABLE MIGRAINE, SO STATED, WITH STATUS MIGRAINOSUS |
| 347.00 - 348.9 | NARCOLEPSY, WITHOUT CATAPLEXY - UNSPECIFIED CONDITION OF BRAIN |
| 349.0 - 349.2 | REACTION TO SPINAL OR LUMBAR PUNCTURE - DISORDERS OF MENINGES NOT ELSEWHERE CLASSIFIED |
| 349.31 | ACCIDENTAL PUNCTURE OR LACERATION OF DURA DURING A PROCEDURE |
| 349.39 | OTHER DURAL TEAR |
| 349.81 - 349.9 | CEREBROSPINAL FLUID RHINORRHEA - UNSPECIFIED DISORDERS OF NERVOUS SYSTEM |
| 350.1 - 350.9 | TRIGEMINAL NEURALGIA - TRIGEMINAL NERVE DISORDER UNSPECIFIED |
| 351.0 - 351.9 | BELL'S PALSY - FACIAL NERVE DISORDER UNSPECIFIED |
| 352.0 - 352.9 | DISORDERS OF OLFACTORY (1ST) NERVE - UNSPECIFIED DISORDER OF CRANIAL NERVES |
| 353.0 | BRACHIAL PLEXUS LESIONS |
| 353.5 | NEURALGIC AMYOTROPHY |
| 357.0 | ACUTE INFECTIVE POLYNEURITIS |
| 358.00 | MYASTHENIA GRAVIS WITHOUT (ACUTE) EXACERBATION |
| 358.01 | MYASTHENIA GRAVIS WITH (ACUTE) EXACERBATION |
| 359.0 - 359.3 | CONGENITAL HEREDITARY MUSCULAR DYSTROPHY - PERIODIC PARALYSIS |
| 360.00 - 360.89 | PURULENT ENDOPHTHALMITIS UNSPECIFIED - OTHER DISORDERS OF GLOBE |
| 361.00 - 361.9 | RETINAL DETACH WITH RETINAL DEFECT UNSPECIFIED - UNSPECIFIED RETINAL DETACH |
| 362.14 | RETINAL MICROANEURYSMS NOS |
| 362.17 - 362.34 | OTHER INTRARETINAL MICROVASCULAR ABNORMALITIES - TRANSIENT RETINAL ARTERIAL OCCLUSION |
| 368.00 - 368.9 | AMBLYOPIA UNSPECIFIED - UNSPECIFIED VISUAL DISTURBANCE |
| 369.00 | BLINDNESS OF BOTH EYES IMPAIRMENT LEVEL NOT FURTHER SPECIFIED |
| 374.85 | VASCULAR ANOMALIES OF EYELID |
| 375.12 | OTHER LACRIMAL CYSTS AND CYSTIC DEGENERATION |
| 375.16 | DISLOCATION OF LACRIMAL GLAND |
| 375.31 - 375.9 | ACUTE CANALICULITIS LACRIMAL - UNSPECIFIED DISORDER OF LACRIMAL SYSTEM |
| 376.00 - 376.9 | ACUTE INFLAMMATION OF ORBIT UNSPECIFIED - UNSPECIFIED DISORDER OF ORBIT |
| 377.00 - 377.9 | PAPILLEDEMA UNSPECIFIED - UNSPECIFIED DISORDER OF OPTIC NERVE AND VISUAL PATHWAYS |
| 378.00 - 378.9 | ESOTROPIA UNSPECIFIED - UNSPECIFIED DISORDER OF EYE MOVEMENTS |
| 379.00 - 379.99 | SCLERITIS UNSPECIFIED - OTHER ILL-DEFINED DISORDERS OF EYE |
| 380.00 - 380.10 | PERICHONDRITIS OF PINNA UNSPECIFIED - INFECTIVE OTITIS EXTERNA UNSPECIFIED |
| 381.00 - 381.9 | ACUTE NONSUPPURATIVE OTITIS MEDIA UNSPECIFIED - UNSPECIFIED EUSTACHIAN TUBE DISORDER |
| 382.00 - 382.9 | ACUTE SUPPURATIVE OTITIS MEDIA WITHOUT SPONTANEOUS RUPTURE OF EARDRUM - UNSPECIFIED OTITIS MEDIA |
| 383.00 - 383.9 | ACUTE MASTOIDITIS WITHOUT COMPLICATIONS - UNSPECIFIED MASTOIDITIS |
| 385.00 - 385.9 | TYMPANOSCLEROSIS UNSPECIFIED AS TO INVOLVEMENT - UNSPECIFIED DISORDER OF MIDDLE EAR AND MASTOID |
| 386.00 - 386.9 | MÉNIÈRE'S DISEASE, UNSPECIFIED - UNSPECIFIED VERTIGINOUS SYNDROMES AND LABYRINTHINE DISORDERS |
| 388.2 - 388.9 | SUDDEN HEARING LOSS UNSPECIFIED - UNSPECIFIED DISORDER OF EAR |
| 389.00 - 389.22 | CONDUCTIVE HEARING LOSS UNSPECIFIED - MIXED HEARING LOSS, BILATERAL |
| 430 - 432.9 | SUBARACHNOID HEMORRHAGE - UNSPECIFIED INTRACRANIAL HEMORRHAGE |
| 433.00 - 433.91 | OCCLUSION AND STENOSIS OF BASILAR ARTERY WITHOUT CEREBRAL INFARCTION - OCCLUSION AND STENOSIS OF UNSPECIFIED PRECEREBRAL ARTERY WITH CEREBRAL INFARCTION |
| 434.00 - 434.91 | CEREBRAL THROMBOSIS WITHOUT CEREBRAL INFARCTION - CEREBRAL ARTERY OCCLUSION UNSPECIFIED WITH CEREBRAL INFARCTION |
| 435.0 - 436 | BASILAR ARTERY SYNDROME - ACUTE BUT ILL-DEFINED CEREBROVASCULAR DISEASE |
| 437.0 - 437.9 | CEREBRAL ATHEROSCLEROSIS - UNSPECIFIED CEREBROVASCULAR DISEASE |
| 438.0 | COGNITIVE DEFICITS |
| 438.11 - 438.14 | APHASIA - LATE EFFECTS OF CEREBROVASCULAR DISEASE, FLUENCY DISORDER |
| 438.20 - 438.53 | HEMIPLEGIA AFFECTING UNSPECIFIED SIDE - OTHER PARALYTIC SYNDROME BILATERAL |
| 438.81 | APRAXIA CEREBROVASCULAR DISEASE |
| 438.9 | UNSPECIFIED LATE EFFECTS OF CEREBROVASCULAR DISEASE |
| 461.0 - 462 | ACUTE MAXILLARY SINUSITIS - ACUTE PHARYNGITIS |
| 473.0 - 473.9 | CHRONIC MAXILLARY SINUSITIS - UNSPECIFIED SINUSITIS (CHRONIC) |
| 475 | PERITONSILLAR ABSCESS |
| 476.0 | CHRONIC LARYNGITIS |
| 476.1 | CHRONIC LARYNGOTRACHEITIS |
| 478.11 | NASAL MUCOSITIS (ULCERATIVE) |
| 478.19 | OTHER DISEASE OF NASAL CAVITY AND SINUSES |
| 478.22 | PARAPHARYNGEAL ABSCESS |
| 478.24 | RETROPHARYNGEAL ABSCESS |
| 478.26 | CYST OF PHARYNX OR NASOPHARYNX |
| 478.30 - 478.4 | UNSPECIFIED PARALYSIS OF VOCAL CORDS - POLYP OF VOCAL CORD OR LARYNX |
| 519.00 - 519.09 | TRACHEOSTOMY COMPLICATION UNSPECIFIED - OTHER TRACHEOSTOMY COMPLICATIONS |
| 519.8 | OTHER DISEASES OF RESPIRATORY SYSTEM NOT ELSEWHERE CLASSIFIED |
| 524.00 - 524.59 | MAJOR ANOMALIES OF JAW SIZE UNSPECIFIED ANOMALY - OTHER DENTOFACIAL FUNCTIONAL ABNORMALITIES |
| 524.60 - 524.62 | TEMPOROMANDIBULAR JOINT DISORDERS UNSPECIFIED - TEMPOROMANDIBULAR JOINT DISORDERS ARTHRALGIA OF TEMPOROMANDIBULAR JOINT |
| 526.0 - 526.5 | DEVELOPMENTAL ODONTOGENIC CYSTS - ALVEOLITIS OF JAW |
| 526.81 - 526.9 | EXOSTOSIS OF JAW - UNSPECIFIED DISEASE OF THE JAWS |
| 527.0 - 527.9 | ATROPHY OF SALIVARY GLAND - UNSPECIFIED DISEASE OF THE SALIVARY GLANDS |
| 528.3 | CELLULITIS AND ABSCESS OF ORAL SOFT TISSUES |
| 683 | ACUTE LYMPHADENITIS |
| 718.98 | UNSPECIFIED DERANGEMENT OF JOINT OF OTHER SPECIFIED SITES |
| 719.08 | EFFUSION OF JOINT OF OTHER SPECIFIED SITES |
| 729.2 | NEURALGIA NEURITIS AND RADICULITIS UNSPECIFIED |
| 733.3 | HYPEROSTOSIS OF SKULL |
| 740.0 - 740.2 | ANENCEPHALUS - INIENCEPHALY |
| 741.00 - 741.93 | SPINA BIFIDA UNSPECIFIED REGION WITH HYDROCEPHALUS - SPINA BIFIDA LUMBAR REGION WITHOUT HYDROCEPHALUS |
| 742.0 - 742.9 | ENCEPHALOCELE - UNSPECIFIED CONGENITAL ANOMALY OF BRAIN SPINAL CORD AND NERVOUS SYSTEM |
| 743.00 - 743.9 | CLINICAL ANOPHTHALMOS UNSPECIFIED - UNSPECIFIED ANOMALY OF EYE CONGENITAL |
| 744.00 - 744.9 | UNSPECIFIED CONGENITAL ANOMALY OF EAR WITH IMPAIRMENT OF HEARING - UNSPECIFIED CONGENITAL ANOMALIES OF FACE AND NECK |
| 747.81 | CONGENITAL ANOMALIES OF CEREBROVASCULAR SYSTEM |
| 748.0 - 748.3 | CHOANAL ATRESIA - OTHER CONGENITAL ANOMALIES OF LARYNX TRACHEA AND BRONCHUS |
| 748.9 | UNSPECIFIED CONGENITAL ANOMALY OF RESPIRATORY SYSTEM |
| 754.0 | CONGENITAL MUSCULOSKELETAL DEFORMITIES OF SKULL FACE AND JAW |
| 754.1 | CONGENITAL MUSCULOSKELETAL DEFORMITIES OF STERNOCLEIDOMASTOID MUSCLE |
| 759.2 | ANOMALIES OF OTHER ENDOCRINE GLANDS CONGENITAL |
| 767.0 - 767.9 | SUBDURAL AND CEREBRAL HEMORRHAGE DUE TO BIRTH TRAUMA - UNSPECIFIED BIRTH TRAUMA |
| 772.10 - 772.2 | INTRAVENTRICULAR HEMORRHAGE UNSPECIFIED GRADE - SUBARACHNOID HEMORRHAGE OF NEWBORN |
| 779.0 - 779.2 | CONVULSIONS IN NEWBORN - CEREBRAL DEPRESSION COMA AND OTHER ABNORMAL CEREBRAL SIGNS IN FETUS OR NEWBORN |
| 779.4 | DRUG REACTIONS AND INTOXICATIONS SPECIFIC TO NEWBORN |
| 779.5 | DRUG WITHDRAWAL SYNDROME IN NEWBORN |
| 779.7 | PREVENTRICULAR LEUKOMALACIA |
| 780.01 - 780.4 | COMA - DIZZINESS AND GIDDINESS |
| 780.53 | HYPERSOMNIA WITH SLEEP APNEA, UNSPECIFIED |
| 780.60 - 780.66 | FEVER, UNSPECIFIED - FEBRILE NONHEMOLYTIC TRANSFUSION REACTION |
| 780.93 | MEMORY LOSS |
| 780.97 | ALTERED MENTAL STATUS |
| 780.99 | OTHER GENERAL SYMPTOMS |
| 781.0 - 781.4 | ABNORMAL INVOLUNTARY MOVEMENTS - TRANSIENT PARALYSIS OF LIMB |
| 781.6 - 781.8 | MENINGISMUS - NEUROLOGIC NEGLECT SYNDROME |
| 781.92 - 781.99 | ABNORMAL POSTURE - OTHER SYMPTOMS INVOLVING NERVOUS AND MUSCULOSKELETAL SYSTEMS |
| 782.0 | DISTURBANCE OF SKIN SENSATION |
| 784.0 - 784.99 | HEADACHE - OTHER SYMPTOMS INVOLVING HEAD AND NECK |
| 785.6 | ENLARGEMENT OF LYMPH NODES |
| 786.1 | STRIDOR |
| 787.20 - 787.24 | DYSPHAGIA, UNSPECIFIED - DYSPHAGIA, PHARYNGOESOPHAGEAL PHASE |
| 787.29 | OTHER DYSPHAGIA |
| 793.0 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF SKULL AND HEAD |
| 794.00 - 794.9 | UNSPECIFIED ABNORMAL FUNCTION STUDY OF BRAIN AND CENTRAL NERVOUS SYSTEM - NONSPECIFIC ABNORMAL RESULTS OF OTHER SPECIFIED FUNCTION STUDY |
| 797 | SENILITY WITHOUT PSYCHOSIS |
| 800.00 - 800.99 | CLOSED FRACTURE OF VAULT OF SKULL WITHOUT INTRACRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OPEN FRACTURE OF VAULT OF SKULL WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED |
| 801.00 - 801.99 | CLOSED FRACTURE OF BASE OF SKULL WITHOUT INTRA CRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OPEN FRACTURE OF BASE OF SKULL WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED |
| 802.0 | CLOSED FRACTURE OF NASAL BONES |
| 802.4 - 802.8 | CLOSED FRACTURE OF MALAR AND MAXILLARY BONES - CLOSED FRACTURE OF OTHER FACIAL BONES |
| 803.00 - 803.99 | OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED |
| 804.00 - 804.99 | CLOSED FRACTURES INVOLVING SKULL OR FACE WITH OTHER BONES WITHOUT INTRACRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OPEN FRACTURES INVOLVING SKULL OR FACE WITH OTHER BONES WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED |
| 830.0 | CLOSED DISLOCATION OF JAW |
| 830.1 | OPEN DISLOCATION OF JAW |
| 847.0 | NECK SPRAIN |
| 850.0 - 850.9 | CONCUSSION WITH NO LOSS OF CONSCIOUSNESS - CONCUSSION UNSPECIFIED |
| 851.00 - 851.99 | CORTEX (CEREBRAL) CONTUSION WITHOUT OPEN INTRACRANIAL WOUND STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER AND UNSPECIFIED CEREBRAL LACERATION AND CONTUSION WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED |
| 852.00 - 852.59 | SUBARACHNOID HEMORRHAGE FOLLOWING INJURY WITHOUT OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - EXTRADURAL HEMORRHAGE FOLLOWING INJURY WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED |
| 853.00 - 853.19 | OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY WITHOUT OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE FOLLOWING INJURY WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED |
| 854.00 - 854.19 | INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED |
| 873.0 | OPEN WOUND OF SCALP WITHOUT COMPLICATION |
| 907.0 | LATE EFFECT OF INTRACRANIAL INJURY WITHOUT SKULL FRACTURE |
| 907.1 | LATE EFFECT OF INJURY TO CRANIAL NERVE |
| 920 | CONTUSION OF FACE SCALP AND NECK EXCEPT EYE(S) |
| 921.1 - 921.9 | CONTUSION OF EYELIDS AND PERIOCULAR AREA - UNSPECIFIED CONTUSION OF EYE |
| 925.1 | CRUSHING INJURY OF FACE AND SCALP |
| 925.2 | CRUSHING INJURY OF NECK |
| 933.0 | FOREIGN BODY IN PHARYNX |
| 933.1 | FOREIGN BODY IN LARYNX |
| 950.0 - 950.9 | OPTIC NERVE INJURY - INJURY TO UNSPECIFIED OPTIC NERVE AND PATHWAYS |
| 951.0 - 951.9 | INJURY TO OCULOMOTOR NERVE - INJURY TO UNSPECIFIED CRANIAL NERVE |
| 958.0 - 958.2 | AIR EMBOLISM AS AN EARLY COMPLICATION OF TRAUMA - SECONDARY AND RECURRENT HEMORRHAGE AS AN EARLY COMPLICATION OF TRAUMA |
| 959.01 | OTHER AND UNSPECIFIED INJURY TO HEAD |
| 959.09 | OTHER AND UNSPECIFIED INJURY TO FACE AND NECK |
| 986 | TOXIC EFFECT OF CARBON MONOXIDE |
| 990 | EFFECTS OF RADIATION UNSPECIFIED |
| 995.90 - 995.94 | SYSTEMIC INFLAMMATORY RESPONSE SYNDROME UNSPECIFIED - SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO NONINFECTIOUS PROCESS WITH ACUTE ORGAN DYSFUNCTION |
| 997.00 - 997.09 | NERVOUS SYSTEM COMPLICATION UNSPECIFIED - OTHER NERVOUS SYSTEM COMPLICATIONS |
| 997.71 | VASCULAR COMPLICATIONS OF MESENTERIC ARTERY |
| 997.79 | VASCULAR COMPLICATIONS OF OTHER VESSELS |
| 998.11 - 998.59 | HEMORRHAGE COMPLICATING A PROCEDURE - OTHER POSTOPERATIVE INFECTION |
| 999.31 - 999.34 | OTHER AND UNSPECIFIED INFECTION DUE TO CENTRAL VENOUS CATHETER - ACUTE INFECTION FOLLOWING TRANSFUSION, INFUSION, OR INJECTION OF BLOOD AND BLOOD PRODUCTS |
| 999.39 | INFECTION FOLLOWING OTHER INFUSION, INJECTION, TRANSFUSION, OR VACCINATION |
| V10.01 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF TONGUE |
| V10.02 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF ORAL CAVITY AND PHARYNX |
| V10.12 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF TRACHEA |
| V10.21 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF LARYNX |
| V10.22 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF NASAL CAVITIES MIDDLE EAR AND ACCESSORY SINUSES |
