cshcs diagnosis codes

ICD-10 CSHCS-Qualifying Diagnosis Codes

Effective 10/1/2018

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 10/1/2016

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

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Effective 10/1/2018

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

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Effective 10/1/2018

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 5C490 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

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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

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Effective 10/1/2018

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

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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

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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

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C9592 Leukemiaunspecified, in relapse 5

C960 Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis 5

C962 Malignant mast cell tumor 5 9/30/2017

C9620 Malignant mast cell neoplasm, unspecified 5 10/1/2017

C9622 Mast cell sarcoma 5 10/1/2017

C9629 Other malignant mast cell neoplasm 5 10/1/2017

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

D139 Benign neoplasm of ill-defined sites within the digestive system 2

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

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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 10/1/2017D473 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

D481 Neoplasm of uncertain behavior of connective and other soft tissue 2

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Effective 10/1/2018

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

D550 Anemia due to glucose-6-phosphate dehydrogenase [G6PD] deficiency 3

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

D57419 Sickle-cell thalassemia with crisis, unspecified 5

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

D591 Other autoimmune hemolytic anemias 2

D593 Hemolytic-uremic syndrome 2

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

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

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D680 Von Willebrand's disease 5

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

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

D813 Adenosine deaminase [ADA] deficiency 3

D815 Purine nucleoside phosphorylase [PNP] deficiency 3

D816 Major histocompatibility complex class I deficiency 5

D817 Major histocompatibility complex class II deficiency 5

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D81810 Biotinidase deficiency 3

D8189 Other combined immunodeficiencies 5

D819 Combined immunodeficiency, unspecified 5

D820 Wiskott-Aldrich syndrome 5

D821 Di George's syndrome 5

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

D848 Other specified immunodeficiencies 2

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

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

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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

E208 Other hypoparathyroidism 3

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

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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

E343 Short stature due to endocrine disorder 3

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

E708 Other disorders of aromatic amino-acid metabolism 5

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

14


Effective 10/1/2018

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

15


Effective 10/1/2018

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

E728 Other specified disorders of amino-acid metabolism 5 9/30/2018

E7281 Disorders of gamma aminobutyric acid metabolism 5 10/1/2018

E7289 Other specified disorders of amino-acid metabolism 5 10/1/2018

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

E748 Other specified disorders of carbohydrate metabolism 3

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

16


Effective 10/1/2018

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

E780 Pure hypercholesterolemia 3 9/30/2016

E7800 Pure hypercholesterolemia unspecified 3 10/1/2016

E781 Pure hyperglyceridemia 3

E782 Mixed hyperlipidemia 3

E784 Other hyperlipidemia 3 9/30/2018

E7841 Elevated Lipoprotein(a) 3 10/1/2018

E7849 Other hyperlipidemia 3 10/1/2018

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

E798 Other disorders of purine and pyrimidine metabolism 3

E799 Disorder of purine and pyrimidine metabolism, unspecified 3

E800 Hereditary erythropoietic porphyria 5

E801 Porphyria cutanea tarda 5

E8020 Unspecified porphyria 5

17


Effective 10/1/2018

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 10/1/2017

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 2

G041 Tropical spastic paraplegia 5

G0430 Acute necrotizing hemorrhagic encephalopathy, unspecified 2

G0490 Encephalitis and encephalomyelitis, unspecified 2

G0491 Myelitis, unspecified 2

G09 Sequelae of inflammatory diseases of central nervous system 3

G10 Huntington's disease 5

18


Effective 10/1/2018

G111 Early-onset cerebellar ataxia 5

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 10/1/2017

G1224 Familial motor neuron disease 2 10/1/2017

G1225 Progressive spinal muscle atrophy 2 10/1/2017

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

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

19


Effective 10/1/2018

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

G378 Other specified demyelinating diseases of central nervous system 3

G379 Demyelinating disease of central nervous system, unspecified 3

G40009

Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures

of localized onset, not intractable, without status epilepticus 3

G40019

Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures

of localized onset, intractable, without status epilepticus 5

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 5G40209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with 3G40219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with 5

