CSHCS
Children’s Special Health Care Services
Children’s Special Health Care Services (CSHCS) is a program within the Michigan Department of Health and Human Services (MDHHS). It is for children and some adults with health care needs and their families. CSHCS members do not have any copayments.
Upper Peninsula Health Plan (UPHP) Medicaid and Healthy Michigan Plan CSHCS members can learn more about their core benefits here.
Four things decide whether someone is eligible for CSHCS:
- Residency – You must be a Michigan resident.
- Citizenship – You must be a United States citizen or a documented noncitizen.
- Age – Effective October 1, 2023, clients must have a health condition that qualifies them and be 25 years old or younger. Persons 26 years and older with cystic fibrosis or certain hereditary blood-coagulation disorders commonly known as hemophilia may also qualify.
- Qualifying Medical Condition – MDHHS medical consultants review each case to decide if someone is eligible. More than 2,500 diagnoses may be eligible.
CSHCS Services Diagnosis Code List
ICD-10 Code | Description | Medical Review Period | Code End Date | Code Begin Date | |
---|---|---|---|---|---|
A1854 | Tuberculous iridocyclitis | 2 | |||
A507 | Late congenital syphilis, unspecified | 5 | |||
A925 | Zika virus disease | 2 | 01/01/2016 | ||
B20 | Human immunodeficiency virus [HIV] disease | 5 | |||
B259 | Cytomegaloviral disease, unspecified | 5 | |||
B393 | Disseminated histoplasmosis capsulati | 2 | |||
B399 | Histoplasmosis, unspecified | 2 | |||
B900 | Sequelae of central nervous system tuberculosis | 5 | |||
B902 | Sequelae of tuberculosis of bones and joints | 3 | |||
B909 | Sequelae of respiratory and unspecified tuberculosis | 3 | |||
B91 | Sequelae of poliomyelitis | 5 | |||
B941 | Sequelae of viral encephalitis | 5 | |||
B942 | Sequelae of viral hepatitis | 2 | |||
B948 | Sequelae of other specified infectious and parasitic diseases | 2 | |||
C029 | Malignant neoplasm of tongue, unspecified | 5 | |||
C039 | Malignant neoplasm of gum, unspecified | 5 | |||
C051 | Malignant neoplasm of soft palate | 5 | |||
C080 | Malignant neoplasm of submandibular gland | 5 | |||
C089 | Malignant neoplasm of major salivary gland, unspecified | 5 | |||
C118 | Malignant neoplasm of overlapping sites of nasopharynx | 5 | |||
C119 | Malignant neoplasm of nasopharynx, unspecified | 5 | |||
C169 | Malignant neoplasm of stomach, unspecified | 5 | |||
C179 | Malignant neoplasm of small intestine, unspecified | 5 | |||
C188 | Malignant neoplasm of overlapping sites of colon | 5 | |||
C189 | Malignant neoplasm of colon, unspecified | 5 | |||
C19 | Malignant neoplasm of rectosigmoid junction | 5 | |||
C210 | Malignant neoplasm of anus, unspecified | 5 | |||
C220 | Liver cell carcinoma | 5 | |||
C222 | Hepatoblastoma | 5 | |||
C223 | Angiosarcoma of liver | 5 | |||
C224 | Other sarcomas of liver | 5 | |||
C227 | Other specified carcinomas of liver | 5 | |||
C228 | Malignant neoplasm of liver, primary, unspecified as to type | 5 | |||
C229 | Malignant neoplasm of liver, not specified as primary or secondary | 5 | |||
C249 | Malignant neoplasm of biliary tract, unspecified | 5 | |||
C252 | Malignant neoplasm of tail of pancreas | 5 | |||
C254 | Malignant neoplasm of endocrine pancreas | 5 | |||
C259 | Malignant neoplasm of pancreas, unspecified | 5 | |||
C300 | Malignant neoplasm of nasal cavity | 5 | |||
C319 | Malignant neoplasm of acessory sinus, unspecified | 5 | |||
C329 | Malignant neoplasm of larynx, unspecified | 5 | |||
C3490 | Malignant neoplasm of unspecified part of unspecified bronchus or lung | 5 | |||
C380 | Malignant neoplasm of heart | 5 | |||
C383 | Malignant neoplasm of mediastinum, part unspecified | 5 | |||
C384 | Malignant neoplasm of pleura | 5 | |||
C4010 | Malignant neoplasm of short bones of unspecified upper limb | 5 | |||
C4020 | Malignant neoplasm of long bones of unspecified lower limb | 5 | |||
C4030 | Malignant neoplasm of short bones of unspecified lower limb | 5 | |||
C4080 | Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb | 5 | |||
C410 | Malignant neoplasm of bones of skull and face | 5 | |||
C411 | Malignant neoplasm of mandible | 5 | |||
C412 | Malignant neoplasm of vertebral column | 5 | |||
C413 | Malignant neoplasm of ribs, sternum and clavicle | 5 | |||
C414 | Malignant neoplasm of pelvic bones, sacrum and coccyx | 5 | |||
C419 | Malignant neoplasm of bone and articular cartilage, unspecified | 5 | |||
C4370 | Malignant melanoma of unspecified lower limb, including hip | 5 | |||
C439 | Malignant melanoma of skin, unspecified | 5 | |||
C44201 | Unspecified malignant neoplasm of skin of unspecified ear and external auricular canal | 5 | |||
C44291 | Other specified malignant neoplasm of skin of unspecified ear and external auricular canal | 5 | |||
C44300 | Unspecified malignant neoplasm of skin of unspecified part of face | 5 | |||
C44301 | Unspecified malignant neoplasm of skin of nose | 5 | |||
C44309 | Unspecified malignant neoplasm of skin of other parts of face | 5 | |||
C44390 | Other specified malignant neoplasm of skin of unspecified parts of face | 5 | |||
C44391 | Other specified malignant neoplasm of skin of nose | 5 | |||
C44399 | Other specified malignant neoplasm of skin of other parts of face | 5 | |||
C4490 | Unspecified malignant neoplasm of skin, unspecified | 5 | |||
C4491 | Basal cell carcinoma of skin, unspecified | 5 | |||
C4492 | Squamous cell carcinoma of skin, unspecified | 5 | |||
C4499 | Other specified malignant neoplasm of skin, unspecified | 5 | |||
C457 | Mesothelioma of other sites | 5 | |||
C459 | Mesothelioma, unspecified | 2 | |||
C470 | Malignant neoplasm of peripheral nerves of head, face and neck | 5 | |||
C4710 | Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder | 5 | |||
C4720 | Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip | 5 | |||
C473 | Malignant neoplasm of peripheral nerves of thorax | 5 | |||
C474 | Malignant neoplasm of peripheral nerves of abdomen | 5 | |||
C475 | Malignant neoplasm of peripheral nerves of pelvis | 5 | |||
C476 | Malignant neoplasm of peripheral nerves of trunk, unspecified | 5 | |||
C478 | Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system | 5 | |||
C479 | Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified | 5 | |||
C480 | Malignant neoplasm of retroperitoneum | 5 | |||
C490 | Malignant neoplasm of connective and soft tissue of head, face and neck | 5 | |||
C4910 | Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder | 5 | |||
C4920 | Malignant neoplasm of connective and soft tissue of unspecified lower limb, including hip | 5 | |||
C493 | Malignant neoplasm of connective and soft tissue of thorax | 5 | |||
C494 | Malignant neoplasm of connective and soft tissue of abdomen | 5 | |||
C495 | Malignant neoplasm of connective and soft tissue of pelvis | 5 | |||
C496 | Malignant neoplasm of connective and soft tissue of trunk, unspecified | 5 | |||
C498 | Malignant neoplasm of overlapping sites of connective and soft tissue | 5 | |||
C499 | Malignant neoplasm of connective and soft tissue, unspecified | 5 | |||
C50919 | Malignant neoplasm of unspecified site of unspecified female breast | 5 | |||
C519 | Malignant neoplasm of vulva, unspecified | 5 | |||
C52 | Malignant neoplasm of vagina | 5 | |||
C538 | Malignant neoplasm of overlapping sites of cervix uteri | 5 | |||
C539 | Malignant neoplasm of cervix uteri, unspecified | 5 | |||
C569 | Malignant neoplasm of unspecified ovary | 5 | |||
C574 | Malignant neoplasm of uterine adnexa, unspecified | 5 | |||
C58 | Malignant neoplasm of placenta | 5 | |||
C6290 | Malignant neoplasm of unspecified testis, unspecified whether descended or undescended | 5 | |||
C639 | Malignant neoplasm of male genital organ, unspecified | 5 | |||
C649 | Malignant neoplasm of unspecified kidney, except renal pelvis | 5 | |||
C679 | Malignant neoplasm of bladder, unspecified | 5 | |||
C6920 | Malignant neoplasm of unspecified retina | 5 | |||
C6960 | Malignant neoplasm of unspecified orbit | 5 | |||
C6980 | Malignant neoplasm of overlapping sites of unspecified eye and adnexa | 5 | |||
C6990 | Malignant neoplasm of unspecified site of unspecified eye | 5 | |||
C701 | Malignant neoplasm of spinal meninges | 5 | |||
C710 | Malignant neoplasm of cerebrum, except lobes and ventricles | 5 | |||
C717 | Malignant neoplasm of brain stem | 5 | |||
C718 | Malignant neoplasm of overlapping sites of brain | 5 | |||
C719 | Malignant neoplasm of brain, unspecified | 5 | |||
C720 | Malignant neoplasm of spinal cord | 5 | |||
C7230 | Malignant neoplasm of unspecified optic nerve | 5 | |||
C7250 | Malignant neoplasm of unspecified cranial nerve | 5 | |||
C7259 | Malignant neoplasm of other cranial nerves | 5 | |||
C729 | Malignant neoplasm of central nervous system, unspecified | 5 | |||
C73 | Malignant neoplasm of thyroid gland | 5 | |||
C7400 | Malignant neoplasm of cortex of unspecified adrenal gland | 5 | |||
C7410 | Malignant neoplasm of medulla of unspecified adrenal gland | 5 | |||
C7490 | Malignant neoplasm of unspecified part of unspecified adrenal gland | 5 | |||
C751 | Malignant neoplasm of pituitary gland | 5 | |||
C752 | Malignant neoplasm of craniopharyngeal duct | 5 | |||
C753 | Malignant neoplasm of pineal gland | 5 | |||
C755 | Malignant neoplasm of aortic body and other paraganglia | 5 | |||
C760 | Malignant neoplasm of head, face and neck | 5 | |||
C761 | Malignant neoplasm of thorax | 5 | |||
C762 | Malignant neoplasm of abdomen | 5 | |||
C763 | Malignant neoplasm of pelvis | 5 | |||
C7640 | Malignant neoplasm of unspecified upper limb | 5 | |||
C7650 | Malignant neoplasm of unspecified lower limb | 5 | |||
C768 | Malignant neoplasm of other specified ill-defined sites | 5 | |||
C775 | Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes | 5 | |||
C778 | Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions | 5 | |||
C779 | Secondary and unspecified malignant neoplasm of lymph node, unspecified | 5 | |||
C7800 | Secondary malignant neoplasm of unspecified lung | 5 | |||
C787 | Secondary malignant neoplasm of liver and intrahepatic bile duct | 5 | |||
C7931 | Secondary malignant neoplasm of brain | 5 | |||
C7989 | Secondary malignant neoplasm of other specified sites | 5 | |||
C799 | Secondary malignant neoplasm of unspecified site | 5 | |||
C7A090 | Malignant carcinoid tumor of the bronchus and lung | 5 | |||
C7A095 | Malignant carcinoid tumor of the midgut NOS | 5 | |||
C800 | Disseminated malignant neoplasm, unspecified | 5 | |||
C801 | Malignant (primary) neoplasm, unspecified | 2 | |||
C8100 | Nodular lymphocyte predominant Hodgkin lymphoma, unspecified site | 5 | |||
C8109 | Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites | 5 | |||
C8110 | Nodular sclerosis classical Hodgkin lymphoma, unspecified site | 5 | |||
C8121 | Mixed cellular classical Hodgkin lymphoma, lymph nodes of head, face, and neck | 5 | |||
C8130 | Lymphocyte depleted classical Hodgkin lymphoma, unspecified site | 5 | |||
C8140 | Lymphocyte-rich classical Hodgkin lymphoma, unspecified site | 5 | |||
C8190 | Hodgkin lymphoma, unspecified, unspecified site | 5 | |||
C8200 | Follicular lymphoma grade I, unspecified site | 5 | |||
C8210 | Follicular lymphoma grade II, unspecified site | 5 | |||
C8220 | Follicular lymphoma grade III, unspecified, unspecified site | 5 | |||
C8230 | Follicular lymphoma grade IIIa, unspecified site | 5 | |||
C8240 | Follicular lymphoma grade IIIb, unspecified site | 5 | |||
C8250 | Diffuse follicle center lymphoma, unspecified site | 5 | |||
C8260 | Cutaneous follicle center lymphoma, unspecified site | 5 | |||
C8280 | Other types of follicular lymphoma, unspecified site | 5 | |||
C8290 | Follicular lymphoma, unspecified, unspecified site | 5 | |||
C8300 | Small cell B-cell lymphoma, unspecified site | 5 | |||
C8330 | Diffuse large B-cell lymphoma, unspecified site | 5 | |||
C8350 | Lymphoblastic (diffuse) lymphoma, unspecified site | 5 | |||
C8351 | Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck | 5 | |||
C8352 | Lymphoblastic (diffuse) lymphoma, intrathoracic lymph nodes | 5 | |||
C8370 | Burkitt lymphoma, unspecified site | 5 | |||
C8378 | Burkitt lymphoma, lymph nodes of multiple sites | 5 | |||
C8380 | Other non-follicular lymphoma, unspecified site | 5 | |||
C8390 | Non-follicular (diffuse) lymphoma, unspecified, unspecified site | 5 | |||
C8400 | Mycosis fungoides, unspecified site | 5 | |||
C8408 | Mycosis fungoides, lymph nodes of multiple sites | 5 | |||
C8410 | Sezary disease, unspecified site | 5 | |||
C8440 | Peripheral T-cell lymphoma, not classified, unspecified site | 5 | |||
C8448 | Peripheral T-cell lymphoma, not classified, lymph nodes of multiple sites | 5 | |||
C8460 | Anaplastic large cell lymphoma, ALK-positive, unspecified site | 5 | |||
C8470 | Anaplastic large cell lymphoma, ALK-negative, unspecified site | 5 | |||
C8490 | Mature T/NK-cell lymphomas, unspecified, unspecified site | 5 | |||
C84A0 | Cutaneous T-cell lymphoma, unspecified, unspecified site | 5 | |||
C84Z0 | Other mature T/NK-cell lymphomas, unspecified site | 5 | |||
C8510 | Unspecified B-cell lymphoma, unspecified site | 5 | |||
C8520 | Mediastinal (thymic) large B-cell lymphoma, unspecified site | 5 | |||
C8580 | Other specified types of non-Hodgkin lymphoma, unspecified site | 5 | |||
C8590 | Non-Hodgkin lymphoma, unspecified, unspecified site | 5 | |||
C860 | Extranodal NK/T-cell lymphoma, nasal type | 5 | |||
C861 | Hepatosplenic T-cell lymphoma | 5 | |||
C862 | Enteropathy-type (intestinal) T-cell lymphoma | 5 | |||
C863 | Subcutaneous panniculitis-like T-cell lymphoma | 5 | |||
C864 | Blastic NK-cell lymphoma | 5 | |||
C865 | Angioimmunoblastic T-cell lymphoma | 5 | |||
C866 | Primary cutaneous CD30-positive T-cell proliferations | 5 | |||
C882 | Heavy chain disease | 5 | |||
C883 | Immunoproliferative small intestinal disease | 5 | |||
C884 | Extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue [MALT-lymphoma] | 5 | |||
C888 | Other malignant immunoproliferative diseases | 2 | |||
C889 | Malignant immunoproliferative disease, unspecified | 5 | |||
C9000 | Multiple myeloma not having achieved remission | 5 | |||
C9001 | Multiple myeloma in remission | 5 | |||
C9002 | Multiple myeloma in relapse | 5 | |||
C9010 | Plasma cell leukemia not having achieved remission | 5 | |||
C9011 | Plasma cell leukemia in remission | 5 | |||
C9012 | Plasma cell leukemia in relapse | 5 | |||
C9020 | Extramedullary plasmacytoma not having achieved remission | 5 | |||
C9021 | Extramedullary plasmacytoma in remission | 5 | |||
C9022 | Extramedullary plasmacytoma in relapse | 5 | |||
C9030 | Solitary plasmacytoma not having achieved remission | 5 | |||
C9031 | Solitary plasmacytoma in remission | 5 | |||
C9032 | Solitary plasmacytoma in relapse | 5 | |||
C9100 | Acute lymphoblastic leukemia not having achieved remission | 5 | |||
C9101 | Acute lymphoblastic leukemia, in remission | 5 | |||
C9102 | Acute lymphoblastic leukemia, in relapse | 5 | |||
C9110 | Chronic lymphocytic leukemia of B-cell type not having achieved remission | 5 | |||
C9111 | Chronic lymphocytic leukemia of B-cell type in remission | 5 | |||
C9112 | Chronic lymphocytic leukemia of B-cell type in relapse | 5 | |||
C9130 | Prolymphocytic leucemia of B-cell tympe not having achieved remission | 5 | |||
C9131 | Prolymphocytic leukemia of B-cell type, in remission | 5 | |||
C9132 | Prolymphocytic leukemia of B-cell type, in relapse | 5 | |||
C9140 | Hairy cell leukemia, not having achieved remission | 5 | |||
C9141 | Hairy cell leukemia, in remission | 5 | |||
C9142 | Hairy cell leukemia, in relapse | 5 | |||
C9190 | Lymphoid leukemia, unspecified not having achieved remission | 5 | |||
C9191 | Lymphoid leukemia, unspecified, in remission | 5 | |||
C9192 | Lymphoid leukemia, uspecified, in relapse | 5 | |||
C91Z0 | Other lymphoid leukemia not having achieved remission | 5 | |||
C9200 | Acute myeloblastic leukemia, not having achieved remission | 5 | |||
C9201 | Acute myeloblastic leukemia, in remission | 5 | |||
C9202 | Acute myeloblastic leukemia, in relapse | 5 | |||
C9210 | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission | 5 | |||
C9211 | Chronic myeloid leukemia, BCR/ABL-positive, in remission | 5 | |||
C9212 | Chronic myeloid leukemia, BCR/ABL-positive in relapse | 5 | |||
C9220 | Atypical chronic myeloid leukemia BCR/ABL-negative, not having achieved remission | 5 | |||
C9221 | Atypical chronic myeloid leukemia BCR/ABL-negative, in remission | 5 | |||
C9222 | Atypical chronic myeloid leukemia BCR/ABL-negative, in relapse | 5 | |||
C9230 | Myeloid sarcoma, not having achieved remission | 5 | |||
C9240 | Acute promyelocytic leukemia, not having achieved remission | 5 | |||
C9241 | Acute promyelocytic leukemia, in remission | 5 | |||
C9242 | Acute promyelocytic leukemia, in relapse | 5 | |||
C9250 | Acute myelomonocytic leukemia, not having achieved remission | 5 | |||
C9251 | Acute myelomonocytic leukemia, in remission | 5 | |||
C9252 | Acute myelomonocytic leukemia, in relapse | 5 | |||
C9260 | Acute myeloid leukemia with 11q23-abnormality not having achieved remission | 5 | |||
C9261 | Acute myeloid leukemia with 11q23-abnormality in remission | 5 | |||
C9262 | Acute myeloid leukemia with 11q23-abnormality in relapse | 5 | |||
C9290 | Myeloid leukemia, unspecified, not having achieved remission | 5 | |||
C9291 | Myeloid leukemia, unspecified in remission | 5 | |||
C9292 | Myeloid leukemia, unspecified in relapse | 5 | |||
C92A0 | Acute myeloid leukemia with multilineage dysplasia, not having achieved remission | 5 | |||
C92A1 | Acute myeloid leukemia with multilineage dysplasia, in remission | 5 | |||
C92A2 | Acute myeloid leukemia with multilineage dysplasia, in relapse | 5 | |||
C92Z0 | Other myeloid leukemia not having achieved remission | 5 | |||
C92Z1 | Other myeloid leukemia, in remission | 5 | |||
C9300 | Acute monoblastic/monocytic leukemia, not having achieved remission | 5 | |||
C9301 | Acute monoblastic/monocytic leukemia, in remission | 5 | |||
C9302 | Acute monoblastic/monocytic leukemia, in relapse | 5 | |||
C9390 | Monocytic leukemia, unspecified, not having achieved remission | 5 | |||
C9391 | Monocytic leukemia, unspecified, in remission | 5 | |||
C9392 | Monocytic leukemia, unspecified, in relapse | 5 | |||
C9400 | Acute erythroid leukemia, not having achieved remission | 5 | |||
C9401 | Acute erythroid leukemia, in remission | 5 | |||
C9402 | Acute erythroid leukemia, in relapse | 5 | |||
C9420 | Acute megakaryoblastic leukemia not having achieved remission | 5 | |||
C9421 | Acute megakaryoblastic leukemia, in remission | 5 | |||
C9422 | Acute megakaryoblastic leukemia, in relapse | 5 | |||
C9430 | Mast cell leukemia not having achieved remission | 5 | |||
C9431 | Mast cell leukemia, in remission | 5 | |||
C9432 | Mast cell leukemia, in relapse | 5 | |||
C9440 | Acute panmyelosis with myelofibrosis not having achieved remission | 2 | |||
C9441 | Acute panmyelosis with myelofibrosis, in remission | 2 | |||
C9442 | Acute panmyelosis with myelofibrosis, in relapse | 2 | |||
C946 | Myelodysplastic disease, not classified | 2 | |||
C9480 | Other specified leukemias not having achieved remission | 5 | |||
C9481 | Other specified leukemias, in remission | 5 | |||
C9482 | Other specified leukemias, in relapse | 5 | |||
C9500 | Acute leukemia of unspecified cell type not having achieved remission | 5 | |||
C9501 | Acute leukemia of unspecified cell type, in remission | 5 | |||
C9502 | Acute leukemia of unspecified cell type, in relapse | 5 | |||
C9510 | Chronic leukemia of unspecified cell type, not having achieved remission | 5 | |||
C9511 | Chronic leukemia of unspecified cell type, in remission | 5 | |||
C9512 | Chronic leukemia of unspecified cell type, in relapse | 5 | |||
C9590 | Leukemia, unspecified not having achieved remission | 5 | |||
C9591 | Leukemia, unspecified, in remission | 5 | |||
C9592 | Leukemiaunspecified, in relapse | 5 | |||
C960 | Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis | 5 | |||
09/30/2017 | |||||
C9620 | Malignant mast cell neoplasm, unspecified | 5 | 10/01/2017 | ||
C9622 | Mast cell sarcoma | 5 | 10/01/2017 | ||
C9629 | Other malignant mast cell neoplasm | 5 | 10/01/2017 | ||
C964 | Sarcoma of dendritic cells (accessory cells) | 5 | |||
C965 | Multifocal and unisystemic Langerhans-cell histiocytosis | 3 | |||
C966 | Unifocal Langerhans-cell histiocytosis | 3 | |||
C969 | Malignant neoplasm of lymphoid, hematopoietic and related tissue, unspecified | 5 | |||
C96A | Histiocytic sarcoma | 5 | |||
C96Z | Other specified malignant neoplasms of lymphoid, hematopoietic and related tissue | 5 | |||
D0000 | Carcinoma in situ of oral cavity, unspecified site | 5 | |||
D019 | Carcinoma in situ of digestive oragan, unspecified | 5 | |||
D024 | Carcinoma in situ of respiratory system, unspecified | 5 | |||
D039 | Melanoma in situ, unspecified | 5 | |||
D049 | Carcinoma in situ of skin, unspecified | 5 | |||
D0590 | Unspecified type of carcinoma in situ of unspecified breast | 5 | |||
D0730 | Carcinoma in situ of unspecified female genital organs | 5 | |||
D0760 | Carcinoma in situ of unspecified male genital organs | 5 | |||
D099 | Carcinoma in situ, unspecified | 5 | |||
D1030 | Benign neoplasm of unspecified part of mouth | 2 | |||
D107 | Benign neoplasm of the hypopharynx, unspecified | 2 | |||
D109 | Benign neoplasm of pharynx, unspecified | 2 | |||
D119 | Benign neoplasm of major salivary gland, unspecified | 2 | |||
D126 | Benign neoplasm of colon, unspecified | 2 | |||
D1330 | Benign neoplasm of unspecified part of small intestine | 2 | |||
09/30/2023 | |||||
D1391 | Familial adenomatous polyposis | 3 | 10/01/2023 | ||
D1399 | Benign neoplasm of ill-defined sites within the digestive system | 2 | 10/01/2023 | ||
D140 | Benign neoplasm of middle ear, nasal cavity and accessory sinuses | 2 | |||
D141 | Benign neoplasm of larynx | 2 | |||
D142 | Benign neoplasm of trachea | 2 | |||
D144 | Benign neoplasm of respiratory system, unspecified | 2 | |||
D169 | Benign neoplasm of bone and articular cartilage, unspecified | 2 | |||