| V10.81 - V10.87 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF THYROID |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| V71.1 | OBSERVATION FOR SUSPECTED MALIGNANT NEOPLASM |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 211.0 | BENIGN NEOPLASM OF ESOPHAGUS |
| 211.1 | BENIGN NEOPLASM OF STOMACH |
| 212.2 - 212.9 | BENIGN NEOPLASM OF TRACHEA - BENIGN NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS SITE UNSPECIFIED |
| 213.3 | BENIGN NEOPLASM OF RIBS STERNUM AND CLAVICLE |
| 213.4 | BENIGN NEOPLASM OF SCAPULA AND LONG BONES OF UPPER LIMB |
| 213.9 | BENIGN NEOPLASM OF BONE AND ARTICULAR CARTILAGE SITE UNSPECIFIED |
| 214.1 | LIPOMA OF OTHER SKIN AND SUBCUTANEOUS TISSUE |
| 214.2 | LIPOMA OF INTRATHORACIC ORGANS |
| 215.0 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF HEAD FACE AND NECK |
| 215.4 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF THORAX |
| 215.7 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF TRUNK UNSPECIFIED |
| 216.5 | BENIGN NEOPLASM OF SKIN OF TRUNK EXCEPT SCROTUM |
| 216.8 | BENIGN NEOPLASM OF OTHER SPECIFIED SITES OF SKIN |
| 217 | BENIGN NEOPLASM OF BREAST |
| 226 | BENIGN NEOPLASM OF THYROID GLANDS |
| 227.1 | BENIGN NEOPLASM OF PARATHYROID GLAND |
| 227.6 | BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA |
| 227.8 | BENIGN NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES |
| 228.00 | HEMANGIOMA OF UNSPECIFIED SITE |
| 228.01 | HEMANGIOMA OF SKIN AND SUBCUTANEOUS TISSUE |
| 228.09 | HEMANGIOMA OF OTHER SITES |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 229.0 | BENIGN NEOPLASM OF LYMPH NODES |
| 229.8 | BENIGN NEOPLASM OF OTHER SPECIFIED SITES |
| 230.1 | CARCINOMA IN SITU OF ESOPHAGUS |
| 230.2 | CARCINOMA IN SITU OF STOMACH |
| 231.1 - 231.9 | CARCINOMA IN SITU OF TRACHEA - CARCINOMA IN SITU OF RESPIRATORY SYSTEM PART UNSPECIFIED |
| 232.5 | CARCINOMA IN SITU OF SKIN OF TRUNK EXCEPT SCROTUM |
| 232.8 | CARCINOMA IN SITU OF OTHER SPECIFIED SITES OF SKIN |
| 233.0 | CARCINOMA IN SITU OF BREAST |
| 235.7 - 235.9 | NEOPLASM OF UNCERTAIN BEHAVIOR OF TRACHEA BRONCHUS AND LUNG - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED RESPIRATORY ORGANS |
| 237.3 | NEOPLASM OF UNCERTAIN BEHAVIOR OF PARAGANGLIA |
| 237.70 | NEUROFIBROMATOSIS UNSPECIFIED |
| 237.71 | NEUROFIBROMATOSIS TYPE 1 VON RECKLINGHAUSEN'S DISEASE |
| 237.73 | SCHWANNOMATOSIS |
| 237.79 | OTHER NEUROFIBROMATOSIS |
| 238.0 - 238.3 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE - NEOPLASM OF UNCERTAIN BEHAVIOR OF BREAST |
| 238.5 - 238.8 | NEOPLASM OF UNCERTAIN BEHAVIOR OF HISTIOCYTIC AND MAST CELLS - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER SPECIFIED SITES |
| 239.0 - 239.3 | NEOPLASM OF UNSPECIFIED NATURE OF DIGESTIVE SYSTEM - NEOPLASM OF UNSPECIFIED NATURE OF BREAST |
| 240.0 | GOITER SPECIFIED AS SIMPLE |
| 240.9 | GOITER UNSPECIFIED |
| 241.0 - 241.9 | NONTOXIC UNINODULAR GOITER - UNSPECIFIED NONTOXIC NODULAR GOITER |
| 242.00 - 243 | TOXIC DIFFUSE GOITER WITHOUT THYROTOXIC CRISIS OR STORM - CONGENITAL HYPOTHYROIDISM |
| 244.0 - 244.9 | POSTSURGICAL HYPOTHYROIDISM - UNSPECIFIED ACQUIRED HYPOTHYROIDISM |
| 245.0 - 245.9 | ACUTE THYROIDITIS - THYROIDITIS UNSPECIFIED |
| 246.0 - 246.9 | DISORDERS OF THYROCALCITONIN SECRETION - UNSPECIFIED DISORDER OF THYROID |
| 254.0 - 254.9 | PERSISTENT HYPERPLASIA OF THYMUS - UNSPECIFIED DISEASE OF THYMUS GLAND |
| 353.0 | BRACHIAL PLEXUS LESIONS |
| 353.3 | THORACIC ROOT LESIONS NOT ELSEWHERE CLASSIFIED |
| 353.8 | OTHER NERVE ROOT AND PLEXUS DISORDERS |
| 358.00 | MYASTHENIA GRAVIS WITHOUT (ACUTE) EXACERBATION |
| 358.01 | MYASTHENIA GRAVIS WITH (ACUTE) EXACERBATION |
| 391.0 - 391.9 | ACUTE RHEUMATIC PERICARDITIS - ACUTE RHEUMATIC HEART DISEASE UNSPECIFIED |
| 398.0 | RHEUMATIC MYOCARDITIS |
| 414.06 | CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART |
| 414.07 | CORONARY ATHEROSCLEROSIS OF BYPASS GRAFT (ARTERY) (VEIN) OF TRANSPLANTED HEART |
| 414.10 - 414.19 | ANEURYSM OF HEART (WALL) - OTHER ANEURYSM OF HEART |
| 415.11 | IATROGENIC PULMONARY EMBOLISM AND INFARCTION |
| 415.12 | SEPTIC PULMONARY EMBOLISM |
| 415.13 | SADDLE EMBOLUS OF PULMONARY ARTERY |
| 415.19 | OTHER PULMONARY EMBOLISM AND INFARCTION |
| 417.0 - 417.9 | ARTERIOVENOUS FISTULA OF PULMONARY VESSELS - UNSPECIFIED DISEASE OF PULMONARY CIRCULATION |
| 420.0 | ACUTE PERICARDITIS IN DISEASES CLASSIFIED ELSEWHERE |
| 420.90 - 420.99 | ACUTE PERICARDITIS UNSPECIFIED - OTHER ACUTE PERICARDITIS |
| 422.0 | ACUTE MYOCARDITIS IN DISEASES CLASSIFIED ELSEWHERE |
| 422.90 - 422.99 | ACUTE MYOCARDITIS UNSPECIFIED - OTHER ACUTE MYOCARDITIS |
| 423.0 - 423.9 | HEMOPERICARDIUM - UNSPECIFIED DISEASE OF PERICARDIUM |
| 425.0 - 425.9 | ENDOMYOCARDIAL FIBROSIS - SECONDARY CARDIOMYOPATHY UNSPECIFIED |
| 440.0 | ATHEROSCLEROSIS OF AORTA |
| 441.00 - 441.9 | DISSECTION OF AORTA ANEURYSM UNSPECIFIED SITE - AORTIC ANEURYSM OF UNSPECIFIED SITE WITHOUT RUPTURE |
| 442.82 | ANEURYSM OF SUBCLAVIAN ARTERY |
| 444.1 | EMBOLISM AND THROMBOSIS OF THORACIC AORTA |
| 446.7 | TAKAYASU'S DISEASE |
| 447.0 | ARTERIOVENOUS FISTULA ACQUIRED |
| 447.2 | RUPTURE OF ARTERY |
| 453.2 | OTHER VENOUS EMBOLISM AND THROMBOSIS OF INFERIOR VENA CAVA |
| 456.0 | ESOPHAGEAL VARICES WITH BLEEDING |
| 456.1 | ESOPHAGEAL VARICES WITHOUT BLEEDING |
| 456.20 | ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITH BLEEDING |
| 456.21 | ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE WITHOUT BLEEDING |
| 459.0 | HEMORRHAGE UNSPECIFIED |
| 459.2 | COMPRESSION OF VEIN |
| 492.0 | EMPHYSEMATOUS BLEB |
| 492.8 | OTHER EMPHYSEMA |
| 494.0 | BRONCHIECTASIS WITHOUT ACUTE EXACERBATION |
| 494.1 | BRONCHIECTASIS WITH ACUTE EXACERBATION |
| 508.0 - 508.9 | ACUTE PULMONARY MANIFESTATIONS DUE TO RADIATION - RESPIRATORY CONDITIONS DUE TO UNSPECIFIED EXTERNAL AGENT |
| 510.0 | EMPYEMA WITH FISTULA |
| 510.9 | EMPYEMA WITHOUT FISTULA |
| 511.0 - 511.9 | PLEURISY WITHOUT EFFUSION OR CURRENT TUBERCULOSIS - UNSPECIFIED PLEURAL EFFUSION |
| 512.0 - 512.89 | SPONTANEOUS TENSION PNEUMOTHORAX - OTHER PNEUMOTHORAX |
| 513.0 - 515 | ABSCESS OF LUNG - POSTINFLAMMATORY PULMONARY FIBROSIS |
| 518.0 - 518.89 | PULMONARY COLLAPSE - OTHER DISEASES OF LUNG NOT ELSEWHERE CLASSIFIED |
| 519.00 - 519.9 | TRACHEOSTOMY COMPLICATION UNSPECIFIED - UNSPECIFIED DISEASE OF RESPIRATORY SYSTEM |
| 530.0 - 530.82 | ACHALASIA AND CARDIOSPASM - ESOPHAGEAL HEMORRHAGE |
| 530.84 | TRACHEOESOPHAGEAL FISTULA |
| 530.85 - 530.87 | BARRETT'S ESOPHAGUS - MECHANICAL COMPLICATION OF ESOPHAGOSTOMY |
| 551.20 - 551.8 | UNSPECIFIED VENTRAL HERNIA WITH GANGRENE - HERNIA OF OTHER SPECIFIED SITES WITH GANGRENE |
| 552.3 | DIAPHRAGMATIC HERNIA WITH OBSTRUCTION |
| 553.3 | DIAPHRAGMATIC HERNIA WITHOUT OBSTRUCTION OR GANGRENE |
| 610.0 - 610.9 | SOLITARY CYST OF BREAST - BENIGN MAMMARY DYSPLASIA UNSPECIFIED |
| 611.0 - 611.89 | INFLAMMATORY DISEASE OF BREAST - OTHER SPECIFIED DISORDERS OF BREAST |
| 683 | ACUTE LYMPHADENITIS |
| 745.0 - 745.9 | COMMON TRUNCUS - UNSPECIFIED DEFECT OF SEPTAL CLOSURE |
| 746.00 - 746.9 | CONGENITAL PULMONARY VALVE ANOMALY UNSPECIFIED - UNSPECIFIED CONGENITAL ANOMALY OF HEART |
| 747.0 - 747.9 | PATENT DUCTUS ARTERIOSUS - UNSPECIFIED CONGENITAL ANOMALY OF CIRCULATORY SYSTEM |
| 748.0 - 748.9 | CHOANAL ATRESIA - UNSPECIFIED CONGENITAL ANOMALY OF RESPIRATORY SYSTEM |
| 750.3 | CONGENITAL TRACHEOESOPHAGEAL FISTULA ESOPHAGEAL ATRESIA AND STENOSIS |
| 750.4 | OTHER SPECIFIED CONGENITAL ANOMALIES OF ESOPHAGUS |
| 750.6 | CONGENITAL HIATUS HERNIA |
| 750.8 | OTHER SPECIFIED CONGENITAL ANOMALIES OF UPPER ALIMENTARY TRACT |
| 756.2 | CERVICAL RIB |
| 756.3 | OTHER CONGENITAL ANOMALIES OF RIBS AND STERNUM |
| 756.6 | CONGENITAL ANOMALIES OF DIAPHRAGM |
| 780.2 | SYNCOPE AND COLLAPSE |
| 780.60 - 780.66 | FEVER, UNSPECIFIED - FEBRILE NONHEMOLYTIC TRANSFUSION REACTION |
| 785.50 - 785.6 | SHOCK UNSPECIFIED - ENLARGEMENT OF LYMPH NODES |
| 786.00 | RESPIRATORY ABNORMALITY UNSPECIFIED |
| 786.05 | SHORTNESS OF BREATH |
| 786.09 | RESPIRATORY ABNORMALITY OTHER |
| 786.1 - 786.39 | STRIDOR - OTHER HEMOPTYSIS |
| 786.50 - 786.6 | UNSPECIFIED CHEST PAIN - SWELLING MASS OR LUMP IN CHEST |
| 793.11 | SOLITARY PULMONARY NODULE |
| 793.19 | OTHER NONSPECIFIC ABNORMAL FINDING OF LUNG FIELD |
| 793.2 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF OTHER INTRATHORACIC ORGANS |
| 793.80 - 793.89 | UNSPECIFIED ABNORMAL MAMMOGRAM - OTHER (ABNORMAL) FINDINGS ON RADIOLOGICAL EXAMINATION OF BREAST |
| 794.2 - 794.39 | NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF PULMONARY SYSTEM - OTHER NONSPECIFIC ABNORMAL FUNCTION STUDY OF CARDIOVASCULAR SYSTEM |
| 794.5 | NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF THYROID |
| 860.0 - 860.5 | TRAUMATIC PNEUMOTHORAX WITHOUT OPEN WOUND INTO THORAX - TRAUMATIC PNEUMOHEMOTHORAX WITH OPEN WOUND INTO THORAX |
| 861.00 - 861.32 | UNSPECIFIED INJURY OF HEART WITHOUT OPEN WOUND INTO THORAX - LACERATION OF LUNG WITH OPEN WOUND INTO THORAX |
| 862.0 - 862.9 | INJURY TO DIAPHRAGM WITHOUT OPEN WOUND INTO CAVITY - INJURY TO MULTIPLE AND UNSPECIFIED INTRATHORACIC ORGANS WITH OPEN WOUND INTO CAVITY |
| 875.0 | OPEN WOUND OF CHEST (WALL) WITHOUT COMPLICATION |
| 875.1 | OPEN WOUND OF CHEST (WALL) COMPLICATED |
| 901.0 - 901.89 | INJURY TO THORACIC AORTA - INJURY TO OTHER SPECIFIED BLOOD VESSELS OF THORAX |
| 906.0 | LATE EFFECT OF OPEN WOUND OF HEAD NECK AND TRUNK |
| 908.0 | LATE EFFECT OF INTERNAL INJURY TO CHEST |
| 908.4 | LATE EFFECT OF INJURY TO BLOOD VESSEL OF THORAX ABDOMEN AND PELVIS |
| 922.0 | CONTUSION OF BREAST |
| 922.1 | CONTUSION OF CHEST WALL |
| 926.8 | CRUSHING INJURY OF MULTIPLE SITES OF TRUNK |
| 934.0 - 934.9 | FOREIGN BODY IN TRACHEA - FOREIGN BODY IN RESPIRATORY TREE UNSPECIFIED |
| 935.0 - 935.2 | FOREIGN BODY IN MOUTH - FOREIGN BODY IN STOMACH |
| 958.0 - 958.4 | AIR EMBOLISM AS AN EARLY COMPLICATION OF TRAUMA - TRAUMATIC SHOCK |
| 959.11 | OTHER INJURY OF CHEST WALL |
| 959.19 | OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK |
| 995.90 - 995.94 | SYSTEMIC INFLAMMATORY RESPONSE SYNDROME UNSPECIFIED - SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO NONINFECTIOUS PROCESS WITH ACUTE ORGAN DYSFUNCTION |
| 996.00 - 996.1 | MECHANICAL COMPLICATIONS OF UNSPECIFIED CARDIAC DEVICE IMPLANT AND GRAFT - MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.54 | MECHANICAL COMPLICATION OF BREAST PROSTHESIS |
| 996.60 - 996.62 | INFECTION AND INFLAMMATORY REACTION DUE TO UNSPECIFIED DEVICE IMPLANT AND GRAFT - INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.69 | INFECTION AND INFLAMMATORY REACTION DUE TO OTHER INTERNAL PROSTHETIC DEVICE IMPLANT AND GRAFT |
| 996.70 - 996.72 | OTHER COMPLICATIONS DUE TO UNSPECIFIED DEVICE IMPLANT AND GRAFT - OTHER COMPLICATIONS DUE TO OTHER CARDIAC DEVICE IMPLANT AND GRAFT |
| 996.83 | COMPLICATIONS OF TRANSPLANTED HEART |
| 996.84 | COMPLICATIONS OF TRANSPLANTED LUNG |
| 997.1 | CARDIAC COMPLICATIONS NOT ELSEWHERE CLASSIFIED |
| 997.31 | VENTILATOR ASSOCIATED PNEUMONIA |
| 997.32 | POSTPROCEDURAL ASPIRATION PNEUMONIA |
| 997.39 | OTHER RESPIRATORY COMPLICATIONS |
| 998.00 - 998.6 | POSTOPERATIVE SHOCK, UNSPECIFIED - PERSISTENT POSTOPERATIVE FISTULA NOT ELSEWHERE CLASSIFIED |
| V10.00 - V10.09 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED SITE IN GASTROINTESTINAL TRACT - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER SITES IN GASTROINTESTINAL TRACT |
| V10.11 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BRONCHUS AND LUNG |
| V10.12 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF TRACHEA |
| V10.20 - V10.3 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED RESPIRATORY ORGAN - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BREAST |