G40309 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status 2

G40319 Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus 5

G40409 Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus 3

G40419 Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus 5

G40822 Epileptic spasms, not intractable, without status epilepticus 2

G40824 Epileptic spasms, intractable, without status epilepticus 5

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

20


Effective 10/1/2018

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 10/1/2017

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

G710 Muscular dystrophy 5 9/30/2018

G7100 Muscular dystrophy, unspecified 5 10/1/2018

G7101 Duchenne or Becker muscular dystrophy 5 10/1/2018

G7102 Facioscapulohumeral muscular dystrophy 5 10/1/2018

G7109 Other specified muscular dystrophies 5 10/1/2018

G7111 Myotonic muscular dystrophy 5

G7112 Myotonia congenita 5

G7119 Other specified myotonic disorders 5

G712 Congenital myopathies 5

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 3

G8220 Paraplegia, unspecified 5

G8250 Quadriplegia, unspecified 3

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

21


Effective 10/1/2018

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

G960 Cerebrospinal fluid leak 2

G9619 Other disorders of meninges, not elsewhere classified 2

G968 Other specified disorders of central nervous system 3

G969 Disorder of central nervous system, unspecified 2

G9781 Other intraoperative complications of nervous system 2

G9782 Other postprocedural complications and disorders of nervous system 3

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

22


Effective 10/1/2018

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

H1852 Epithelial (juvenile) corneal dystrophy 3

H1853 Granular corneal dystrophy 3

H1859 Other hereditary corneal dystrophies 2

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

23


Effective 10/1/2018

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 2

H35169 Retinopathy of prematurity, stage 5, unspecified eye 2

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

24


Effective 10/1/2018

H3582 Retinal ischemia 2

H36 Retinal disorders in diseases classified elsewhere 2

H40009 Preglaucoma, unspecified , unspecified eye 2

H4010x0 Unspecified open-angle glaucoma, stage unspecified 2

H401190 Primary open-angle glaucoma unspecified eye, stage unspecified 2 10/1/2016

H4011x0 Primary open-angle glaucoma, stage unspecified 2 9/30/2016

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 10/1/2017

H442C9 Degenerative myopia with retinal detachment, unspecified eye 2 10/1/2017

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

25


Effective 10/1/2018

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 Esophoria 2

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

26


Effective 10/1/2018

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 2

H905 Unspecified sensorineural hearing loss 5

H908 Mixed conductive and sensorineural hearing loss, unspecified 1

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

27


Effective 10/1/2018

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 10/1/2017

I21A9 Other myocardial infarction type 2 10/1/2017

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

I272 Other secondary pulmonary hypertension 2 9/30/2017

I2720 Pulmonary hypertension, unspecified 2 10/1/2017

I2721 Secondary pulmonary arterial hypertension 2 10/1/2017

I2781 Cor pulmonale (chronic) 2

I2782 Chronic pulmonary embolism 2

I2783 Eisenmenger's syndrome 2 10/1/2017

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

I313 Pericardial effusion (noninflammatory) 2

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

28


Effective 10/1/2018

I342 Nonrheumatic mitral (valve) stenosis 3

I348 Other nonrheumatic mitral valve disorders 3

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

29


Effective 10/1/2018

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

I471 Supraventricular tachycardia 3

I480 Paroxysmal atrial fibrillation 3

I481 Persistent atrial fibrillation 3

I482 Chronic atrial fibrillation 3

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 10/1/2017

I5082 Biventricular heart failure 2 10/1/2017

I5083 High output heart failure 2 10/1/2017

I5084 End stage heart failure 2 10/1/2017

I5089 Other heart failure 2 10/1/2017

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

30


Effective 10/1/2018

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

I6991 Cognitive deficits following unspecified cerebrovascular disease 2 9/30/2016

I69919 Unspecified symptoms and signs involving cognitive functions following unspecified cerebrovascular disease2 10/1/2016