D1800 | Hemangioma unspecified sites | 2 | |||
D1801 | Hemangioma of skin and subcutaneous tissue | 2 | |||
D1802 | Hemangioma of intracranial structures | 2 | |||
D1803 | Hemangioma of intra-abdominal structures | 2 | |||
D1809 | Hemangioma of other sites | 2 | |||
D181 | Lymphangioma, any site | 2 | |||
D215 | Benign neoplasm of connective and other soft tissue of pelvis | 2 | |||
D219 | Benign neoplasm of connective and other soft tissue, unspecified | 2 | |||
D309 | Benign neoplasm of urinary organ, unspecified | 2 | |||
D3120 | Benign neoplasm of unspecified retina | 2 | |||
D3140 | Benign neoplasm of unspecified ciliary body | 2 | |||
D3160 | Benign neoplasm of unspecified site of unspecified orbit | 2 | |||
D3190 | Benign neoplasm of unspecified part of unspecified eye | 2 | |||
D320 | Benign neoplasm of cerebral meninges | 2 | |||
D321 | Benign neoplasm of spinal meninges | 2 | |||
D329 | Benign neoplasm of meninges, unspecified | 2 | |||
D330 | Benign neoplasm of brain, supratentorial | 2 | |||
D331 | Benign neoplasm of brain, infratentorial | 2 | |||
D332 | Benign neoplasm of brain, unspecified | 2 | |||
D333 | Benign neoplasm of cranial nerves | 2 | |||
D334 | Benign neoplasm of spinal cord | 2 | |||
D337 | Benign neoplasm of other specified parts of central nervous system | 2 | |||
D339 | Benign neoplasm of central nervous system, unspecified | 2 | |||
D3500 | Benign neoplasm of unspecified adrenal gland | 2 | |||
D352 | Benign neoplasm of pituitary gland | 2 | |||
D353 | Benign neoplasm of craniopharyngeal duct | 2 | |||
D354 | Benign neoplasm of pineal gland | 2 | |||
D359 | Benign neoplasm of endocrine gland, unspecified | 2 | |||
D3610 | Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified | 2 | |||
D433 | Neoplasm of uncertain behavior of cranial nerves | 2 | |||
D438 | Neoplasm of uncertain behavior of other specified parts of central nervous system | 2 | |||
D439 | Neoplasm of uncertain behavior of central nervous system, unspecified | 2 | |||
D440 | Neoplasm of uncertain behavior of thyroid gland | 2 | |||
D4410 | Neoplasm of uncertain behavior of unspecified adrenal gland | 2 | |||
D442 | Neoplasm of uncertain behavior of parathyroid gland | 2 | |||
D443 | Neoplasm of uncertain behavior of pituitary gland | 3 | |||
D444 | Neoplasm of uncertain behavior of craniopharyngeal duct | 3 | |||
D445 | Neoplasm of uncertain behavior of pineal gland | 3 | |||
D446 | Neoplasm of uncertain behavior of carotid body | 2 | |||
D447 | Neoplasm of uncertain behavior of aortic body and other paraganglia | 2 | |||
D449 | Neoplasm of uncertain behavior of unspecified endocrine gland | 2 | |||
D45 | Polycythemia vera | 2 | |||
D469 | Myelodysplastic syndrome, unspecified | 2 | |||
D4702 | Systemic mastocytosis | 5 | 10/01/2017 | ||
D473 | Essential (hemorrhagic) thrombocythemia | 2 | |||
D47Z1 | Post-transplant lymphoproliferative disorder (PTLD) | 2 | |||
D47Z9 | Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue | 2 | |||
09/30/2023 | |||||
D4819 | Other specified neoplasm of uncertain behavior of connective and other soft tissue | 2 | 10/01/2023 | ||
D487 | Neoplasm of uncertain behavior of other specified sites | 2 | |||
D489 | Neoplasm of uncertain behavior, unspecified | 1 | |||
D4989 | Neoplasm of unspecified behavior of other specified sites | 2 | |||
D499 | Neoplasm of unspecified behavior of unspecified site | 2 | |||
D519 | Vitamin B12 deficiency anemia, unspecified | 2 | |||
09/30/2019 | |||||
D551 | Anemia due to other disorders of glutathione metabolism | 3 | |||
D558 | Other anemias due to enzyme disorders | 5 | |||
D559 | Anemia due to enzyme disorder, unspecified | 5 | |||
D560 | Alpha thalassemia | 5 | |||
D561 | Beta thalassemia | 5 | |||
D568 | Other thalassemias | 5 | |||
D571 | Sickle-cell disease without crisis | 5 | |||
D5720 | Sickle-cell/Hb-C disease without crisis | 5 | |||
D5740 | Sickle-cell thalassemia without crisis | 5 | |||
09/30/2020 | |||||
D5780 | Other sickle-cell disorders without crisis | 5 | |||
D580 | Hereditary spherocytosis | 3 | |||
D581 | Hereditary elliptocytosis | 3 | |||
D582 | Other hemoglobinopathies | 2 | |||
D590 | Drug-induced autoimmune hemolytic anemia | 2 | |||
09/30/2020 | |||||
D5910 | Autoimmune hemolytic anemia, unspecified | 2 | 10/01/2020 | ||
D5919 | Other autoimmune hemolytic anemia | 2 | 10/01/2020 | ||
2 | 09/30/2022 | ||||
D5930 | Hemolytic-uremic syndrome | 2 | 10/01/2022 | ||
D594 | Other nonautoimmune hemolytic anemias | 2 | |||
D595 | Paroxysmal nocturnal hemoglobinuria | 2 | |||
D600 | Chronic acquired pure red cell aplasia | 5 | |||
D608 | Other acquired pure red cell aplasias | 5 | |||
D609 | Acquired pure red cell aplasia, unspecified | 5 | |||
D6101 | Constitutional (pure) red blood cell aplasia | 5 | |||
D6102 | Shwachman-Diamond syndrome | 5 | 10/01/2023 | ||
D6109 | Other constitutional aplastic anemia | 5 | |||
D611 | Drug-induced aplastic anemia | 5 | |||
D612 | Aplastic anemia due to other external agents | 5 | |||
D613 | Idiopathic aplastic anemia | 5 | |||
D61818 | Other pancytopenia | 5 | |||
D6189 | Other specified aplastic anemias and other bone marrow failure syndromes | 5 | |||
D619 | Aplastic anemia, unspecified | 2 | |||
D631 | Anemia in chronic kidney disease | 3 | |||
D643 | Other sideroblastic anemias | 3 | |||
D65 | Disseminated intravascular coagulation [defibrination syndrome] | 3 | |||
D66 | Hereditary factor VIII deficiency | 5 | |||
D67 | Hereditary factor IX deficiency | 5 | |||
5 | 09/30/2022 | ||||
D6800 | Von Willebrand’s disease | 5 | 10/01/2022 | ||
D6809 | Other von Willebrand disease | 3 | 10/01/2023 | ||
D681 | Hereditary factor XI deficiency | 5 | |||
D682 | Hereditary deficiency of other clotting factors | 5 | |||
D6832 | Hemorrhagic disorder due to extrinsic circulating anticoagulants | 3 | |||
D684 | Acquired coagulation factor deficiency | 3 | |||
D6851 | Activated protein C resistance | 5 | |||
D6852 | Prothrombin gene mutation | 5 | |||
D6859 | Other primary thrombophilia | 5 | |||
D6861 | Antiphospholipid syndrome | 5 | |||
D6862 | Lupus anticoagulant syndrome | 5 | |||
D688 | Other specified coagulation defects | 3 | |||
D689 | Coagulation defect, unspecified | 3 | |||
D693 | Immune thrombocytopenic purpura | 2 | |||
D6941 | Evans syndrome | 2 | |||
D6942 | Congenital and hereditary thrombocytopenia purpura | 2 | |||
D6949 | Other primary thrombocytopenia | 2 | |||
D699 | Hemorrhagic condition, unspecified | 2 | |||
D700 | Congenital agranulocytosis | 2 | |||
D704 | Cyclic neutropenia | 2 | |||
D708 | Other neutropenia | 2 | |||
D709 | Neutropenia, unspecified | 2 | |||
D71 | Functional disorders of polymorphonuclear neutrophils | 3 | |||
D72118 | Other hypereosinophilic syndrome | 1 | 10/01/2020 | ||
D75839 | Thrombocytosis, unspecified | 2 | 10/01/2021 | ||
D75A | Glucose-6-phosphate dehydrgnse (G6PD) defic without anemia | 3 | 10/01/2019 | ||
D761 | Hemophagocytic lymphohistiocytosis | 2 | |||
D762 | Hemophagocytic syndrome, infection associated | 2 | |||
D800 | Hereditary hypogammaglobulinemia | 3 | |||
D801 | Nonfamilial hypogammaglobulinemia | 3 | |||
D802 | Selective deficiency of immunoglobulin A [IgA] | 3 | |||
D803 | Selective deficiency of immunoglobulin G [IgG] subclasses | 3 | |||
D804 | Selective deficiency of immunoglobulin M [IgM] | 3 | |||
D805 | Immunodeficiency with increased immunoglobulin M [IgM] | 3 | |||
D806 | Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia | 2 | |||
D807 | Transient hypogammaglobulinemia of infancy | 2 | |||
D808 | Other immunodeficiencies with predominantly antibody defects | 2 | |||
D809 | Immunodeficiency with predominantly antibody defects, unspecified | 2 | |||
D810 | Severe combined immunodeficiency [SCID] with reticular dysgenesis | 5 | |||
D811 | Severe combined immunodeficiency [SCID] with low T- and B-cell numbers | 5 | |||
D812 | Severe combined immunodeficiency [SCID] with low or normal B-cell numbers | 5 | |||
09/30/2019 | |||||
D8130 | Adenosine deaminase deficiency, unspecified | 3 | 10/01/2019 | ||
D8131 | Severe combined immunodef due to adenosine deaminase defic | 3 | 10/01/2019 | ||
D815 | Purine nucleoside phosphorylase [PNP] deficiency | 3 | |||
D816 | Major histocompatibility complex class I deficiency | 5 | |||
D817 | Major histocompatibility complex class II deficiency | 5 | |||
D81810 | Biotinidase deficiency | 3 | |||
D8189 | Other combined immunodeficiencies | 5 | |||
D819 | Combined immunodeficiency, unspecified | 5 | |||
D820 | Wiskott-Aldrich syndrome | 5 | |||
D821 | *Phase Out* Di George’s syndrome | 5 | *Phase Out* | ||
D824 | Hyperimmunoglobulin E syndrome | 2 | |||
D830 | Common variable immunodeficiency with predominant abnormalities of B-cell numbers and function | 3 | |||
D831 | Common variable immunodeficiency with predominant immunoregulatory T-cell disorders | 2 | |||
D832 | Common variable immunodeficiency with autoantibodies to B- or T-cells | 3 | |||
D838 | Other common variable immunodeficiencies | 3 | |||
D839 | Common variable immunodeficiency, unspecified | 2 | |||
09/30/2020 | |||||
D8481 | Immunodeficiency due to conditions classified elsewhere | 2 | 10/01/2020 | ||
D8489 | Other immunodeficiencies | 2 | 10/01/2020 | ||
D849 | Immunodeficiency, unspecified | 2 | |||
D869 | Sarcoidosis, unspecified | 3 | |||
D89811 | Chronic graft-versus-host disease | 5 | |||
D89813 | Graft-versus-host disease, unspecified | 5 | |||
D8982 | Autoimmune lymphoproliferative syndrome [ALPS] | 2 | |||
D89839 | Cytokine release syndrome, grade unspecified | 1 | 10/01/2020 | ||
D8989 | Other specified disorders involving the immune mechanism, not elsewhere classified | 2 | |||
D899 | Disorder involving the immune mechanism, unspecified | 2 | |||
E009 | Congenital iodine-deficiency syndrome, unspecified | 5 | |||
E030 | Congenital hypothyroidism with diffuse goiter | 5 | |||
E031 | Congenital hypothyroidism without goiter | 5 | |||
E039 | Hypothyroidism, unspecified | 3 | |||
E0510 | Thyrotoxicosis with toxic single thyroid nodule without thyrotoxic crisis or storm | 3 | |||
E0520 | Thyrotoxicosis with toxic multinodular goiter without thyrotoxic crisis or storm | 3 | |||
E0590 | Thyrotoxicosis, unspecified without thyrotoxic crisis or storm | 3 | |||
E063 | Autoimmune thyroiditis | 2 | |||
E0840 | Diabetes mellitus due to underlying condition with diabetic neuropathy, unspecified | 3 | |||
E0849 | Diabetes mellitus due to underlying condition with other diabetic neurological complication | 3 | |||
E08610 | Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy | 2 | |||
E088 | Diabetes mellitus due to underlying condition with unspecified complications | 2 | |||
E1021 | Type 1 diabetes mellitus with diabetic nephropathy | 5 | |||
E1022 | Type 1 diabetes mellitus with diabetic chronic kidney disease | 5 | |||
E1029 | Type 1 diabetes mellitus with other diabetic kidney complication | 5 | |||
E1039 | Type 1 diabetes mellitus with other diabetic ophthalmic complication | 5 | |||
E1040 | Type 1 diabetes mellitus with diabetic neuropathy, unspecified | 3 | |||
E1043 | Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy | 5 | |||
E1049 | Type 1 diabetes mellitus with other diabetic neurological complication | 3 | |||
E1059 | Type 1 diabetes mellitus with other circulatory complications | 5 | |||
E1069 | Type 1 diabetes mellitus with other specified complication | 5 | |||
E108 | Type 1 diabetes mellitus with unspecified complications | 2 | |||
E109 | Type 1 diabetes mellitus without complications | 5 | |||
E1140 | Type 2 diabetes mellitus with diabetic neuropathy, unspecified | 3 | |||
E118 | Type 2 diabetes mellitus with unspecified complications | 2 | |||
E161 | Other hypoglycemia | 2 | |||
E200 | Idiopathic hypoparathyroidism | 3 | |||
E201 | Pseudohypoparathyroidism | 3 | |||
09/30/2023 | |||||
E2089 | Other specified hypoparathyroidism | 3 | 10/01/2023 | ||
E209 | Hypoparathyroidism, unspecified | 3 | |||
E210 | Primary hyperparathyroidism | 5 | |||
E211 | Secondary hyperparathyroidism, not elsewhere classified | 2 | |||
E213 | Hyperparathyroidism, unspecified | 1 | |||
E215 | Disorder of parathyroid gland, unspecified | 2 | |||
E220 | Acromegaly and pituitary gigantism | 5 | |||
E221 | Hyperprolactinemia | 3 | |||
E228 | Other hyperfunction of pituitary gland | 3 | |||
E229 | Hyperfunction of pituitary gland, unspecified | 3 | |||
E230 | Hypopituitarism | 3 | |||
E232 | Diabetes insipidus | 5 | |||
E233 | Hypothalamic dysfunction, not elsewhere classified | 3 | |||
E236 | Other disorders of pituitary gland | 3 | |||
E237 | Disorder of pituitary gland, unspecified | 3 | |||
E240 | Pituitary-dependent Cushing’s disease | 3 | |||
E248 | Other Cushing’s syndrome | 3 | |||
E249 | Cushing’s syndrome, unspecified | 3 | |||
E250 | Congenital adrenogenital disorders associated with enzyme deficiency | 5 | |||
E258 | Other adrenogenital disorders | 5 | |||
E259 | Adrenogenital disorder, unspecified | 5 | |||
E2609 | Other primary hyperaldosteronism | 3 | |||
E2681 | Bartter’s Syndrome | 2 | |||
E269 | Hyperaldosteronism, unspecified | 3 | |||
E271 | Primary adrenocortical insufficiency | 3 | |||
E2740 | Unspecified adrenocortical insufficiency | 3 | |||
E2749 | Other adrenocortical insufficiency | 3 | |||
E275 | Adrenomedullary hyperfunction | 3 | |||
E2839 | Other primary ovarian failure | 3 | |||
E299 | Testicular dysfunction, unspecified | 3 | |||
E301 | Precocious puberty | 2 | |||
E309 | Disorder of puberty, unspecified | 3 | |||
E310 | Autoimmune polyglandular failure | 3 | |||
E311 | Polyglandular hyperfunction | 3 | |||
E3120 | Multiple endocrine neoplasia [MEN] syndrome, unspecified | 3 | |||
E3121 | Multiple endocrine neoplasia [MEN] type I | 3 | |||
E3122 | Multiple endocrine neoplasia [MEN] type IIA | 3 | |||
E3123 | Multiple endocrine neoplasia [MEN] type IIB | 3 | |||
E318 | Other polyglandular dysfunction | 3 | |||
E319 | Polyglandular dysfunction, unspecified | 3 | |||
E340 | Carcinoid syndrome | 3 | |||
3 | 09/30/2022 | ||||
E3430 | Short stature due to endocrine disorder | 3 | 10/01/2022 | ||
E3450 | Androgen insensitivity syndrome, unspecified | 2 | |||
E348 | Other specified endocrine disorders | 2 | |||
E349 | Endocrine disorder, unspecified | 3 | |||
E43 | Unspecified severe protein-calorie malnutrition | 2 | |||
E440 | Moderate protein-calorie malnutrition | 2 | |||
E46 | Unspecified protein-calorie malnutrition | 2 | |||
E618 | Deficiency of other specified nutrient elements | 3 | |||
E619 | Deficiency of nutrient element, unspecified | 1 | |||
E638 | Other specified nutritional deficiencies | 3 | |||
E639 | Nutritional deficiency, unspecified | 1 | |||
E640 | Sequelae of protein-calorie malnutrition | 2 | |||
E643 | Sequelae of rickets | 3 | |||
E648 | Sequelae of other nutritional deficiencies | 3 | |||
E649 | Sequelae of unspecified nutritional deficiency | 1 | |||
E662 | Morbid (severe) obesity with alveolar hypoventilation | 2 | |||
E700 | Classical phenylketonuria | 5 | |||
E701 | Other hyperphenylalaninemias | 5 | |||
E7020 | Disorder of tyrosine metabolism, unspecified | 5 | |||
E7021 | Tyrosinemia | 5 | |||
E7029 | Other disorders of tyrosine metabolism | 5 | |||
E7030 | Albinism, unspecified | 5 | |||
E70319 | Ocular albinism, unspecified | 5 | |||
E70329 | Oculocutaneous albinism, unspecified | 5 | |||
E7039 | Other specified albinism | 5 | |||
E705 | Disorders of tryptophan metabolism | 5 | |||
09/30/2020 | |||||
E7081 | Aromatic L-amino acid decarboxylase deficiency | 5 | 10/01/2020 | ||
E7089 | Other disorders of aromatic amino-acid metabolism | 5 | 10/01/2020 | ||
E709 | Disorder of aromatic amino-acid metabolism, unspecified | 5 | |||
E710 | Maple-syrup-urine disease | 5 | |||
E71110 | Isovaleric acidemia | 5 | |||
E71111 | 3-methylglutaconic aciduria | 5 | |||
E71118 | Other branched-chain organic acidurias | 5 | |||
E71120 | Methylmalonic acidemia | 5 | |||
E71121 | Propionic acidemia | 5 | |||
E71128 | Other disorders of propionate metabolism | 5 | |||
E7119 | Other disorders of branched-chain amino-acid metabolism | 5 | |||
E712 | Disorder of branched-chain amino-acid metabolism, unspecified | 5 | |||
E7130 | Disorder of fatty-acid metabolism, unspecified | 3 | |||
E71310 | Long chain/very long chain acyl CoA dehydrogenase deficiency | 5 | |||
E71311 | Medium chain acyl CoA dehydrogenase deficiency | 5 | |||
E71312 | Short chain acyl CoA dehydrogenase deficiency | 5 | |||
E71313 | Glutaric aciduria type II | 5 | |||
E71314 | Muscle carnitine palmitoyltransferase deficiency | 5 | |||
E71318 | Other disorders of fatty-acid oxidation | 5 | |||
E7132 | Disorders of ketone metabolism | 5 | |||
E7139 | Other disorders of fatty-acid metabolism | 3 | |||
E7141 | Primary carnitine deficiency | 3 | |||
E7142 | Carnitine deficiency due to inborn errors of metabolism | 5 | |||
E7150 | Peroxisomal disorder, unspecified | 5 | |||
E71510 | Zellweger syndrome | 5 | |||
E71511 | Neonatal adrenoleukodystrophy | 5 | |||
E71518 | Other disorders of peroxisome biogenesis | 5 | |||
E71520 | Childhood cerebral X-linked adrenoleukodystrophy | 5 | |||
E71521 | Adolescent X-linked adrenoleukodystrophy | 5 | |||
E71522 | Adrenomyeloneuropathy | 5 | |||
E71528 | Other X-linked adrenoleukodystrophy | 5 | |||
E71529 | X-linked adrenoleukodystrophy, unspecified type | 5 | |||
E7153 | Other group 2 peroxisomal disorders | 5 | |||
E71540 | Rhizomelic chondrodysplasia punctata | 5 | |||
E71541 | Zellweger-like syndrome | 5 | |||
E71542 | Other group 3 peroxisomal disorders | 5 | |||
E71548 | Other peroxisomal disorders | 5 | |||
E7200 | Disorders of amino-acid transport, unspecified | 3 | |||
E7201 | Cystinuria | 3 | |||
E7202 | Hartnup’s disease | 3 | |||
E7203 | Lowe’s syndrome | 5 | |||
E7204 | Cystinosis | 3 | |||
E7209 | Other disorders of amino-acid transport | 3 | |||
E7210 | Disorders of sulfur-bearing amino-acid metabolism, unspecified | 5 | |||
E7211 | Homocystinuria | 5 | |||
E7212 | Methylenetetrahydrofolate reductase deficiency | 5 | |||
E7219 | Other disorders of sulfur-bearing amino-acid metabolism | 5 | |||
E7220 | Disorder of urea cycle metabolism, unspecified | 5 | |||
E7221 | Argininemia | 5 | |||
E7222 | Arginosuccinic aciduria | 5 | |||
E7223 | Citrullinemia | 5 | |||
E7229 | Other disorders of urea cycle metabolism | 5 | |||
E723 | Disorders of lysine and hydroxylysine metabolism | 5 | |||
E724 | Disorders of ornithine metabolism | 5 | |||
E7250 | Disorder of glycine metabolism, unspecified | 5 | |||
E7251 | Non-ketotic hyperglycinemia | 5 | |||
E7253 | Hyperoxaluria | 3 | |||
E7259 | Other disorders of glycine metabolism | 5 | |||
09/30/2018 | |||||
E7281 | Disorders of gamma aminobutyric acid metabolism | 5 | 10/01/2018 | ||
E7289 | Other specified disorders of amino-acid metabolism | 5 | 10/01/2018 | ||
E729 | Disorder of amino-acid metabolism, unspecified | 3 | |||
E7400 | Glycogen storage disease, unspecified | 5 | |||
E7401 | von Gierke disease | 5 | |||
E7402 | Pompe disease | 5 | |||
E7403 | Cori disease | 5 | |||
E7404 | McArdle disease | 5 | |||
E7409 | Other glycogen storage disease | 5 | |||
E7420 | Disorders of galactose metabolism, unspecified | 5 | |||
E7421 | Galactosemia | 5 | |||
E7429 | Other disorders of galactose metabolism | 5 | |||
E744 | Disorders of pyruvate metabolism and gluconeogenesis | 3 | |||
09/30/2020 | |||||
E74810 | Glucose transporter protein type 1 deficiency | 3 | 10/01/2020 | ||
E74818 | Other disorders of glucose transport | 3 | 10/01/2020 | ||
E74819 | Disorders of glucose transport, unspecified | 3 | 10/01/2020 | ||
E7489 | Other specified disorders of carbohydrate metabolism | 3 | 10/01/2020 | ||
E749 | Disorder of carbohydrate metabolism, unspecified | 3 | |||
E7500 | GM2 gangliosidosis, unspecified | 5 | |||
E7501 | Sandhoff disease | 5 | |||
E7502 | Tay-Sachs disease | 5 | |||
E7509 | Other GM2 gangliosidosis | 5 | |||
E7510 | Unspecified gangliosidosis | 5 | |||
E7511 | Mucolipidosis IV | 5 | |||
E7519 | Other gangliosidosis | 5 | |||
E7521 | Fabry (-Anderson) disease | 5 | |||
E7522 | Gaucher disease | 5 | |||
E75240 | Niemann-Pick disease type A | 5 | |||
E75241 | Niemann-Pick disease type B | 5 | |||
E75242 | Niemann-Pick disease type C | 5 | |||
E75243 | Niemann-Pick disease type D | 5 | |||
E75248 | Other Niemann-Pick disease | 5 | |||
E75249 | Niemann-Pick disease, unspecified | 5 | |||
E753 | Sphingolipidosis, unspecified | 5 | |||
E754 | Neuronal ceroid lipofuscinosis | 5 | |||
E755 | Other lipid storage disorders | 3 | |||
E756 | Lipid storage disorder, unspecified | 3 | |||
E7601 | Hurler’s syndrome | 5 | |||
E7602 | Hurler-Scheie syndrome | 5 | |||
E7603 | Scheie’s syndrome | 5 | |||
E761 | Mucopolysaccharidosis, type II | 5 | |||
E76210 | Morquio A mucopolysaccharidoses | 5 | |||
E76211 | Morquio B mucopolysaccharidoses | 5 | |||
E76219 | Morquio mucopolysaccharidoses, unspecified | 5 | |||
E7622 | Sanfilippo mucopolysaccharidoses | 5 | |||
E7629 | Other mucopolysaccharidoses | 5 | |||
E763 | Mucopolysaccharidosis, unspecified | 5 | |||
E768 | Other disorders of glucosaminoglycan metabolism | 5 | |||
E769 | Glucosaminoglycan metabolism disorder, unspecified | 5 | |||
E770 | Defects in post-translational modification of lysosomal enzymes | 5 | |||
E771 | Defects in glycoprotein degradation | 3 | |||
E778 | Other disorders of glycoprotein metabolism | 5 | |||
E779 | Disorder of glycoprotein metabolism, unspecified | 5 | |||
09/30/2016 | |||||
E7800 | Pure hypercholesterolemia unspecified | 3 | 10/01/2016 | ||
E781 | Pure hyperglyceridemia | 3 | |||
E782 | Mixed hyperlipidemia | 3 | |||
09/30/2018 | |||||
E7841 | Elevated Lipoprotein(a) | 3 | 10/01/2018 | ||
E7849 | Other hyperlipidemia | 3 | 10/01/2018 | ||
E785 | Hyperlipidemia, unspecified | 3 | |||
E786 | Lipoprotein deficiency | 3 | |||
E7870 | Disorder of bile acid and cholesterol metabolism, unspecified | 3 | |||
E7871 | Barth syndrome | 3 | |||
E7879 | Other disorders of bile acid and cholesterol metabolism | 3 | |||
E7881 | Lipoid dermatoarthritis | 3 | |||
E7889 | Other lipoprotein metabolism disorders | 3 | |||
E789 | Disorder of lipoprotein metabolism, unspecified | 3 | |||
E791 | Lesch-Nyhan syndrome | 3 | |||
E792 | Myoadenylate deaminase deficiency | 3 | |||