| V10.40 - V10.49 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED FEMALE GENITAL ORGAN - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER MALE GENITAL ORGANS |
| V10.50 - V10.59 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED URINARY ORGAN - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER URINARY ORGANS |
| V10.60 - V10.69 | PERSONAL HISTORY OF UNSPECIFIED LEUKEMIA - PERSONAL HISTORY OF OTHER LEUKEMIA |
| V10.71 - V10.79 | PERSONAL HISTORY OF LYMPHOSARCOMA AND RETICULOSARCOMA - PERSONAL HISTORY OF OTHER LYMPHATIC AND HEMATOPOIETIC NEOPLASMS |
| V10.81 - V10.89 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER SITES |
| V10.90 | PERSONAL HISTORY OF UNSPECIFIED MALIGNANT NEOPLASM |
| V10.91 | PERSONAL HISTORY OF MALIGNANT NEUROENDOCRINE TUMOR |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| V71.1 | OBSERVATION FOR SUSPECTED MALIGNANT NEOPLASM |
| 006.0 - 006.9 | ACUTE AMEBIC DYSENTERY WITHOUT ABSCESS - AMEBIASIS UNSPECIFIED |
| 014.00 - 014.86 | TUBERCULOUS PERITONITIS UNSPECIFIED EXAMINATION - OTHER TUBERCULOSIS OF INTESTINES AND MESENTERIC GLANDS TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS) |
| 016.00 - 016.96 | TUBERCULOSIS OF KIDNEY UNSPECIFIED EXAMINATION - UNSPECIFIED GENITOURINARY TUBERCULOSIS TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS) |
| 017.60 - 017.76 | TUBERCULOSIS OF ADRENAL GLANDS UNSPECIFIED EXAMINATION - TUBERCULOSIS OF SPLEEN TUBERCLE BACILLI NOT FOUND BY BACTERIOLOGICAL OR HISTOLOGICAL EXAMINATION BUT TUBERCULOSIS CONFIRMED BY OTHER METHODS (INOCULATION OF ANIMALS) |
| 038.0 - 038.9 | STREPTOCOCCAL SEPTICEMIA - UNSPECIFIED SEPTICEMIA |
| 039.0 - 039.9 | CUTANEOUS ACTINOMYCOTIC INFECTION - ACTINOMYCOTIC INFECTION OF UNSPECIFIED SITE |
| 042 | HUMAN IMMUNODEFICIENCY VIRUS (HIV) DISEASE |
| 070.0 - 070.9 | VIRAL HEPATITIS A WITH HEPATIC COMA - UNSPECIFIED VIRAL HEPATITIS WITHOUT HEPATIC COMA |
| 090.0 | EARLY CONGENITAL SYPHILIS SYMPTOMATIC |
| 095.0 - 095.9 | SYPHILITIC EPISCLERITIS - LATE SYMPTOMATIC SYPHILIS UNSPECIFIED |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 211.0 - 211.9 | BENIGN NEOPLASM OF ESOPHAGUS - BENIGN NEOPLASM OF OTHER AND UNSPECIFIED SITE IN THE DIGESTIVE SYSTEM |
| 213.6 | BENIGN NEOPLASM OF PELVIC BONES SACRUM AND COCCYX |
| 214.3 - 214.9 | LIPOMA OF INTRA-ABDOMINAL ORGANS - LIPOMA UNSPECIFIED SITE |
| 215.3 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF LOWER LIMB INCLUDING HIP |
| 215.5 - 215.8 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF ABDOMEN - OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF OTHER SPECIFIED SITES |
| 216.5 - 216.8 | BENIGN NEOPLASM OF SKIN OF TRUNK EXCEPT SCROTUM - BENIGN NEOPLASM OF OTHER SPECIFIED SITES OF SKIN |
| 218.0 - 218.9 | SUBMUCOUS LEIOMYOMA OF UTERUS - LEIOMYOMA OF UTERUS UNSPECIFIED |
| 219.0 - 220 | BENIGN NEOPLASM OF CERVIX UTERI - BENIGN NEOPLASM OF OVARY |
| 221.0 - 221.9 | BENIGN NEOPLASM OF FALLOPIAN TUBE AND UTERINE LIGAMENTS - BENIGN NEOPLASM OF FEMALE GENITAL ORGAN SITE UNSPECIFIED |
| 222.0 - 222.9 | BENIGN NEOPLASM OF TESTIS - BENIGN NEOPLASM OF MALE GENITAL ORGAN SITE UNSPECIFIED |
| 223.0 - 223.9 | BENIGN NEOPLASM OF KIDNEY EXCEPT PELVIS - BENIGN NEOPLASM OF URINARY ORGAN SITE UNSPECIFIED |
| 227.0 | BENIGN NEOPLASM OF ADRENAL GLAND |
| 227.6 | BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA |
| 227.8 | BENIGN NEOPLASM OF OTHER ENDOCRINE GLANDS AND RELATED STRUCTURES |
| 228.04 - 228.1 | HEMANGIOMA OF INTRA-ABDOMINAL STRUCTURES - LYMPHANGIOMA ANY SITE |
| 229.0 | BENIGN NEOPLASM OF LYMPH NODES |
| 229.8 | BENIGN NEOPLASM OF OTHER SPECIFIED SITES |
| 230.1 - 230.9 | CARCINOMA IN SITU OF ESOPHAGUS - CARCINOMA IN SITU OF OTHER AND UNSPECIFIED DIGESTIVE ORGANS |
| 232.5 | CARCINOMA IN SITU OF SKIN OF TRUNK EXCEPT SCROTUM |
| 232.7 | CARCINOMA IN SITU OF SKIN OF LOWER LIMB INCLUDING HIP |
| 232.8 | CARCINOMA IN SITU OF OTHER SPECIFIED SITES OF SKIN |
| 233.1 - 233.9 | CARCINOMA IN SITU OF CERVIX UTERI - CARCINOMA IN SITU OF OTHER AND UNSPECIFIED URINARY ORGANS |
| 235.2 - 235.5 | NEOPLASM OF UNCERTAIN BEHAVIOR OF STOMACH INTESTINES AND RECTUM - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED DIGESTIVE ORGANS |
| 236.0 - 236.99 | NEOPLASM OF UNCERTAIN BEHAVIOR OF UTERUS - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED URINARY ORGANS |
| 237.2 - 237.4 | NEOPLASM OF UNCERTAIN BEHAVIOR OF ADRENAL GLAND - NEOPLASM OF UNCERTAIN BEHAVIOR OF OTHER AND UNSPECIFIED ENDOCRINE GLANDS |
| 237.70 - 237.79 | NEUROFIBROMATOSIS UNSPECIFIED - OTHER NEUROFIBROMATOSIS |
| 238.0 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE |
| 238.1 | NEOPLASM OF UNCERTAIN BEHAVIOR OF CONNECTIVE AND OTHER SOFT TISSUE |
| 239.0 - 239.89 | NEOPLASM OF UNSPECIFIED NATURE OF DIGESTIVE SYSTEM - NEOPLASMS OF UNSPECIFIED NATURE, OTHER SPECIFIED SITES |
| 251.4 - 251.9 | ABNORMALITY OF SECRETION OF GLUCAGON - UNSPECIFIED DISORDER OF PANCREATIC INTERNAL SECRETION |
| 255.0 - 255.8 | CUSHING'S SYNDROME - OTHER SPECIFIED DISORDERS OF ADRENAL GLANDS |
| 259.2 | CARCINOID SYNDROME |
| 273.1 | MONOCLONAL PARAPROTEINEMIA |
| 277.00 | CYSTIC FIBROSIS WITHOUT MECONIUM ILEUS |
| 277.01 | CYSTIC FIBROSIS WITH MECONIUM ILEUS |
| 277.03 | CYSTIC FIBROSIS WITH GASTROINTESTINAL MANIFESTATIONS |
| 277.30 | AMYLOIDOSIS, UNSPECIFIED |
| 277.31 | FAMILIAL MEDITERRANEAN FEVER |
| 277.39 | OTHER AMYLOIDOSIS |
| 282.0 - 282.9 | HEREDITARY SPHEROCYTOSIS - HEREDITARY HEMOLYTIC ANEMIA UNSPECIFIED |
| 283.0 - 283.9 | AUTOIMMUNE HEMOLYTIC ANEMIAS - ACQUIRED HEMOLYTIC ANEMIA UNSPECIFIED |
| 287.30 - 287.33 | PRIMARY THROMBOCYTOPENIA,UNSPECIFIED - CONGENITAL AND HEREDITARY THROMBOCYTOPENIC PURPURA |
| 287.39 | OTHER PRIMARY THROMBOCYTOPENIA |
| 287.41 | POSTTRANSFUSION PURPURA |
| 287.49 | OTHER SECONDARY THROMBOCYTOPENIA |
| 289.1 - 289.59 | CHRONIC LYMPHADENITIS - OTHER DISEASES OF SPLEEN |
| 401.0 - 401.9 | MALIGNANT ESSENTIAL HYPERTENSION - UNSPECIFIED ESSENTIAL HYPERTENSION |
| 440.0 | ATHEROSCLEROSIS OF AORTA |
| 440.1 | ATHEROSCLEROSIS OF RENAL ARTERY |
| 440.20 - 440.29 | ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED - OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES |
| 440.30 - 440.4 | ATHEROSCLEROSIS OF UNSPECIFIED BYPASS GRAFT OF THE EXTREMITIES - CHRONIC TOTAL OCCLUSION OF ARTERY OF THE EXTREMITIES |
| 440.8 | ATHEROSCLEROSIS OF OTHER SPECIFIED ARTERIES |
| 441.00 - 441.9 | DISSECTION OF AORTA ANEURYSM UNSPECIFIED SITE - AORTIC ANEURYSM OF UNSPECIFIED SITE WITHOUT RUPTURE |
| 442.1 - 442.9 | ANEURYSM OF RENAL ARTERY - OTHER ANEURYSM OF UNSPECIFIED SITE |
| 443.81 | PERIPHERAL ANGIOPATHY IN DISEASES CLASSIFIED ELSEWHERE |
| 443.9 | PERIPHERAL VASCULAR DISEASE UNSPECIFIED |
| 444.01 | SADDLE EMBOLUS OF ABDOMINAL AORTA |
| 444.09 | OTHER ARTERIAL EMBOLISM AND THROMBOSIS OF ABDOMINAL AORTA |
| 444.22 | ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY |
| 444.81 | EMBOLISM AND THROMBOSIS OF ILIAC ARTERY |
| 444.89 | EMBOLISM AND THROMBOSIS OF OTHER ARTERY |
| 446.0 - 446.7 | POLYARTERITIS NODOSA - TAKAYASU'S DISEASE |
| 447.0 | ARTERIOVENOUS FISTULA ACQUIRED |
| 449 | SEPTIC ARTERIAL EMBOLISM |
| 452 | PORTAL VEIN THROMBOSIS |
| 453.0 - 453.9 | BUDD-CHIARI SYNDROME - EMBOLISM AND THROMBOSIS OF UNSPECIFIED SITE |
| 457.1 | OTHER LYMPHEDEMA |
| 457.8 | OTHER NONINFECTIOUS DISORDERS OF LYMPHATIC CHANNELS |
| 459.0 | HEMORRHAGE UNSPECIFIED |
| 530.0 | ACHALASIA AND CARDIOSPASM |
| 530.20 - 530.89 | ULCER OF ESOPHAGUS WITHOUT BLEEDING - OTHER DISEASES OF ESOPHAGUS |
| 531.00 - 531.91 | ACUTE GASTRIC ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION - GASTRIC ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION |
| 532.00 - 532.91 | ACUTE DUODENAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION - DUODENAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION |
| 533.00 - 533.91 | ACUTE PEPTIC ULCER OF UNSPECIFIED SITE WITH HEMORRHAGE WITHOUT OBSTRUCTION - PEPTIC ULCER OF UNSPECIFIED SITE UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION |
| 534.00 - 534.91 | ACUTE GASTROJEJUNAL ULCER WITH HEMORRHAGE WITHOUT OBSTRUCTION - GASTROJEJUNAL ULCER UNSPECIFIED AS ACUTE OR CHRONIC WITHOUT HEMORRHAGE OR PERFORATION WITH OBSTRUCTION |
| 535.00 - 535.61 | ACUTE GASTRITIS (WITHOUT HEMORRHAGE) - DUODENITIS WITH HEMORRHAGE |
| 536.0 - 536.9 | ACHLORHYDRIA - UNSPECIFIED FUNCTIONAL DISORDER OF STOMACH |
| 537.0 - 537.9 | ACQUIRED HYPERTROPHIC PYLORIC STENOSIS - UNSPECIFIED DISORDER OF STOMACH AND DUODENUM |
| 540.0 - 543.9 | ACUTE APPENDICITIS WITH GENERALIZED PERITONITIS - OTHER AND UNSPECIFIED DISEASES OF APPENDIX |
| 550.00 - 550.93 | UNILATERAL OR UNSPECIFIED INGUINAL HERNIA WITH GANGRENE - RECURRENT BILATERAL INGUINAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE |
| 551.00 - 551.9 | UNILATERAL OR UNSPECIFIED FEMORAL HERNIA WITH GANGRENE - HERNIA OF UNSPECIFIED SITE WITH GANGRENE |
| 552.00 - 552.9 | UNILATERAL OR UNSPECIFIED FEMORAL HERNIA WITH OBSTRUCTION - HERNIA OF UNSPECIFIED SITE WITH OBSTRUCTION |
| 553.01 - 553.9 | RECURRENT UNILATERAL OR UNSPECIFIED FEMORAL HERNIA WITHOUT OBSTRUCTION OR GANGRENE - HERNIA OF UNSPECIFIED SITE WITHOUT OBSTRUCTION OR GANGRENE |
| 555.0 - 555.9 | REGIONAL ENTERITIS OF SMALL INTESTINE - REGIONAL ENTERITIS OF UNSPECIFIED SITE |
| 556.0 - 556.9 | ULCERATIVE (CHRONIC) ENTEROCOLITIS - ULCERATIVE COLITIS UNSPECIFIED |
| 557.0 - 557.9 | ACUTE VASCULAR INSUFFICIENCY OF INTESTINE - UNSPECIFIED VASCULAR INSUFFICIENCY OF INTESTINE |
| 558.1 - 558.9 | GASTROENTERITIS AND COLITIS DUE TO RADIATION - OTHER AND UNSPECIFIED NONINFECTIOUS GASTROENTERITIS AND COLITIS |
| 560.0 - 560.9 | INTUSSUSCEPTION - UNSPECIFIED INTESTINAL OBSTRUCTION |
| 562.00 - 562.13 | DIVERTICULOSIS OF SMALL INTESTINE (WITHOUT HEMORRHAGE) - DIVERTICULITIS OF COLON WITH HEMORRHAGE |
| 564.00 - 564.9 | UNSPECIFIED CONSTIPATION - UNSPECIFIED FUNCTIONAL DISORDER OF INTESTINE |
| 565.0 - 566 | ANAL FISSURE - ABSCESS OF ANAL AND RECTAL REGIONS |
| 567.0 - 567.9 | PERITONITIS IN INFECTIOUS DISEASES CLASSIFIED ELSEWHERE - UNSPECIFIED PERITONITIS |
| 568.0 - 568.9 | PERITONEAL ADHESIONS (POSTOPERATIVE) (POSTINFECTION) - UNSPECIFIED DISORDER OF PERITONEUM |
| 569.0 - 570 | ANAL AND RECTAL POLYP - ACUTE AND SUBACUTE NECROSIS OF LIVER |
| 571.0 - 571.9 | ALCOHOLIC FATTY LIVER - UNSPECIFIED CHRONIC LIVER DISEASE WITHOUT ALCOHOL |
| 572.0 - 572.8 | ABSCESS OF LIVER - OTHER SEQUELAE OF CHRONIC LIVER DISEASE |
| 573.0 - 573.9 | CHRONIC PASSIVE CONGESTION OF LIVER - UNSPECIFIED DISORDER OF LIVER |
| 574.00 - 574.91 | CALCULUS OF GALLBLADDER WITH ACUTE CHOLECYSTITIS WITHOUT OBSTRUCTION - CALCULUS OF GALLBLADDER AND BILE DUCT WITHOUT CHOLECYSTITIS WITH OBSTRUCTION |
| 575.0 - 575.9 | ACUTE CHOLECYSTITIS - UNSPECIFIED DISORDER OF GALLBLADDER |
| 576.0 - 576.9 | POSTCHOLECYSTECTOMY SYNDROME - UNSPECIFIED DISORDER OF BILIARY TRACT |
| 577.0 - 577.9 | ACUTE PANCREATITIS - UNSPECIFIED DISEASE OF PANCREAS |
| 578.0 - 578.9 | HEMATEMESIS - HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED |
| 579.0 - 579.9 | CELIAC DISEASE - UNSPECIFIED INTESTINAL MALABSORPTION |
| 583.9 | NEPHRITIS AND NEPHROPATHY NOT SPECIFIED AS ACUTE OR CHRONIC WITH UNSPECIFIED PATHOLOGICAL LESION IN KIDNEY |
| 584.5 - 585.9 | ACUTE KIDNEY FAILURE WITH LESION OF TUBULAR NECROSIS - CHRONIC KIDNEY DISEASE, UNSPECIFIED |
| 590.00 - 591 | CHRONIC PYELONEPHRITIS WITHOUT LESION OF RENAL MEDULLARY NECROSIS - HYDRONEPHROSIS |
| 592.0 - 592.9 | CALCULUS OF KIDNEY - URINARY CALCULUS UNSPECIFIED |
| 593.0 - 593.9 | NEPHROPTOSIS - UNSPECIFIED DISORDER OF KIDNEY AND URETER |
| 596.0 - 596.9 | BLADDER NECK OBSTRUCTION - UNSPECIFIED DISORDER OF BLADDER |
| 599.70 - 599.72 | HEMATURIA, UNSPECIFIED - MICROSCOPIC HEMATURIA |
| 600.00 - 600.91 | HYPERTROPHY (BENIGN) OF PROSTATE WITHOUT URINARY OBSTRUCTION AND OTHER LOWER URINARY TRACT (LUTS) - HYPERPLASIA OF PROSTATE, UNSPECIFIED, WITH URINARY OBSTRUCTION AND OTHER LOWER URINARY SYMPTOMS (LUTS) |