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

31


Effective 10/1/2018

J439 Emphysema, unspecified 3

J4540 Moderate persistent asthma, uncomplicated 3

J4550 Severe persistent asthma, uncomplicated 3

J45998 Other asthma 2

J479 Bronchiectasis, uncomplicated 2

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

J8417 Other interstitial pulmonary diseases with fibrosis in diseases classified elsewhere 3

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

32


Effective 10/1/2018

K5100 Ulcerative (chronic) pancolitis without complications 5

K5190 Ulcerative colitis, unspecified, without complications 3

K51919 Ulcerative colitis, unspecified with unspecified complications 3

K522 Allergic and dietetic gastroenteritis and colitis 2 9/30/2016

K5221 Allergic & Dietetic Gastroenteritis and Colitis 2 10/1/2017

K5229 Other allergic dietetic gastroenteritis colitis 2 10/1/2016

K5281 Eosinophilic gastritis or gastroenteritis 2

K5282 Eosinophilic colitis 2

K529 Noninfective gastroenteritis and colitis, unspecified 2

K550 Acute vascular disorders of intestine 2 9/30/2016

K551 Chronic vascular disorders of intestine 2 10/1/2016

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

K740 Hepatic fibrosis 3

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

K868 Other specified diseases of pancreas 2 9/30/2016

K8681 Exocrine pancreatic insufficiency 2 10/1/2016

K8689 Other specified diseases of pancreas 2 10/1/2016

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

K904 Malabsorption due to intolerance, not elsewhere classified 2 9/30/2016

K9049 Malabsorption due to intolerance not elswhere classified 2 10/1/2016

K9089 Other intestinal malabsorption 2

K909 Intestinal malabsorption, unspecified 3

K912 Postsurgical malabsorption, not elsewhere classified 3

33


Effective 10/1/2018

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 10/1/2016

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

M0580 Other rheumatoid arthritis with rheumatoid factor of unspecified site 3

M059 Rheumatoid arthritis with rheumatoid factor, unspecified 3

M0600 Rheumatoid arthritis without rheumatoid factor, unspecified site 3

M061 Adult-onset Still's disease 3

M0620 Rheumatoid bursitis, unspecified site 3

M0630 Rheumatoid nodule, unspecified site 3

M064 Inflammatory polyarthropathy 2

M0680 Other specified rheumatoid arthritis, unspecified site 3

M069 Rheumatoid arthritis, unspecified 3

M0760 Enteropathic arthropathies, unspecified site 2

M0800 Unspecified juvenile rheumatoid arthritis of unspecified site 3

M081 Juvenile ankylosing spondylitis 5

M0820 Juvenile rheumatoid arthritis with systemic onset, unspecified site 3

34


Effective 10/1/2018

M083 Juvenile rheumatoid polyarthritis (seronegative) 3

M0840 Pauciarticular juvenile rheumatoid arthritis, unspecified site 3

M0880 Other juvenile arthritis, unspecified site 3

M0890 Juvenile arthritis, unspecified, unspecified site 3

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 Heberden's nodes (with arthropathy) 2

M152 Bouchard's nodes (with arthropathy) 3

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

M2430 Pathological dislocation of unspecified joint, not elsewhere classified 2

M2440 Recurrent dislocation, unspecified joint 2

M2450 Contracture, unspecified joint 2

M24659 Ankylosis, unspecified hip 2

M2480 Other specific joint derangements of unspecified joint, not elsewhere classified 2

M24859 Other specific joint derangements of unspecified hip, not elsewhere classified 3

M2510 Fistula, unspecified joint 2

M2518 Fistula, vertebrae 2

35


Effective 10/1/2018

M2520 Flail joint, unspecified joint 2

M2530 Other instability, unspecified joint 2

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 Malocclusion, Angle's class II 3