09/30/2023 | |||||
E7989 | Other specified disorders of purine and pyrimidine metabolism | 3 | 10/01/2023 | ||
E799 | Disorder of purine and pyrimidine metabolism, unspecified | 3 | |||
E800 | Hereditary erythropoietic porphyria | 5 | |||
E801 | Porphyria cutanea tarda | 5 | |||
E8020 | Unspecified porphyria | 5 | |||
E8021 | Acute intermittent (hepatic) porphyria | 5 | |||
E8029 | Other porphyria | 5 | |||
E803 | Defects of catalase and peroxidase | 3 | |||
E8300 | Disorder of copper metabolism, unspecified | 5 | |||
E8301 | Wilson’s disease | 5 | |||
E8309 | Other disorders of copper metabolism | 5 | |||
E83110 | Hereditary Hemochromatosis | 2 | 10/01/2017 | ||
E832 | Disorders of zinc metabolism | 3 | |||
E8330 | Disorder of phosphorus metabolism, unspecified | 3 | |||
E8331 | Familial hypophosphatemia | 3 | |||
E8332 | Hereditary vitamin D-dependent rickets (type 1) (type 2) | 3 | |||
E8339 | Other disorders of phosphorus metabolism | 3 | |||
E8350 | Unspecified disorder of calcium metabolism | 2 | |||
E8351 | Hypocalcemia | 2 | |||
E8352 | Hypercalcemia | 2 | |||
E8359 | Other disorders of calcium metabolism | 3 | |||
E8389 | Other disorders of mineral metabolism | 3 | |||
E839 | Disorder of mineral metabolism, unspecified | 3 | |||
E849 | Cystic fibrosis, unspecified | 5 | |||
E850 | Non-neuropathic heredofamilial amyloidosis | 3 | |||
E859 | Amyloidosis, unspecified | 3 | |||
E8801 | Alpha-1-antitrypsin deficiency | 3 | |||
E882 | Lipomatosis, not elsewhere classified | 3 | |||
E8840 | Mitochondrial metabolism disorder, unspecified | 5 | |||
E8841 | MELAS Syndrome | 5 | |||
E8842 | MERRF Syndrome | 5 | |||
E8889 | Other specified metabolic disorders | 3 | |||
E889 | Metabolic disorder, unspecified | 2 | |||
E892 | Postprocedural hypoparathyroidism | 3 | |||
E896 | Postprocedural adrenocortical (-medullary) hypofunction | 3 | |||
F842 | Rett’s syndrome | 5 | |||
G009 | Bacterial meningitis, unspecified | 2 | |||
G032 | Benign recurrent meningitis [Mollaret] | 2 | |||
G039 | Meningitis, unspecified | 2 | |||
G0400 | Acute disseminated encephalitis and encephalomyelitis (ADEM), unspecified | 1 | |||
G041 | Tropical spastic paraplegia | 5 | |||
G0430 | Acute necrotizing hemorrhagic encephalopathy, unspecified | 2 | |||
G0482 | Acute flaccid myelitis | 2 | 10/01/2021 | ||
G0490 | Encephalitis and encephalomyelitis, unspecified | 1 | |||
G0491 | Myelitis, unspecified | 2 | |||
G09 | Sequelae of inflammatory diseases of central nervous system | 3 | |||
G10 | Huntington’s disease | 5 | |||
09/30/2020 | |||||
G1110 | Early-onset cerebellar ataxia, unspecified | 5 | 10/01/2020 | ||
G1111 | Friedreich ataxia | 5 | 10/01/2020 | ||
G1119 | Other early-onset cerebellar ataxia | 5 | 10/01/2020 | ||
G112 | Late-onset cerebellar ataxia | 3 | |||
G113 | Cerebellar ataxia with defective DNA repair | 3 | |||
G114 | Hereditary spastic paraplegia | 3 | |||
G118 | Other hereditary ataxias | 3 | |||
G120 | Infantile spinal muscular atrophy, type I [Werdnig-Hoffman] | 5 | |||
G121 | Other inherited spinal muscular atrophy | 3 | |||
G1220 | Motor neuron disease, unspecified | 2 | |||
G1221 | Amyotrophic lateral sclerosis | 5 | |||
G1223 | Primary lateral sclerosis | 2 | 10/01/2017 | ||
G1224 | Familial motor neuron disease | 2 | 10/01/2017 | ||
G1225 | Progressive spinal muscle atrophy | 2 | 10/01/2017 | ||
G1229 | Other motor neuron disease | 2 | |||
G128 | Other spinal muscular atrophies and related syndromes | 5 | |||
G129 | Spinal muscular atrophy, unspecified | 5 | |||
G130 | Paraneoplastic neuromyopathy and neuropathy | 3 | |||
G14 | Postpolio syndrome | 5 | |||
G230 | Hallervorden-Spatz disease | 3 | |||
G231 | Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski] | 3 | |||
G232 | Striatonigral degeneration | 3 | |||
G238 | Other specified degenerative diseases of basal ganglia | 3 | |||
G239 | Degenerative disease of basal ganglia, unspecified | 3 | |||
G241 | Genetic torsion dystonia | 3 | |||
G242 | Idiopathic nonfamilial dystonia | 3 | |||
G244 | Idiopathic orofacial dystonia | 2 | |||
G248 | Other dystonia | 2 | |||
G249 | Dystonia, unspecified | 2 | |||
G253 | Myoclonus | 2 | |||
G2589 | Other specified extrapyramidal and movement disorders | 3 | |||
G259 | Extrapyramidal and movement disorder, unspecified | 3 | |||
G3180 | Leukodystrophy, unspecified | 5 | 10/01/2023 | ||
G3181 | Alpers disease | 5 | |||
G3182 | Leigh’s disease | 5 | |||
G3189 | Other specified degenerative diseases of nervous system | 3 | |||
G319 | Degenerative disease of nervous system, unspecified | 3 | |||
G3289 | Other specified degenerative disorders of nervous system in diseases classified elsewhere | 3 | |||
G35 | Multiple sclerosis | 5 | |||
G360 | Neuromyelitis optica [Devic] | 2 | |||
G361 | Acute and subacute hemorrhagic leukoencephalitis [Hurst] | 3 | |||
G368 | Other specified acute disseminated demyelination | 3 | |||
G369 | Acute disseminated demyelination, unspecified | 3 | |||
G371 | Central demyelination of corpus callosum | 3 | |||
G372 | Central pontine myelinolysis | 3 | |||
G373 | Acute transverse myelitis in demyelinating disease of central nervous system | 3 | |||
G374 | Subacute necrotizing myelitis of central nervous system | 2 | |||
09/30/2023 | |||||
G3789 | Other specified demyelinating diseases of central nervous system | 3 | 10/01/2023 | ||
G379 | Demyelinating disease of central nervous system, unspecified | 3 | |||
seizures of localized onset, not intractable, without status epilepticus | 09/30/2023 | ||||
seizures of localized onset, intractable, without status epilepticus | 09/30/2023 | ||||
G40109 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus | 3 | |||
G40119 | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus | 5 | |||
with complex partial seizures, not intractable, without status epilepticus | 09/30/2023 | ||||
with complex partial seizures, intractable, without status epilepticus | 09/30/2023 | ||||
G40309 | Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus | 3 | |||
G40319 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus | 5 | |||
epilepticus | 09/30/2023 | ||||
epilepticus | 09/30/2023 | ||||
G4042 | Cyclin-Dependent Kinase-Like 5 Deficiency Disorder | 5 | 10/01/2020 | ||
G40814 | Lennox-Gastaut syndrome, intractable, without status epilepticus | 5 | 10/01/2023 | ||
G40822 | Epileptic spasms, not intractable, without status epilepticus | 2 | |||
09/30/2023 | |||||
G40834 | Dravet syndrome, intractable, without status epilepticus | 5 | 10/01/2020 | ||
G43A1 | Cyclical vomiting, intractable | 2 | |||
G459 | Transient cerebral ischemic attack, unspecified | 2 | |||
G4730 | Sleep apnea, unspecified | 2 | |||
G4731 | Primary central sleep apnea | 2 | |||
G4733 | Obstructive sleep apnea | 2 | |||
G4735 | Congenital central alveolar hypoventilation | 5 | |||
G508 | Other disorders of trigeminal nerve | 3 | |||
G509 | Disorder of trigeminal nerve, unspecified | 2 | |||
G510 | Bell’s palsy | 2 | |||
G512 | Melkersson’s syndrome | 3 | |||
G514 | Facial myokymia | 3 | |||
G518 | Other disorders of facial nerve | 3 | |||
G519 | Disorder of facial nerve, unspecified | 2 | |||
G527 | Disorders of multiple cranial nerves | 3 | |||
G529 | Cranial nerve disorder, unspecified | 2 | |||
G53 | Cranial nerve disorders in diseases classified elsewhere | 2 | |||
G540 | Brachial plexus disorders | 3 | |||
G600 | Hereditary motor and sensory neuropathy | 3 | |||
G601 | Refsum’s disease | 5 | |||
G602 | Neuropathy in association with hereditary ataxia | 3 | |||
G609 | Hereditary and Idiopathic Neuropathy, Unspecified | 3 | 10/01/2017 | ||
G610 | Guillain-Barre syndrome | 2 | |||
G6181 | Chronic inflammatory demyelinating polyneuritis | 3 | |||
G629 | Polyneuropathy, unspecified | 2 | |||
G63 | Polyneuropathy in diseases classified elsewhere | 3 | |||
G7000 | Myasthenia gravis without (acute) exacerbation | 5 | |||
G7001 | Myasthenia gravis with (acute) exacerbation | 5 | |||
G702 | Congenital and developmental myasthenia | 5 | |||
G7089 | Other specified myoneural disorders | 5 | |||
G709 | Myoneural disorder, unspecified | 2 | |||
09/30/2018 | |||||
G7100 | Muscular dystrophy, unspecified | 5 | 10/01/2018 | ||
G7101 | Duchenne or Becker muscular dystrophy | 5 | 10/01/2018 | ||
G7102 | Facioscapulohumeral muscular dystrophy | 5 | 10/01/2018 | ||
G71039 | Limb girdle muscular dystrophy, unspecified | 5 | 10/01/2022 | ||
G7109 | Other specified muscular dystrophies | 5 | 10/01/2018 | ||
G7111 | Myotonic muscular dystrophy | 5 | |||
G7112 | Myotonia congenita | 5 | |||
G7119 | Other specified myotonic disorders | 5 | |||
5 | 09/30/2020 | ||||
G7120 | Congenital myopathy, unspecifed | 5 | 10/01/2020 | ||
G7121 | Nemaline myopathy | 5 | 10/01/2020 | ||
G71220 | X-linked myotubular myopathy | 5 | 10/01/2020 | ||
G71228 | Other centronuclear myopathy | 5 | 10/01/2020 | ||
G7129 | Other congenital myopathy | 5 | 10/01/2020 | ||
G718 | Other primary disorders of muscles | 2 | |||
G723 | Periodic paralysis | 5 | |||
G729 | Myopathy, unspecified | 2 | |||
G800 | Spastic quadriplegic cerebral palsy | 5 | |||
G801 | Spastic diplegic cerebral palsy | 5 | |||
G802 | Spastic hemiplegic cerebral palsy | 5 | |||
G803 | Athetoid cerebral palsy | 3 | |||
G804 | Ataxic cerebral palsy | 3 | |||
G808 | Other cerebral palsy | 5 | |||
G809 | Cerebral palsy, unspecified | 3 | |||
G8190 | Hemiplegia, unspecified affecting unspecified side | 5 | |||
G8220 | Paraplegia, unspecified | 5 | |||
G8250 | Quadriplegia, unspecified | 5 | |||
G8330 | Monoplegia, unspecified affecting unspecified side | 3 | |||
G834 | Cauda equina syndrome | 3 | |||
G8381 | Brown-Sequard syndrome | 2 | |||
G8382 | Anterior cord syndrome | 2 | |||
G8383 | Posterior cord syndrome | 2 | |||
G8389 | Other specified paralytic syndromes | 2 | |||
G839 | Paralytic syndrome, unspecified | 2 | |||
G901 | Familial dysautonomia [Riley-Day] | 2 | |||
G903 | Multi-system degeneration of the autonomic nervous system | 3 | |||
G910 | Communicating hydrocephalus | 3 | |||
G911 | Obstructive hydrocephalus | 3 | |||
G913 | Post-traumatic hydrocephalus, unspecified | 3 | |||
G914 | Hydrocephalus in diseases classified elsewhere | 3 | |||
G918 | Other hydrocephalus | 3 | |||
G919 | Hydrocephalus, unspecified | 3 | |||
G930 | Cerebral cysts | 3 | |||
G931 | Anoxic brain damage, not elsewhere classified | 2 | |||
G935 | Compression of brain | 2 | |||
G9389 | Other specified disorders of brain | 5 | |||
G939 | Disorder of brain, unspecified | 2 | |||
G94 | Other disorders of brain in diseases classified elsewhere | 3 | |||
G950 | Syringomyelia and syringobulbia | 3 | |||
G9511 | Acute infarction of spinal cord (embolic) (nonembolic) | 2 | |||
G9519 | Other vascular myelopathies | 2 | |||
G9520 | Unspecified cord compression | 3 | |||
G9529 | Other cord compression | 3 | |||
G9581 | Conus medullaris syndrome | 2 | |||
G9589 | Other specified diseases of spinal cord | 2 | |||
G959 | Disease of spinal cord, unspecified | 3 | |||
2 | 09/30/2020 | ||||
G9600 | Cerebrospinal fluid leak, unspecified | 2 | 10/01/2020 | ||
2 | 09/30/2020 | ||||
G96191 | Perineural cyst | 2 | 10/01/2020 | ||
G96198 | Other disorders of meninges, not elsewhere classified | 2 | 10/01/2020 | ||
3 | 09/30/2020 | ||||
G96810 | Intracranial hypotension, unspecified | 3 | 10/01/2020 | ||
G96819 | Other intracranial hypotension | 3 | 10/01/2020 | ||
G9689 | Other specified disorders of central nervous system | 3 | 10/01/2020 | ||
G969 | Disorder of central nervous system, unspecified | 2 | |||
G9781 | Other intraoperative complications of nervous system | 2 | |||
3 | 09/30/2020 | ||||
G988 | Other disorders of nervous system | 2 | |||
G992 | Myelopathy in diseases classified elsewhere | 2 | |||
G998 | Other specified disorders of nervous system in diseases classified elsewhere | 3 | |||
H0260 | Xanthelasma of unspecified eye, unspecified eyelid | 2 | |||
H15849 | Scleral ectasia, unspecified eye | 2 | |||
H1589 | Other disorders of sclera | 2 | |||
H159 | Unspecified disorder of sclera | 2 | |||
H16019 | Central corneal ulcer, unspecified eye | 2 | |||
H16079 | Perforated corneal ulcer, unspecified eye | 2 | |||
H16239 | Neurotrophic keratoconjunctivitis, unspecified eye | 2 | |||
H16309 | Unspecified interstitial keratitis, unspecified eye | 2 | |||
H16409 | Unspecified corneal neovascularization, unspecified eye | 2 | |||
H16429 | Pannus (corneal), unspecified eye | 2 | |||
H1710 | Central corneal opacity, unspecified eye | 2 | |||
H17829 | Peripheral opacity of cornea, unspecified eye | 2 | |||
H1789 | Other corneal scars and opacities | 2 | |||
H179 | Unspecified corneal scar and opacity | 2 | |||
H1840 | Unspecified corneal degeneration | 2 | |||
H18449 | Keratomalacia, unspecified eye | 2 | |||
H18503 | Unspecified hereditary corneal dystrophies, bilateral | 3 | 10/01/2020 | ||
H18509 | Unspecified hereditary corneal dystrophies, unspecified eye | 3 | 10/01/2020 | ||
H18513 | Endothelial corneal dystrophy, bilateral | 3 | 10/01/2020 | ||
H18519 | Endothelial corneal dystrophy, unspecified eye | 3 | 10/01/2020 | ||
3 | 09/30/2020 | ||||
3 | 09/30/2020 | ||||
H18533 | Granular corneal dystrophy, bilateral | 3 | 10/01/2020 | ||
H18539 | Granular corneal dystrophy, unspecified eye | 3 | 10/01/2020 | ||
H18543 | Lattice corneal dystrophy, bilateral | 3 | 10/01/2020 | ||
H18549 | Lattice corneal dystrophy, unspecified eye | 3 | 10/01/2020 | ||
H18553 | Macular corneal dystrophy, bilateral | 3 | 10/01/2020 | ||
H18559 | Macular corneal dystrophy, unspecified eye | 3 | 10/01/2020 | ||
2 | 09/30/2020 | ||||
H18593 | Other hereditary corneal dystrophies, bilateral | 2 | 10/01/2020 | ||
H18599 | Other hereditary corneal dystrophies, unspecified eye | 2 | 10/01/2020 | ||
H18609 | Keratoconus, unspecified, unspecified eye | 2 | |||
H18719 | Corneal ectasia, unspecified eye | 2 | |||
H18799 | Other corneal deformities, unspecified eye | 3 | |||
H18839 | Recurrent erosion of cornea, unspecified eye | 2 | |||
H18899 | Other specified disorders of cornea, unspecified eye | 2 | |||
H189 | Unspecified disorder of cornea | 2 | |||
H209 | Unspecified iridocyclitis | 2 | |||
H211X9 | Other vascular disorders of iris and ciliary body, unspecified eye | 2 | |||
H21259 | Iridoschisis, unspecified eye | 2 | |||
H21309 | Idiopathic cysts of iris, ciliary body or anterior chamber, unspecified eye | 2 | |||
H2140 | Pupillary membranes, unspecified eye | 2 | |||
H21539 | Iridodialysis, unspecified eye | 2 | |||
H21549 | Posterior synechiae (iris), unspecified eye | 2 | |||
H2189 | Other specified disorders of iris and ciliary body | 2 | |||
H219 | Unspecified disorder of iris and ciliary body | 2 | |||
H22 | Disorders of iris and ciliary body in diseases classified elsewhere | 2 | |||
H26009 | Unspecified infantile and juvenile cataract, unspecified eye | 2 | |||
H26019 | Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye | 2 | |||
H26059 | Posterior subcapsular polar infantile and juvenile cataract, unspecified eye | 2 | |||
H26069 | Combined forms of infantile and juvenile cataract, unspecified eye | 2 | |||
H2609 | Other infantile and juvenile cataract | 2 | |||
H26109 | Unspecified traumatic cataract, unspecified eye | 2 | |||
H26129 | Partially resolved traumatic cataract, unspecified eye | 2 | |||
H26139 | Total traumatic cataract, unspecified eye | 2 | |||
H26219 | Cataract with neovascularization, unspecified eye | 2 | |||
H26229 | Cataract secondary to ocular disorders (degenerative) (inflammatory), unspecified eye | 2 | |||
H2630 | Drug-induced cataract, unspecified eye | 2 | |||
H2640 | Unspecified secondary cataract | 2 | |||
H268 | Other specified cataract | 2 | |||
H269 | Unspecified cataract | 2 | |||
H2700 | Aphakia, unspecified eye | 3 | |||
H2710 | Unspecified dislocation of lens | 2 | |||
H27119 | Subluxation of lens, unspecified eye | 2 | |||
H278 | Other specified disorders of lens | 2 | |||
H279 | Unspecified disorder of lens | 2 | |||
H28 | Cataract in diseases classified elsewhere | 2 | |||
H30149 | Acute posterior multifocal placoid pigment epitheliopathy, unspecified eye | 2 | |||
H3020 | Posterior cyclitis, unspecified eye | 2 | |||
H30819 | Harada’s disease, unspecified eye | 2 | |||
H30899 | Other chorioretinal inflammations, unspecified eye | 2 | |||
H3090 | Unspecified chorioretinal inflammation, unspecified eye | 2 | |||
H31119 | Age-related choroidal atrophy, unspecified eye | 2 | |||
H3121 | Choroideremia | 2 | |||
H3129 | Other hereditary choroidal dystrophy | 2 | |||
H33009 | Unspecified retinal detachment with retinal break, unspecified eye | 2 | |||
H33109 | Unspecified retinoschisis, unspecified eye | 2 | |||
H33199 | Other retinoschisis and retinal cysts, unspecified eye | 2 | |||
H3320 | Serous retinal detachment, unspecified eye | 2 | |||
H3340 | Traction detachment of retina, unspecified eye | 2 | |||
H338 | Other retinal detachments | 2 | |||
H349 | Unspecified retinal vascular occlusion | 2 | |||
H35019 | Changes in retinal vascular appearance, unspecified eye | 2 | |||
H35029 | Exudative retinopathy, unspecified eye | 2 | |||
H35059 | Retinal neovascularization, unspecified, unspecified eye | 2 | |||
H35069 | Retinal vasculitis, unspecified eye | 2 | |||
H35109 | Retinopathy of prematurity, unspecified, unspecified eye | 5 | |||
2 | 09/30/2020 | ||||
H35179 | Retrolental fibroplasia, unspecified eye | 2 | |||
H3520 | Other non-diabetic proliferative retinopathy, unspecified eye | 2 | |||
H3540 | Unspecified peripheral retinal degeneration | 2 | |||
H35419 | Lattice degeneration of retina, unspecified eye | 2 | |||
H35429 | Microcystoid degeneration of retina, unspecified eye | 2 | |||
H35459 | Secondary pigmentary degeneration, unspecified eye | 2 | |||
H35469 | Secondary vitreoretinal degeneration, unspecified eye | 2 | |||
H3550 | Unspecified hereditary retinal dystrophy | 2 | |||
H3551 | Vitreoretinal dystrophy | 2 | |||
H3552 | Pigmentary retinal dystrophy | 5 | |||
H3553 | Other dystrophies primarily involving the sensory retina | 2 | |||
H3554 | Dystrophies primarily involving the retinal pigment epithelium | 2 | |||
H3560 | Retinal hemorrhage, unspecified eye | 2 | |||
H35739 | Hemorrhagic detachment of retinal pigment epithelium, unspecified eye | 2 | |||
H3582 | Retinal ischemia | 2 | |||
09/30/2023 | |||||
H3689 | Other retinal disorders in diseases classified elsewhere | 2 | 10/01/2023 | ||
H40009 | Preglaucoma, unspecified , unspecified eye | 2 | |||
H4010x0 | Unspecified open-angle glaucoma, stage unspecified | 2 | |||
H401190 | Primary open-angle glaucoma unspecified eye, stage unspecified | 2 | 10/01/2016 | ||
2 | 09/30/2016 | ||||
H401290 | Low-tension glaucoma, unspecified eye, stage unspecified | 2 | |||
H4020x0 | Unspecified primary angle-closure glaucoma, stage unspecified | 2 | |||
H4030x0 | Glaucoma secondary to eye trauma, unspecified eye, stage unspecified | 2 | |||
H4040x0 | Glaucoma secondary to eye inflammation, unspecified eye, stage unspecified | 2 | |||
H4050x0 | Glaucoma secondary to other eye disorders, unspecified eye, stage unspecified | 2 | |||
H4089 | Other specified glaucoma | 2 | |||
H409 | Unspecified glaucoma | 2 | |||
H42 | Glaucoma in diseases classified elsewhere | 3 | |||
H4310 | Vitreous hemorrhage, unspecified eye | 2 | |||
H44009 | Unspecified purulent endophthalmitis, unspecified eye | 2 | |||
H44119 | Panuveitis, unspecified eye | 2 | |||
H44139 | Sympathetic uveitis, unspecified eye | 2 | |||
H442A9 | Degenerative myopia with choroidal neovascularization, unspecified eye | 2 | 10/01/2017 | ||
H442C9 | Degenerative myopia with retinal detachment, unspecified eye | 2 | 10/01/2017 | ||
H449 | Unspecified disorder of globe | 2 | |||
H47019 | Ischemic optic neuropathy, unspecified eye | 2 | |||
H47029 | Hemorrhage in optic nerve sheath, unspecified eye | 2 | |||
H47039 | Optic nerve hypoplasia, unspecified eye | 2 | |||
H47099 | Other disorders of optic nerve, not elsewhere classified, unspecified eye | 2 | |||
H4720 | Unspecified optic atrophy | 2 | |||
H47219 | Primary optic atrophy, unspecified eye | 2 | |||
H4722 | Hereditary optic atrophy | 2 | |||
H47239 | Glaucomatous optic atrophy, unspecified eye | 2 | |||
H47299 | Other optic atrophy, unspecified eye | 2 | |||
H47319 | Coloboma of optic disc, unspecified eye | 2 | |||
H47329 | Drusen of optic disc, unspecified eye | 2 | |||
H4742 | Disorders of optic chiasm in (due to) neoplasm | 2 | |||
H47529 | Disorders of visual pathways in (due to) neoplasm, unspecified side | 2 | |||
H47619 | Cortical blindness, unspecified side of brain | 2 | |||
H479 | Unspecified disorder of visual pathways | 2 | |||
H4900 | Third [oculomotor] nerve palsy, unspecified eye | 2 | |||
H4910 | Fourth [trochlear] nerve palsy, unspecified eye | 2 | |||
H4920 | Sixth [abducent] nerve palsy, unspecified eye | 2 | |||
H4940 | Progressive external ophthalmoplegia, unspecified eye | 2 | |||
H49889 | Other paralytic strabismus, unspecified eye | 2 | |||
H499 | Unspecified paralytic strabismus | 2 | |||
H5000 | Unspecified esotropia | 2 | |||
H5005 | Alternating esotropia | 2 | |||
H5006 | Alternating esotropia with A pattern | 2 | |||
H5007 | Alternating esotropia with V pattern | 2 | |||
H5010 | Unspecified exotropia | 2 | |||
H5015 | Alternating exotropia | 2 | |||
H5017 | Alternating exotropia with V pattern | 2 | |||
H5021 | Vertical strabismus, right eye | 2 | |||
H5030 | Unspecified intermittent heterotropia | 2 | |||
H5034 | Intermittent alternating exotropia | 2 | |||
H5042 | Monofixation syndrome | 2 | |||
H5043 | Accommodative component in esotropia | 2 | |||
H5051 | *Phase Out* Esophoria | 2 | *Phase Out* | ||
H5060 | Mechanical strabismus, unspecified | 2 | |||
H5069 | Other mechanical strabismus | 2 | |||
H50811 | Duane’s syndrome, right eye | 3 | |||
H509 | Unspecified strabismus | 2 | |||
H5111 | Convergence insufficiency | 2 | |||
H518 | Other specified disorders of binocular movement | 2 | |||
H519 | Unspecified disorder of binocular movement | 2 | |||
H5501 | Congenital nystagmus | 2 | |||
H61309 | Acquired stenosis of external ear canal, unspecified, unspecified ear | 2 | |||
H61399 | Other acquired stenosis of external ear canal, unspecified ear | 2 | |||