| 614.0 - 614.9 | ACUTE SALPINGITIS AND OOPHORITIS - UNSPECIFIED INFLAMMATORY DISEASE OF FEMALE PELVIC ORGANS AND TISSUES |
| 615.0 - 615.9 | ACUTE INFLAMMATORY DISEASES OF UTERUS EXCEPT CERVIX - UNSPECIFIED INFLAMMATORY DISEASE OF UTERUS |
| 616.0 - 616.11 | CERVICITIS AND ENDOCERVICITIS - VAGINITIS AND VULVOVAGINITIS IN DISEASES CLASSIFIED ELSEWHERE |
| 616.3 | ABSCESS OF BARTHOLIN'S GLAND |
| 616.4 | OTHER ABSCESS OF VULVA |
| 617.0 - 617.9 | ENDOMETRIOSIS OF UTERUS - ENDOMETRIOSIS SITE UNSPECIFIED |
| 618.6 | VAGINAL ENTEROCELE CONGENITAL OR ACQUIRED |
| 618.7 | OLD LACERATION OF MUSCLES OF PELVIC FLOOR |
| 619.0 - 619.9 | URINARY-GENITAL TRACT FISTULA FEMALE - UNSPECIFIED FISTULA INVOLVING FEMALE GENITAL TRACT |
| 620.0 - 620.9 | FOLLICULAR CYST OF OVARY - UNSPECIFIED NONINFLAMMATORY DISORDER OF OVARY FALLOPIAN TUBE AND BROAD LIGAMENT |
| 621.0 | POLYP OF CORPUS UTERI |
| 621.2 - 621.7 | HYPERTROPHY OF UTERUS - CHRONIC INVERSION OF UTERUS |
| 625.5 | PELVIC CONGESTION SYNDROME |
| 626.0 - 626.9 | ABSENCE OF MENSTRUATION - UNSPECIFIED DISORDERS OF MENSTRUATION AND OTHER ABNORMAL BLEEDING FROM FEMALE GENITAL TRACT |
| 627.0 | PREMENOPAUSAL MENORRHAGIA |
| 627.1 | POSTMENOPAUSAL BLEEDING |
| 627.4 | SYMPTOMATIC STATES ASSOCIATED WITH ARTIFICIAL MENOPAUSE |
| 627.8 | OTHER SPECIFIED MENOPAUSAL AND POSTMENOPAUSAL DISORDERS |
| 628.2 | INFERTILITY FEMALE OF TUBAL ORIGIN |
| 628.3 | INFERTILITY FEMALE OF UTERINE ORIGIN |
| 629.0 - 629.1 | HEMATOCELE FEMALE NOT ELSEWHERE CLASSIFIED - HYDROCELE CANAL OF NUCK |
| 629.89 | OTHER SPECIFIED DISORDERS OF FEMALE GENITAL ORGANS |
| 682.2 | CELLULITIS AND ABSCESS OF TRUNK |
| 707.10 - 707.19 | UNSPECIFIED ULCER OF LOWER LIMB - ULCER OF OTHER PART OF LOWER LIMB |
| 707.8 | CHRONIC ULCER OF OTHER SPECIFIED SITES |
| 707.9 | CHRONIC ULCER OF UNSPECIFIED SITE |
| 710.0 - 710.9 | SYSTEMIC LUPUS ERYTHEMATOSUS - UNSPECIFIED DIFFUSE CONNECTIVE TISSUE DISEASE |
| 711.05 | PYOGENIC ARTHRITIS INVOLVING PELVIC REGION AND THIGH |
| 711.25 | ARTHROPATHY IN BEHCET'S SYNDROME INVOLVING PELVIC REGION AND THIGH |
| 711.35 | POSTDYSENTERIC ARTHROPATHY INVOLVING PELVIC REGION AND THIGH |
| 711.45 | ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH OTHER BACTERIAL DISEASES |
| 711.55 | ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH OTHER VIRAL DISEASES |
| 711.65 | ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH MYCOSES |
| 711.75 | ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH HELMINTHIASIS |
| 711.85 | ARTHROPATHY INVOLVING PELVIC REGION AND THIGH ASSOCIATED WITH OTHER INFECTIOUS AND PARASITIC DISEASES |
| 713.1 | ARTHROPATHY ASSOCIATED WITH GASTROINTESTINAL CONDITIONS OTHER THAN INFECTIONS |
| 713.2 | ARTHROPATHY ASSOCIATED WITH HEMATOLOGICAL DISORDERS |
| 713.5 | ARTHROPATHY ASSOCIATED WITH NEUROLOGICAL DISORDERS |
| 714.0 | RHEUMATOID ARTHRITIS |
| 716.15 | TRAUMATIC ARTHROPATHY INVOLVING PELVIC REGION AND THIGH |
| 718.05 | ARTICULAR CARTILAGE DISORDER INVOLVING PELVIC REGION AND THIGH |
| 718.25 | PATHOLOGICAL DISLOCATION OF JOINT OF PELVIC REGION AND THIGH |
| 718.35 | RECURRENT DISLOCATION OF JOINT OF PELVIC REGION AND THIGH |
| 718.45 | CONTRACTURE OF JOINT OF PELVIC REGION AND THIGH |
| 718.55 | ANKYLOSIS OF JOINT OF PELVIC REGION AND THIGH |
| 718.65 | UNSPECIFIED INTRAPELVIC PROTRUSION OF ACETABULUM PELVIC REGION AND THIGH |
| 718.75 | DEVELOPMENTAL DISLOCATION OF JOINT PELVIC REGION AND THIGH |
| 719.05 | EFFUSION OF JOINT OF PELVIC REGION AND THIGH |
| 719.15 | HEMARTHROSIS INVOLVING PELVIC REGION AND THIGH |
| 719.25 | VILLONODULAR SYNOVITIS INVOLVING PELVIC REGION AND THIGH |
| 719.45 | PAIN IN JOINT INVOLVING PELVIC REGION AND THIGH |
| 719.65 | OTHER SYMPTOMS REFERABLE TO JOINT OF PELVIC REGION AND THIGH |
| 719.85 | OTHER SPECIFIED DISORDERS OF JOINT OF PELVIC REGION AND THIGH |
| 724.9 | OTHER UNSPECIFIED BACK DISORDERS |
| 729.5 | PAIN IN LIMB |
| 730.05 | ACUTE OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.15 | CHRONIC OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.75 | OSTEOPATHY RESULTING FROM POLIOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 732.1 | JUVENILE OSTEOCHONDROSIS OF HIP AND PELVIS |
| 733.90 | DISORDER OF BONE AND CARTILAGE UNSPECIFIED |
| 747.61 | GASTROINTESTINAL VESSEL ANOMALY |
| 747.62 | RENAL VESSEL ANOMALY |
| 750.6 | CONGENITAL HIATUS HERNIA |
| 750.7 | OTHER SPECIFIED CONGENITAL ANOMALIES OF STOMACH |
| 751.0 - 751.9 | MECKEL'S DIVERTICULUM - UNSPECIFIED CONGENITAL ANOMALY OF DIGESTIVE SYSTEM |
| 752.0 - 752.9 | CONGENITAL ANOMALIES OF OVARIES - UNSPECIFIED CONGENITAL ANOMALY OF GENITAL ORGANS |
| 753.0 - 753.9 | RENAL AGENESIS AND DYSGENESIS - UNSPECIFIED CONGENITAL ANOMALY OF URINARY SYSTEM |
| 759.0 - 759.9 | ANOMALIES OF SPLEEN CONGENITAL - CONGENITAL ANOMALY UNSPECIFIED |
| 780.60 - 780.66 | FEVER, UNSPECIFIED - FEBRILE NONHEMOLYTIC TRANSFUSION REACTION |
| 782.3 | EDEMA |
| 782.4 | JAUNDICE UNSPECIFIED NOT OF NEWBORN |
| 783.21 | LOSS OF WEIGHT |
| 783.22 | UNDERWEIGHT |
| 783.40 - 783.43 | UNSPECIFIED LACK OF NORMAL PHYSIOLOGICAL DEVELOPMENT - SHORT STATURE |
| 785.4 | GANGRENE |
| 785.59 | OTHER SHOCK WITHOUT TRAUMA |
| 785.6 | ENLARGEMENT OF LYMPH NODES |
| 786.59 | OTHER CHEST PAIN |
| 787.01 - 787.03 | NAUSEA WITH VOMITING - VOMITING ALONE |
| 787.04 | BILIOUS EMESIS |
| 787.4 | VISIBLE PERISTALSIS |
| 787.91 | DIARRHEA |
| 787.99 | OTHER SYMPTOMS INVOLVING DIGESTIVE SYSTEM |
| 788.0 - 788.30 | RENAL COLIC - URINARY INCONTINENCE UNSPECIFIED |
| 788.5 | OLIGURIA AND ANURIA |
| 788.62 | SLOWING OF URINARY STREAM |
| 788.8 | EXTRAVASATION OF URINE |
| 789.00 - 789.9 | ABDOMINAL PAIN UNSPECIFIED SITE - OTHER SYMPTOMS INVOLVING ABDOMEN AND PELVIS |
| 790.7 | BACTEREMIA |
| 793.3 - 793.6 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF BILIARY TRACT - NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF ABDOMINAL AREA, INCLUDING RETROPERITONEUM |
| 794.8 | NONSPECIFIC ABNORMAL RESULTS OF FUNCTION STUDY OF LIVER |
| 794.9 | NONSPECIFIC ABNORMAL RESULTS OF OTHER SPECIFIED FUNCTION STUDY |
| 808.0 - 808.9 | CLOSED FRACTURE OF ACETABULUM - UNSPECIFIED OPEN FRACTURE OF PELVIS |
| 809.0 - 809.1 | FRACTURE OF BONES OF TRUNK CLOSED - FRACTURE OF BONES OF TRUNK OPEN |
| 862.0 | INJURY TO DIAPHRAGM WITHOUT OPEN WOUND INTO CAVITY |
| 862.1 | INJURY TO DIAPHRAGM WITH OPEN WOUND INTO CAVITY |
| 863.0 - 863.99 | INJURY TO STOMACH WITHOUT OPEN WOUND INTO CAVITY - INJURY TO OTHER AND UNSPECIFIED GASTROINTESTINAL SITES WITH OPEN WOUND INTO CAVITY |
| 864.00 - 864.19 | UNSPECIFIED INJURY TO LIVER WITHOUT OPEN WOUND INTO CAVITY - OTHER INJURY TO LIVER WITH OPEN WOUND INTO CAVITY |
| 865.00 - 865.19 | UNSPECIFIED INJURY TO SPLEEN WITHOUT OPEN WOUND INTO CAVITY - OTHER INJURY TO SPLEEN WITH OPEN WOUND INTO CAVITY |
| 866.00 - 866.13 | UNSPECIFIED INJURY TO KIDNEY WITHOUT OPEN WOUND INTO CAVITY - COMPLETE DISRUPTION OF KIDNEY PARENCHYMA WITH OPEN WOUND INTO CAVITY |
| 867.0 - 867.9 | INJURY TO BLADDER AND URETHRA WITHOUT OPEN WOUND INTO CAVITY - INJURY TO UNSPECIFIED PELVIC ORGAN WITH OPEN WOUND INTO CAVITY |
| 868.00 - 868.19 | INJURY TO UNSPECIFIED INTRA-ABDOMINAL ORGAN WITHOUT OPEN WOUND INTO CAVITY - INJURY TO OTHER AND MULTIPLE INTRA-ABDOMINAL ORGANS WITH OPEN WOUND INTO CAVITY |
| 869.0 | INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS WITHOUT OPEN WOUND INTO CAVITY |
| 869.1 | INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS WITH OPEN WOUND INTO CAVITY |
| 879.2 - 879.7 | OPEN WOUND OF ABDOMINAL WALL ANTERIOR WITHOUT COMPLICATION - OPEN WOUND OF OTHER AND UNSPECIFIED PARTS OF TRUNK COMPLICATED |
| 902.0 - 902.9 | INJURY TO ABDOMINAL AORTA - INJURY TO UNSPECIFIED BLOOD VESSEL OF ABDOMEN AND PELVIS |
| 908.1 | LATE EFFECT OF INTERNAL INJURY TO INTRA-ABDOMINAL ORGANS |
| 908.4 | LATE EFFECT OF INJURY TO BLOOD VESSEL OF THORAX ABDOMEN AND PELVIS |
| 908.5 | LATE EFFECT OF FOREIGN BODY IN ORIFICE |
| 922.2 | CONTUSION OF ABDOMINAL WALL |
| 922.4 | CONTUSION OF GENITAL ORGANS |
| 926.0 | CRUSHING INJURY OF EXTERNAL GENITALIA |
| 926.11 | CRUSHING INJURY OF BACK |
| 926.12 | CRUSHING INJURY OF BUTTOCK |
| 935.1 - 938 | FOREIGN BODY IN ESOPHAGUS - FOREIGN BODY IN DIGESTIVE SYSTEM UNSPECIFIED |
| 939.0 - 939.9 | FOREIGN BODY IN BLADDER AND URETHRA - FOREIGN BODY IN UNSPECIFIED SITE IN GENITOURINARY TRACT |
| 958.0 - 958.5 | AIR EMBOLISM AS AN EARLY COMPLICATION OF TRAUMA - TRAUMATIC ANURIA |
| 958.93 | TRAUMATIC COMPARTMENT SYNDROME OF ABDOMEN |
| 959.12 | OTHER INJURY OF ABDOMEN |
| 959.13 | FRACTURE OF CORPUS CAVERNOSUM PENIS |
| 959.14 | OTHER INJURY OF EXTERNAL GENITALS |
| 959.19 | OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK |
| 995.90 - 995.94 | SYSTEMIC INFLAMMATORY RESPONSE SYNDROME UNSPECIFIED - SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO NONINFECTIOUS PROCESS WITH ACUTE ORGAN DYSFUNCTION |
| 996.1 | MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.30 - 996.39 | MECHANICAL COMPLICATION OF UNSPECIFIED GENITOURINARY DEVICE IMPLANT AND GRAFT - OTHER MECHANICAL COMPLICATION OF GENITOURINARY DEVICE IMPLANT AND GRAFT |
| 996.60 | INFECTION AND INFLAMMATORY REACTION DUE TO UNSPECIFIED DEVICE IMPLANT AND GRAFT |
| 996.62 | INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.64 | INFECTION AND INFLAMMATORY REACTION DUE TO INDWELLING URINARY CATHETER |
| 996.65 | INFECTION AND INFLAMMATORY REACTION DUE TO OTHER GENITOURINARY DEVICE IMPLANT AND GRAFT |
| 996.70 - 996.72 | OTHER COMPLICATIONS DUE TO UNSPECIFIED DEVICE IMPLANT AND GRAFT - OTHER COMPLICATIONS DUE TO OTHER CARDIAC DEVICE IMPLANT AND GRAFT |
| 996.74 | OTHER COMPLICATIONS DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.76 | OTHER COMPLICATIONS DUE TO GENITOURINARY DEVICE IMPLANT AND GRAFT |
| 996.81 | COMPLICATIONS OF TRANSPLANTED KIDNEY |
| 996.82 | COMPLICATIONS OF TRANSPLANTED LIVER |
| 996.86 - 996.89 | COMPLICATIONS OF TRANSPLANTED PANCREAS - COMPLICATIONS OF OTHER SPECIFIED TRANSPLANTED ORGAN |
| 997.41 | RETAINED CHOLELITHIASIS FOLLOWING CHOLECYSTECTOMY |
| 997.49 | OTHER DIGESTIVE SYSTEM COMPLICATIONS |
| 997.5 | URINARY COMPLICATIONS NOT ELSEWHERE CLASSIFIED |
| 997.71 - 997.79 | VASCULAR COMPLICATIONS OF MESENTERIC ARTERY - VASCULAR COMPLICATIONS OF OTHER VESSELS |
| 998.00 - 998.7 | POSTOPERATIVE SHOCK, UNSPECIFIED - ACUTE REACTION TO FOREIGN SUBSTANCE ACCIDENTALLY LEFT DURING A PROCEDURE NOT ELSEWHERE CLASSIFIED |
| V10.00 - V10.09 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED SITE IN GASTROINTESTINAL TRACT - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER SITES IN GASTROINTESTINAL TRACT |
| V10.40 - V10.49 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED FEMALE GENITAL ORGAN - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER MALE GENITAL ORGANS |
| V10.50 - V10.59 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF UNSPECIFIED URINARY ORGAN - PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER URINARY ORGANS |
| V10.79 | PERSONAL HISTORY OF OTHER LYMPHATIC AND HEMATOPOIETIC NEOPLASMS |
| V58.73 | AFTERCARE FOLLOWING SURGERY OF THE CIRCULATORY SYSTEM NOT ELSEWHERE CLASSIFIED |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| V71.1 | OBSERVATION FOR SUSPECTED MALIGNANT NEOPLASM |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 213.2 | BENIGN NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX |
| 225.3 | BENIGN NEOPLASM OF SPINAL CORD |
| 225.4 | BENIGN NEOPLASM OF SPINAL MENINGES |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 237.5 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BRAIN AND SPINAL CORD |
| 239.2 | NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN |
| 322.0 - 322.9 | NONPYOGENIC MENINGITIS - MENINGITIS UNSPECIFIED |
| 324.1 | INTRASPINAL ABSCESS |