M26213 Malocclusion, Angle's class III 3

M26219 Malocclusion, Angle's class, unspecified 3

M264 Malocclusion, unspecified 3

M2650 Dentofacial functional abnormalities, unspecified 2

M2659 Other dentofacial functional abnormalities 2

M2660 Temporomandibular joint disorder, unspecified 2 9/30/2016

M26609 Unspecified temporomandibular joint disorder unspecfied side 2 10/1/2016

M2662 Arthralgia of temporomandibular joint 2 9/30/2016

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

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 10/1/2017

M3310 Other dermatopolymyositis, organ involvement unspecified 5

M3313 Other dermatomyositis without myopathy 5 10/1/2017

M3320 Polymyositis, organ involvement unspecified 5

M3390 Dermatopolymyositis, unspecified, organ involvement unspecified 5

M3393 Dermatopolymyositis, unspecified without myopathy 5 10/1/2017

M340 Progressive systemic sclerosis 5

M341 CR(E)ST syndrome 5

M3481 Systemic sclerosis with lung involvement 5

M349 Systemic sclerosis, unspecified 5

36


Effective 10/1/2018

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

M358 Other specified systemic involvement of connective tissue 3

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

37


Effective 10/1/2018

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

38


Effective 10/1/2018

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

M9250 Juvenile osteochondrosis of tibia and fibula, unspecified leg 2

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 (nontraumatic), unspecified hip 2

M93023 Chronic slipped upper femoral epiphysis (nontraumatic), unspecified hip 2

M93033 Acute on chronic slipped upper femoral epiphysis (nontraumatic), unspecified hip 2

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

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

39


Effective 10/1/2018

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

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

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

40


Effective 10/1/2018

N181 Chronic kidney disease, stage 1 5

N182 Chronic kidney disease, stage 2 (mild) 5

N183 Chronic kidney disease, stage 3 (moderate) 5

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

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

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

P284 Other apnea of newborn 1

P293 Persistent fetal circulation 1 9/30/2017

P2930 Pulmonary hypertension of newborn 1 10/1/2017

41


Effective 10/1/2018

P2938 Other persistent fetal circulation 1 10/1/2017

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



P779 Necrotizing enterocolitis in newborn, unspecified 2

P8388 Other specified conditions of integument specific to newborn 1 10/1/2017

P84 Other problems with newborn 2

P9160 Hypoxic ischemic encephalopathy [HIE], unspecified 1

P9163 Severe hypoxic ischemic encephalopathy [HIE] 2

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

42


Effective 10/1/2018

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

43


Effective 10/1/2018

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

Q211 Atrial septal defect 5

Q212 Atrioventricular septal defect 5

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

44


Effective 10/1/2018

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

Q252 Atresia of aorta 5 9/30/2016

Q2521 Interruption of aortic arch 5 10/1/2016

Q2529 Other atresia of aorta 5 10/1/2016

Q253 Supravalvular aortic stenosis 5

Q254 Other congenital malformations of aorta 5 9/30/2016

Q2549 Other congenital malformations of aorta 5 10/1/2016

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

45


Effective 10/1/2018

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

46


Effective 10/1/2018

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

Q447 Other congenital malformations of liver 2

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

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

47


Effective 10/1/2018

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

Q660 Congenital talipes equinovarus 2

Q661 Congenital talipes calcaneovarus 2

Q663 Other congenital varus deformities of feet 2

Q664 Congenital talipes calcaneovalgus 2

Q666 Other congenital valgus deformities of feet 2

Q667 Congenital pes cavus 2

Q6689 Other specified congenital deformities of feet 2

Q669 Congenital deformity of feet, unspecified 2

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

48


Effective 10/1/2018

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

Q750 Craniosynostosis 5

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 Klippel-Feil syndrome 5

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

49


Effective 10/1/2018

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

Q796 Ehlers-Danlos syndrome 2 10/1/2016

Q798 Other congenital malformations of musculoskeletal system 2

Q799 Congenital malformation of musculoskeletal system, unspecified 2

Q819 Epidermolysis bullosa, unspecified 2

Q820 Hereditary lymphedema 3

Q821 Xeroderma pigmentosum 3

Q822 Mastocytosis 3

Q823 Incontinentia pigmenti 3

Q824 Ectodermal dysplasia (anhidrotic) 3

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 5

Q8501 Neurofibromatosis, type 1 5

Q8502 Neurofibromatosis, type 2 5

Q8503 Schwannomatosis 5

Q851 Tuberous sclerosis 5

Q858 Other phakomatoses, not elsewhere classified 3

Q859 Phakomatosis, unspecified 3

Q870 Congenital malformation syndromes predominantly affecting facial appearance 5