H6520 | Chronic serous otitis media, unspecified ear | 2 | |||
H6530 | Chronic mucoid otitis media, unspecified ear | 2 | |||
H65499 | Other chronic nonsuppurative otitis media, unspecified ear | 2 | |||
H6610 | Chronic tubotympanic suppurative otitis media, unspecified | 2 | |||
H6620 | Chronic atticoantral suppurative otitis media, unspecified ear | 2 | |||
H663X9 | Other chronic suppurative otitis media, unspecified ear | 2 | |||
H68109 | Unspecified obstruction of Eustachian tube, unspecified ear | 2 | |||
H6980 | Other specified disorders of Eustachian tube, unspecified ear | 2 | |||
H7010 | Chronic mastoiditis, unspecified ear | 2 | |||
H70229 | Chronic petrositis, unspecified ear | 2 | |||
H70899 | Other mastoiditis and related conditions, unspecified ear | 2 | |||
H7190 | Unspecified cholesteatoma, unspecified ear | 2 | |||
H7310 | Chronic myringitis, unspecified ear | 2 | |||
H7390 | Unspecified disorder of tympanic membrane, unspecified ear | 2 | |||
H7409 | Tympanosclerosis, unspecified ear | 2 | |||
H7419 | Adhesive middle ear disease, unspecified ear | 2 | |||
H74319 | Ankylosis of ear ossicles, unspecified ear | 2 | |||
H748X9 | Other specified disorders of middle ear and mastoid, unspecified ear | 2 | |||
H7490 | Unspecified disorder of middle ear and mastoid, unspecified ear | 2 | |||
H7500 | Mastoiditis in infectious and parasitic diseases classified elsewhere, unspecified ear | 2 | |||
H7580 | Other specified disorders of middle ear and mastoid in diseases classified elsewhere, unspecified ear | 2 | |||
H818X9 | Other disorders of vestibular function, unspecified ear | 2 | |||
H829 | Vertiginous syndromes in diseases classified elsewhere, unspecified ear | 2 | |||
H8319 | Labyrinthine fistula, unspecified ear | 2 | |||
H838X9 | Other specified diseases of inner ear, unspecified ear | 2 | |||
H902 | Conductive hearing loss, unspecified | 5 | |||
H905 | Unspecified sensorineural hearing loss | 5 | |||
H908 | Mixed conductive and sensorineural hearing loss, unspecified | 5 | |||
H93219 | Auditory recruitment, unspecified ear | 2 | |||
H9390 | Unspecified disorder of ear, unspecified ear | 2 | |||
H9500 | Recurrent cholesteatoma of postmastoidectomy cavity, unspecified ear | 2 | |||
H95119 | Chronic inflammation of postmastoidectomy cavity, unspecified ear | 2 | |||
H95139 | Mucosal cyst of postmastoidectomy cavity, unspecified ear | 2 | |||
H95199 | Other disorders following mastoidectomy, unspecified ear | 2 | |||
I018 | Other acute rheumatic heart disease | 3 | |||
I019 | Acute rheumatic heart disease, unspecified | 3 | |||
I020 | Rheumatic chorea with heart involvement | 3 | |||
I029 | Rheumatic chorea without heart involvement | 3 | |||
I050 | Rheumatic mitral stenosis | 3 | |||
I051 | Rheumatic mitral insufficiency | 3 | |||
I052 | Rheumatic mitral stenosis with insufficiency | 3 | |||
I058 | Other rheumatic mitral valve diseases | 3 | |||
I059 | Rheumatic mitral valve disease, unspecified | 3 | |||
I061 | Rheumatic aortic insufficiency | 3 | |||
I070 | Rheumatic tricuspid stenosis | 3 | |||
I071 | Rheumatic tricuspid insufficiency | 3 | |||
I072 | Rheumatic tricuspid stenosis and insufficiency | 3 | |||
I078 | Other rheumatic tricuspid valve diseases | 3 | |||
I079 | Rheumatic tricuspid valve disease, unspecified | 3 | |||
I080 | Rheumatic disorders of both mitral and aortic valves | 3 | |||
I089 | Rheumatic multiple valve disease, unspecified | 3 | |||
I10 | Essential (primary) hypertension | 2 | |||
I110 | Hypertensive heart disease with heart failure | 3 | |||
I119 | Hypertensive heart disease without heart failure | 2 | |||
I120 | Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease | 3 | |||
I129 | Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease | 3 | |||
I1310 | Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease | 3 | |||
I1311 | Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease | 3 | |||
I132 | Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease | 3 | |||
I150 | Renovascular hypertension | 2 | |||
I151 | Hypertension secondary to other renal disorders | 2 | |||
I152 | Hypertension secondary to endocrine disorders | 2 | |||
I158 | Other secondary hypertension | 2 | |||
I159 | Secondary hypertension, unspecified | 2 | |||
I213 | ST elevation (STEMI) myocardial infarction of unspecified site | 2 | |||
I219 | Acute myocardial infarction, unspecified | 2 | 10/01/2017 | ||
I21A9 | Other myocardial infarction type | 2 | 10/01/2017 | ||
I229 | Subsequent ST elevation (STEMI) myocardial infarction of unspecified site | 2 | |||
I2541 | Coronary artery aneurysm | 2 | |||
I255 | Ischemic cardiomyopathy | 2 | |||
I256 | Silent myocardial ischemia | 2 | |||
I2589 | Other forms of chronic ischemic heart disease | 2 | |||
I259 | Chronic ischemic heart disease, unspecified | 2 | |||
I270 | Primary pulmonary hypertension | 2 | |||
2 | 09/30/2017 | ||||
I2720 | Pulmonary hypertension, unspecified | 2 | 10/01/2017 | ||
I2721 | Secondary pulmonary arterial hypertension | 2 | 10/01/2017 | ||
I2781 | Cor pulmonale (chronic) | 2 | |||
I2782 | Chronic pulmonary embolism | 2 | |||
I2783 | Eisenmenger’s syndrome | 2 | 10/01/2017 | ||
I2789 | Other specified pulmonary heart diseases | 2 | |||
I279 | Pulmonary heart disease, unspecified | 2 | |||
I288 | Other diseases of pulmonary vessels | 2 | |||
I289 | Disease of pulmonary vessels, unspecified | 2 | |||
I311 | Chronic constrictive pericarditis | 2 | |||
2 | 09/30/2022 | ||||
I3139 | Pericardial effusion (noninflammatory) | 2 | 10/01/2022 | ||
I318 | Other specified diseases of pericardium | 2 | |||
I319 | Disease of pericardium, unspecified | 2 | |||
I330 | Acute and subacute infective endocarditis | 2 | |||
I339 | Acute and subacute endocarditis, unspecified | 2 | |||
I340 | Nonrheumatic mitral (valve) insufficiency | 3 | |||
I341 | Nonrheumatic mitral (valve) prolapse | 3 | |||
I342 | Nonrheumatic mitral (valve) stenosis | 3 | |||
3 | 09/30/2022 | ||||
I3489 | Other nonrheumatic mitral valve disorders | 3 | 10/01/2022 | ||
I349 | Nonrheumatic mitral valve disorder, unspecified | 3 | |||
I350 | Nonrheumatic aortic (valve) stenosis | 3 | |||
I351 | Nonrheumatic aortic (valve) insufficiency | 3 | |||
I352 | Nonrheumatic aortic (valve) stenosis with insufficiency | 3 | |||
I358 | Other nonrheumatic aortic valve disorders | 3 | |||
I359 | Nonrheumatic aortic valve disorder, unspecified | 3 | |||
I360 | Nonrheumatic tricuspid (valve) stenosis | 3 | |||
I361 | Nonrheumatic tricuspid (valve) insufficiency | 3 | |||
I362 | Nonrheumatic tricuspid (valve) stenosis with insufficiency | 3 | |||
I368 | Other nonrheumatic tricuspid valve disorders | 3 | |||
I369 | Nonrheumatic tricuspid valve disorder, unspecified | 3 | |||
I370 | Nonrheumatic pulmonary valve stenosis | 3 | |||
I371 | Nonrheumatic pulmonary valve insufficiency | 3 | |||
I372 | Nonrheumatic pulmonary valve stenosis with insufficiency | 3 | |||
I378 | Other nonrheumatic pulmonary valve disorders | 3 | |||
I379 | Nonrheumatic pulmonary valve disorder, unspecified | 3 | |||
I38 | Endocarditis, valve unspecified | 3 | |||
I400 | Infective myocarditis | 2 | |||
I401 | Isolated myocarditis | 2 | |||
I408 | Other acute myocarditis | 2 | |||
I409 | Acute myocarditis, unspecified | 2 | |||
I420 | Dilated cardiomyopathy | 3 | |||
I421 | Obstructive hypertrophic cardiomyopathy | 3 | |||
I422 | Other hypertrophic cardiomyopathy | 3 | |||
I423 | Endomyocardial (eosinophilic) disease | 3 | |||
I424 | Endocardial fibroelastosis | 3 | |||
I425 | Other restrictive cardiomyopathy | 3 | |||
I427 | Cardiomyopathy due to drug and external agent | 3 | |||
I428 | Other cardiomyopathies | 3 | |||
I429 | Cardiomyopathy, unspecified | 3 | |||
I43 | Cardiomyopathy in diseases classified elsewhere | 3 | |||
I440 | Atrioventricular block, first degree | 3 | |||
I441 | Atrioventricular block, second degree | 3 | |||
I442 | Atrioventricular block, complete | 3 | |||
I4430 | Unspecified atrioventricular block | 3 | |||
I4439 | Other atrioventricular block | 3 | |||
I450 | Right fascicular block | 3 | |||
I4510 | Unspecified right bundle-branch block | 3 | |||
I4519 | Other right bundle-branch block | 3 | |||
I454 | Nonspecific intraventricular block | 3 | |||
I455 | Other specified heart block | 3 | |||
I456 | Pre-excitation syndrome | 3 | |||
I4589 | Other specified conduction disorders | 3 | |||
I459 | Conduction disorder, unspecified | 2 | |||
09/30/2023 | |||||
I4710 | Supraventricular tachycardia, unspecified | 3 | 10/01/2023 | ||
I480 | Paroxysmal atrial fibrillation | 3 | |||
3 | 09/30/2019 | ||||
I4819 | Other persistent atrial fibrillation | 3 | 10/01/2019 | ||
3 | 09/30/2019 | ||||
I4820 | Chronic atrial fibrillation, unspecified | 3 | 10/01/2019 | ||
I483 | Typical atrial flutter | 3 | |||
I484 | Atypical atrial flutter | 3 | |||
I4891 | Unspecified atrial fibrillation | 3 | |||
I4892 | Unspecified atrial flutter | 3 | |||
I492 | Junctional premature depolarization | 3 | |||
I501 | Left ventricular failure | 2 | |||
I5020 | Unspecified systolic (congestive) heart failure | 2 | |||
I5030 | Unspecified diastolic (congestive) heart failure | 2 | |||
I5040 | Unspecified combined systolic (congestive) and diastolic (congestive) heart failure | 2 | |||
I50810 | Right heart failure, unspecified | 2 | 10/01/2017 | ||
I5082 | Biventricular heart failure | 2 | 10/01/2017 | ||
I5083 | High output heart failure | 2 | 10/01/2017 | ||
I5084 | End stage heart failure | 2 | 10/01/2017 | ||
I5089 | Other heart failure | 2 | 10/01/2017 | ||
I509 | Heart failure, unspecified | 2 | |||
I514 | Myocarditis, unspecified | 2 | |||
I515 | Myocardial degeneration | 2 | |||
I517 | Cardiomegaly | 2 | |||
I519 | Heart disease, unspecified | 2 | |||
I52 | Other heart disorders in diseases classified elsewhere | 2 | |||
I609 | Nontraumatic subarachnoid hemorrhage, unspecified | 2 | |||
I619 | Nontraumatic intracerebral hemorrhage, unspecified | 2 | |||
I6200 | Nontraumatic subdural hemorrhage, unspecified | 2 | |||
I669 | Occlusion and stenosis of unspecified cerebral artery | 2 | |||
I671 | Cerebral aneurysm, nonruptured | 2 | |||
I675 | Moyamoya disease | 5 | |||
I677 | Cerebral arteritis, not elsewhere classified | 2 | |||
I67841 | Reversible cerebrovascular vasoconstriction syndrome | 2 | |||
I67848 | Other cerebrovascular vasospasm and vasoconstriction | 2 | |||
I6789 | Other cerebrovascular disease | 2 | |||
I6900 | Unspecified sequelae of nontraumatic subarachnoid hemorrhage | 2 | |||
I69059 | Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting unspecified side | 2 | |||
I69098 | Other sequelae following nontraumatic subarachnoid hemorrhage | 2 | |||
I6910 | Unspecified sequelae of nontraumatic intracerebral hemorrhage | 2 | |||
I69159 | Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting unspecified side | 5 | |||
I69198 | Other sequelae of nontraumatic intracerebral hemorrhage | 5 | |||
I6920 | Unspecified sequelae of other nontraumatic intracranial hemorrhage | 2 | |||
I69259 | Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side | 5 | |||
I69298 | Other sequelae of other nontraumatic intracranial hemorrhage | 5 | |||
I6930 | Unspecified sequelae of cerebral infarction | 2 | |||
I69359 | Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side | 5 | |||
I69398 | Other sequelae of cerebral infarction | 5 | |||
I6980 | Unspecified sequelae of other cerebrovascular disease | 2 | |||
I69859 | Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side | 5 | |||
I69898 | Other sequelae of other cerebrovascular disease | 5 | |||
I6990 | Unspecified sequelae of unspecified cerebrovascular disease | 2 | |||
2 | 09/30/2016 | ||||
I69919 | Unspecified symptoms and signs involving cognitive functions following unspecified cer | 2 | 10/01/2016 | ||
I69920 | Aphasia following unspecified cerebrovascular disease | 2 | |||
I69959 | Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting unspecified side | 5 | |||
I69998 | Other sequelae following unspecified cerebrovascular disease | 5 | |||
I728 | Aneurysm of other specified arteries | 2 | |||
I739 | Peripheral vascular disease, unspecified | 2 | |||
I748 | Embolism and thrombosis of other arteries | 2 | |||
I749 | Embolism and thrombosis of unspecified artery | 2 | |||
I776 | Arteritis, unspecified | 3 | |||
I780 | Hereditary hemorrhagic telangiectasia | 3 | |||
I823 | Embolism and thrombosis of renal vein | 2 | |||
I82891 | Chronic embolism and thrombosis of other specified veins | 2 | |||
I8291 | Chronic embolism and thrombosis of unspecified vein | 2 | |||
I890 | Lymphedema, not elsewhere classified | 3 | |||
I96 | Gangrene, not elsewhere classified | 2 | |||
J3800 | Paralysis of vocal cords and larynx, unspecified | 2 | |||
J3801 | Paralysis of vocal cords and larynx, unilateral | 3 | |||
J381 | Polyp of vocal cord and larynx | 2 | |||
J386 | Stenosis of larynx | 2 | |||
J42 | Unspecified chronic bronchitis | 2 | |||
J439 | Emphysema, unspecified | 3 | |||
J4540 | Moderate persistent asthma, uncomplicated | 3 | |||
J4550 | Severe persistent asthma, uncomplicated | 3 | |||
J45998 | Other asthma | 2 | |||
J479 | Bronchiectasis, uncomplicated | 2 | |||
J8281 | Chronic eosinophilic pneumonia | 1 | 10/01/2020 | ||
J8283 | Eosinophilic asthma | 1 | 10/01/2020 | ||
J8289 | Other pulmonary eosinophilia, not elsewhere classified | 1 | 10/01/2020 | ||
J8403 | Idiopathic pulmonary hemosiderosis | 3 | |||
J8409 | Other alveolar and parieto-alveolar conditions | 3 | |||
J8410 | Pulmonary fibrosis, unspecified | 3 | |||
J84111 | Idiopathic interstitial pneumonia, not otherwise specified | 3 | |||
J84112 | Idiopathic pulmonary fibrosis | 3 | |||
J84113 | Idiopathic non-specific interstitial pneumonitis | 3 | |||
J84114 | Acute interstitial pneumonitis | 3 | |||
J84115 | Respiratory bronchiolitis interstitial lung disease | 3 | |||
J84116 | Cryptogenic organizing pneumonia | 2 | |||
3 | 09/30/2020 | ||||
J84178 | Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere | 3 | 10/01/2020 | ||
J8489 | Other specified interstitial pulmonary diseases | 3 | |||
J853 | Abscess of mediastinum | 2 | |||
J860 | Pyothorax with fistula | 2 | |||
J869 | Pyothorax without fistula | 2 | |||
J9500 | Unspecified tracheostomy complication | 2 | |||
J951 | Acute pulmonary insufficiency following thoracic surgery | 2 | |||
J952 | Acute pulmonary insufficiency following nonthoracic surgery | 2 | |||
J953 | Chronic pulmonary insufficiency following surgery | 2 | |||
J95821 | Acute postprocedural respiratory failure | 2 | |||
J95822 | Acute and chronic postprocedural respiratory failure | 2 | |||
J982 | Interstitial emphysema | 3 | |||
J984 | Other disorders of lung | 2 | |||
J989 | Respiratory disorder, unspecified | 2 | |||
K000 | Anodontia | 3 | |||
K004 | Disturbances in tooth formation | 3 | |||
K005 | Hereditary disturbances in tooth structure, not elsewhere classified | 3 | |||
K0389 | Other specified diseases of hard tissues of teeth | 3 | |||
K222 | Esophageal obstruction | 2 | |||
K5000 | Crohn’s disease of small intestine without complications | 3 | |||
K50019 | Crohn’s disease of small intestine with unspecified complications | 3 | |||
K5010 | Crohn’s disease of large intestine without complications | 3 | |||
K50119 | Crohn’s disease of large intestine with unspecified complications | 3 | |||
K5080 | Crohn’s disease of both small and large intestine without complications | 3 | |||
K50819 | Crohn’s disease of both small and large intestine with unspecified complications | 3 | |||
K5090 | Crohn’s disease, unspecified, without complications | 3 | |||
K50919 | Crohn’s disease, unspecified, with unspecified complications | 3 | |||
K5100 | Ulcerative (chronic) pancolitis without complications | 5 | |||
K5190 | Ulcerative colitis, unspecified, without complications | 3 | |||
K51919 | Ulcerative colitis, unspecified with unspecified complications | 3 | |||
2 | 09/30/2016 | ||||
K5221 | Allergic & Dietetic Gastroenteritis and Colitis | 2 | 10/01/2017 | ||
K5229 | Other allergic dietetic gastroenteritis colitis | 2 | 10/01/2016 | ||
K5281 | Eosinophilic gastritis or gastroenteritis | 2 | |||
K5282 | Eosinophilic colitis | 2 | |||
K529 | Noninfective gastroenteritis and colitis, unspecified | 2 | |||
2 | 09/30/2016 | ||||
K551 | Chronic vascular disorders of intestine | 2 | 10/01/2016 | ||
K592 | Neurogenic bowel, not elsewhere classified | 1 | |||
K717 | Toxic liver disease with fibrosis and cirrhosis of liver | 3 | |||
K7290 | Hepatitic failure, unspecified without coma | 3 | |||
K7291 | Hepatitic failure, unspecified with coma | 3 | |||
K730 | Chronic persistent hepatitis, not elsewhere classified | 3 | |||
K731 | Chronic lobular hepatitis, not elsewhere classified | 3 | |||
K732 | Chronic active hepatitis, not elsewhere classified | 3 | |||
K738 | Other chronic hepatitis, not elsewhere classified | 3 | |||
K739 | Chronic hepatitis, unspecified | 2 | |||
3 | 09/30/2020 | ||||
K7400 | Hepatic fibrosis, unspecified | 3 | 10/01/2020 | ||
K745 | Biliary cirrhosis, unspecified | 3 | |||
K7460 | Unspecified cirrhosis of liver | 3 | |||
K7469 | Other cirrhosis of liver | 3 | |||
K754 | Autoimmune hepatitis | 3 | |||
K766 | Portal hypertension | 3 | |||
K835 | Biliary cyst | 2 | |||
K838 | Other specified diseases of biliary tract | 2 | |||
K861 | Other chronic pancreatitis | 2 | |||
2 | 09/30/2016 | ||||
K8681 | Exocrine pancreatic insufficiency | 2 | 10/01/2016 | ||
K8689 | Other specified diseases of pancreas | 2 | 10/01/2016 | ||
K87 | Disorders of gallbladder, biliary tract and pancreas in diseases classified elsewhere | 2 | |||
K900 | Celiac disease | 3 | |||
K902 | Blind loop syndrome, not elsewhere classified | 2 | |||
K903 | Pancreatic steatorrhea | 3 | |||
2 | 09/30/2016 | ||||
K9049 | Malabsorption due to intolerance not elswhere classified | 2 | 10/01/2016 | ||
K9089 | Other intestinal malabsorption | 2 | |||
K909 | Intestinal malabsorption, unspecified | 3 | |||
K912 | Postsurgical malabsorption, not elsewhere classified | 3 | |||
L109 | Pemphigus, unspecified | 5 | |||
L400 | Psoriasis vulgaris | 3 | |||
L404 | Guttate psoriasis | 3 | |||
L4050 | Arthropathic psoriasis, unspecified | 5 | |||
L4059 | Other psoriatic arthropathy | 5 | |||
L408 | Other psoriasis | 3 | |||
L409 | Psoriasis, unspecified | 3 | |||
L511 | Stevens-Johnson syndrome | 2 | |||
L512 | Toxic epidermal necrolysis [Lyell] | 2 | |||
L518 | Other erythema multiforme | 3 | |||
L599 | Disorder of the skin and subcutaneous tissue related to radiation, unspecified | 2 | |||
L905 | Scar conditions and fibrosis of skin | 2 | |||
L930 | Discoid lupus erythematosus | 3 | |||
L931 | Subacute cutaneous lupus erythematosus | 3 | |||
L932 | Other local lupus erythematosus | 3 | |||
L940 | Localized scleroderma | 5 | |||
M009 | Pyogenic arthritis, unspecified | 2 | |||
M01X0 | Direct infection of unspecified joint in infectious and parasitic diseases classified elsewhere | 2 | |||
M029 | Reactive arthropathy, unspecified | 2 | |||
M041 | Periodic fever syndromes | 3 | 10/01/2016 | ||
M0520 | Rheumatoid vasculitis with rheumatoid arthritis of unspecified site | 3 | |||
M0530 | Rheumatoid heart disease with rheumatoid arthritis of unspecified site | 3 | |||
M0540 | Rheumatoid myopathy with rheumatoid arthritis of unspecified site | 3 | |||
M0550 | Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site | 3 | |||
M0560 | Rheumatoid arthritis of unspecified site with involvement of other organs and systems | 3 | |||
M0570 | Rheumatoid arthritis with rheumatoid factor of unspecified site without organ or systems involvement | 3 | |||
involvement | 3 | 09/30/2021 | 10/01/2020 | ||
M0580 | Other rheumatoid arthritis with rheumatoid factor of unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M059 | Rheumatoid arthritis with rheumatoid factor, unspecified | 3 | |||
M0600 | Rheumatoid arthritis without rheumatoid factor, unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M061 | *Phase Out* Adult-onset Still’s disease | 3 | *Phase Out* | ||
M0620 | Rheumatoid bursitis, unspecified site | 3 | |||
M0630 | Rheumatoid nodule, unspecified site | 3 | |||
M064 | Inflammatory polyarthropathy | 2 | |||
M0680 | Other specified rheumatoid arthritis, unspecified site | 3 | |||
M068A | Other specified rheumatoid arthritis, other specified site | 3 | 09/30/2021 | 10/01/2020 | |
M069 | Rheumatoid arthritis, unspecified | 3 | |||
M0760 | Enteropathic arthropathies, unspecified site | 2 | |||
M0800 | Unspecified juvenile rheumatoid arthritis of unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M081 | Juvenile ankylosing spondylitis | 5 | |||
M0820 | Juvenile rheumatoid arthritis with systemic onset, unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M083 | Juvenile rheumatoid polyarthritis (seronegative) | 3 | |||
M0840 | Pauciarticular juvenile rheumatoid arthritis, unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M0880 | Other juvenile arthritis, unspecified site | 3 | |||
M0890 | Juvenile arthritis, unspecified, unspecified site | 3 | |||
3 | 09/30/2021 | 10/01/2020 | |||
M1280 | Other specific arthropathies, not elsewhere classified, unspecified site | 2 | |||
M1460 | Charcot’s joint, unspecified site | 2 | |||
M1480 | Arthropathies in other specified diseases classified elsewhere, unspecified site | 2 | |||
M151 | *Phase Out* Heberden’s nodes (with arthropathy) | 2 | *Phase Out* | ||
M152 | *Phase Out* Bouchard’s nodes (with arthropathy) | 3 | *Phase Out* | ||
M1990 | Unspecified osteoarthritis, unspecified site | 2 | |||
M1A10x0 | Lead-induced chronic gout, unspecified site, without tophus (tophi) | 2 | |||
M1A10x1 | Lead-induced chronic gout, unspecified site, with tophus (tophi) | 2 | |||
M2100 | Valgus deformity, not elsewhere classified, unspecified site | 3 | |||
M21059 | Valgus deformity, not elsewhere classified, unspecified hip | 2 | |||
M21069 | Valgus deformity, not elsewhere classified, unspecified knee | 2 | |||
M21129 | Varus deformity, not elsewhere classified, unspecified elbow | 2 | |||
M21159 | Varus deformity, not elsewhere classified, unspecified | 2 | |||
M21169 | Varus deformity, not elsewhere classified, unspecified knee | 2 | |||