| 336.0 | SYRINGOMYELIA AND SYRINGOBULBIA |
| 336.1 | VASCULAR MYELOPATHIES |
| 340 | MULTIPLE SCLEROSIS |
| 344.00 - 344.2 | QUADRIPLEGIA UNSPECIFIED - DIPLEGIA OF UPPER LIMBS |
| 344.40 - 344.5 | MONOPLEGIA OF UPPER LIMB AFFECTING UNSPECIFIED SIDE - UNSPECIFIED MONOPLEGIA |
| 353.2 | CERVICAL ROOT LESIONS NOT ELSEWHERE CLASSIFIED |
| 720.9 | UNSPECIFIED INFLAMMATORY SPONDYLOPATHY |
| 721.0 | CERVICAL SPONDYLOSIS WITHOUT MYELOPATHY |
| 721.1 | CERVICAL SPONDYLOSIS WITH MYELOPATHY |
| 721.90 | SPONDYLOSIS OF UNSPECIFIED SITE WITHOUT MYELOPATHY |
| 721.91 | SPONDYLOSIS OF UNSPECIFIED SITE WITH MYELOPATHY |
| 722.0 | DISPLACEMENT OF CERVICAL INTERVERTEBRAL DISC WITHOUT MYELOPATHY |
| 722.4 | DEGENERATION OF CERVICAL INTERVERTEBRAL DISC |
| 722.6 | DEGENERATION OF INTERVERTEBRAL DISC SITE UNSPECIFIED |
| 722.71 | INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY CERVICAL REGION |
| 722.81 | POSTLAMINECTOMY SYNDROME OF CERVICAL REGION |
| 722.91 | OTHER AND UNSPECIFIED DISC DISORDER OF CERVICAL REGION |
| 723.0 - 723.2 | SPINAL STENOSIS IN CERVICAL REGION - CERVICOCRANIAL SYNDROME |
| 723.4 | BRACHIAL NEURITIS OR RADICULITIS NOS |
| 724.5 | BACKACHE UNSPECIFIED |
| 724.9 | OTHER UNSPECIFIED BACK DISORDERS |
| 730.08 | ACUTE OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.18 | CHRONIC OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.19 | CHRONIC OSTEOMYELITIS INVOLVING MULTIPLE SITES |
| 730.28 | UNSPECIFIED OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.38 | PERIOSTITIS WITHOUT OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 733.00 - 733.03 | OSTEOPOROSIS UNSPECIFIED - DISUSE OSTEOPOROSIS |
| 733.13 | PATHOLOGICAL FRACTURE OF VERTEBRAE |
| 733.40 | ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED |
| 737.40 - 737.43 | UNSPECIFIED CURVATURE OF SPINE ASSOCIATED WITH OTHER CONDITIONS - SCOLIOSIS ASSOCIATED WITH OTHER CONDITIONS |
| 756.10 | CONGENITAL ANOMALY OF SPINE UNSPECIFIED |
| 756.12 - 756.16 | SPONDYLOLISTHESIS CONGENITAL - KLIPPEL-FEIL SYNDROME |
| 756.19 | OTHER CONGENITAL ANOMALIES OF SPINE |
| 780.09 | ALTERATION OF CONSCIOUSNESS OTHER |
| 793.7 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM |
| 793.99 | OTHER NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF BODY STRUCTURE |
| 805.00 - 805.18 | CLOSED FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL - OPEN FRACTURE OF MULTIPLE CERVICAL VERTEBRAE |
| 806.00 - 806.19 | CLOSED FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY |
| 839.00 - 839.08 | CLOSED DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - CLOSED DISLOCATION MULTIPLE CERVICAL VERTEBRAE |
| 839.10 - 839.18 | OPEN DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - OPEN DISLOCATION MULTIPLE CERVICAL VERTEBRAE |
| 952.00 - 952.09 | C1-C4 LEVEL SPINAL CORD INJURY UNSPECIFIED - C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY |
| 952.8 | MULTIPLE SITES OF SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY |
| 953.0 | INJURY TO CERVICAL NERVE ROOT |
| 959.01 | OTHER AND UNSPECIFIED INJURY TO HEAD |
| 959.09 | OTHER AND UNSPECIFIED INJURY TO FACE AND NECK |
| 959.19 | OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK |
| V10.01 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF TONGUE |
| V10.02 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF ORAL CAVITY AND PHARYNX |
| V10.21 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF LARYNX |
| V10.22 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF NASAL CAVITIES MIDDLE EAR AND ACCESSORY SINUSES |
| V10.81 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE |
| V10.86 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM |
| V71.4 | OBSERVATION FOLLOWING OTHER ACCIDENT |
| V71.89 | OBSERVATION FOR OTHER SPECIFIED SUSPECTED CONDITIONS |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 213.2 | BENIGN NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX |
| 225.3 | BENIGN NEOPLASM OF SPINAL CORD |
| 225.4 | BENIGN NEOPLASM OF SPINAL MENINGES |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 237.5 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BRAIN AND SPINAL CORD |
| 239.2 | NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN |
| 322.0 - 322.9 | NONPYOGENIC MENINGITIS - MENINGITIS UNSPECIFIED |
| 324.1 | INTRASPINAL ABSCESS |
| 334.8 | OTHER SPINOCEREBELLAR DISEASES |
| 334.9 | SPINOCEREBELLAR DISEASE UNSPECIFIED |
| 336.0 | SYRINGOMYELIA AND SYRINGOBULBIA |
| 336.1 | VASCULAR MYELOPATHIES |
| 340 | MULTIPLE SCLEROSIS |
| 341.8 | OTHER DEMYELINATING DISEASES OF CENTRAL NERVOUS SYSTEM |
| 341.9 | DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM UNSPECIFIED |
| 342.00 - 342.92 | FLACCID HEMIPLEGIA AND HEMIPARESIS AFFECTING UNSPECIFIED SIDE - UNSPECIFIED HEMIPLEGIA AND HEMIPARESIS AFFECTING NONDOMINANT SIDE |
| 344.00 | QUADRIPLEGIA UNSPECIFIED |
| 344.1 | PARAPLEGIA |
| 344.30 - 344.5 | MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE - UNSPECIFIED MONOPLEGIA |
| 353.3 | THORACIC ROOT LESIONS NOT ELSEWHERE CLASSIFIED |
| 353.8 | OTHER NERVE ROOT AND PLEXUS DISORDERS |
| 357.1 - 357.3 | POLYNEUROPATHY IN COLLAGEN VASCULAR DISEASE - POLYNEUROPATHY IN MALIGNANT DISEASE |
| 357.5 | ALCOHOLIC POLYNEUROPATHY |
| 720.0 | ANKYLOSING SPONDYLITIS |
| 720.1 | SPINAL ENTHESOPATHY |
| 720.81 | INFLAMMATORY SPONDYLOPATHIES IN DISEASES CLASSIFIED ELSEWHERE |
| 721.2 | THORACIC SPONDYLOSIS WITHOUT MYELOPATHY |
| 721.41 | SPONDYLOSIS WITH MYELOPATHY THORACIC REGION |
| 721.91 | SPONDYLOSIS OF UNSPECIFIED SITE WITH MYELOPATHY |
| 722.11 | DISPLACEMENT OF THORACIC INTERVERTEBRAL DISC WITHOUT MYELOPATHY |
| 722.2 | DISPLACEMENT OF INTERVERTEBRAL DISC SITE UNSPECIFIED WITHOUT MYELOPATHY |
| 722.31 | SCHMORL'S NODES OF THORACIC REGION |
| 722.51 | DEGENERATION OF THORACIC OR THORACOLUMBAR INTERVERTEBRAL DISC |
| 722.6 | DEGENERATION OF INTERVERTEBRAL DISC SITE UNSPECIFIED |
| 722.70 | INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY UNSPECIFIED REGION |
| 722.72 | INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY THORACIC REGION |
| 722.82 | POSTLAMINECTOMY SYNDROME OF THORACIC REGION |
| 722.92 | OTHER AND UNSPECIFIED DISC DISORDER OF THORACIC REGION |
| 724.01 | SPINAL STENOSIS OF THORACIC REGION |
| 724.1 | PAIN IN THORACIC SPINE |
| 724.4 | THORACIC OR LUMBOSACRAL NEURITIS OR RADICULITIS UNSPECIFIED |
| 724.9 | OTHER UNSPECIFIED BACK DISORDERS |
| 730.08 | ACUTE OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.18 | CHRONIC OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.28 | UNSPECIFIED OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.38 | PERIOSTITIS WITHOUT OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 733.00 - 733.09 | OSTEOPOROSIS UNSPECIFIED - OTHER OSTEOPOROSIS |
| 733.10 | PATHOLOGICAL FRACTURE UNSPECIFIED SITE |
| 733.13 | PATHOLOGICAL FRACTURE OF VERTEBRAE |
| 733.19 | PATHOLOGICAL FRACTURE OF OTHER SPECIFIED SITE |
| 733.20 - 733.29 | CYST OF BONE (LOCALIZED) UNSPECIFIED - OTHER BONE CYST |
| 733.40 | ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED |
| 737.10 | KYPHOSIS (ACQUIRED) (POSTURAL) |
| 737.30 | SCOLIOSIS (AND KYPHOSCOLIOSIS) IDIOPATHIC |
| 738.4 | ACQUIRED SPONDYLOLISTHESIS |
| 738.5 | OTHER ACQUIRED DEFORMITY OF BACK OR SPINE |
| 741.02 | SPINA BIFIDA DORSAL (THORACIC) REGION WITH HYDROCEPHALUS |
| 741.92 | SPINA BIFIDA DORSAL (THORACIC) REGION WITHOUT HYDROCEPHALUS |
| 742.51 - 742.59 | DIASTEMATOMYELIA - OTHER SPECIFIED CONGENITAL ANOMALIES OF SPINAL CORD |
| 754.2 | CONGENITAL MUSCULOSKELETAL DEFORMITIES OF SPINE |
| 756.10 | CONGENITAL ANOMALY OF SPINE UNSPECIFIED |
| 756.12 - 756.15 | SPONDYLOLISTHESIS CONGENITAL - FUSION OF SPINE (VERTEBRA) CONGENITAL |
| 756.19 | OTHER CONGENITAL ANOMALIES OF SPINE |
| 793.7 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM |
| 793.99 | OTHER NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF BODY STRUCTURE |
| 805.2 - 805.3 | CLOSED FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY - OPEN FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY |
| 806.20 - 806.39 | CLOSED FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY |
| 839.21 | CLOSED DISLOCATION THORACIC VERTEBRA |
| 839.31 | OPEN DISLOCATION THORACIC VERTEBRA |
| 952.10 - 952.19 | T1-T6 LEVEL SPINAL CORD INJURY UNSPECIFIED - T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY |
| 952.8 | MULTIPLE SITES OF SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY |
| 953.1 | INJURY TO DORSAL NERVE ROOT |
| 959.19 | OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK |
| V10.81 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE |
| V10.86 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 213.2 | BENIGN NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX |
| 225.3 | BENIGN NEOPLASM OF SPINAL CORD |
| 225.4 | BENIGN NEOPLASM OF SPINAL MENINGES |
| 237.5 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BRAIN AND SPINAL CORD |
| 239.2 | NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN |
| 322.0 - 322.9 | NONPYOGENIC MENINGITIS - MENINGITIS UNSPECIFIED |
| 324.1 | INTRASPINAL ABSCESS |
| 336.1 | VASCULAR MYELOPATHIES |
| 340 | MULTIPLE SCLEROSIS |
| 341.8 | OTHER DEMYELINATING DISEASES OF CENTRAL NERVOUS SYSTEM |
| 341.9 | DEMYELINATING DISEASE OF CENTRAL NERVOUS SYSTEM UNSPECIFIED |
| 342.00 - 342.92 | FLACCID HEMIPLEGIA AND HEMIPARESIS AFFECTING UNSPECIFIED SIDE - UNSPECIFIED HEMIPLEGIA AND HEMIPARESIS AFFECTING NONDOMINANT SIDE |
| 344.1 | PARAPLEGIA |
| 344.30 - 344.32 | MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE - MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE |
| 344.60 | CAUDA EQUINA SYNDROME WITHOUT NEUROGENIC BLADDER |
| 344.61 | CAUDA EQUINA SYNDROME WITH NEUROGENIC BLADDER |
| 353.1 | LUMBOSACRAL PLEXUS LESIONS |
| 353.4 | LUMBOSACRAL ROOT LESIONS NOT ELSEWHERE CLASSIFIED |
| 353.8 | OTHER NERVE ROOT AND PLEXUS DISORDERS |
| 357.1 - 357.3 | POLYNEUROPATHY IN COLLAGEN VASCULAR DISEASE - POLYNEUROPATHY IN MALIGNANT DISEASE |
| 357.5 | ALCOHOLIC POLYNEUROPATHY |
| 715.00 | OSTEOARTHROSIS GENERALIZED INVOLVING UNSPECIFIED SITE |
| 715.09 | OSTEOARTHROSIS GENERALIZED INVOLVING MULTIPLE SITES |
| 715.10 | OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING UNSPECIFIED SITE |
| 715.18 | OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING OTHER SPECIFIED SITES |
| 715.30 | OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING UNSPECIFIED SITE |
| 715.38 | OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING OTHER SPECIFIED SITES |
| 715.80 | OSTEOARTHROSIS INVOLVING OR WITH MORE THAN ONE SITE BUT NOT SPECIFIED AS GENERALIZED AND INVOLVING UNSPECIFIED SITE |
| 715.89 | OSTEOARTHROSIS INVOLVING OR WITH MULTIPLE SITES BUT NOT SPECIFIED AS GENERALIZED |
| 720.0 - 720.81 | ANKYLOSING SPONDYLITIS - INFLAMMATORY SPONDYLOPATHIES IN DISEASES CLASSIFIED ELSEWHERE |
| 721.3 | LUMBOSACRAL SPONDYLOSIS WITHOUT MYELOPATHY |
| 721.42 | SPONDYLOSIS WITH MYELOPATHY LUMBAR REGION |
| 721.6 - 721.8 | ANKYLOSING VERTEBRAL HYPEROSTOSIS - OTHER ALLIED DISORDERS OF SPINE |
| 721.91 | SPONDYLOSIS OF UNSPECIFIED SITE WITH MYELOPATHY |
| 722.10 | DISPLACEMENT OF LUMBAR INTERVERTEBRAL DISC WITHOUT MYELOPATHY |
| 722.2 | DISPLACEMENT OF INTERVERTEBRAL DISC SITE UNSPECIFIED WITHOUT MYELOPATHY |
| 722.32 | SCHMORL'S NODES OF LUMBAR REGION |
| 722.52 | DEGENERATION OF LUMBAR OR LUMBOSACRAL INTERVERTEBRAL DISC |
| 722.6 | DEGENERATION OF INTERVERTEBRAL DISC SITE UNSPECIFIED |
| 722.73 | INTERVERTEBRAL DISC DISORDER WITH MYELOPATHY LUMBAR REGION |
| 722.83 | POSTLAMINECTOMY SYNDROME OF LUMBAR REGION |
| 722.93 | OTHER AND UNSPECIFIED DISC DISORDER OF LUMBAR REGION |
| 724.00 | SPINAL STENOSIS OF UNSPECIFIED REGION |
| 724.02 | SPINAL STENOSIS, LUMBAR REGION, WITHOUT NEUROGENIC CLAUDICATION |
| 724.03 | SPINAL STENOSIS, LUMBAR REGION, WITH NEUROGENIC CLAUDICATION |