Q871 Congenital malformation syndromes predominantly associated with short stature 3

Q873 Congenital malformation syndromes involving early overgrowth 2

Q8740 Marfan's syndrome, unspecified 3

Q8781 Alport syndrome 3

Q897 Multiple congenital malformations, not elsewhere classified 3

Q898 Other specified congenital malformations 3

50


Effective 10/1/2018

Q899 Congenital malformation, unspecified 2

Q969 Turner's syndrome, unspecified 3

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

R75 Inconclusive laboratory evidence of human immunodeficiency virus [HIV] 2

S0100xS Unspecified open wound of scalp, sequela 2

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 10/1/2016

S0210xS Unspecified fracture of base of skull, sequela 2 9/30/2016

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 10/1/2016

S023xxS Fracture of orbital floor, sequela 2 9/30/2016

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

S0280XS Fractures other specified skull facial bones unspecified side sequela 2 10/1/2016

S028xxS Fractures of other specified skull and facial bones, sequela 2 9/30/2016

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

51


Effective 10/1/2018

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

S04899S Injury of other cranial nerves, unspecified side, sequela 2

S049xxS Injury of unspecified cranial nerve, sequela 2

S0590xS Unspecified injury of unspecified eye and orbit, sequela 2

S064X0A Epidural hemorrhage without loss of consciousness, initial encounter 2

S065X0A Traumatic subdural hemorrhage without loss of consciousness, initial encounter 2

S065X7A

Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to

brain injury before regaining consciousness, initial encounter 2

S065X9A

Traumatic subdural hemorrhage with loss of consciousness of unspecified duration, initial

encounter 2

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

S069X0S Unspecified intracranial injury without loss of consciousness, sequela 2

S069X9S Unspecified intracranial injury with loss of consciousness of unspecified duration, sequela 2

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

52


Effective 10/1/2018

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

S1180xS Unspecified open wound of other specified part of neck, sequela 2

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 2

S14115A Complete lesion at C5 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




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

S15001S Unspecified injury of right carotid artery, sequela 2

S15002S Unspecified injury of left carotid artery, sequela 2

S15009S Unspecified injury of unspecified carotid artery, sequela 2

S15101S Unspecified injury of right vertebral artery, sequela 2

S15102S Unspecified injury of left vertebral artery, sequela 2

S15109S Unspecified injury of unspecified vertebral artery, sequela 2

S15199S Other specified injury of unspecified vertebral artery, sequela 2

S15201S Unspecified injury of right external jugular vein, sequela 2

S15202S Unspecified injury of left external jugular vein, sequela 2

S15209S Unspecified injury of unspecified external jugular vein, sequela 2

S15301S Unspecified injury of right internal jugular vein, sequela 2

S15302S Unspecified injury of left internal jugular vein, sequela 2

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

53


Effective 10/1/2018

S1980xS Other specified injuries of unspecified part of neck, sequela 2

S199xxS Unspecified injury of neck, sequela 2

S21009S Unspecified open wound of unspecified breast, sequela 2

S21109S

Unspecified open wound of unspecified front wall of thorax without penetration into thoracic

cavity, sequela 2

S21209S

Unspecified open wound of unspecified back wall of thorax without penetration into thoracic

cavity, sequela 2

S21309S

Unspecified open wound of unspecified front wall of thorax with penetration into thoracic

cavity, sequela 2

S21409S

Unspecified open wound of unspecified back wall of thorax with penetration into thoracic

cavity, sequela 2

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

S24103A Unspecified injury at T7-T10 level of thoracic spinal cord, initial encounter 5