M2120 | Flexion deformity, unspecified site | 3 | |||
M21379 | Foot drop, unspecified foot | 2 | |||
M21519 | Acquired clawhand, unspecified hand | 2 | |||
M21539 | Acquired clawfoot, unspecified foot | 2 | |||
M21549 | Acquired clubfoot, unspecified foot | 2 | |||
M216X9 | Other acquired deformities of unspecified foot | 2 | |||
M2170 | Unequal limb length (acquired), unspecified site | 3 | |||
M2180 | Other specified acquired deformities of unspecified limb | 2 | |||
M21859 | Other specified acquired deformities of unspecified thigh | 2 | |||
M21869 | Other specified acquired deformities of unspecified lower leg | 2 | |||
M2190 | Unspecified acquired deformity of unspecified limb | 3 | |||
M21939 | Unspecified acquired deformity of unspecified forearm | 2 | |||
M21959 | Unspecified acquired deformity of unspecified thigh | 2 | |||
M21969 | Unspecified acquired deformity of unspecified lower leg | 2 | |||
M2410 | Other articular cartilage disorders, unspecified site | 2 | |||
M2419 | Other articular cartilage disorders, other specified site | 2 | 10/01/2020 | ||
M2430 | Pathological dislocation of unspecified joint, not elsewhere classified | 2 | |||
M2439 | Pathological dislocation of other specified joint, not elsewhere classified | 2 | 10/01/2020 | ||
M2440 | Recurrent dislocation, unspecified joint | 2 | |||
M2449 | Recurrent dislocation, other specified joint | 2 | 10/01/2020 | ||
M2450 | Contracture, unspecified joint | 2 | |||
M2459 | Contracture, other specified joint | 2 | 10/01/2020 | ||
2 | 09/30/2020 | ||||
M2469 | Ankylosis, other specified joint | 2 | 10/01/2020 | ||
M2480 | Other specific joint derangements of unspecified joint, not elsewhere classified | 2 | |||
M24859 | Other specific joint derangements of unspecified hip, not elsewhere classified | 3 | |||
M2489 | Other specific joint derangement of other specified joint, not elsewhere classified | 2 | 10/01/2020 | ||
M2510 | Fistula, unspecified joint | 2 | |||
M2518 | Fistula, vertebrae | 2 | |||
M2520 | Flail joint, unspecified joint | 2 | |||
M2530 | Other instability, unspecified joint | 2 | |||
M2539 | Other instability, other specified joint | 2 | 10/01/2020 | ||
M2580 | Other specified joint disorders, unspecified joint | 2 | |||
M25859 | Other specified joint disorders, unspecified hip | 2 | |||
M25869 | Other specified joint disorders, unspecified knee | 2 | |||
M259 | Joint disorder, unspecified | 2 | |||
M2600 | Unspecified anomaly of jaw size | 3 | |||
M2610 | Unspecified anomaly of jaw-cranial base relationship | 3 | |||
M2620 | Unspecified anomaly of dental arch relationship | 3 | |||
M26212 | *Phase Out* Malocclusion, Angle’s class II | 3 | *Phase Out* | ||
M26213 | *Phase Out* Malocclusion, Angle’s class III | 3 | *Phase Out* | ||
M26219 | *Phase Out* Malocclusion, Angle’s class, unspecified | 3 | *Phase Out* | ||
M264 | *Phase Out* Malocclusion, unspecified | 3 | *Phase Out* | ||
M2650 | Dentofacial functional abnormalities, unspecified | 2 | |||
M2659 | Other dentofacial functional abnormalities | 2 | |||
2 | 09/30/2016 | ||||
M26609 | Unspecified temporomandibular joint disorder unspecfied side | 2 | 10/01/2016 | ||
2 | 09/30/2016 | ||||
M26643 | Arthritis of bilateral temporomandibular joint | 2 | 10/01/2020 | ||
M26649 | Arthritis of unspecified temporomandibular joint | 2 | 10/01/2020 | ||
M26653 | Arthropathy of bilateral temporomandibular joint | 2 | 10/01/2020 | ||
M26659 | Arthropathy of unspecified temporomandibular joint | 2 | 10/01/2020 | ||
M2669 | Other specified disorders of temporomandibular joint | 2 | |||
M2689 | Other dentofacial anomalies | 3 | |||
M269 | Dentofacial anomaly, unspecified | 3 | |||
M300 | Polyarteritis nodosa | 5 | |||
M301 | Polyarteritis with lung involvement [Churg-Strauss] | 5 | |||
M302 | Juvenile polyarteritis | 3 | |||
M303 | Mucocutaneous lymph node syndrome [Kawasaki] | 2 | |||
M311 | Thrombotic microangiopathy | 5 | |||
5 | 09/30/2021 | ||||
M3110 | Thrombotic microangiopathy, unspecified | 5 | 10/01/2021 | ||
M3130 | Wegener’s granulomatosis without renal involvement | 5 | |||
M3131 | Wegener’s granulomatosis with renal involvement | 5 | |||
M314 | Aortic arch syndrome [Takayasu] | 5 | |||
M329 | Systemic lupus erythematosus, unspecified | 5 | |||
M3300 | Juvenile dermatopolymyositis, organ involvement unspecified | 5 | |||
M3303 | Juvenile dermatomyositis without myopathy | 5 | 10/01/2017 | ||
M3310 | Other dermatopolymyositis, organ involvement unspecified | 5 | |||
M3313 | Other dermatomyositis without myopathy | 5 | 10/01/2017 | ||
M3320 | Polymyositis, organ involvement unspecified | 5 | |||
M3390 | Dermatopolymyositis, unspecified, organ involvement unspecified | 5 | |||
M3393 | Dermatopolymyositis, unspecified without myopathy | 5 | 10/01/2017 | ||
M340 | Progressive systemic sclerosis | 5 | |||
M341 | CR(E)ST syndrome | 5 | |||
M3481 | Systemic sclerosis with lung involvement | 5 | |||
M349 | Systemic sclerosis, unspecified | 5 | |||
M3500 | Sicca syndrome (Sjogren), unspecified | 5 | |||
M351 | Other overlap syndromes | 3 | |||
M352 | Behcet’s disease | 2 | |||
M354 | Diffuse (eosinophilic) fasciitis | 2 | |||
M355 | Multifocal fibrosclerosis | 3 | |||
3 | 12/31/2020 | ||||
M3581 | Multi Inflammatory Syndrome (MIS) | 1 | 01/01/2021 | ||
M359 | Systemic involvement of connective tissue, unspecified | 2 | |||
M360 | Dermato(poly)myositis in neoplastic disease | 5 | |||
M361 | Arthropathy in neoplastic disease | 2 | |||
M362 | Hemophilic arthropathy | 2 | |||
M363 | Arthropathy in other blood disorder | 2 | |||
M368 | Systemic disorders of connective tissue in other diseases classified elsewhere | 2 | |||
M4000 | Postural kyphosis, site unspecified | 2 | |||
M4010 | Other secondary kyphosis, site unspecified | 3 | |||
M40209 | Unspecified kyphosis, site unspecified | 2 | |||
M40299 | Other kyphosis, site unspecified | 2 | |||
M4100 | Infantile idiopathic scoliosis, site unspecified | 2 | |||
M41119 | Juvenile idiopathic scoliosis, site unspecified | 2 | |||
M41129 | Adolescent idiopathic scoliosis, site unspecified | 2 | |||
M4120 | Other idiopathic scoliosis, site unspecified | 2 | |||
M4130 | Thoracogenic scoliosis, site unspecified | 2 | |||
M4140 | Neuromuscular scoliosis, site unspecified | 3 | |||
M4150 | Other secondary scoliosis, site unspecified | 3 | |||
M4180 | Other forms of scoliosis, site unspecified | 2 | |||
M419 | Scoliosis, unspecified | 2 | |||
M4200 | Juvenile osteochondrosis of spine, site unspecified | 2 | |||
M429 | Spinal osteochondrosis, unspecified | 2 | |||
M435X9 | Other recurrent vertebral dislocation, site unspecified | 2 | |||
M438X9 | Other specified deforming dorsopathies, site unspecified | 3 | |||
M439 | Deforming dorsopathy, unspecified | 2 | |||
M459 | Ankylosing spondylitis of unspecified sites in spine | 5 | |||
M4690 | Unspecified inflammatory spondylopathy, site unspecified | 2 | |||
M4699 | Unspecified inflammatory spondylopathy, multiple sites in spine | 2 | |||
M4720 | Other spondylosis with radiculopathy, site unspecified | 2 | |||
M47819 | Spondylosis without myelopathy or radiculopathy, site unspecified | 2 | |||
M47892 | Other spondylosis, cervical region | 2 | |||
M47897 | Other spondylosis, lumbosacral region | 2 | |||
M47899 | Other spondylosis, site unspecified | 2 | |||
M479 | Spondylosis, unspecified | 2 | |||
M4800 | Spinal stenosis, site unspecified | 2 | |||
M4840xS | Fatigue fracture of vertebra, site unspecified, sequela of fracture | 2 | |||
M4850xS | Collapsed vertebra, not elsewhere classified, site unspecified, sequela of fracture | 2 | |||
M488X9 | Other specified spondylopathies, site unspecified | 5 | |||
M489 | Spondylopathy, unspecified | 2 | |||
M5106 | Intervertebral disc disorders with myelopathy, lumbar region | 2 | |||
M5127 | Other intervertebral disc displacement, lumbosacral region | 2 | |||
M519 | Unspecified thoracic, thoracolumbar and lumbosacral intervertebral disc disorder | 2 | |||
M532X9 | Spinal instabilities, site unspecified | 2 | |||
M5381 | Other specified dorsopathies, occipito-atlanto-axial region | 2 | |||
M6110 | Myositis ossificans progressiva, unspecified site | 5 | |||
M6220 | Nontraumatic ischemic infarction of muscle, unspecified site | 2 | |||
M623 | Immobility syndrome (paraplegic) | 2 | |||
M6250 | Muscle wasting and atrophy, not elsewhere classified, unspecified site | 2 | |||
M6289 | Other specified disorders of muscle | 2 | |||
M6700 | Short Achilles tendon (acquired), unspecified ankle | 2 | |||
M8080xK | Other osteoporosis with current pathological fracture, unspecified site, subsequent encounter for fracture with nonunion | 2 | |||
M8430xK | Stress fracture, unspecified site, subsequent encounter for fracture with nonunion | 2 | |||
M8430xS | Stress fracture, unspecified site, sequela | 2 | |||
M8438xK | Stress fracture, other site, subsequent encounter for fracture with nonunion | 2 | |||
M8440xK | Pathological fracture, unspecified site, subsequent encounter for fracture with nonunion | 2 | |||
M8440xS | Pathological fracture, unspecified site, sequela | 2 | |||
M84550S | Pathological fracture in neoplastic disease, pelvis, sequela | 2 | |||
M8458xS | Pathological fracture in neoplastic disease, vertebrae, sequela | 2 | |||
M8460xK | Pathological fracture in other disease, unspecified site, subsequent encounter for fracture with nonunion | 2 | |||
M84669S | Pathological fracture in other disease, unspecified tibia and fibula, sequela | 2 | |||
M84673S | Pathological fracture in other disease, unspecified ankle, sequela | 2 | |||
M84676S | Pathological fracture in other disease, unspecified foot, sequela | 2 | |||
M8560 | Other cyst of bone, unspecified site | 2 | |||
M8630 | Chronic multifocal osteomyelitis, unspecified site | 2 | |||
M8640 | Chronic osteomyelitis with draining sinus, unspecified site | 2 | |||
M8650 | Other chronic hematogenous osteomyelitis, unspecified site | 2 | |||
M8660 | Other chronic osteomyelitis, unspecified site | 2 | |||
M868X9 | Other osteomyelitis, unspecified sites | 2 | |||
M8700 | Idiopathic aseptic necrosis of unspecified bone | 2 | |||
M8710 | Osteonecrosis due to drugs, unspecified bone | 2 | |||
M8720 | Osteonecrosis due to previous trauma, unspecified bone | 2 | |||
M8730 | Other secondary osteonecrosis, unspecified bone | 2 | |||
M8780 | Other osteonecrosis, unspecified bone | 2 | |||
M879 | Osteonecrosis, unspecified | 2 | |||
M9058 | Osteonecrosis in diseases classified elsewhere, other site | 2 | |||
M910 | Juvenile osteochondrosis of pelvis | 2 | |||
M9110 | Juvenile osteochondrosis of head of femur [Legg-Calve-Perthes], unspecified leg | 2 | |||
M9120 | Coxa plana, unspecified hip | 2 | |||
M9130 | Pseudocoxalgia, unspecified hip | 2 | |||
M9140 | Coxa magna, unspecified hip | 2 | |||
M9180 | Other juvenile osteochondrosis of hip and pelvis, unspecified leg | 2 | |||
M9190 | Juvenile osteochondrosis of hip and pelvis, unspecified, unspecified leg | 2 | |||
M9200 | Juvenile osteochondrosis of humerus, unspecified arm | 2 | |||
M9210 | Juvenile osteochondrosis of radius and ulna, unspecified arm | 2 | |||
M92209 | Unspecified juvenile osteochondrosis, unspecified hand | 2 | |||
M92219 | Osteochondrosis (juvenile) of carpal lunate [Kienbock], unspecified hand | 2 | |||
M92229 | Osteochondrosis (juvenile) of metacarpal heads [Mauclaire], unspecified hand | 2 | |||
M92299 | Other juvenile osteochondrosis, unspecified hand | 2 | |||
M9230 | Other juvenile osteochondrosis, unspecified upper limb | 2 | |||
M9240 | Juvenile osteochondrosis of patella, unspecified knee | 2 | |||
2 | 09/30/2020 | ||||
M92503 | Unspecified juvenile osteochondrosis, bilateral leg | 2 | 10/01/2020 | ||
M92509 | Unspecified juvenile osteochondrosis, unspecified leg | 2 | 10/01/2020 | ||
M92513 | Juvenile osteochondrosis of proximal tibia, bilateral | 2 | 10/01/2020 | ||
M92519 | Juvenile osteochondrosis of proximal tibia, unspecified leg | 2 | 10/01/2020 | ||
M92523 | Juvenile osteochondrosis of tibia tubercle, bilateral | 2 | 10/01/2020 | ||
M92529 | Juvenile osteochondrosis of tibia tubercle, unspecified leg | 2 | 10/01/2020 | ||
M92593 | Other juvenile osteochondrosis of tibia and fibula, bilateral | 2 | 10/01/2020 | ||
M92599 | Other juvenile osteochondrosis of tibia and fibula, unspecified leg | 2 | 10/01/2020 | ||
M9260 | Juvenile osteochondrosis of tarsus, unspecified ankle | 2 | |||
M9270 | Juvenile osteochondrosis of metatarsus, unspecified foot | 2 | |||
M93003 | Unspecified slipped upper femoral epiphysis (nontraumatic), unspecified hip | 2 | |||
M93013 | Acute slipped upper femoral epiphysis, stable, unsp hip | 2 | |||
M93023 | Chronic slipped upper femoral epiphysis (nontraumatic), unspecified hip | 2 | |||
M93033 | Acute on chr slipped upper femoral epiphy, stable, unsp hip | 2 | |||
M93043 | Acute slipped upper femoral epiphysis, unstable, unsp hip | 2 | 10/01/2022 | ||
M93053 | Acute on chr slipped upper femoral epiphy, unstbl, unsp hip | 2 | 10/01/2022 | ||
M93063 | Acute slipped upper femoral epiphysis, unspecified stability (nontraumatic), unspecified hip | 2 | 10/01/2022 | ||
M93073 | Acute on chronic slipped upper femoral epiphysis, unspecified stability (nontraumatic), unspecified hip | 2 | 10/01/2022 | ||
M9320 | Osteochondritis dissecans of unspecified site | 2 | |||
M9328 | Osteochondritis dissecans other site | 2 | |||
M9329 | Osteochondritis dissecans multiple sites | 2 | |||
M9390 | Osteochondropathy, unspecified of unspecified site | 2 | |||
M950 | Acquired deformity of nose | 2 | *Phase out* | ||
M959 | Acquired deformity of musculoskeletal system, unspecified | 2 | |||
M963 | Postlaminectomy kyphosis | 2 | |||
M9920 | Subluxation stenosis of neural canal of head region | 2 | |||
M9921 | Subluxation stenosis of neural canal of cervical region | 2 | |||
M9923 | Subluxation stenosis of neural canal of lumbar region | 2 | |||
M9930 | Osseous stenosis of neural canal of head region | 2 | |||
M9931 | Osseous stenosis of neural canal of cervical region | 2 | |||
M9933 | Osseous stenosis of neural canal of lumbar region | 2 | |||
M9940 | Connective tissue stenosis of neural canal of head region | 2 | |||
M9941 | Connective tissue stenosis of neural canal of cervical region | 2 | |||
M9943 | Connective tissue stenosis of neural canal of lumbar region | 2 | |||
M9950 | Intervertebral disc stenosis of neural canal of head region | 2 | |||
M9951 | Intervertebral disc stenosis of neural canal of cervical region | 2 | |||
M9953 | Intervertebral disc stenosis of neural canal of lumbar region | 2 | |||
M9960 | Osseous and subluxation stenosis of intervertebral foramina of head region | 2 | |||
M9961 | Osseous and subluxation stenosis of intervertebral foramina of cervical region | 2 | |||
M9963 | Osseous and subluxation stenosis of intervertebral foramina of lumbar region | 2 | |||
M9970 | Connective tissue and disc stenosis of intervertebral foramina of head region | 2 | |||
M9971 | Connective tissue and disc stenosis of intervertebral foramina of cervical region | 2 | |||
M9973 | Connective tissue and disc stenosis of intervertebral foramina of lumbar region | 2 | |||
M999 | Biomechanical lesion, unspecified | 2 | |||
N019 | Rapidly progressive nephritic syndrome with unspecified morphologic changes | 3 | |||
N020 | Recurrent and persistent hematuria with minor glomerular abnormality | 3 | |||
N025 | Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis | 3 | |||
N026 | Recurrent and persistent hematuria with dense deposit disease | 3 | |||
N038 | Chronic nephritic syndrome with other morphologic changes | 3 | |||
N039 | Chronic nephritic syndrome with unspecified morphologic changes | 3 | |||
N03A | Chronic nephritic syndrome with C3 glomerulonephritis | 3 | 10/01/2020 | ||
N040 | Nephrotic syndrome with minor glomerular abnormality | 3 | |||
N043 | Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis | 3 | |||
N044 | Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis | 3 | |||
N045 | Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis | 3 | |||
N046 | Nephrotic syndrome with dense deposit disease | 3 | |||
N048 | Nephrotic syndrome with other morphologic changes | 3 | |||
N049 | Nephrotic syndrome with unspecified morphologic changes | 3 | |||
N04A | Nephrotic syndrome with C3 glomerulonephritis | 3 | 10/01/2020 | ||
N052 | Unspecified nephritic syndrome with diffuse membranous glomerulonephritis | 3 | |||
N055 | Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis | 3 | |||
N059 | Unspecified nephritic syndrome with unspecified morphologic changes | 3 | |||
N079 | Hereditary nephropathy, not elsewhere classified with unspecified morphologic lesions | 3 | |||
N08 | Glomerular disorders in diseases classified elsewhere | 3 | |||
N131 | Hydronephrosis with ureteral stricture, not elsewhere classified | 2 | |||
N132 | Hydronephrosis with renal and ureteral calculous obstruction | 2 | |||
N1330 | Unspecified hydronephrosis | 2 | |||
N1339 | Other hydronephrosis | 2 | |||
N134 | Hydroureter | 2 | |||
N1370 | Vesicoureteral-reflux, unspecified | 2 | |||
N13729 | Vesicoureteral-reflux with reflux nephropathy without hydroureter, unspecified | 3 | |||
N13731 | Vesicoureteral-reflux with reflux nephropathy with hydroureter, unilateral | 2 | |||
N13732 | Vesicoureteral-reflux with reflux nephropathy with hydroureter, bilateral | 2 | |||
N13739 | Vesicoureteral-reflux with reflux nephropathy with hydroureter, unspecified | 3 | |||
N138 | Other obstructive and reflux uropathy | 2 | |||
N139 | Obstructive and reflux uropathy, unspecified | 3 | |||
N159 | Renal tubulo-interstitial disease, unspecified | 3 | |||
N171 | Acute kidney failure with acute cortical necrosis | 2 | |||
N178 | Other acute kidney failure | 2 | |||
N179 | Acute kidney failure, unspecified | 2 | |||
N181 | *Phase Out* Chronic kidney disease, stage 1 | 5 | *Phase Out* | ||
N182 | *Phase Out* Chronic kidney disease, stage 2 (mild) | 5 | *Phase Out* | ||
5 | 09/30/2020 | ||||
N1830 | Chronic kidney disease, stage 3 unspecified | 5 | 10/01/2020 | ||
N184 | Chronic kidney disease, stage 4 (severe) | 5 | |||
N185 | Chronic kidney disease, stage 5 | 5 | |||
N186 | End stage renal disease | 5 | |||
N189 | Chronic kidney disease, unspecified | 5 | |||
N19 | Unspecified kidney failure | 2 | |||
N250 | Renal osteodystrophy | 3 | |||
N251 | Nephrogenic diabetes insipidus | 2 | |||
N2589 | Other disorders resulting from impaired renal tubular function | 2 | |||
N262 | Page kidney | 2 | |||
N280 | Ischemia and infarction of kidney | 3 | |||
N2889 | Other specified disorders of kidney and ureter | 2 | |||
N289 | Disorder of kidney and ureter, unspecified | 2 | |||
N29 | Other disorders of kidney and ureter in diseases classified elsewhere | 2 | |||
N319 | Neuromuscular dysfunction of bladder, unspecified | 3 | |||
N320 | Bladder-neck obstruction | 3 | |||
N329 | Bladder disorder, unspecified | 2 | |||
N990 | Postprocedural (acute) (chronic) kidney failure | 2 | |||
N9981 | Other intraoperative complications of genitourinary system | 2 | |||
N9989 | Other postprocedural complications and disorders of genitourinary system | 2 | |||
P0701 | Extremely low birth weight newborn, less than 500 grams | 1 | |||
P0702 | Extremely low birth weight newborn, 500-749 grams | 1 | |||
P0703 | Extremely low birth weight newborn, 750-999 grams | 1 | |||
P099 | Abnormal findings on neonatal screening, unspecified | 1 | 10/01/2021 | ||
P114 | Birth injury to other cranial nerves | 2 | |||
P115 | Birth injury to spine and spinal cord | 5 | |||
P140 | Erb’s paralysis due to birth injury | 3 | |||
P141 | Klumpke’s paralysis due to birth injury | 3 | |||
P142 | Phrenic nerve paralysis due to birth injury | 2 | |||
P143 | Other brachial plexus birth injuries | 3 | |||
P148 | Birth injuries to other parts of peripheral nervous system | 2 | |||
P149 | Birth injury to peripheral nervous system, unspecified | 2 | |||
P220 | Respiratory distress syndrome of newborn | 1 | |||
P2480 | Other apnea of newborn | 1 | 10/01/2022 | ||
P270 | Wilson-Mikity syndrome | 2 | |||
P271 | Bronchopulmonary dysplasia originating in the perinatal period | 2 | |||
P278 | Other chronic respiratory diseases originating in the perinatal period | 2 | |||
P279 | Unspecified chronic respiratory disease originating in the perinatal period | 2 | |||
1 | 09/30/2022 | ||||
1 | 09/30/2017 | ||||
P2930 | Pulmonary hypertension of newborn | 1 | 10/01/2017 | ||
P2938 | Other persistent fetal circulation | 1 | 10/01/2017 | ||
P350 | Congenital rubella syndrome | 5 | |||
P351 | Congenital cytomegalovirus infection | 2 | |||
P352 | Congenital herpesviral [herpes simplex] infection | 2 | |||
P353 | Congenital viral hepatitis | 2 | |||
P359 | Congenital viral disease, unspecified | 2 | |||
P370 | Congenital tuberculosis | 2 | |||
P371 | Congenital toxoplasmosis | 2 | |||
P372 | Neonatal (disseminated) listeriosis | 2 | |||
P373 | Congenital falciparum malaria | 2 | |||
P374 | Other congenital malaria | 2 | |||
P378 | Other specified congenital infectious and parasitic diseases | 2 | |||
P379 | Congenital infectious or parasitic disease, unspecified | 2 | |||
P399 | Infection specific to the perinatal period, unspecified | 1 | |||
P5221 | Intraventricular (nontraumatic) hemorrhage, grade 3, of newborn | 1 | |||
P5222 | Intraventricular (nontraumatic) hemorrhage, grade 4, of newborn | 1 | |||
P591 | Inspissated bile syndrome | 2 | |||
P5920 | Neonatal jaundice from unspecified hepatocellular damage | 2 | |||
P60 | Disseminated intravascular coagulation of newborn | 2 | |||
P704 | Other neonatal hypoglycemia | 2 | |||
P771 | Stage 1 necrotizing enterocolitis in newborn | 2 | |||
P772 | Stage 2 necrotizing enterocolitis in newborn | 2 | |||
P773 | Stage 3 necrotizing enterocolitis in newborn | 2 | |||
P779 | Necrotizing enterocolitis in newborn, unspecified | 2 | |||
P8388 | Other specified conditions of integument specific to newborn | 1 | 10/01/2017 | ||
P84 | Other problems with newborn | 2 | |||
P9160 | Hypoxic ischemic encephalopathy [HIE], unspecified | 1 | |||
P9163 | Severe hypoxic ischemic encephalopathy [HIE] | 2 | |||
P91823 | Neonatal cerebral infarction, bilateral | 1 | 10/01/2020 | ||