| 724.2 - 724.6 | LUMBAGO - DISORDERS OF SACRUM |
| 724.71 | HYPERMOBILITY OF COCCYX |
| 724.79 | OTHER DISORDERS OF COCCYX |
| 724.9 | OTHER UNSPECIFIED BACK DISORDERS |
| 730.00 | ACUTE OSTEOMYELITIS SITE UNSPECIFIED |
| 730.05 | ACUTE OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.08 | ACUTE OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.09 | ACUTE OSTEOMYELITIS INVOLVING MULTIPLE SITES |
| 730.15 | CHRONIC OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.18 | CHRONIC OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.19 | CHRONIC OSTEOMYELITIS INVOLVING MULTIPLE SITES |
| 730.25 | UNSPECIFIED OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.28 | UNSPECIFIED OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 730.35 | PERIOSTITIS WITHOUT OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH |
| 730.38 | PERIOSTITIS WITHOUT OSTEOMYELITIS INVOLVING OTHER SPECIFIED SITES |
| 733.00 - 733.03 | OSTEOPOROSIS UNSPECIFIED - DISUSE OSTEOPOROSIS |
| 733.10 | PATHOLOGICAL FRACTURE UNSPECIFIED SITE |
| 733.13 | PATHOLOGICAL FRACTURE OF VERTEBRAE |
| 733.20 - 733.29 | CYST OF BONE (LOCALIZED) UNSPECIFIED - OTHER BONE CYST |
| 733.40 | ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED |
| 737.20 - 737.33 | LORDOSIS (ACQUIRED) (POSTURAL) - SCOLIOSIS DUE TO RADIATION |
| 737.43 | SCOLIOSIS ASSOCIATED WITH OTHER CONDITIONS |
| 738.4 - 738.6 | ACQUIRED SPONDYLOLISTHESIS - ACQUIRED DEFORMITY OF PELVIS |
| 741.03 | SPINA BIFIDA LUMBAR REGION WITH HYDROCEPHALUS |
| 741.93 | SPINA BIFIDA LUMBAR REGION WITHOUT HYDROCEPHALUS |
| 742.53 | HYDROMYELIA |
| 754.2 | CONGENITAL MUSCULOSKELETAL DEFORMITIES OF SPINE |
| 756.10 - 756.15 | CONGENITAL ANOMALY OF SPINE UNSPECIFIED - FUSION OF SPINE (VERTEBRA) CONGENITAL |
| 756.17 | SPINA BIFIDA OCCULTA |
| 756.19 | OTHER CONGENITAL ANOMALIES OF SPINE |
| 793.7 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM |
| 793.99 | OTHER NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF BODY STRUCTURE |
| 805.4 - 805.9 | CLOSED FRACTURE OF LUMBAR VERTEBRA WITHOUT SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED PART OF VERTEBRAL COLUMN WITHOUT SPINAL CORD INJURY |
| 806.4 - 806.9 | CLOSED FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY |
| 839.20 | CLOSED DISLOCATION LUMBAR VERTEBRA |
| 839.30 | OPEN DISLOCATION LUMBAR VERTEBRA |
| 839.41 | CLOSED DISLOCATION COCCYX |
| 839.42 | CLOSED DISLOCATION SACRUM |
| 839.51 | OPEN DISLOCATION COCCYX |
| 839.52 | OPEN DISLOCATION SACRUM |
| 952.2 - 952.8 | LUMBAR SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY - MULTIPLE SITES OF SPINAL CORD INJURY WITHOUT SPINAL BONE INJURY |
| 953.2 | INJURY TO LUMBAR NERVE ROOT |
| 953.3 | INJURY TO SACRAL NERVE ROOT |
| 953.5 | INJURY TO LUMBOSACRAL PLEXUS |
| 953.8 | INJURY TO MULTIPLE SITES OF NERVE ROOTS AND SPINAL PLEXUS |
| 959.19 | OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK |
| V10.81 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE |
| V10.86 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 213.4 | BENIGN NEOPLASM OF SCAPULA AND LONG BONES OF UPPER LIMB |
| 213.5 | BENIGN NEOPLASM OF SHORT BONES OF UPPER LIMB |
| 215.2 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF UPPER LIMB INCLUDING SHOULDER |
| 216.6 | BENIGN NEOPLASM OF SKIN OF UPPER LIMB INCLUDING SHOULDER |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 232.6 | CARCINOMA IN SITU OF SKIN OF UPPER LIMB INCLUDING SHOULDER |
| 238.0 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE |
| 239.2 | NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN |
| 333.84 | ORGANIC WRITERS' CRAMP |
| 354.0 - 354.5 | CARPAL TUNNEL SYNDROME - MONONEURITIS MULTIPLEX |
| 359.21 - 359.24 | MYOTONIC MUSCULAR DYSTROPHY - DRUG INDUCED MYOTONIA |
| 359.29 | OTHER SPECIFIED MYOTONIC DISORDER |
| 359.3 | PERIODIC PARALYSIS |
| 440.0 | ATHEROSCLEROSIS OF AORTA |
| 440.20 - 440.29 | ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED - OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES |
| 442.0 | ANEURYSM OF ARTERY OF UPPER EXTREMITY |
| 443.9 | PERIPHERAL VASCULAR DISEASE UNSPECIFIED |
| 444.21 | ARTERIAL EMBOLISM AND THROMBOSIS OF UPPER EXTREMITY |
| 447.1 | STRICTURE OF ARTERY |
| 457.0 | POSTMASTECTOMY LYMPHEDEMA SYNDROME |
| 457.1 | OTHER LYMPHEDEMA |
| 682.3 | CELLULITIS AND ABSCESS OF UPPER ARM AND FOREARM |
| 682.4 | CELLULITIS AND ABSCESS OF HAND EXCEPT FINGERS AND THUMB |
| 711.01 - 711.04 | PYOGENIC ARTHRITIS INVOLVING SHOULDER REGION - PYOGENIC ARTHRITIS INVOLVING HAND |
| 715.00 | OSTEOARTHROSIS GENERALIZED INVOLVING UNSPECIFIED SITE |
| 715.04 | OSTEOARTHROSIS GENERALIZED INVOLVING HAND |
| 715.09 | OSTEOARTHROSIS GENERALIZED INVOLVING MULTIPLE SITES |
| 715.10 - 715.14 | OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING UNSPECIFIED SITE - OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING HAND |
| 715.20 - 715.24 | OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING UNSPECIFIED SITE - OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING HAND |
| 715.30 - 715.34 | OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING UNSPECIFIED SITE - OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING HAND |
| 715.80 | OSTEOARTHROSIS INVOLVING OR WITH MORE THAN ONE SITE BUT NOT SPECIFIED AS GENERALIZED AND INVOLVING UNSPECIFIED SITE |
| 715.89 | OSTEOARTHROSIS INVOLVING OR WITH MULTIPLE SITES BUT NOT SPECIFIED AS GENERALIZED |
| 715.90 - 715.94 | OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING UNSPECIFIED SITE - OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING HAND |
| 716.11 - 716.14 | TRAUMATIC ARTHROPATHY INVOLVING SHOULDER REGION - TRAUMATIC ARTHROPATHY INVOLVING HAND |
| 718.00 - 718.04 | ARTICULAR CARTILAGE DISORDER SITE UNSPECIFIED - ARTICULAR CARTILAGE DISORDER INVOLVING HAND |
| 718.10 - 718.14 | LOOSE BODY IN JOINT SITE UNSPECIFIED - LOOSE BODY IN HAND JOINT |
| 718.20 - 718.24 | PATHOLOGICAL DISLOCATION OF JOINT SITE UNSPECIFIED - PATHOLOGICAL DISLOCATION OF HAND JOINT |
| 718.30 - 718.34 | RECURRENT DISLOCATION OF JOINT SITE UNSPECIFIED - RECURRENT DISLOCATION OF HAND JOINT |
| 718.40 - 718.44 | CONTRACTURE OF JOINT SITE UNSPECIFIED - CONTRACTURE OF HAND JOINT |
| 718.50 - 718.54 | ANKYLOSIS OF JOINT SITE UNSPECIFIED - ANKYLOSIS OF HAND JOINT |
| 718.70 - 718.74 | DEVELOPMENTAL DISLOCATION OF JOINT SITE UNSPECIFIED - DEVELOPMENTAL DISLOCATION OF JOINT HAND |
| 718.80 - 718.84 | OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING UNSPECIFIED SITE - OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING HAND |
| 718.90 - 718.94 | UNSPECIFIED DERANGEMENT OF JOINT SITE UNSPECIFIED - UNSPECIFIED DERANGEMENT OF HAND JOINT |
| 719.01 - 719.04 | EFFUSION OF JOINT OF SHOULDER REGION - EFFUSION OF HAND JOINT |
| 719.11 - 719.14 | HERARTHROSIS INVOLVING SHOULDER REGION - HEMARTHROSIS INVOLVING HAND |
| 719.21 - 719.24 | VILLONODULAR SYNOVITIS INVOLVING SHOULDER REGION - VILLONODULAR SYNOVITIS INVOLVING HAND |
| 719.41 - 719.44 | PAIN IN JOINT INVOLVING SHOULDER REGION - PAIN IN JOINT INVOLVING HAND |
| 726.0 | ADHESIVE CAPSULITIS OF SHOULDER |
| 726.10 - 726.12 | DISORDERS OF BURSAE AND TENDONS IN SHOULDER REGION UNSPECIFIED - BICIPITAL TENOSYNOVITIS |
| 726.13 | PARTIAL TEAR OF ROTATOR CUFF |
| 726.19 | OTHER SPECIFIED DISORDERS OF BURSAE AND TENDONS IN SHOULDER REGION |
| 726.2 | OTHER AFFECTIONS OF SHOULDER REGION NOT ELSEWHERE CLASSIFIED |
| 726.30 - 726.33 | ENTHESOPATHY OF ELBOW UNSPECIFIED - OLECRANON BURSITIS |
| 727.02 - 727.05 | GIANT CELL TUMOR OF TENDON SHEATH - OTHER TENOSYNOVITIS OF HAND AND WRIST |
| 727.40 - 727.42 | SYNOVIAL CYST UNSPECIFIED - GANGLION OF TENDON SHEATH |
| 727.61 - 727.64 | COMPLETE RUPTURE OF ROTATOR CUFF - NONTRAUMATIC RUPTURE OF FLEXOR TENDONS OF HAND AND WRIST |
| 729.5 | PAIN IN LIMB |
| 729.81 | SWELLING OF LIMB |
| 730.01 - 730.04 | ACUTE OSTEOMYELITIS INVOLVING SHOULDER REGION - ACUTE OSTEOMYELITIS INVOLVING HAND |
| 730.11 - 730.14 | CHRONIC OSTEOMYELITIS INVOLVING SHOULDER REGION - CHRONIC OSTEOMYELITIS INVOLVING HAND |
| 730.20 - 730.24 | UNSPECIFIED OSTEOMYELITIS SITE UNSPECIFIED - UNSPECIFIED OSTEOMYELITIS INVOLVING HAND |
| 733.00 - 733.09 | OSTEOPOROSIS UNSPECIFIED - OTHER OSTEOPOROSIS |
| 733.11 | PATHOLOGICAL FRACTURE OF HUMERUS |
| 733.12 | PATHOLOGICAL FRACTURE OF DISTAL RADIUS AND ULNA |
| 733.20 - 733.22 | CYST OF BONE (LOCALIZED) UNSPECIFIED - ANEURYSMAL BONE CYST |
| 733.40 | ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED |
| 733.41 | ASEPTIC NECROSIS OF HEAD OF HUMERUS |
| 733.81 | MALUNION OF FRACTURE |
| 733.82 | NONUNION OF FRACTURE |
| 733.90 | DISORDER OF BONE AND CARTILAGE UNSPECIFIED |
| 747.63 | UPPER LIMB VESSEL ANOMALY |
| 793.7 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM |
| 810.00 - 819.1 | CLOSED FRACTURE OF CLAVICLE UNSPECIFIED PART - MULTIPLE OPEN FRACTURES INVOLVING BOTH UPPER LIMBS AND UPPER LIMB WITH RIB(S) AND STERNUM |
| 840.0 - 840.9 | ACROMIOCLAVICULAR (JOINT) (LIGAMENT) SPRAIN - SPRAIN OF UNSPECIFIED SITE OF SHOULDER AND UPPER ARM |
| 841.0 - 841.9 | RADIAL COLLATERAL LIGAMENT SPRAIN - SPRAIN OF UNSPECIFIED SITE OF ELBOW AND FOREARM |
| 842.00 - 842.19 | SPRAIN OF UNSPECIFIED SITE OF WRIST - OTHER HAND SPRAIN |
| 927.00 - 927.8 | CRUSHING INJURY OF SHOULDER REGION - CRUSHING INJURY OF MULTIPLE SITES OF UPPER LIMB |
| 959.2 - 959.4 | OTHER AND UNSPECIFIED INJURY TO SHOULDER AND UPPER ARM - OTHER AND UNSPECIFIED INJURY TO HAND EXCEPT FINGER |
| 996.1 | MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.40 - 996.49 | UNSPECIFIED MECHANICAL COMPLICATION OF INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT - OTHER MECHANICAL COMPLICATION OF OTHER INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT |
| 996.62 | INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.68 | INFECTION AND INFLAMMATORY REACTION DUE TO PERITONEAL DIALYSIS CATHETER |
| V10.81 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| 140.0 - 209.79 | MALIGNANT NEOPLASM OF UPPER LIP VERMILION BORDER - SECONDARY NEUROENDOCRINE TUMOR OF OTHER SITES |
| 213.7 | BENIGN NEOPLASM OF LONG BONES OF LOWER LIMB |
| 213.8 | BENIGN NEOPLASM OF SHORT BONES OF LOWER LIMB |
| 215.3 | OTHER BENIGN NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF LOWER LIMB INCLUDING HIP |
| 216.7 | BENIGN NEOPLASM OF SKIN OF LOWER LIMB INCLUDING HIP |
| 228.1 | LYMPHANGIOMA ANY SITE |
| 232.7 | CARCINOMA IN SITU OF SKIN OF LOWER LIMB INCLUDING HIP |
| 238.0 | NEOPLASM OF UNCERTAIN BEHAVIOR OF BONE AND ARTICULAR CARTILAGE |
| 239.2 | NEOPLASM OF UNSPECIFIED NATURE OF BONE SOFT TISSUE AND SKIN |
| 250.70 - 250.73 | DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED - DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED |
| 353.6 | PHANTOM LIMB (SYNDROME) |
| 354.5 | MONONEURITIS MULTIPLEX |
| 355.0 - 355.79 | LESION OF SCIATIC NERVE - OTHER MONONEURITIS OF LOWER LIMB |
| 359.21 - 359.24 | MYOTONIC MUSCULAR DYSTROPHY - DRUG INDUCED MYOTONIA |
| 359.29 | OTHER SPECIFIED MYOTONIC DISORDER |
| 359.3 | PERIODIC PARALYSIS |
| 440.0 | ATHEROSCLEROSIS OF AORTA |
| 440.20 - 440.29 | ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES UNSPECIFIED - OTHER ATHEROSCLEROSIS OF NATIVE ARTERIES OF THE EXTREMITIES |
| 442.2 | ANEURYSM OF ILIAC ARTERY |
| 442.3 | ANEURYSM OF ARTERY OF LOWER EXTREMITY |
| 442.89 | ANEURYSM OF OTHER SPECIFIED SITE |
| 442.9 | OTHER ANEURYSM OF UNSPECIFIED SITE |
| 443.9 | PERIPHERAL VASCULAR DISEASE UNSPECIFIED |
| 444.22 | ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY |
| 447.0 | ARTERIOVENOUS FISTULA ACQUIRED |
| 447.1 | STRICTURE OF ARTERY |
| 457.1 | OTHER LYMPHEDEMA |
| 682.6 | CELLULITIS AND ABSCESS OF LEG EXCEPT FOOT |
| 682.7 | CELLULITIS AND ABSCESS OF FOOT EXCEPT TOES |