S24104A Unspecified injury at T11-T12 level of thoracic spinal cord, initial encounter 5

S24109S Unspecified injury at unspecified level of thoracic spinal cord, sequela 2

S24111A Complete lesion at T1 level of thoracic spinal cord, initial encounter 5

S24112A Complete lesion at T2-T6 level of thoracic spinal cord, initial encounter 5

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

54


Effective 10/1/2018

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

S29001S Unspecified injury of muscle and tendon of front wall of thorax, sequela 2

S29002S Unspecified injury of muscle and tendon of back wall of thorax, sequela 2

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

S299xxS Unspecified injury of thorax, sequela 2

S31000S Unspecified open wound of lower back and pelvis without penetration into retroperitoneum, 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


S31109S

Unspecified open wound of abdominal wall, unspecified quadrant without penetration into


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


S31609S

Unspecified open wound of abdominal wall, unspecified quadrant with penetration into


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

55


Effective 10/1/2018

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

S36119S Unspecified injury of liver, sequela 2

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 2S381xxS 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

56


Effective 10/1/2018

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 2S41009S 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 5S48911A Complete traumatic amputation of right shoulder and upper arm, level unspecified, initial 5

S48912A Complete traumatic amputation of left shoulder and upper arm, level unspecified, initial 1

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

57


Effective 10/1/2018

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 2S52309S 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 2S68019A 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

58


Effective 10/1/2018

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

S7490xA Injury of unspecified nerve at hip and thigh level, unspecified leg, initial encounter 2

S7490xS Injury of unspecified nerve at hip and thigh level, unspecified leg, sequela 2

S75999S

Other specified injury of unspecified blood vessel at hip and thigh level, unspecified leg,

sequela 2

S76909S

Unspecified injury of unspecified muscles, fascia and tendons at thigh level, unspecified thigh,

sequela 2

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

S8490xA Injury of unspecified nerve at lower leg level, unspecified leg, initial encounter 1

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

59


Effective 10/1/2018

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

S88911A Complete traumatic amputation of right lower leg, level unspecified, initial encounter 5

S88912A Complete traumatic amputation of left lower leg, level unspecified, initial encounter 1

S88919S Complete traumatic amputation of unspecified lower leg, level unspecified, sequela 2

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

S98911A Complete traumatic amputation of right foot, level unspecified, initial encounter 5

S98912A Complete traumatic amputation of left foot, level unspecified, initial encounter 1

S98919A Complete traumatic amputation of unspecified foot, level unspecified, initial encounter 5

S98921A Partial traumatic amputation of right foot, level unspecified, initial encounter 1

S98922A Partial traumatic amputation of left foot, level unspecified, initial encounter 1

S98929A Partial traumatic amputation of unspecified foot, level unspecified, initial encounter 1

S99919S Unspecified injury of unspecified ankle, sequela 2

S99929S Unspecified injury of unspecified foot, sequela 2

T1490 Injury, unspecified 2 9/30/2017

T1490XS Injury, unspecified, sequela 1 10/1/2017

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

60


Effective 10/1/2018

T2109xS Burn of unspecified degree of other site of trunk, sequela 2

T2130xA Burn of third degree of trunk, unspecified site, initial encounter 5T2170xA 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 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 2T22049S 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 1T23739A Corrosion of third degree of unspecified multiple fingers (nail), not including thumb, initial 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

61


Effective 10/1/2018

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

62


Effective 10/1/2018

T2890xA Corrosions of unspecified internal organs, initial encounter 5

T300 Burn of unspecified body region, unspecified degree 2T304 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 5T3143 Burns involving 40-49% of body surface with 30-39% third degree burns 5





T3211 Corrosions involving 10-19% of body surface with 10-19% third degree corrosion 5







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 2T3793xS 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

63


Effective 10/1/2018

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

64


Effective 10/1/2018

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

T86842 Corneal transplant infection 2

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

65

cshcs diagnosis codes

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