P91829 | Neonatal cerebral infarction, unspecified side | 1 | 10/01/2020 | ||
P940 | Transient neonatal myasthenia gravis | 2 | |||
Q019 | Encephalocele, unspecified | 5 | |||
Q039 | Congenital hydrocephalus, unspecified | 3 | |||
Q040 | Congenital malformations of corpus callosum | 3 | |||
Q042 | Holoprosencephaly | 3 | |||
Q043 | Other reduction deformities of brain | 3 | |||
Q044 | Septo-optic dysplasia of brain | 2 | |||
Q045 | Megalencephaly | 2 | |||
Q046 | Congenital cerebral cysts | 2 | |||
Q048 | Other specified congenital malformations of brain | 2 | |||
Q049 | Congenital malformation of brain, unspecified | 3 | |||
Q050 | Cervical spina bifida with hydrocephalus | 5 | |||
Q051 | Thoracic spina bifida with hydrocephalus | 5 | |||
Q052 | Lumbar spina bifida with hydrocephalus | 5 | |||
Q053 | Sacral spina bifida with hydrocephalus | 5 | |||
Q054 | Unspecified spina bifida with hydrocephalus | 5 | |||
Q055 | Cervical spina bifida without hydrocephalus | 5 | |||
Q056 | Thoracic spina bifida without hydrocephalus | 5 | |||
Q057 | Lumbar spina bifida without hydrocephalus | 5 | |||
Q058 | Sacral spina bifida without hydrocephalus | 5 | |||
Q059 | Spina bifida, unspecified | 5 | |||
Q060 | Amyelia | 3 | |||
Q061 | Hypoplasia and dysplasia of spinal cord | 3 | |||
Q062 | Diastematomyelia | 2 | |||
Q063 | Other congenital cauda equina malformations | 3 | |||
Q064 | Hydromyelia | 2 | |||
Q069 | Congenital malformation of spinal cord, unspecified | 3 | |||
Q0701 | Arnold-Chiari syndrome with spina bifida | 5 | |||
Q0702 | Arnold-Chiari syndrome with hydrocephalus | 5 | |||
Q0703 | Arnold-Chiari syndrome with spina bifida and hydrocephalus | 5 | |||
Q078 | Other specified congenital malformations of nervous system | 2 | |||
Q079 | Congenital malformation of nervous system, unspecified | 3 | |||
Q100 | Congenital ptosis | 3 | |||
Q103 | Other congenital malformations of eyelid | 2 | |||
Q107 | Congenital malformation of orbit | 2 | |||
Q110 | Cystic eyeball | 3 | |||
Q111 | Other anophthalmos | 3 | |||
Q112 | Microphthalmos | 3 | |||
Q113 | Macrophthalmos | 2 | |||
Q120 | Congenital cataract | 2 | |||
Q121 | Congenital displaced lens | 3 | |||
Q122 | Coloboma of lens | 3 | |||
Q123 | Congenital aphakia | 3 | |||
Q124 | Spherophakia | 3 | |||
Q128 | Other congenital lens malformations | 3 | |||
Q129 | Congenital lens malformation, unspecified | 3 | |||
Q130 | Coloboma of iris | 3 | |||
Q131 | Absence of iris | 3 | |||
Q132 | Other congenital malformations of iris | 3 | |||
Q133 | Congenital corneal opacity | 2 | |||
Q134 | Other congenital corneal malformations | 2 | |||
Q1381 | Rieger’s anomaly | 3 | |||
Q139 | Congenital malformation of anterior segment of eye, unspecified | 2 | |||
Q140 | Congenital malformation of vitreous humor | 2 | |||
Q141 | Congenital malformation of retina | 2 | |||
Q142 | Congenital malformation of optic disc | 2 | |||
Q143 | Congenital malformation of choroid | 2 | |||
Q148 | Other congenital malformations of posterior segment of eye | 2 | |||
Q149 | Congenital malformation of posterior segment of eye, unspecified | 2 | |||
Q150 | Congenital glaucoma | 2 | |||
Q158 | Other specified congenital malformations of eye | 2 | |||
Q159 | Congenital malformation of eye, unspecified | 3 | |||
Q160 | Congenital absence of (ear) auricle | 5 | |||
Q161 | Congenital absence, atresia and stricture of auditory canal (external) | 5 | |||
Q162 | Absence of eustachian tube | 2 | |||
Q163 | Congenital malformation of ear ossicles | 2 | |||
Q164 | Other congenital malformations of middle ear | 2 | |||
Q165 | Congenital malformation of inner ear | 2 | |||
Q169 | Congenital malformation of ear causing impairment of hearing, unspecified | 3 | |||
Q172 | Microtia | 5 | |||
Q178 | Other specified congenital malformations of ear | 2 | |||
Q180 | Sinus, fistula and cyst of branchial cleft | 2 | |||
Q185 | Microstomia | 2 | |||
Q188 | Other specified congenital malformations of face and neck | 2 | |||
Q189 | Congenital malformation of face and neck, unspecified | 3 | |||
Q200 | Common arterial trunk | 5 | |||
Q201 | Double outlet right ventricle | 5 | |||
Q202 | Double outlet left ventricle | 5 | |||
Q203 | Discordant ventriculoarterial connection | 5 | |||
Q204 | Double inlet ventricle | 5 | |||
Q205 | Discordant atrioventricular connection | 5 | |||
Q208 | Other congenital malformations of cardiac chambers and connections | 5 | |||
Q209 | Congenital malformation of cardiac chambers and connections, unspecified | 5 | |||
Q210 | Ventricular septal defect | 3 | |||
5 | 09/30/2022 | ||||
Q2110 | Atrial septal defect | 5 | 10/01/2022 | ||
5 | 09/30/2022 | ||||
Q2120 | Atrioventricular septal defect | 5 | 10/01/2022 | ||
Q213 | Tetralogy of Fallot | 5 | |||
Q218 | Other congenital malformations of cardiac septa | 5 | |||
Q219 | Congenital malformation of cardiac septum, unspecified | 5 | |||
Q220 | Pulmonary valve atresia | 5 | |||
Q221 | Congenital pulmonary valve stenosis | 5 | |||
Q222 | Congenital pulmonary valve insufficiency | 5 | |||
Q223 | Other congenital malformations of pulmonary valve | 5 | |||
Q224 | Congenital tricuspid stenosis | 5 | |||
Q225 | Ebstein’s anomaly | 5 | |||
Q226 | Hypoplastic right heart syndrome | 5 | |||
Q228 | Other congenital malformations of tricuspid valve | 5 | |||
Q229 | Congenital malformation of tricuspid valve, unspecified | 5 | |||
Q230 | Congenital stenosis of aortic valve | 5 | |||
Q231 | Congenital insufficiency of aortic valve | 5 | |||
Q232 | Congenital mitral stenosis | 5 | |||
Q233 | Congenital mitral insufficiency | 5 | |||
Q234 | Hypoplastic left heart syndrome | 5 | |||
Q238 | Other congenital malformations of aortic and mitral valves | 5 | |||
Q239 | Congenital malformation of aortic and mitral valves, unspecified | 5 | |||
Q242 | Cor triatriatum | 5 | |||
Q243 | Pulmonary infundibular stenosis | 5 | |||
Q244 | Congenital subaortic stenosis | 5 | |||
Q245 | Malformation of coronary vessels | 5 | |||
Q246 | Congenital heart block | 5 | |||
Q248 | Other specified congenital malformations of heart | 5 | |||
Q249 | Congenital malformation of heart, unspecified | 5 | |||
Q250 | Patent ductus arteriosus | 3 | |||
Q251 | Coarctation of aorta | 5 | |||
5 | 09/30/2016 | ||||
Q2521 | Interruption of aortic arch | 5 | 10/01/2016 | ||
Q2529 | Other atresia of aorta | 5 | 10/01/2016 | ||
Q253 | Supravalvular aortic stenosis | 5 | |||
5 | 09/30/2016 | ||||
Q2549 | Other congenital malformations of aorta | 5 | 10/01/2016 | ||
Q255 | Atresia of pulmonary artery | 5 | |||
Q256 | Stenosis of pulmonary artery | 5 | |||
Q2571 | Coarctation of pulmonary artery | 5 | |||
Q2572 | Congenital pulmonary arteriovenous malformation | 5 | |||
Q2579 | Other congenital malformations of pulmonary artery | 5 | |||
Q258 | Other congenital malformations of other great arteries | 5 | |||
Q259 | Congenital malformation of great arteries, unspecified | 5 | |||
Q260 | Congenital stenosis of vena cava | 5 | |||
Q261 | Persistent left superior vena cava | 5 | |||
Q262 | Total anomalous pulmonary venous connection | 5 | |||
Q264 | Anomalous pulmonary venous connection, unspecified | 5 | |||
Q265 | Anomalous portal venous connection | 2 | |||
Q266 | Portal vein-hepatic artery fistula | 2 | |||
Q271 | Congenital renal artery stenosis | 2 | |||
Q272 | Other congenital malformations of renal artery | 2 | |||
Q2730 | Arteriovenous malformation, site unspecified | 2 | |||
Q2731 | Arteriovenous malformation of vessel of upper limb | 2 | |||
Q2732 | Arteriovenous malformation of vessel of lower limb | 2 | |||
Q274 | Congenital phlebectasia | 2 | |||
Q278 | Other specified congenital malformations of peripheral vascular system | 2 | |||
Q279 | Congenital malformation of peripheral vascular system, unspecified | 2 | |||
Q280 | Arteriovenous malformation of precerebral vessels | 2 | |||
Q281 | Other malformations of precerebral vessels | 2 | |||
Q282 | Arteriovenous malformation of cerebral vessels | 2 | |||
Q283 | Other malformations of cerebral vessels | 2 | |||
Q288 | Other specified congenital malformations of circulatory system | 2 | |||
Q300 | Choanal atresia | 2 | |||
Q310 | Web of larynx | 2 | |||
Q319 | Congenital malformation of larynx, unspecified | 2 | |||
Q321 | Other congenital malformations of trachea | 2 | |||
Q323 | Congenital stenosis of bronchus | 2 | |||
Q324 | Other congenital malformations of bronchus | 2 | |||
Q330 | Congenital cystic lung | 3 | |||
Q332 | Sequestration of lung | 3 | |||
Q333 | Agenesis of lung | 3 | |||
Q334 | Congenital bronchiectasis | 3 | |||
Q335 | Ectopic tissue in lung | 3 | |||
Q336 | Congenital hypoplasia and dysplasia of lung | 3 | |||
Q338 | Other congenital malformations of lung | 3 | |||
Q339 | Congenital malformation of lung, unspecified | 2 | |||
Q340 | Anomaly of pleura | 2 | |||
Q341 | Congenital cyst of mediastinum | 2 | |||
Q349 | Congenital malformation of respiratory system, unspecified | 3 | |||
Q359 | Cleft palate, unspecified | 5 | |||
Q360 | Cleft lip, bilateral | 5 | |||
Q361 | Cleft lip, median | 5 | |||
Q369 | Cleft lip, unilateral | 5 | |||
Q378 | Unspecified cleft palate with bilateral cleft lip | 5 | |||
Q379 | Unspecified cleft palate with unilateral cleft lip | 5 | |||
Q383 | Other congenital malformations of tongue | 2 | |||
Q386 | Other congenital malformations of mouth | 2 | |||
Q388 | Other congenital malformations of pharynx | 3 | |||
Q390 | Atresia of esophagus without fistula | 5 | |||
Q391 | Atresia of esophagus with tracheo-esophageal fistula | 5 | |||
Q392 | Congenital tracheo-esophageal fistula without atresia | 5 | |||
Q393 | Congenital stenosis and stricture of esophagus | 5 | |||
Q394 | Esophageal web | 5 | |||
Q399 | Congenital malformation of esophagus, unspecified | 2 | |||
Q419 | Congenital absence, atresia and stenosis of small intestine, part unspecified | 2 | |||
Q429 | Congenital absence, atresia and stenosis of large intestine, part unspecified | 2 | |||
Q431 | Hirschsprung’s disease | 5 | |||
Q432 | Other congenital functional disorders of colon | 5 | |||
Q439 | Congenital malformation of intestine, unspecified | 2 | |||
Q441 | Other congenital malformations of gallbladder | 2 | |||
Q442 | Atresia of bile ducts | 5 | |||
Q443 | Congenital stenosis and stricture of bile ducts | 5 | |||
Q444 | Choledochal cyst | 2 | |||
Q445 | Other congenital malformations of bile ducts | 2 | |||
09/30/2023 | |||||
Q4470 | Other congenital malformation of liver, unspecified | 2 | 10/01/2023 | ||
Q458 | Other specified congenital malformations of digestive system | 2 | |||
Q506 | Other congenital malformations of fallopian tube and broad ligament | 2 | |||
Q528 | Other specified congenital malformations of female genitalia | 2 | |||
Q529 | Congenital malformation of female genitalia, unspecified | 2 | |||
Q539 | Undescended testicle, unspecified | 1 | *Phase out* | ||
Q548 | Other hypospadias | 3 | |||
Q549 | Hypospadias, unspecified | 3 | |||
Q5520 | Unspecified congenital malformations of testis and scrotum | 2 | |||
Q5529 | Other congenital malformations of testis and scrotum | 2 | |||
Q5569 | Other congenital malformation of penis | 2 | |||
Q559 | Congenital malformation of male genital organ, unspecified | 2 | |||
Q560 | Hermaphroditism, not elsewhere classified | 3 | |||
Q563 | Pseudohermaphroditism, unspecified | 3 | |||
Q564 | Indeterminate sex, unspecified | 3 | |||
Q602 | Renal agenesis, unspecified | 5 | |||
Q605 | Renal hypoplasia, unspecified | 5 | |||
Q6100 | Congenital renal cyst, unspecified | 3 | |||
Q6101 | Congenital single renal cyst | 2 | |||
Q6119 | Other polycystic kidney, infantile type | 5 | |||
Q612 | Polycystic kidney, adult type | 5 | |||
Q613 | Polycystic kidney, unspecified | 5 | |||
Q614 | Renal dysplasia | 5 | |||
Q615 | Medullary cystic kidney | 5 | |||
Q618 | Other cystic kidney diseases | 5 | |||
Q619 | Cystic kidney disease, unspecified | 3 | |||
Q6239 | Other obstructive defects of renal pelvis and ureter | 2 | |||
Q640 | Epispadias | 3 | |||
Q6410 | Exstrophy of urinary bladder, unspecified | 5 | |||
Q6412 | Cloacal extrophy of urinary bladder | 5 | |||
Q644 | Malformation of urachus | 2 | |||
Q645 | Congenital absence of bladder and urethra | 2 | |||
Q646 | Congenital diverticulum of bladder | 2 | |||
Q6470 | Unspecified congenital malformation of bladder and urethra | 2 | |||
Q6479 | Other congenital malformations of bladder and urethra | 2 | |||
Q648 | Other specified congenital malformations of urinary system | 2 | |||
Q649 | Congenital malformation of urinary system, unspecified | 2 | |||
Q6500 | Congenital dislocation of unspecified hip, unilateral | 2 | |||
Q651 | Congenital dislocation of hip, bilateral | 2 | |||
Q652 | Congenital dislocation of hip, unspecified | 2 | |||
Q6530 | Congenital partial dislocation of unspecified hip, unilateral | 2 | |||
Q654 | Congenital partial dislocation of hip, bilateral | 2 | |||
Q655 | Congenital partial dislocation of hip, unspecified | 2 | |||
Q6589 | Other specified congenital deformities of hip | 2 | |||
2 | 09/30/2019 | ||||
Q6600 | Congenital talipes equinovarus, unspecified foot | 2 | 10/01/2019 | ||
2 | 09/30/2019 | ||||
Q6610 | Congenital talipes calcaneovarus, unspecified foot | 2 | 10/01/2019 | ||
2 | 09/30/2019 | ||||
2 | 09/30/2019 | ||||
Q6640 | Congenital talipes calcaneovalgus, unspecified foot | 2 | 10/01/2019 | ||
Q666 | Other congenital valgus deformities of feet | 2 | |||
2 | 09/30/2019 | ||||
Q6670 | Congenital pes cavus, unspecified foot | 2 | 10/01/2019 | ||
Q6689 | Other specified congenital deformities of feet | 2 | |||
2 | 09/30/2019 | ||||
Q6690 | Congenital deformity of feet, unspecified, unspecified foot | 2 | 10/01/2019 | ||
Q6691 | Congenital deformity of feet, unspecified, right foot | 2 | 10/01/2019 | ||
Q6692 | Congenital deformity of feet, unspecified, left foot | 2 | 10/01/2019 | ||
Q670 | Congenital facial asymmetry | 3 | |||
Q674 | Other congenital deformities of skull, face and jaw | 3 | |||
Q675 | Congenital deformity of spine | 3 | |||
Q676 | Pectus excavatum | 2 | |||
Q678 | Other congenital deformities of chest | 3 | |||
Q680 | Congenital deformity of sternocleidomastoid muscle | 2 | |||
Q681 | Congenital deformity of finger(s) and hand | 3 | |||
Q682 | Congenital deformity of knee | 2 | |||
Q688 | Other specified congenital musculoskeletal deformities | 2 | |||
Q690 | Accessory finger(s) | 2 | |||
Q691 | Accessory thumb(s) | 2 | |||
Q692 | Accessory toe(s) | 2 | |||
Q699 | Polydactyly, unspecified | 2 | |||
Q7000 | Fused fingers, unspecified hand | 2 | |||
Q7010 | Webbed fingers, unspecified hand | 2 | |||
Q7020 | Fused toes, unspecified foot | 2 | |||
Q7030 | Webbed toes, unspecified foot | 2 | |||
Q704 | Polysyndactyly, unspecified | 2 | |||
Q709 | Syndactyly, unspecified | 2 | |||
Q7100 | Congenital complete absence of unspecified upper limb | 5 | |||
Q7110 | Congenital absence of unspecified upper arm and forearm with hand present | 5 | |||
Q7130 | Congenital absence of unspecified hand and finger | 5 | |||
Q7140 | Longitudinal reduction defect of unspecified radius | 3 | |||
Q7150 | Longitudinal reduction defect of unspecified ulna | 5 | |||
Q7160 | Lobster-claw hand, unspecified hand | 5 | |||
Q71819 | Congenital shortening of unspecified upper limb | 5 | |||
Q71899 | Other reduction defects of unspecified upper limb | 5 | |||
Q7190 | Unspecified reduction defect of unspecified upper limb | 5 | |||
Q7200 | Congenital complete absence of unspecified lower limb | 5 | |||
Q7210 | Congenital absence of unspecified thigh and lower leg with foot present | 5 | |||
Q7220 | Congenital absence of both lower leg and foot, unspecified lower limb | 5 | |||
Q7230 | Congenital absence of unspecified foot and toe(s) | 5 | |||
Q7240 | Longitudinal reduction defect of unspecified femur | 5 | |||
Q7250 | Longitudinal reduction defect of unspecified tibia | 5 | |||
Q7260 | Longitudinal reduction defect of unspecified fibula | 5 | |||
Q7270 | Split foot, unspecified lower limb | 5 | |||
Q72819 | Congenital shortening of unspecified lower limb | 5 | |||
Q72899 | Other reduction defects of unspecified lower limb | 5 | |||
Q7290 | Unspecified reduction defect of unspecified lower limb | 5 | |||
Q730 | Congenital absence of unspecified limb(s) | 2 | |||
Q731 | Phocomelia, unspecified limb(s) | 2 | |||
Q738 | Other reduction defects of unspecified limb(s) | 2 | |||
Q740 | Other congenital malformations of upper limb(s), including shoulder girdle | 3 | |||
Q742 | Other congenital malformations of lower limb(s), including pelvic girdle | 3 | |||
Q743 | Arthrogryposis multiplex congenita | 3 | |||
Q749 | Unspecified congenital malformation of limb(s) | 2 | |||
09/30/2023 | |||||
Q75009 | Craniosynostosis unspecified | 5 | 10/01/2023 | ||
Q758 | Other specified congenital malformations of skull and face bones | 5 | |||
Q759 | Congenital malformation of skull and face bones, unspecified | 5 | |||
Q760 | Spina bifida occulta | 3 | |||
Q761 | *phase out* Klippel-Feil syndrome | 5 | *phase out* | ||
Q762 | Congenital spondylolisthesis | 3 | |||
Q76419 | Congenital kyphosis, unspecified region | 3 | |||
Q7649 | Other congenital malformations of spine, not associated with scoliosis | 3 | |||
Q770 | Achondrogenesis | 5 | |||
Q771 | Thanatophoric short stature | 5 | |||
Q773 | Chondrodysplasia punctata | 3 | |||
Q774 | Achondroplasia | 5 | |||
Q776 | Chondroectodermal dysplasia | 5 | |||
Q778 | Other osteochondrodysplasia with defects of growth of tubular bones and spine | 5 | |||
Q779 | Osteochondrodysplasia with defects of growth of tubular bones and spine, unspecified | 5 | |||
Q780 | Osteogenesis imperfecta | 5 | |||
Q781 | Polyostotic fibrous dysplasia | 3 | |||
Q782 | Osteopetrosis | 5 | |||
Q783 | Progressive diaphyseal dysplasia | 5 | |||
Q784 | Enchondromatosis | 5 | |||
Q786 | Multiple congenital exostoses | 3 | |||
Q788 | Other specified osteochondrodysplasias | 3 | |||
Q789 | Osteochondrodysplasia, unspecified | 3 | |||
Q790 | Congenital diaphragmatic hernia | 2 | |||
Q791 | Other congenital malformations of diaphragm | 2 | |||
Q792 | Exomphalos | 1 | |||
Q793 | Gastroschisis | 1 | |||
Q794 | Prune belly syndrome | 2 | |||
Q7959 | Other congenital malformations of abdominal wall | 2 | |||
2 | 09/30/2019 | 10/01/2016 | |||
Q7960 | *Phase out* Ehlers-Danlos syndrome, unspecified | 2 | *Phase out* | 10/01/2019 | |
Q798 | Other congenital malformations of musculoskeletal system | 2 | |||
Q799 | Congenital malformation of musculoskeletal system, unspecified | 2 | |||
Q804 | HARLEQUIN FETUS | 3 | 10/01/2019 | ||
Q819 | Epidermolysis bullosa, unspecified | 2 | |||
Q820 | Hereditary lymphedema | 3 | |||
Q821 | Xeroderma pigmentosum | 3 | |||
Q822 | Mastocytosis | 3 | |||
Q822 | CONGENITAL CUTANEOUS MASTOCYTOSIS/urticaria pigmentosa | 3 | 10/01/2019 | ||
Q823 | Incontinentia pigmenti | 3 | |||
Q824 | Ectodermal dysplasia (anhidrotic) | 3 | |||
Q825 | CONGENITAL NON-NEOPLASTIC NEVUS | 3 | 10/01/2019 | ||
Q828 | Other specified congenital malformations of skin | 2 | |||
Q829 | Congenital malformation of skin, unspecified | 2 | |||
Q848 | Other specified congenital malformations of integument | 2 | |||
Q8500 | Neurofibromatosis, unspecified | 3 | |||
Q8501 | Neurofibromatosis, type 1 | 3 | |||
Q8502 | Neurofibromatosis, type 2 | 3 | |||
Q8503 | Schwannomatosis | 3 | |||
Q851 | Tuberous sclerosis | 3 | |||
3 | 09/30/2022 | ||||
Q8581 | PTEN tumor syndrome | 3 | 10/01/2022 | ||
Q8583 | Von Hippel-Lindau syndrome | 3 | 10/01/2022 | ||
Q8589 | Other phakomatoses, not elsewhere classified | 3 | 10/01/2022 | ||
Q859 | Phakomatosis, unspecified | 3 | |||
Q870 | Congenital malformation syndromes predominantly affecting facial appearance | 5 | |||
3 | 09/30/2019 | ||||
Q8711 | *Phase Out* Prader-Willi syndrome | 3 | *Phase Out* | 10/01/2019 | |
Q8719 | Other congen malform synd predom assoc with short stature | 3 | 10/01/2019 | ||
Q873 | Congenital malformation syndromes involving early overgrowth | 2 | |||
Q8740 | *Phase Out* Marfan’s syndrome, unspecified | 3 | *Phase Out* | ||
Q8781 | *Phase Out* Alport syndrome | 3 | *Phase Out* | ||
Q897 | Multiple congenital malformations, not elsewhere classified | 3 | |||
Q898 | Other specified congenital malformations | 3 | |||
Q899 | Congenital malformation, unspecified | 2 | |||
Q969 | *Phase Out* Turner’s syndrome, unspecified | 3 | *Phase Out* | ||
R0681 | Apnea, not elsewhere classified | 1 | |||
R0689 | Other abnormalities of breathing | 2 | |||
R1310 | Dysphagia, unspecified | 1 | |||
R1319 | Other dysphagia | 1 | |||
R17 | Unspecified jaundice | 2 | |||
R4701 | Aphasia | 2 | |||
R4702 | Dysphasia | 2 | |||
R69 | Illness, unspecified (code formerly used for diagnostic evaluations) | 1 | |||
R75 | Inconclusive laboratory evidence of human immunodeficiency virus [HIV] | 2 | |||
S0100xS | Unspecified open wound of scalp, sequela | 2 | |||
S0109xS | Unspecified open wound of other part of head, sequela | 5 | 09/30/2021 | 10/01/2019 | |
S01109S | Unspecified open wound of unspecified eyelid and periocular area, sequela | 2 | |||
S0120xS | Unspecified open wound of nose, sequela | 2 | |||
S01309S | Unspecified open wound of unspecified ear, sequela | 2 | |||
S01409S | Unspecified open wound of unspecified cheek and temporomandibular area, sequela | 2 | |||
S01501S | Unspecified open wound of lip, sequela | 2 | |||
S01502S | Unspecified open wound of oral cavity, sequela | 2 | |||
S0180xS | Unspecified open wound of other part of head, sequela | 2 | |||
S0190xS | Unspecified open wound of unspecified part of head, sequela | 2 | |||
S020xxS | Fracture of vault of skull, sequela | 2 | |||
S02109S | Fracture base of skull unspecified side sequela | 2 | 10/01/2016 | ||
2 | 09/30/2016 | ||||
S02113S | Unspecified occipital condyle fracture, sequela | 2 | |||
S02118S | Other fracture of occiput, sequela | 2 | |||
S022xxS | Fracture of nasal bones, sequela | 2 | |||
S0230XS | Fracture of orbital floor unspecified side sequela | 2 | 10/01/2016 | ||
2 | 09/30/2016 | ||||
S02400S | Malar fracture unspecified, sequela | 2 | |||
S02401S | Maxillary fracture, unspecified, sequela | 2 | |||
S02402S | Zygomatic fracture, unspecified, sequela | 2 | |||
S025xxS | Fracture of tooth (traumatic), sequela | 2 | |||