| 711.05 - 711.07 | PYOGENIC ARTHRITIS INVOLVING PELVIC REGION AND THIGH - PYOGENIC ARTHRITIS INVOLVING ANKLE AND FOOT |
| 715.00 | OSTEOARTHROSIS GENERALIZED INVOLVING UNSPECIFIED SITE |
| 715.09 | OSTEOARTHROSIS GENERALIZED INVOLVING MULTIPLE SITES |
| 715.10 | OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING UNSPECIFIED SITE |
| 715.15 - 715.17 | OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING PELVIC REGION AND THIGH - OSTEOARTHROSIS LOCALIZED PRIMARY INVOLVING ANKLE AND FOOT |
| 715.20 | OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING UNSPECIFIED SITE |
| 715.25 - 715.27 | OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING PELVIC REGION AND THIGH - OSTEOARTHROSIS LOCALIZED SECONDARY INVOLVING ANKLE AND FOOT |
| 715.30 | OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING UNSPECIFIED SITE |
| 715.35 - 715.37 | OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING PELVIC REGION AND THIGH - OSTEOARTHROSIS LOCALIZED NOT SPECIFIED WHETHER PRIMARY OR SECONDARY INVOLVING ANKLE AND FOOT |
| 715.80 | OSTEOARTHROSIS INVOLVING OR WITH MORE THAN ONE SITE BUT NOT SPECIFIED AS GENERALIZED AND INVOLVING UNSPECIFIED SITE |
| 715.90 | OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING UNSPECIFIED SITE |
| 715.95 - 715.97 | OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING PELVIC REGION AND THIGH - OSTEOARTHROSIS UNSPECIFIED WHETHER GENERALIZED OR LOCALIZED INVOLVING ANKLE AND FOOT |
| 716.15 - 716.17 | TRAUMATIC ARTHROPATHY INVOLVING PELVIC REGION AND THIGH - TRAUMATIC ARTHROPATHY INVOLVING ANKLE AND FOOT |
| 717.0 - 717.3 | OLD BUCKET HANDLE TEAR OF MEDIAL MENISCUS - OTHER AND UNSPECIFIED DERANGEMENT OF MEDIAL MENISCUS |
| 717.40 - 717.49 | DERANGEMENT OF LATERAL MENISCUS UNSPECIFIED - OTHER DERANGEMENT OF LATERAL MENISCUS |
| 717.5 - 717.7 | DERANGEMENT OF MENISCUS NOT ELSEWHERE CLASSIFIED - CHONDROMALACIA OF PATELLA |
| 717.81 - 717.9 | OLD DISRUPTION OF LATERAL COLLATERAL LIGAMENT - UNSPECIFIED INTERNAL DERANGEMENT OF KNEE |
| 718.00 | ARTICULAR CARTILAGE DISORDER SITE UNSPECIFIED |
| 718.05 | ARTICULAR CARTILAGE DISORDER INVOLVING PELVIC REGION AND THIGH |
| 718.07 | ARTICULAR CARTILAGE DISORDER INVOLVING ANKLE AND FOOT |
| 718.09 | ARTICULAR CARTILAGE DISORDER INVOLVING MULTIPLE SITES |
| 718.10 | LOOSE BODY IN JOINT SITE UNSPECIFIED |
| 718.15 | LOOSE BODY IN JOINT OF PELVIC REGION AND THIGH |
| 718.17 | LOOSE BODY IN ANKLE AND FOOT JOINT |
| 718.19 | LOOSE BODY IN JOINT OF MULTIPLE SITES |
| 718.20 | PATHOLOGICAL DISLOCATION OF JOINT SITE UNSPECIFIED |
| 718.25 - 718.27 | PATHOLOGICAL DISLOCATION OF JOINT OF PELVIC REGION AND THIGH - PATHOLOGICAL DISLOCATION OF ANKLE AND FOOT JOINT |
| 718.29 | PATHOLOGICAL DISLOCATION OF JOINT OF MULTIPLE SITES |
| 718.30 | RECURRENT DISLOCATION OF JOINT SITE UNSPECIFIED |
| 718.35 - 718.37 | RECURRENT DISLOCATION OF JOINT OF PELVIC REGION AND THIGH - RECURRENT DISLOCATION OF ANKLE AND FOOT JOINT |
| 718.39 | RECURRENT DISLOCATION OF JOINT OF MULTIPLE SITES |
| 718.40 | CONTRACTURE OF JOINT SITE UNSPECIFIED |
| 718.45 - 718.47 | CONTRACTURE OF JOINT OF PELVIC REGION AND THIGH - CONTRACTURE OF ANKLE AND FOOT JOINT |
| 718.49 | CONTRACTURE OF JOINT OF MULTIPLE SITES |
| 718.50 | ANKYLOSIS OF JOINT SITE UNSPECIFIED |
| 718.55 - 718.57 | ANKYLOSIS OF JOINT OF PELVIC REGION AND THIGH - ANKYLOSIS OF ANKLE AND FOOT JOINT |
| 718.59 | ANKYLOSIS OF JOINT OF MULTIPLE SITES |
| 718.65 | UNSPECIFIED INTRAPELVIC PROTRUSION OF ACETABULUM PELVIC REGION AND THIGH |
| 718.70 | DEVELOPMENTAL DISLOCATION OF JOINT SITE UNSPECIFIED |
| 718.75 - 718.77 | DEVELOPMENTAL DISLOCATION OF JOINT PELVIC REGION AND THIGH - DEVELOPMENTAL DISLOCATION OF JOINT ANKLE AND FOOT |
| 718.79 | DEVELOPMENTAL DISLOCATION OF JOINT MULTIPLE SITES |
| 718.80 | OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING UNSPECIFIED SITE |
| 718.85 - 718.87 | OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING PELVIC REGION AND THIGH - OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING ANKLE AND FOOT |
| 718.89 | OTHER JOINT DERANGEMENT NOT ELSEWHERE CLASSIFIED INVOLVING MULTIPLE SITES |
| 718.90 | UNSPECIFIED DERANGEMENT OF JOINT SITE UNSPECIFIED |
| 718.95 | UNSPECIFIED DERANGEMENT OF JOINT OF PELVIC REGION AND THIGH |
| 718.97 - 718.99 | UNSPECIFIED DERANGEMENT OF ANKLE AND FOOT JOINT - UNSPECIFIED DERANGEMENT OF JOINT OF MULTIPLE SITES |
| 719.05 - 719.07 | EFFUSION OF JOINT OF PELVIC REGION AND THIGH - EFFUSION OF ANKLE AND FOOT JOINT |
| 719.15 - 719.17 | HEMARTHROSIS INVOLVING PELVIC REGION AND THIGH - HEMARTHROSIS INVOLVING ANKLE AND FOOT |
| 719.25 - 719.27 | VILLONODULAR SYNOVITIS INVOLVING PELVIC REGION AND THIGH - VILLONODULAR SYNOVITIS INVOLVING ANKLE AND FOOT |
| 719.40 | PAIN IN JOINT SITE UNSPECIFIED |
| 719.45 - 719.47 | PAIN IN JOINT INVOLVING PELVIC REGION AND THIGH - PAIN IN JOINT INVOLVING ANKLE AND FOOT |
| 726.5 - 726.65 | ENTHESOPATHY OF HIP REGION - PREPATELLAR BURSITIS |
| 726.71 | ACHILLES BURSITIS OR TENDINITIS |
| 727.02 | GIANT CELL TUMOR OF TENDON SHEATH |
| 727.06 | TENOSYNOVITIS OF FOOT AND ANKLE |
| 727.40 - 727.42 | SYNOVIAL CYST UNSPECIFIED - GANGLION OF TENDON SHEATH |
| 727.50 | RUPTURE OF SYNOVIUM UNSPECIFIED |
| 727.51 | SYNOVIAL CYST OF POPLITEAL SPACE |
| 727.65 - 727.68 | NONTRAUMATIC RUPTURE OF QUADRICEPS TENDON - NONTRAUMATIC RUPTURE OF OTHER TENDONS OF FOOT AND ANKLE |
| 727.83 | PLICA SYNDROME |
| 728.3 | OTHER SPECIFIC MUSCLE DISORDERS |
| 729.5 | PAIN IN LIMB |
| 729.81 | SWELLING OF LIMB |
| 730.05 - 730.07 | ACUTE OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH - ACUTE OSTEOMYELITIS INVOLVING ANKLE AND FOOT |
| 730.09 | ACUTE OSTEOMYELITIS INVOLVING MULTIPLE SITES |
| 730.15 - 730.17 | CHRONIC OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH - CHRONIC OSTEOMYELITIS INVOLVING ANKLE AND FOOT |
| 730.19 | CHRONIC OSTEOMYELITIS INVOLVING MULTIPLE SITES |
| 730.25 - 730.27 | UNSPECIFIED OSTEOMYELITIS INVOLVING PELVIC REGION AND THIGH - UNSPECIFIED OSTEOMYELITIS INVOLVING ANKLE AND FOOT |
| 733.00 - 733.09 | OSTEOPOROSIS UNSPECIFIED - OTHER OSTEOPOROSIS |
| 733.14 - 733.16 | PATHOLOGICAL FRACTURE OF NECK OF FEMUR - PATHOLOGICAL FRACTURE OF TIBIA OR FIBULA |
| 733.20 - 733.22 | CYST OF BONE (LOCALIZED) UNSPECIFIED - ANEURYSMAL BONE CYST |
| 733.40 | ASEPTIC NECROSIS OF BONE SITE UNSPECIFIED |
| 733.42 - 733.44 | ASEPTIC NECROSIS OF HEAD AND NECK OF FEMUR - ASEPTIC NECROSIS OF TALUS |
| 733.81 | MALUNION OF FRACTURE |
| 733.82 | NONUNION OF FRACTURE |
| 733.90 | DISORDER OF BONE AND CARTILAGE UNSPECIFIED |
| 747.60 | ANOMALY OF THE PERIPHERAL VASCULAR SYSTEM UNSPECIFIED SITE |
| 747.64 | LOWER LIMB VESSEL ANOMALY |
| 793.7 | NONSPECIFIC (ABNORMAL) FINDINGS ON RADIOLOGICAL AND OTHER EXAMINATION OF MUSCULOSKELETAL SYSTEM |
| 820.00 - 829.1 | FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR CLOSED - FRACTURE OF UNSPECIFIED BONE OPEN |
| 836.0 - 836.2 | TEAR OF MEDIAL CARTILAGE OR MENISCUS OF KNEE CURRENT - OTHER TEAR OF CARTILAGE OR MENISCUS OF KNEE CURRENT |
| 843.0 - 843.9 | ILIOFEMORAL (LIGAMENT) SPRAIN - SPRAIN OF UNSPECIFIED SITE OF HIP AND THIGH |
| 844.0 - 844.9 | SPRAIN OF LATERAL COLLATERAL LIGAMENT OF KNEE - SPRAIN OF UNSPECIFIED SITE OF KNEE AND LEG |
| 845.00 - 845.19 | UNSPECIFIED SITE OF ANKLE SPRAIN - OTHER FOOT SPRAIN |
| 928.00 - 928.8 | CRUSHING INJURY OF THIGH - CRUSHING INJURY OF MULTIPLE SITES OF LOWER LIMB |
| 959.6 | OTHER AND UNSPECIFIED INJURY TO HIP AND THIGH |
| 959.7 | OTHER AND UNSPECIFIED INJURY TO KNEE LEG ANKLE AND FOOT |
| 996.1 | MECHANICAL COMPLICATION OF OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| 996.40 - 996.49 | UNSPECIFIED MECHANICAL COMPLICATION OF INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT - OTHER MECHANICAL COMPLICATION OF OTHER INTERNAL ORTHOPEDIC DEVICE, IMPLANT, AND GRAFT |
| 996.62 | INFECTION AND INFLAMMATORY REACTION DUE TO OTHER VASCULAR DEVICE IMPLANT AND GRAFT |
| V10.81 | PERSONAL HISTORY OF MALIGNANT NEOPLASM OF BONE |
| V67.00 | FOLLOW-UP EXAMINATION FOLLOWING UNSPECIFIED SURGERY |
| V67.09 | FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY |
| V67.1 | FOLLOW-UP EXAMINATION FOLLOWING RADIOTHERAPY |
| V67.2 | FOLLOW-UP EXAMINATION FOLLOWING CHEMOTHERAPY |
| XX000 | Not Applicable |
Diagnoses that Support Medical Necessity
Any diagnosis listed above
ICD-9 Codes that DO NOT Support Medical Necessity
Any diagnosis NOT listed above
ICD-9 Codes that DO NOT Support Medical Necessity Asterisk Explanation
Diagnoses that DO NOT Support Medical Necessity
Any diagnosis not listed above
General Information
1. Physician's
Services and diagnostic tests must be submitted with an ICD-9 code to
support medical necessity and must be coded to the greatest level of
accuracy and highest level of digit completeness. This means the
precise ICD-9 code that fully explains the narrative description of the
diagnosis contained in the medical record or test interpretation and
report including the 4th or 5th digit sub classification for the
diagnosis category. The ICD-9 code based on the results of the test
should be the primary diagnosis. If the diagnostic test results are
normal or inconclusive the ICD-9 code representing the sign, symptom,
illness or injury prompting the ordering of the test should be reported
as the primary diagnosis. In the absence of signs, symptoms, illness or
injury a screening ICD-9 code should be reported, and payment will be
denied.
2. Medical records should be legible, contain the relevant history, physical findings conforming to the criteria stated in the "Indications and Limitations of Coverage/Medical Necessity" section of this policy, and must be made available to the Carrier on request.
Appendices
2. Medical records should be legible, contain the relevant history, physical findings conforming to the criteria stated in the "Indications and Limitations of Coverage/Medical Necessity" section of this policy, and must be made available to the Carrier on request.
1. It is recognized
that in some instances both CT and MRI/MRA studies may be indicated if
medical necessity is demonstrated and clearly documented.
2. Coverage is limited to CAT units that have received FDA approval and for conditions and body sites specified.
3. The frequency of the performance of this exam must be reasonable, medically necessary and the reason for repeat or additional procedures should be documented in the patient's medical record.
Sources of Information and Basis for Decision
2. Coverage is limited to CAT units that have received FDA approval and for conditions and body sites specified.
3. The frequency of the performance of this exam must be reasonable, medically necessary and the reason for repeat or additional procedures should be documented in the patient's medical record.
Annals of Internal Medicine, May, 1994; 120:10: pp 856-875
Publication 100-3, Ch. 1, Part 4, §220.1
Standard Radiology Text.
Advisory Committee Meeting Notes
Publication 100-3, Ch. 1, Part 4, §220.1
Standard Radiology Text.
See companion
document titled Billing and Coding Guidelines for Computerized
Tomography (CAT Scans) (RAD-033).
This LCD consolidates and replaces all previous policies and publications on this topic by the carrier and fiscal intermediary predecessors of Wisconsin Physician Services.
For claims submitted to the fiscal intermediary; This coverage determination also applies within states outside the primary geographic jurisdiction with facilities that have nominated Wisconsin Physician Services (formerly Mutual of Omaha) to process their claims
This policy does not reflect the sole opinion of the Contractor Medical Director. Although the final decision rests with the contractor, this policy was developed in cooperation with the Carrier Advisory Committee, which includes representatives from multiple medical specialties.
Meeting Date:
Wisconsin: 09/26/2008
Illinois: 09/17/2008
Michigan: 09/24/2008
Minnesota: 09/11/2008
Iowa 10/16/2008
Kansas 10/16/2008
Missouri 10/17/2008
Nebraska 10/16/2008
This LCD consolidates and replaces all previous policies and publications on this topic by the carrier and fiscal intermediary predecessors of Wisconsin Physician Services.
For claims submitted to the fiscal intermediary; This coverage determination also applies within states outside the primary geographic jurisdiction with facilities that have nominated Wisconsin Physician Services (formerly Mutual of Omaha) to process their claims
This policy does not reflect the sole opinion of the Contractor Medical Director. Although the final decision rests with the contractor, this policy was developed in cooperation with the Carrier Advisory Committee, which includes representatives from multiple medical specialties.
Meeting Date:
Wisconsin: 09/26/2008
Illinois: 09/17/2008
Michigan: 09/24/2008
Minnesota: 09/11/2008
Iowa 10/16/2008
Kansas 10/16/2008
Missouri 10/17/2008
Nebraska 10/16/2008
Start Date of Comment Period
10/18/2008
End Date of Comment Period
12/03/2008
Start Date of Notice Period
02/05/2009
Revision History Number
X
Revision History Explanation
03/01/2010, Addition
of ICD-9 code 959.01 to cervical spine section (72125-72127) effective
01/01/2010 (four)
*10/01/2009, ICD-9 2010 update (three);
09/23/2009 Streamlined to include all appropriate ICD-9 groups in format accessible via CMS MCD.
08/17/2009 Corrected ABDOMEN AND PELVIS (72191-72194, 74150-74175, 75635)Infectious and Parasitic Disease
ICD-9 Group 70:Diseases of Arteries, Veins, Lymphatic to show 440.30 not 440.30-440.32.
Correctly removed contract number 05392 effective 8/1/2009, as it is being combined with contractor number 05302 (WPS Part B MAC Missouri - Entire State.) JS 07/30/09
08/08/2009 - This policy was updated by the ICD-9 2009-2010 Annual Update.
*08/01/2009, For all CPT/HCPCS Codes found in this policy (70450-70498, 71250-71270, 72125-72133, 72191-72194, 73200-73206, 73700-73706, 74150-74175 and 75635) completed as payable diagnoses, the entire malignancy ICD-9 coding range from 140.0 209.30. Effective 03/25/2009, formatting changes (two); 7/01/2009, For CPT range 71250-71270 corrected ICD-9 Coding range 154.0 154.8, 610.0-610.9, and 611.0-611.89. Expanded ICD-9 code range 172 series to include 172.0-172.9. For CPT range 72191- 72194, 74150-74175, 75635 added ICD-9 codes 172.0-172.9. For CPT range 72131-72133 corrected ICD-9 code 793.99.Effective 03/25/2009 (one).
04/19/2010-In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of American Somoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands were removed from this LCD because claims processing for those states are transitioning from FI Contractor Wisconsin Physician Services (WPS - 52280) to MAC Part A Contractor Palmetto.
8/1/2010 - The description for Bill Type Code 12 was changed
8/1/2010 - The description for Bill Type Code 13 was changed
8/1/2010 - The description for Bill Type Code 85 was changed
8/1/2010 - The description for Revenue code 0255 was changed
8/1/2010 - The description for Revenue code 0350 was changed
8/1/2010 - The description for Revenue code 0351 was changed
8/1/2010 - The description for Revenue code 0352 was changed
8/1/2010 - The description for Revenue code 0359 was changed
8/1/2010 - The description for Revenue code 0960 was changed
8/1/2010 - The description for Revenue code 0969 was changed
8/1/2010 - The description for Revenue code 0972 was changed
8/1/2010 - The description for Revenue code 0982 was changed
8/1/2010 - The description for Revenue code 0983 was changed
09/06/2010 - This policy was updated by the ICD-9 2010-2011 Annual Update.
*10/01/2010, ICD-9-CM 2011 coding update (five).
10/18/2010 - In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of Colorado, New Mexico, Oklahoma and Texas were removed from this LCD because claims processing for those states are transitioning from FI Wisconsin Physicians Service (52280) to MAC Part A Trailblazer (04901).
11/21/2010 - For the following CPT/HCPCS codes either the short description and/or the long description was changed. Depending on which description is used in this LCD, there may not be any change in how the code displays in the document:
70496 descriptor was changed in Group 1
70498 descriptor was changed in Group 1
*01/01/2011, CPT 2011 update, added new for to the abdomen and pelvis ICD-9 section, 2011 CPT codes 74176, 74177 and 74178 (five).
02/21/2011 - In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania were removed from this LCD because claims processing for these states are transitioning from FI Wisconsin Physician Service (WPS 52280) to MAC Part A contractor Highmark (12901).
04/01/2011, New for 2011 CPT codes 74176, 74177 and 74178, inadvertently omitted from CPT/HCPCS Code line that has all the CPT codes that pertain to this LCD. However, these CPT codes were correctly included in the 2011 update and correctly listed above the ICD-9-CM codes that support medical necessity with the 2011 CPT/HCPCS update (six).
07/01/2011: Addition of ICD-9 codes 358.00 and 358.01 to the CT Chest and Thorax (71250-71270) section. Addition of ICD-9 codes 780.09, V71.4 and V71.89 to the CT Cervical Spine (72125-72127) section. ICD-9 additions effective for DOS 05/01/2011, and thereafter (seven).
08/27/2011 - This policy was updated by the ICD-9 2011-2012 Annual Update.
10/01/2011: ICD-9-CM 2012 update;
HEAD, NECK, FACE, ORBIT, JAW (70450-70498) 173.0 range truncated to 173.00-173.99; Added to range 294.0-294.9 new for 2012 codes 294.20 and 294.21; 310.8 truncated to 310.81 and 310.89; Added to range 331.0-331.9 new for 2012 code 331.6; Added to range 347.00-348.9 new for 2012 code 348.82; Added to range 379.00-379.99 new for 2012 code 379.27; Added new for 2012 codes 999.32, 999.33, and 999.34.
CHEST AND THORAX (71250-71270) 173.0 range truncated to 173.00-173.99; Added new for 2012 code 415.13; 425.1 truncated to 425.11 and 425.18; Added to range 508.0-508.9 new for 2012 code 508.2; Added to range 512.0-512.8 new for 2012 code 512.2; 512.8 truncated to 512.81, 512.82, 512.83, 512.84 and 512.89; 518.5 truncated to 518.51, 518.52 and 518.53; 747.3 truncated to 747.31, 747.32 and 747.39; Added new for 2012 codes 793.11, 793.19 and 997.32; 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
ABDOMEN AND PELVIS (72191- 72194, 74150-74175, 74176, 74177, 74178, 75635) 173.0 range truncated to 173.00-173.99; Added to range 282.0-282.9 new for 2012 codes 282.40, 282.43, 282.44, 282.45, 282.46 and 282.47; 444.0 truncated to 444.01 and 444.09; Added to range 573.0-573.9 new for 2012 code 573.5; 596.8 truncated to 596.81, 596.82, 596.83 and 596.89; Added to range 808.0-808.9 new for 2012 codes 808.44 and 808.54; Added to range 996.86-996.89 new for 2012 code 996.88; Added new for 2012 codes 997.41 and 997.49. 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
CERVICAL SPINE (72125-72127) 173.0 range truncated to 173.00-173.99.
THORACIC SPINE (72128-72130) 173.0 range truncated to 173.00-173.99.
LUMBAR SPINE (72131-72133) 173.0 range truncated to 173.00-173.99.
UPPER EXTREMITY (73200-73206) 173.0 range truncated to 173.00-173.99; Added new for 2012 code 726.13.
LOWER EXTREMITY (73700-73706) 173.0 range truncated to 173.00-173.99. All 2012 ICD-9-CM coding updates effective 10/01/2011.
12/01/2011: ICD-9-CM 2012 update;
CHEST AND THORAX (71250-71270) ICD-9 code 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
LOWER EXTREMITY (73700-73706) ICD-9 code 718.60 deleted, effective 10/01/2011 (nine).
11/21/2011 - The following CPT/HCPCS codes were added to these code ranges:
74174 was added to code range 74150 - 74175 in Group 1
11/21/2011 - For the following CPT/HCPCS codes either the short description and/or the long description was changed. Depending on which description is used in this LCD, there may not be any change in how the code displays in the document:
74176 descriptor was changed in Group 1
74177 descriptor was changed in Group 1
74178 descriptor was changed in Group 1
01/01/2012: CPT 2012 updates. Addition of CPT code 74174 to section ABDOMEN AND PELVIS (72191- 72194, 74150-74175, 74176, 74177, 74178, 75635). Short description changes CPT codes 74176, 74177 and 74178 (ten).
Reason for Change
*10/01/2009, ICD-9 2010 update (three);
09/23/2009 Streamlined to include all appropriate ICD-9 groups in format accessible via CMS MCD.
08/17/2009 Corrected ABDOMEN AND PELVIS (72191-72194, 74150-74175, 75635)Infectious and Parasitic Disease
ICD-9 Group 70:Diseases of Arteries, Veins, Lymphatic to show 440.30 not 440.30-440.32.
Correctly removed contract number 05392 effective 8/1/2009, as it is being combined with contractor number 05302 (WPS Part B MAC Missouri - Entire State.) JS 07/30/09
08/08/2009 - This policy was updated by the ICD-9 2009-2010 Annual Update.
*08/01/2009, For all CPT/HCPCS Codes found in this policy (70450-70498, 71250-71270, 72125-72133, 72191-72194, 73200-73206, 73700-73706, 74150-74175 and 75635) completed as payable diagnoses, the entire malignancy ICD-9 coding range from 140.0 209.30. Effective 03/25/2009, formatting changes (two); 7/01/2009, For CPT range 71250-71270 corrected ICD-9 Coding range 154.0 154.8, 610.0-610.9, and 611.0-611.89. Expanded ICD-9 code range 172 series to include 172.0-172.9. For CPT range 72191- 72194, 74150-74175, 75635 added ICD-9 codes 172.0-172.9. For CPT range 72131-72133 corrected ICD-9 code 793.99.Effective 03/25/2009 (one).
04/19/2010-In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of American Somoa, California, Guam, Hawaii, Nevada and Northern Mariana Islands were removed from this LCD because claims processing for those states are transitioning from FI Contractor Wisconsin Physician Services (WPS - 52280) to MAC Part A Contractor Palmetto.
8/1/2010 - The description for Bill Type Code 12 was changed
8/1/2010 - The description for Bill Type Code 13 was changed
8/1/2010 - The description for Bill Type Code 85 was changed
8/1/2010 - The description for Revenue code 0255 was changed
8/1/2010 - The description for Revenue code 0350 was changed
8/1/2010 - The description for Revenue code 0351 was changed
8/1/2010 - The description for Revenue code 0352 was changed
8/1/2010 - The description for Revenue code 0359 was changed
8/1/2010 - The description for Revenue code 0960 was changed
8/1/2010 - The description for Revenue code 0969 was changed
8/1/2010 - The description for Revenue code 0972 was changed
8/1/2010 - The description for Revenue code 0982 was changed
8/1/2010 - The description for Revenue code 0983 was changed
09/06/2010 - This policy was updated by the ICD-9 2010-2011 Annual Update.
*10/01/2010, ICD-9-CM 2011 coding update (five).
10/18/2010 - In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of Colorado, New Mexico, Oklahoma and Texas were removed from this LCD because claims processing for those states are transitioning from FI Wisconsin Physicians Service (52280) to MAC Part A Trailblazer (04901).
11/21/2010 - For the following CPT/HCPCS codes either the short description and/or the long description was changed. Depending on which description is used in this LCD, there may not be any change in how the code displays in the document:
70496 descriptor was changed in Group 1
70498 descriptor was changed in Group 1
*01/01/2011, CPT 2011 update, added new for to the abdomen and pelvis ICD-9 section, 2011 CPT codes 74176, 74177 and 74178 (five).
02/21/2011 - In accordance with Section 911 of the Medicare Modernization Act of 2003, the states of Delaware, District of Columbia, Maryland, New Jersey and Pennsylvania were removed from this LCD because claims processing for these states are transitioning from FI Wisconsin Physician Service (WPS 52280) to MAC Part A contractor Highmark (12901).
04/01/2011, New for 2011 CPT codes 74176, 74177 and 74178, inadvertently omitted from CPT/HCPCS Code line that has all the CPT codes that pertain to this LCD. However, these CPT codes were correctly included in the 2011 update and correctly listed above the ICD-9-CM codes that support medical necessity with the 2011 CPT/HCPCS update (six).
07/01/2011: Addition of ICD-9 codes 358.00 and 358.01 to the CT Chest and Thorax (71250-71270) section. Addition of ICD-9 codes 780.09, V71.4 and V71.89 to the CT Cervical Spine (72125-72127) section. ICD-9 additions effective for DOS 05/01/2011, and thereafter (seven).
08/27/2011 - This policy was updated by the ICD-9 2011-2012 Annual Update.
10/01/2011: ICD-9-CM 2012 update;
HEAD, NECK, FACE, ORBIT, JAW (70450-70498) 173.0 range truncated to 173.00-173.99; Added to range 294.0-294.9 new for 2012 codes 294.20 and 294.21; 310.8 truncated to 310.81 and 310.89; Added to range 331.0-331.9 new for 2012 code 331.6; Added to range 347.00-348.9 new for 2012 code 348.82; Added to range 379.00-379.99 new for 2012 code 379.27; Added new for 2012 codes 999.32, 999.33, and 999.34.
CHEST AND THORAX (71250-71270) 173.0 range truncated to 173.00-173.99; Added new for 2012 code 415.13; 425.1 truncated to 425.11 and 425.18; Added to range 508.0-508.9 new for 2012 code 508.2; Added to range 512.0-512.8 new for 2012 code 512.2; 512.8 truncated to 512.81, 512.82, 512.83, 512.84 and 512.89; 518.5 truncated to 518.51, 518.52 and 518.53; 747.3 truncated to 747.31, 747.32 and 747.39; Added new for 2012 codes 793.11, 793.19 and 997.32; 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
ABDOMEN AND PELVIS (72191- 72194, 74150-74175, 74176, 74177, 74178, 75635) 173.0 range truncated to 173.00-173.99; Added to range 282.0-282.9 new for 2012 codes 282.40, 282.43, 282.44, 282.45, 282.46 and 282.47; 444.0 truncated to 444.01 and 444.09; Added to range 573.0-573.9 new for 2012 code 573.5; 596.8 truncated to 596.81, 596.82, 596.83 and 596.89; Added to range 808.0-808.9 new for 2012 codes 808.44 and 808.54; Added to range 996.86-996.89 new for 2012 code 996.88; Added new for 2012 codes 997.41 and 997.49. 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
CERVICAL SPINE (72125-72127) 173.0 range truncated to 173.00-173.99.
THORACIC SPINE (72128-72130) 173.0 range truncated to 173.00-173.99.
LUMBAR SPINE (72131-72133) 173.0 range truncated to 173.00-173.99.
UPPER EXTREMITY (73200-73206) 173.0 range truncated to 173.00-173.99; Added new for 2012 code 726.13.
LOWER EXTREMITY (73700-73706) 173.0 range truncated to 173.00-173.99. All 2012 ICD-9-CM coding updates effective 10/01/2011.
12/01/2011: ICD-9-CM 2012 update;
CHEST AND THORAX (71250-71270) ICD-9 code 998.0 truncated to 998.00, 998.01, 998.02 and 998.09.
LOWER EXTREMITY (73700-73706) ICD-9 code 718.60 deleted, effective 10/01/2011 (nine).
11/21/2011 - The following CPT/HCPCS codes were added to these code ranges:
74174 was added to code range 74150 - 74175 in Group 1
11/21/2011 - For the following CPT/HCPCS codes either the short description and/or the long description was changed. Depending on which description is used in this LCD, there may not be any change in how the code displays in the document:
74176 descriptor was changed in Group 1
74177 descriptor was changed in Group 1
74178 descriptor was changed in Group 1
01/01/2012: CPT 2012 updates. Addition of CPT code 74174 to section ABDOMEN AND PELVIS (72191- 72194, 74150-74175, 74176, 74177, 74178, 75635). Short description changes CPT codes 74176, 74177 and 74178 (ten).
HCPCS Addition/Deletion
Related Documents
This LCD has no Related Documents.
LCD Attachments
Coding & Billing Guidelines 7/1/11 (PDF - 15 KB )
NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now.
Page Last Updated: Thursday, 26-Jan-2012 10:29:08 CST
Home |
Web Help |
Feedback |
About WPS
© Wisconsin Physicians Service Insurance Corporation | All Rights Reserved
Privacy Statement | Legal Disclaimer