S02609S | Fracture of mandible, unspecified, sequela | 2 | |||
2 | 09/30/2019 | 10/01/2016 | |||
S02849S | Fracture of lateral orbital wall, unspecified side, sequela | 2 | 10/01/2019 | ||
2 | 09/30/2016 | ||||
S0291xK | Unspecified fracture of skull, subsequent encounter for fracture with nonunion | 2 | |||
S0291xS | Unspecified fracture of skull, sequela | 2 | |||
S0292xK | Unspecified fracture of facial bones, subsequent encounter for fracture with nonunion | 2 | |||
S0292xS | Unspecified fracture of facial bones, sequela | 2 | |||
S032xxS | Dislocation of tooth, sequela | 2 | |||
S04019S | Injury of optic nerve, unspecified eye, sequela | 2 | |||
S0402xS | Injury of optic chiasm, sequela | 2 | |||
S04039S | Injury of optic tract and pathways, unspecified eye, sequela | 2 | |||
S04049S | Injury of visual cortex, unspecified eye, sequela | 2 | |||
S0410xS | Injury of oculomotor nerve, unspecified side, sequela | 2 | |||
S0420xS | Injury of trochlear nerve, unspecified side, sequela | 2 | |||
S0430xS | Injury of trigeminal nerve, unspecified side, sequela | 2 | |||
S0440xS | Injury of abducent nerve, unspecified side, sequela | 2 | |||
S0450xS | Injury of facial nerve, unspecified side, sequela | 2 | |||
S0460xS | Injury of acoustic nerve, unspecified side, sequela | 2 | |||
S0470xS | Injury of accessory nerve, unspecified side, sequela | 2 | |||
S04819S | Injury of olfactory [1st ] nerve, unspecified side, sequela | 2 | |||
2 | 09/30/2019 | ||||
S049xxS | Injury of unspecified cranial nerve, sequela | 2 | |||
S0590xS | Unspecified injury of unspecified eye and orbit, sequela | 2 | |||
S062XAA | Diffuse TBI with LOC status unknown, initial encounter | 2 | 10/01/2022 | ||
S062XAS | Diffuse TBI with LOC status unknown, sequela | 2 | 10/01/2022 | ||
S064X0A | Epidural hemorrhage without loss of consciousness, initial encounter | 2 | |||
S065X0A | Traumatic subdural hemorrhage without loss of consciousness, initial encounter | 2 | |||
due to brain injury before regaining consciousness, initial encounter | 2 | 09/30/2020 | |||
S065X9A | Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial encounter | 2 | |||
S065XAA | Traum subdr hem with LOC status unknown, initial encounter | 2 | 10/01/2022 | ||
S065XAS | Traum subdr hem with LOC status unknown, sequela | 2 | 10/01/2022 | ||
S066X0A | Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter | 2 | |||
S066X9A | Traumatic subarachnoid hemorrhage with loss of consciousness of unspecified duration, initial encounter | 2 | |||
S066XAA | Traum subrac hem with LOC status unknown, initial encounter | 2 | 10/01/2022 | ||
S066XAS | Traum subrac hem with LOC status unknown, sequela | 2 | 10/01/2022 | ||
S069X0S | Unspecified intracranial injury without loss of consciousness, sequela | 2 | |||
S069X9S | Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela | 2 | |||
S069XAS | Unspecified intcrn injury with LOC status unknown, sequela | 2 | 10/01/2022 | ||
S06A0XS | Traumatic brain compression without herniation, sequela | 2 | 10/01/2021 | ||
S06A1XS | Traumatic brain compression with herniation, sequela | 2 | 10/01/2021 | ||
S070xxS | Crushing injury of face, sequela | 2 | |||
S071xxS | Crushing injury of skull, sequela | 2 | |||
S078xxS | Crushing injury of other parts of head, sequela | 2 | |||
S080xxS | Avulsion of scalp, sequela | 2 | |||
S08119S | Complete traumatic amputation of unspecified ear, sequela | 2 | |||
S08129S | Partial traumatic amputation of unspecified ear, sequela | 2 | |||
S08811S | Complete traumatic amputation of nose, sequela | 2 | |||
S08812S | Partial traumatic amputation of nose, sequela | 2 | |||
S0889xS | Traumatic amputation of other parts of head, sequela | 2 | |||
S0910xS | Unspecified injury of muscle and tendon of head, sequela | 2 | |||
S0920xS | Traumatic rupture of unspecified ear drum, sequela | 2 | |||
S09309S | Unspecified injury of unspecified middle and inner ear, sequela | 2 | |||
S0990xS | Unspecified injury of head, sequela | 2 | |||
S0991xS | Unspecified injury of ear, sequela | 2 | |||
S0992xS | Unspecified injury of nose, sequela | 2 | |||
S0993xS | Unspecified injury of face, sequela | 2 | |||
S11019S | Unspecified open wound of larynx, sequela | 2 | |||
S11029S | Unspecified open wound of trachea, sequela | 2 | |||
S11039S | Unspecified open wound of vocal cord, sequela | 2 | |||
S1110xS | Unspecified open wound of thyroid gland, sequela | 2 | |||
S1120xS | Unspecified open wound of pharynx and cervical esophagus, sequela | 2 | |||
09/30/2019 | |||||
S1190xS | Unspecified open wound of unspecified part of neck, sequela | 2 | |||
S128xxS | Fracture of other parts of neck, sequela | 2 | |||
S129xxA | Fracture of neck, unspecified, initial encounter | 5 | |||
S129xxS | Fracture of neck, unspecified, sequela | 2 | |||
S140xxS | Concussion and edema of cervical spinal cord, sequela | 2 | |||
S14109S | Unspecified injury at unspecified level of cervical spinal cord, sequela | 5 | |||
S14115A | Complete lesion at C5 level of cervical spinal cord, initial encounter | 5 | |||
S14116A | Complete lesion at C6 level of cervical spinal cord, initial encounter | 5 | |||
S14117A | Complete lesion at C7 level of cervical spinal cord, initial encounter | 5 | |||
S14119S | Complete lesion at unspecified level of cervical spinal cord, sequela | 2 | |||
S14121A | Central cord syndrome at C1 level of cervical spinal cord, initial encounter | 5 | |||
S14122A | Central cord syndrome at C2 level of cervical spinal cord, initial encounter | 5 | |||
S14123A | Central cord syndrome at C3 level of cervical spinal cord, initial encounter | 5 | |||
S14124A | Central cord syndrome at C4 level of cervical spinal cord, initial encounter | 5 | |||
S14129S | Central cord syndrome at unspecified level of cervical spinal cord, sequela | 2 | |||
S14139S | Anterior cord syndrome at unspecified level of cervical spinal cord, sequela | 2 | |||
S14149S | Brown-Sequard syndrome at unspecified level of cervical spinal cord, sequela | 2 | |||
S14159S | Other incomplete lesion at unspecified level of cervical spinal cord, sequela | 2 | |||
S143xxS | Injury of brachial plexus, sequela | 2 | |||
S149xxS | Injury of unspecified nerves of neck, sequela | 2 | |||
09/30/2019 | |||||
09/30/2019 | |||||
S15009S | Unspecified injury of unspecified carotid artery, sequela | 2 | |||
09/30/2019 | |||||
09/30/2019 | |||||
S15109S | Unspecified injury of unspecified vertebral artery, sequela | 2 | |||
09/30/2019 | |||||
09/30/2019 | |||||
09/30/2019 | |||||
S15209S | Unspecified injury of unspecified external jugular vein, sequela | 2 | |||
09/30/2019 | |||||
09/30/2019 | |||||
S15309S | Unspecified injury of unspecified internal jugular vein, sequela | 2 | |||
S159xxS | Injury of unspecified blood vessel at neck level, sequela | 2 | |||
S169xxS | Unspecified injury of muscle, fascia and tendon at neck level, sequela | 2 | |||
S179xxS | Crushing injury of neck, part unspecified, sequela | 2 | |||
S1980xS | Other specified injuries of unspecified part of neck, sequela | 2 | |||
09/30/2019 | |||||
S21009S | Unspecified open wound of unspecified breast, sequela | 2 | |||
thoracic cavity, sequela | 09/30/2019 | ||||
thoracic cavity, sequela | 09/30/2019 | ||||
thoracic cavity, sequela | 09/30/2019 | ||||
thoracic cavity, sequela | 09/30/2019 | ||||
S2190xS | Unspecified open wound of unspecified part of thorax, sequela | 2 | |||
S22009A | Unspecified fracture of unspecified thoracic vertebra, initial encounter for closed fracture | 5 | |||
S22009B | Unspecified fracture of unspecified thoracic vertebra, initial encounter for open fracture | 5 | |||
S22009K | Unspecified fracture of unspecified thoracic vertebra, subsequent encounter for fracture with nonunion | 2 | |||
S22009S | Unspecified fracture of unspecified thoracic vertebra, sequela | 2 | |||
S2220xS | Unspecified fracture of sternum, sequela | 2 | |||
S2221xS | Fracture of manubrium, sequela | 2 | |||
S2222xS | Fracture of body of sternum, sequela | 2 | |||
S2223xS | Sternal manubrial dissociation, sequela | 2 | |||
S2224xS | Fracture of xiphoid process, sequela | 2 | |||
S2249xS | Multiple fractures of ribs, unspecified side, sequela | 2 | |||
S225xxS | Flail chest, sequela | 2 | |||
S229xxK | Fracture of bony thorax, part unspecified, subsequent encounter for fracture with nonunion | 2 | |||
S229xxS | Fracture of bony thorax, part unspecified, sequela | 2 | |||
S240xxS | Concussion and edema of thoracic spinal cord, sequela | 2 | |||
5 | 09/30/2019 | ||||
5 | 09/30/2019 | ||||
S24109S | Unspecified injury at unspecified level of thoracic spinal cord, sequela | 5 | |||
5 | 09/30/2019 | ||||
09/30/2019 | |||||
S24119S | Complete lesion at unspecified level of thoracic spinal cord, sequela | 2 | |||
S24139S | Anterior cord syndrome at unspecified level of thoracic spinal cord, sequela | 2 | |||
S24149S | Brown-Sequard syndrome at unspecified level of thoracic spinal cord, sequela | 2 | |||
S24159S | Other incomplete lesion at unspecified level of thoracic spinal cord, sequela | 2 | |||
S25809S | Unspecified injury of other blood vessels of thorax, unspecified side, sequela | 2 | |||
S2690xS | Unspecified injury of heart, unspecified with or without hemopericardium, sequela | 2 | |||
S279xxS | Injury of unspecified intrathorarcic organ, sequela | 2 | |||
S280xxS | Crushed chest, sequela | 2 | |||
S281xxS | Traumatic amputation (partial) of part of thorax, except breast, sequela | 2 | |||
S28219S | Complete traumatic amputation of unspecified breast, sequela | 2 | |||
S28229S | Partial traumatic amputation of unspecified breast, sequela | 2 | |||
09/30/2019 | |||||
09/30/2019 | |||||
S29009S | Unspecified injury of muscle and tendon of unspecified wall of thorax, sequela | 2 | |||
S29029S | Laceration of muscle and tendon of unspecified wall of thorax, sequela | 2 | |||
S29099S | Other injury of muscle and tendon of unspecified wall of thorax, sequela | 2 | |||
S298xxS | Other specified injuries of thorax, sequela | 2 | |||
2 | 09/30/2019 | ||||
S29xxS | Unspecified injury of thorax, sequela | 2 | 10/01/2019 | ||
S31000S | Unspecified open wound of lower back and pelvis without penetration into retroperitoneum, sequela | 2 | |||
S31001S | Unspecified open wound of lower back and pelvis with penetration into retroperitoneum, sequela | 2 | |||
S31102S | Unspecified open wound of abdominal wall, epigastric region without penetration into peritoneal cavity, sequela | 2 | |||
S31105S | Unspecified open wound of abdominal wall, periumbilic region without penetration into peritoneal cavity, sequela | 2 | |||
S31109S | Unspecified open wound of abdominal wall, unspecified quadrant without penetration into peritoneal cavity, sequela | 2 | |||
S3120xS | Unspecified open wound of penis, sequela | 2 | |||
S3130xS | Unspecified open wound of scrotum and testes, sequela | 2 | |||
S3140xS | Unspecified open wound of vagina and vulva, sequela | 2 | |||
S31602S | Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, sequela | 2 | |||
S31605S | Unspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity, sequela | 2 | |||
S31609S | Unspecified open wound of abdominal wall, unspecified quadrant with penetration into peritoneal cavity, sequela | 2 | |||
S31801S | Laceration without foreign body of unspecified buttock, sequela | 2 | |||
S31809S | Unspecified open wound of unspecified buttock, sequela | 2 | |||
S31839S | Unspecified open wound of anus, sequela | 2 | |||
S32000S | Wedge compression fracture of unspecified lumbar vertebra, sequela | 2 | |||
S32009K | Unspecified fracture of unspecified lumbar vertebra, subsequent encounter for fracture with nonunion | 2 | |||
S32009S | Unspecified fracture of unspecified lumbar vertebra, sequela | 2 | |||
S3210xK | Unspecified fracture of sacrum, subsequent encounter for fracture with nonunion | 2 | |||
S3210xS | Unspecified fracture of sacrum, sequela | 2 | |||
S322xxK | Fracture of coccyx, subsequent encounter for fracture with nonunion | 2 | |||
S322xxS | Fracture of coccyx, sequela | 2 | |||
S32309K | Unspecified fracture of unspecified ilium, subsequent encounter for fracture with nonunion | 2 | |||
S32309S | Unspecified fracture of unspecified ilium, sequela | 2 | |||
S32409K | Unspecified fracture of unspecified acetabulum, subsequent encounter for fracture with nonunion | 2 | |||
S32409S | Unspecified fracture of unspecified acetabulum, sequela | 2 | |||
S32509S | Unspecified fracture of unspecified pubis, sequela | 2 | |||
S32519S | Fracture of superior rim of unspecified pubis, sequela | 2 | |||
S32609S | Unspecified fracture of unspecified ischium, sequela | 2 | |||
S32810S | Multiple fractures of pelvis with stable disruption of pelvic ring, sequela | 2 | |||
S32811S | Multiple fractures of pelvis with unstable disruption of pelvic ring, sequela | 2 | |||
S3282xS | Multiple fractures of pelvis without disruption of pelvic ring, sequela | 2 | |||
S3289xS | Fracture of other parts of pelvis, sequela | 2 | |||
S329xxS | Fracture of unspecified parts of lumbosacral spine and pelvis, sequela | 2 | |||
S3401xS | Concussion and edema of lumbar spinal cord, sequela | 2 | |||
S3402xS | Concussion and edema of sacral spinal cord, sequela | 2 | |||
S34109A | Unspecified injury to unspecified level of lumbar spinal cord, initial encounter | 2 | |||
S34109S | Unspecified injury to unspecified level of lumbar spinal cord, sequela | 2 | |||
S34119A | Complete lesion of unspecified level of lumbar spinal cord, initial encounter | 5 | |||
S34129A | Incomplete lesion of unspecified level of lumbar spinal cord, initial encounter | 5 | |||
S34139S | Unspecified injury to sacral spinal cord, sequela | 2 | |||
S358X9S | Unspecified injury of other blood vessels at abdomen, lower back and pelvis level, sequela | 2 | |||
S3600xS | Unspecified injury of spleen, sequela | 2 | |||
S36112S | Contusion of liver, sequela | 2 | |||
S36113S | Laceration of liver, unspecified degree, sequela | 2 | |||
S36118S | Other injury of liver, sequela | 2 | |||
09/30/2019 | |||||
S36129S | Unspecified injury of gallbladder, sequela | 2 | |||
S3613xS | Injury of bile duct, sequela | 2 | |||
S36209S | Unspecified injury of unspecified part of pancreas, sequela | 2 | |||
S3630xS | Unspecified injury of stomach, sequela | 2 | |||
S36400S | Unspecified injury of duodenum, sequela | 2 | |||
S36409S | Unspecified injury of unspecified part of small intestine, sequela | 2 | |||
S36509S | Unspecified injury of unspecified part of colon, sequela | 2 | |||
S3660xS | Unspecified injury of rectum, sequela | 2 | |||
S3681xS | Injury of peritoneum, sequela | 2 | |||
S3690xS | Unspecified injury of unspecified intra-abdominal organ, sequela | 2 | |||
S37009S | Unspecified injury of unspecified kidney, sequela | 2 | |||
S38001S | Crushing injury of unspecified external genital organs, male, sequela | 2 | |||
S38002S | Crushing injury of unspecified external genital organs, female, sequela | 2 | |||
S381xxS | Crushing injury of abdomen, lower back, and pelvis, sequela | 2 | |||
S39001S | Unspecified injury of muscle, fascia and tendon of abdomen, sequela | 2 | |||
S39002S | Unspecified injury of muscle, fascia and tendon of lower back, sequela | 2 | |||
S39003S | Unspecified injury of muscle, fascia and tendon of pelvis, sequela | 2 | |||
S3991xS | Unspecified injury of abdomen, sequela | 2 | |||
S3992xS | Unspecified injury of lower back, sequela | 2 | |||
S3993xS | Unspecified injury of pelvis, sequela | 2 | |||
S3994xS | Unspecified injury of external genitals, sequela | 2 | |||
S41009S | Unspecified open wound of unspecified shoulder, sequela | 2 | |||
S41109S | Unspecified open wound of unspecified upper arm, sequela | 2 | |||
S42009S | Fracture of unspecified part of unspecified clavicle, sequela | 2 | |||
S42109S | Fracture of unspecified part of scapula, unspecified shoulder, sequela | 2 | |||
S42209S | Unspecified fracture of upper end of unspecified humerus, sequela | 2 | |||
S42309S | Unspecified fracture of shaft of humerus, unspecified arm, sequela | 2 | |||
S42409S | Unspecified fracture of lower end of unspecified humerus, sequela | 2 | |||
S4290xS | Fracture of unspecified shoulder girdle, part unspecified, sequela | 2 | |||
S4490xS | Injury of unspecified nerve at shoulder and upper arm level, unspecified arm, sequela | 2 | |||
S45109S | Unspecified injury of brachial artery, unspecified side, sequela | 2 | |||
S45209S | Unspecified injury of axillary or brachial vein, unspecified side, sequela | 2 | |||
S45909S | Unspecified injury of unspecified blood vessel at shoulder and upper arm level, unspecified arm, sequela | 2 | |||
S46009S | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela | 2 | |||
S46109S | Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela | 2 | |||
S46229S | Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela | 2 | |||
S46309S | Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, sequela | 2 | |||
S46909S | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela | 2 | |||
S479xxS | Crushing injury of shoulder and upper arm, unspecified arm, sequela | 2 | |||
S48019S | Complete traumatic amputation at unspecified shoulder joint, sequela | 2 | |||
S48029S | Partial traumatic amputation at unspecified shoulder joint, sequela | 2 | |||
S48119A | Complete traumatic amputation at level between unspecified shoulder and elbow, initial encounter | 5 | |||
S48129A | Partial traumatic amputation at level between unspecified shoulder and elbow, initial encounter | 5 | |||
S48911A | Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial encounter | 5 | |||
S48912A | Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial encounter | 5 | |||
S48919A | Complete traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter | 5 | |||
S48929A | Partial traumatic amputation of unspecified shoulder and upper arm, level unspecified, initial encounter | 5 | |||
S49009S | Unspecified physeal fracture of upper end of humerus, unspecified arm, sequela | 2 | |||
S49109S | Unspecified physeal fracture of lower end of humerus, unspecified arm, sequela | 2 | |||
S4990xS | Unspecified injury of shoulder and upper arm, unspecified arm, sequela | 2 | |||
S51009S | Unspecified open wound of unspecified elbow, sequela | 2 | |||
S51809S | Unspecified open wound of unspecified forearm, sequela | 2 | |||
S52009S | Unspecified fracture of upper end of unspecified ulna, sequela | 2 | |||
S52209S | Unspecified fracture of shaft of unspecified ulna, sequela | 2 | |||
S52309S | Unspecified fracture of shaft of unspecified radius, sequela | 2 | |||
S52509S | Unspecified fracture of the lower end of unspecified radius, sequela | 2 | |||
S52609S | Unspecified fracture of lower end of unspecified ulna, sequela | 2 | |||
S5290xS | Unspecified fracture of unspecified forearm, sequela | 2 | |||
S5490xS | Injury of unspecified nerve at forearm level, unspecified arm, sequela | 2 | |||
S55909S | Unspecified injury of unspecified blood vessel at forearm level, unspecified arm, sequela | 2 | |||
S56009S | Unspecified injury of flexor muscle, fascia and tendon of unspecified thumb at forearm level, sequela | 2 | |||
S56109S | Unspecified injury of flexor muscle, fascia and tendon of unspecified finger at forearm level, sequela | 2 | |||
S56909S | Unspecified injury of unspecified muscles, fascia and tendons at forearm level, unspecified arm, sequela | 2 | |||
S58119A | Complete traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter | 5 | |||
S58129A | Partial traumatic amputation at level between elbow and wrist, unspecified arm, initial encounter | 1 | |||
S58919A | Complete traumatic amputation of unspecified forearm, level unspecified, initial encounter | 1 | |||
S58929A | Partial traumatic amputation of unspecified forearm, level unspecified, initial encounter | 1 | |||
S59009S | Unspecified physeal fracture of lower end of ulna, unspecified arm, sequela | 2 | |||
S59109S | Unspecified physeal fracture of upper end of radius, unspecified arm, sequela | 2 | |||
S59209S | Unspecified physeal fracture of lower end of radius, unspecified arm, sequela | 2 | |||
S59909S | Unspecified injury of unspecified elbow, sequela | 2 | |||
S59919S | Unspecified injury of unspecified forearm, sequela | 2 | |||
S61509S | Unspecified open wound of unspecified wrist, sequela | 2 | |||
S6290xS | Unspecified fracture of unspecified wrist and hand, sequela | 2 | |||
S65209S | Unspecified injury of superficial palmar arch of unspecified hand, sequela | 2 | |||
S65909S | Unspecified injury of unspecified blood vessel at wrist and hand level of unspecified arm, sequela | 2 | |||
S68019A | Complete traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter | 5 | |||
S68029A | Partial traumatic metacarpophalangeal amputation of unspecified thumb, initial encounter | 1 | |||
S68119A | Complete traumatic metacarpophalangeal amputation of unspecified finger, initial encounter | 2 | |||
S68129A | Partial traumatic metacarpophalangeal amputation of unspecified finger, initial encounter | 1 | |||
S68419A | Complete traumatic amputation of unspecified hand at wrist level, initial encounter | 1 | |||
S68429A | Partial traumatic amputation of unspecified hand at wrist level, initial encounter | 1 | |||
S68519A | Complete traumatic transphalangeal amputation of unspecified thumb, initial encounter | 1 | |||
S68529A | Partial traumatic transphalangeal amputation of unspecified thumb, initial encounter | 1 | |||
S68619A | Complete traumatic transphalangeal amputation of unspecified finger, initial encounter | 1 | |||
S68629A | Partial traumatic transphalangeal amputation of unspecified finger, initial encounter | 1 | |||
S68719A | Complete traumatic transmetacarpal amputation of unspecified hand, initial encounter | 1 | |||
S68729A | Partial traumatic transmetacarpal amputation of unspecified hand, initial encounter | 1 | |||
S6990xS | Unspecified injury of unspecified wrist, hand and finger(s), sequela | 2 | |||
S71009S | Unspecified open wound, unspecified hip, sequela | 2 | |||
S71109S | Unspecified open wound, unspecified thigh, sequela | 2 | |||
S72309S | Unspecified fracture of shaft of unspecified femur, sequela | 2 | |||
S7290xS | Unspecified fracture of unspecified femur, sequela | 2 | |||
S7400xS | Injury of sciatic nerve at hip and thigh level, unspecified leg, sequela | 2 | |||
S7410xS | Injury of femoral nerve at hip and thigh level, unspecified leg, sequela | 2 | |||
2 | 09/30/2019 | ||||
S7490xS | Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela | 2 | |||
S749xS | Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter | 2 | 10/01/2019 | ||
S75999S | Other specified injury of unspecified blood vessel at hip and thigh level, unspecified leg, sequela | 2 | |||
unspecified thigh, sequela | 09/30/2019 | ||||
S78019A | Complete traumatic amputation at unspecified hip joint, initial encounter | 1 | |||
S78029A | Partial traumatic amputation at unspecified hip joint, initial encounter | 1 | |||
S78119A | Complete traumatic amputation at level between unspecified hip and knee, initial encounter | 1 | |||
S78129A | Partial traumatic amputation at level between unspecified hip and knee, initial encounter | 1 | |||
S78919A | Complete traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter | 5 | |||
S78929A | Partial traumatic amputation of unspecified hip and thigh, level unspecified, initial encounter | 1 | |||
S82009S | Unspecified fracture of unspecified patella, sequela | 2 | |||
S82209S | Unspecified fracture of shaft of unspecified tibia, sequela | 2 | |||
S82409S | Unspecified fracture of shaft of unspecified fibula, sequela | 2 | |||
S8290xS | Unspecified fracture of unspecified lower leg, sequela | 2 | |||
S8410xA | Injury of peroneal nerve at lower leg level, unspecified leg, initial encounter | 2 | |||
09/30/2019 | |||||
S8490xS | Injury of unspecified nerve at lower leg level, unspecified leg, sequela | 2 | |||
S85909S | Unspecified injury of unspecified blood vessel at lower leg level, unspecified leg, sequela | 2 | |||
S86009S | Unspecified injury of unspecified Achilles tendon, sequela | 2 | |||
S86909S | Unspecified injury of unspecified muscle(s) and tendon(s) at lower leg level, unspecified leg, sequela | 2 | |||
S88019A | Complete traumatic amputation at knee level, unspecified lower leg, initial encounter | 1 | |||
S88029A | Partial traumatic amputation at knee level, unspecified lower leg, initial encounter | 1 | |||
S88119A | Complete traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter | 5 | |||
S88129A | Partial traumatic amputation at level between knee and ankle, unspecified lower leg, initial encounter | 1 | |||
5 | 09/30/2019 | ||||
09/30/2019 | |||||
S88919S | Complete traumatic amputation of unspecified lower leg, level unspecified, sequela | 5 | |||
S88929A | Partial traumatic amputation of unspecified lower leg, level unspecified, initial encounter | 5 | |||
S88929S | Partial traumatic amputation of unspecified lower leg, level unspecified, sequela | 2 | |||
S8990xS | Unspecified injury of unspecified lower leg, sequela | 2 | |||
S92909S | Unspecified fracture of unspecified foot, sequela | 2 | |||
5 | 09/30/2019 | ||||
1 | 09/30/2019 | ||||
S98919A | Complete traumatic amputation of unspecified foot, level unspecified, initial encounter | 5 | |||
09/30/2019 | |||||
1 | 09/30/2019 | ||||
S98929A | Partial traumatic amputation of unspecified foot, level unspecified, initial encounter | 2 | |||
S99919S | Unspecified injury of unspecified ankle, sequela | 2 | |||
S99929S | Unspecified injury of unspecified foot, sequela | 2 | |||
09/30/2017 | |||||
T1490XS | Injury, unspecified, sequela | 1 | 10/01/2017 | ||
T2000xS | Burn of unspecified degree of head, face, and neck, unspecified site, sequela | 2 | |||
T20019S | Burn of unspecified degree of unspecified ear [any part, except ear drum], sequela | 2 | |||
T2002xS | Burn of unspecified degree of lip(s), sequela | 2 | |||
T2003xS | Burn of unspecified degree of chin, sequela | 2 | |||
T2004xS | Burn of unspecified degree of nose (septum), sequela | 2 | |||
T2005xS | Burn of unspecified degree of scalp [any part], sequela | 2 | |||
T2006xS | Burn of unspecified degree of forehead and cheek, sequela | 2 | |||
T2007xS | Burn of unspecified degree of neck, sequela | 2 | |||
T2009xS | Burn of unspecified degree of multiple sites of head, face, and neck, sequela | 2 | |||
T2030xA | Burn of third degree of head, face, and neck, unspecified site, initial encounter | 5 | |||
T2070xA | Corrosion of third degree of head, face, and neck, unspecified site, initial encounter | 5 | |||
T2100xS | Burn of unspecified degree of trunk, unspecified site, sequela | 2 | |||
T2101xS | Burn of unspecified degree of chest wall, sequela | 2 | |||
T2102xS | Burn of unspecified degree of abdominal wall, sequela | 2 | |||
T2103xS | Burn of unspecified degree of upper back, sequela | 2 | |||
T2104xS | Burn of unspecified degree of lower back, sequela | 2 | |||
T2105xS | Burn of unspecified degree of buttock, sequela | 2 | |||
T2106xS | Burn of unspecified degree of male genital region, sequela | 2 | |||
T2107xS | Burn of unspecified degree of female genital region, sequela | 2 | |||
T2109xA | Burn of unspecified degree of other site of trunk, initial encounter | 5 | |||
T2109xS | Burn of unspecified degree of other site of trunk, sequela | 2 | |||
T2130xA | Burn of third degree of trunk, unspecified site, initial encounter | 5 | |||
T2170xA | Corrosion of third degree of trunk, unspecified site, initial encounter | 5 | |||
T2200xS | Burn of unspecified degree of shoulder and upper limb, except wrist and hand, unspecified site, sequela | 2 | |||
T22019S | Burn of unspecified degree of unspecified forearm, sequela | 2 | |||
T22029S | Burn of unspecified degree of unspecified elbow, sequela | 2 | |||
T22039S | Burn of unspecified degree of unspecified upper arm, sequela | 2 | |||
T22049S | Burn of unspecified degree of unspecified axilla, sequela | 2 | |||
T22059S | Burn of unspecified degree of unspecified shoulder, sequela | 2 | |||
T22069S | Burn of unspecified degree of unspecified scapular region, sequela | 2 | |||
T22099A | Burn of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, initial encounter | 5 | |||
T22099S | Burn of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, sequela | 2 | |||
T2230xA | Burn of third degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter | 5 | |||
T22329A | Burn of third degree of unspecified elbow, initial encounter | 5 | |||
T22499A | Corrosion of unspecified degree of multiple sites of unspecified shoulder and upper limb, except wrist and hand, initial encounter | 1 | |||
T2270xA | Corrosion of third degree of shoulder and upper limb, except wrist and hand, unspecified site, initial encounter | 5 | |||
T22729A | Corrosion of third degree of unspecified elbow, initial encounter | 1 | |||
T23009S | Burn of unspecified degree of unspecified hand, unspecified site, sequela | 2 | |||
T23079S | Burn of unspecified degree of unspecified wrist, sequela | 2 | |||
T23099A | Burn of unspecified degree of multiple sites of unspecified wrist and hand, initial encounter | 5 | |||
T23099S | Burn of unspecified degree of multiple sites of unspecified wrist and hand, sequela | 2 | |||
T23309A | Burn of third degree of unspecified hand, unspecified site, initial encounter | 5 | |||
T23329A | Burn of third degree of unspecified single finger (nail) except thumb, initial encounter | 5 | |||
T23339A | Burn of third degree of unspecified multiple fingers (nail), not including thumb, initial encounter | 5 | |||
T23349A | Burn of third degree of unspecified multiple fingers (nail), including thumb, initial encounter | 5 | |||
T23709A | Corrosion of third degree of unspecified hand, unspecified site, initial encounter | 1 | |||
T23729A | Corrosion of third degree of unspecified single finger (nail) except thumb, initial encounter | 1 | |||
T23739A | Corrosion of third degree of unspecified multiple fingers (nail), not including thumb, initial encounter | 1 | |||
T23749A | Corrosion of third degree of unspecified multiple fingers (nail), including thumb, initial encounter | 1 | |||
T24009S | Burn of unspecified degree of unspecified site of unspecified lower limb, except ankle and foot, sequela | 2 | |||
T24019S | Burn of unspecified degree of unspecified thigh, sequela | 2 | |||
T24029S | Burn of unspecified degree of unspecified knee, sequela | 2 | |||
T24039S | Burn of unspecified degree of unspecified lower leg, sequela | 2 | |||
T24099A | Burn of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter | 5 | |||
T24099S | Burn of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, sequela | 2 | |||
T24309A | Burn of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter | 5 | |||
T24339A | Burn of third degree of unspecified lower leg, initial encounter | 5 | |||
T24399A | Burn of third degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter | 5 | |||
T24499A | Corrosion of unspecified degree of multiple sites of unspecified lower limb, except ankle and foot, initial encounter | 5 | |||
T24709A | Corrosion of third degree of unspecified site of unspecified lower limb, except ankle and foot, initial encounter | 5 | |||
T24739A | Corrosion of third degree of unspecified lower leg, initial encounter | 1 | |||
T25019S | Burn of unspecified degree of unspecified ankle, sequela | 2 | |||
T25029S | Burn of unspecified degree of unspecified foot, sequela | 2 | |||
T25099A | Burn of unspecified degree of multiple sites of unspecified ankle and foot, initial encounter | 5 | |||
T25099S | Burn of unspecified degree of multiple sites of unspecified ankle and foot, sequela | 2 | |||
T25319A | Burn of third degree of unspecified ankle, initial encounter | 5 | |||
T25329A | Burn of third degree of unspecified foot, initial encounter | 5 | |||
T25399A | Burn of third degree of multiple sites of unspecified ankle and foot, initial encounter | 5 | |||
T25499A | Corrosion of unspecified degree of multiple sites of unspecified ankle and foot, initial encounter | 5 | |||
T25729A | Corrosion of third degree of unspecified foot, initial encounter | 5 | |||
T25799A | Corrosion of third degree of multiple sites of unspecified ankle and foot, initial encounter | 5 | |||
T2600xS | Burn of unspecified eyelid and periocular area, sequela | 2 | |||
T2610xS | Burn of cornea and conjunctival sac, unspecified eye, sequela | 2 | |||
T2640xS | Burn of unspecified eye and adnexa, part unspecified, sequela | 2 | |||
T273xxA | Burn of respiratory tract, part unspecified, initial encounter | 5 | |||
T277xxA | Corrosion of respiratory tract, part unspecified, initial encounter | 5 | |||
T280xxS | Burn of mouth and pharynx, sequela | 2 | |||
T281xxS | Burn of esophagus, sequela | 2 | |||
T282xxS | Burn of other parts of alimentary tract, sequela | 2 | |||
T283xxS | Burn of internal genitourinary organs, sequela | 2 | |||
T2840xA | Burn of unspecified internal organ, initial encounter | 5 | |||
T2840xS | Burn of unspecified internal organ, sequela | 2 | |||
T28419S | Burn of unspecified ear drum, sequela | 2 | |||
T2849xS | Burn of other internal organ, sequela | 2 | |||
T2890xA | Corrosions of unspecified internal organs, initial encounter | 5 | |||
T300 | Burn of unspecified body region, unspecified degree | 2 | |||
T304 | Corrosion of unspecified body region, unspecified degree | 2 | |||
T3111 | Burns involving 10-19% of body surface with 10-19% third degree burns | 5 | |||
T3122 | Burns involving 20-29% of body surface with 20-29% third degree burns | 5 | |||
T3143 | Burns involving 40-49% of body surface with 30-39% third degree burns | 5 | |||
T3151 | Burns involving 50-59% of body surface with 10-19% third degree burns | 5 | |||
T3155 | Burns involving 50-59% of body surface with 50-59% third degree burns | 5 | |||
T3164 | Burns involving 60-69% of body surface with 40-49% third degree burns | 5 | |||
T3166 | Burns involving 60-69% of body surface with 60-69% third degree burns | 5 | |||
T3211 | Corrosions involving 10-19% of body surface with 10-19% third degree corrosion | 5 | |||
T3222 | Corrosions involving 20-29% of body surface with 20-29% third degree corrosion | 5 | |||
T3243 | Corrosions involving 40-49% of body surface with 30-39% third degree corrosion | 1 | |||
T3251 | Corrosions involving 50-59% of body surface with 10-19% third degree corrosion | 1 | |||
T3255 | Corrosions involving 50-59% of body surface with 50-59% third degree corrosion | 5 | |||
T3264 | Corrosions involving 60-69% of body surface with 40-49% third degree corrosion | 5 | |||
T3266 | Corrosions involving 60-69% of body surface with 60-69% third degree corrosion | 1 | |||
T3490xS | Frostbite with tissue necrosis of unspecified sites, sequela | 2 | |||
T3691xS | Poisoning by unspecified systemic antibiotic, accidental (unintentional), sequela | 2 | |||
T3692xS | Poisoning by unspecified systemic antibiotic, intentional self-harm, sequela | 2 | |||
T3693xS | Poisoning by unspecified systemic antibiotic, assault, sequela | 2 | |||
T3694xS | Poisoning by unspecified systemic antibiotic, undetermined, sequela | 2 | |||
T3791xS | Poisoning by unspecified systemic anti-infective and antiparasitics, accidental (unintentional), sequela | 2 | |||
T3792xS | Poisoning by unspecified systemic anti-infective and antiparasitics, intentional self- harm, sequela | 2 | |||
T3793xS | Poisoning by unspecified systemic anti-infective and antiparasitics, assault, sequela | 2 | |||
T3794xS | Poisoning by unspecified systemic anti-infective and antiparasitics, undetermined, sequela | 2 | |||
T38801S | Poisoning by unspecified hormones and synthetic substitutes, accidental (unintentional), sequela | 2 | |||
T38802S | Poisoning by unspecified hormones and synthetic substitutes, intentional self-harm, sequela | 2 | |||
T38803S | Poisoning by unspecified hormones and synthetic substitutes, assault, sequela | 2 | |||
T38804S | Poisoning by unspecified hormones and synthetic substitutes, undetermined, sequela | 2 | |||
T40902S | Poisoning by unspecified psychodysleptics [hallucinogens], intentional self-harm, sequela | 2 | |||
T40903S | Poisoning by unspecified psychodysleptics [hallucinogens], assault, sequela | 2 | |||
T40904S | Poisoning by unspecified psychodysleptics [hallucinogens], undetermined, sequela | 2 | |||
T410X4S | Poisoning by inhaled anesthetics, undetermined, sequela | 2 | |||
T41204S | Poisoning by unspecified general anesthetics, undetermined, sequela | 2 | |||
T413X4S | Poisoning by local anesthetics, undetermined, sequela | 2 | |||
T423X4S | Poisoning by barbiturates, undetermined, sequela | 2 | |||
T424X4S | Poisoning by benzodiazepines, undetermined, sequela | 2 | |||
T4274xS | Poisoning by unspecified antiepileptic and sedative-hypnotic drugs, undetermined, sequela | 2 | |||
T428X4S | Poisoning by antiparkinsonism drugs and other central muscle-tone depressants, undetermined, sequela | 2 | |||
T43024S | Poisoning by tetracyclic antidepressants, undetermined, sequela | 2 | |||
T431X4S | Poisoning by monoamine-oxidase-inhibitor antidepressants, undetermined, sequela | 2 | |||
T43204S | Poisoning by unspecified antidepressants, undetermined, sequela | 2 | |||
T452X4S | Poisoning by vitamins, undetermined, sequela | 2 | |||
T4994xS | Poisoning by unspecified topical agent, undetermined, sequela | 2 | |||
T50904S | Poisoning by unspecified drugs, medicaments and biological substances, undetermined, sequela | 2 | |||
T543X4A | Toxic effect of corrosive alkalis and alkali-like substances, undetermined, initial encounter | 2 | |||
T560X4A | Toxic effect of lead and its compounds, undetermined, initial encounter | 2 | |||
T66xxxS | Radiation sickness, unspecified, sequela | 2 | |||
T68xxxS | Hypothermia, sequela | 2 | |||
T700xxS | Otitic barotrauma, sequela | 2 | |||
T701xxS | Sinus barotrauma, sequela | 2 | |||
T7020xS | Unspecified effects of high altitude, sequela | 2 | |||
T719xxS | Asphyxiation due to unspecified cause, sequela | 2 | |||
T730xxS | Starvation, sequela | 2 | |||
T744xxS | Shaken infant syndrome, sequela | 2 | |||
T7500xS | Unspecified effects of lightning, sequela | 2 | |||
T7692xS | Unspecified child maltreatment, suspected, sequela | 2 | |||
T7800xA | Anaphylactic reaction due to unspecified food, initial encounter | 2 | |||
T7801xA | Anaphylactic reaction due to peanuts, initial encounter | 2 | |||
T7802xA | Anaphylactic reaction due to shellfish (crustaceans), initial encounter | 2 | |||
T7803xA | Anaphylactic reaction due to other fish, initial encounter | 2 | |||
T7804xA | Anaphylactic reaction due to fruits and vegetables, initial encounter | 2 | |||
T7805xA | Anaphylactic reaction due to tree nuts and seeds, initial encounter | 2 | |||
T7807xA | Anaphylactic reaction due to milk and dairy products, initial encounter | 2 | |||
T7808xA | Anaphylactic reaction due to eggs, initial encounter | 2 | |||
T7809xA | Anaphylactic reaction due to other food products, initial encounter | 2 | |||
T782xxA | Anaphylactic shock, unspecified, initial encounter | 2 | |||
T79A0xS | Compartment syndrome, unspecified, sequela | 2 | |||
T819xxA | Unspecified complication of procedure, initial encounter | 2 | |||
T827xxA | Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter | 3 | |||
T8460xA | Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter | 2 | |||
T84619A | Infection and inflammatory reaction due to internal fixation device of unspecified bone of arm, initial encounter | 2 | |||
T84629A | Infection and inflammatory reaction due to internal fixation device of unspecified bone of leg, initial encounter | 2 | |||
T8463xA | Infection and inflammatory reaction due to internal fixation device of spine, initial encounter | 2 | |||
T847xxA | Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter | 2 | |||
T8579xA | Infection and inflammatory reaction due to other internal prosthetic devices, implants and grafts, initial encounter | 3 | |||
T8600 | Unspecified complication of bone marrow transplant | 5 | |||
T8610 | Unspecified complication of kidney transplant | 5 | |||
T8620 | Unspecified complication of heart transplant | 5 | |||
T8630 | Unspecified complication of heart-lung transplant | 5 | |||
T8640 | Unspecified complication of liver transplant | 5 | |||
T865 | Complications of stem cell transplant | 5 | |||
T86819 | Unspecified complication of lung transplant | 5 | |||
T86839 | Unspecified complication of bone graft | 2 | |||
09/30/2020 | |||||
T868483 | Other complications of corneal transplant, bilateral | 2 | 10/01/2020 | ||
T868489 | Other complications of corneal transplant, unspecified eye | 2 | 10/01/2020 | ||
T868493 | Unspecified complication of corneal transplant, bilateral | 2 | 10/01/2020 | ||
T868499 | Unspecified complication of corneal transplant, unspecified eye | 2 | 10/01/2020 | ||
T86859 | Unspecified complication of intestine transplant | 5 | |||
T86890 | Other transplanted tissue rejection | 5 | |||
T8690 | Unspecified complication of unspecified transplanted organ and tissue | 2 | |||
T8699 | Other complications of unspecified transplanted organ and tissue | 2 | |||
T879 | Unspecified complications of amputation stump | 3 | |||
T889xxS | Complication of surgical and medical care, unspecified, sequela | 2 |
To apply, first ask your health specialist to submit a medical record less than one year old to CSHCS. It can be a letter or report that fully describes the condition and treatment plan. Your specialist will need permission to send the record to CSHCS.
If the person with special needs has not seen a specialist or if you have questions, please do one of the following:
- Call UPHP Customer Service at 1-800-835-2556 (TTY: 711).
- Contact your local CSHCS office.
- Call the CSHCS Family Phone Line at 1-800-359-3722.
- Call your local health department.
Please call UPHP Customer Service at 1-800-835-2556 (TTY: 711) with the name of your primary care provider (PCP) or your child’s PCP.
If you do not (or your child does not) have a PCP, the document linked below will provide a list of PCPs who have agreed to accept any UPHP Medicaid member enrolled in CSHCS. The list is meant to help you, not limit your choice. If the doctor you want is not on the list, call UPHP Customer Service for help.
As children get older they must prepare for the transition to adult life. Transitioning to adult life means planning for future needs including:
- Health care
- Employment
- Education
- Independent living
Children with special health care needs will need to make the transition from pediatric care to adult care. Health care planning should also include:
- Learning independent health care skills
- Finding adult health care providers
- Getting proper health care coverage
Below is a link to resources to assist with this process:
If you need help or a list of providers, please contact UPHP Customer Service at 1-800-835-2556 (TTY: 711) and ask to speak with a CSHCS care coordinator.
- The Michigan Family-to-Family Health Information and Education Center aims to improve access to high-quality care and supports for children with special needs by empowering families.
- MDHHS CSHCS Website
- Family Center for Children and Youth with Special Health Care Needs – The Family Center is the statewide parent-directed center within Children’s Special Health Care Services (CSHCS) and the Michigan Department of Health and Human Services (MDHHS). The Family Center offers emotional support, information, and connections to community-based resources to families of children and youth with special health care needs. This includes all children who have or are at an increased risk for: physical, developmental, behavioral, or emotional conditions. Children do not need to be enrolled in CSHCS to receive services from the Family Center.
Need help?
Contact UPHP Customer Service at 1-800-835-2556 (TTY: 711) and ask to speak with a CSHCS care coordinator for help with the following:
- Complex care management including:
- Health assessment
- Care plan
- Assistance achieving goals
- Finding a health care provider
- Specialists
- PCP
- Transitioning to adult providers
- CSHCS attested providers
- Care coordination
- Assistance with prior authorizations
- Assistance with durable medical equipment
- Assistance navigating your benefits
- Questions or concerns
Page Last Updated: 10/20/2023